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Orchid View

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Orchid View
Serious Case Review
June 2014
Background
In October 2013, an inquest was launched into the deaths of nineteen residents at the Orchid View care home in West Sussex, run by Southern Cross Healthcare. The inquest found that neglect had contributed to five of the deaths and that the other deaths had been caused by 'sub-optimal' care. The Coroner, Ms Schofield, commented on the appalling conditions at the care home stating that it was awash with 'institutionalised abuse'. In 2010 the Care Quality Commission (CQC) had rated Orchid View as 'good', Ms Schofield was concerned that such conditions and poor treatment of residents could go unnoticed by the authorities.
In response to this, in June 2014, the West Sussex Adults Safeguarding Board commissioned a Serious Case review into the failings at Orchid View.
Findings
The key findings of the Serious Case Review found lack of respect, dignity in relation to the treatment of service users. Maltreatment also included poor nutrition, poor hydration, left in soiled bedsheets, and mismanagement of medication. Call bells went unanswered and some were out of a service user reach. These fallings caused serious neglect that ultimately cost the lives of some service users.
Recommendations
34 recommendations were made, for example: * Care companies should be required to provide evidence to the Care Quality Commission (CQC) that they can both recruit and sustain a skilled workforce. * Relatives to have a named contact within each home and concerns about safeguarding must be passed to an independent figure outside the home if they are not dealt with promptly. * Open meetings must be held on a regular basis with residents and relatives to discuss general concerns and provide details of any significant safeguarding concerns. Local authorities to attend and minutes shared. * Service users to be involved in Care Quality Commission (CQC) inspections as well as opportunities for relatives to meet an inspection team.

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