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6 Mart 2017 Pazartesi

Brothers fined over "depressing, unsafe" Liverpool care home

Two brothers have been fined more than £82,000 after their “depressing, unhygienic and unsafe” care home was shut down by inspectors.


Amjad Latif, 56, and his younger brother Amer, 47, ran the Mossley Manor care home in Liverpool until June 2015 when a new resident’s daughter was so appalled by conditions that she took her mother home after two hours and complained to the Care Quality Commission (CQC).


CQC inspectors gagged at the smell in some residents’ rooms when they made a surprise inspection, Liverpool magistrates court heard on Monday. The inspectors found elderly people who had not bathed properly for four weeks and had not been washed in days.


One man with Parkinson’s disease was taken to hospital with aspiration pneumonia after choking because carers kept giving him food he could not swallow. His need to be fed mashed food and have his head held up while drinking had not been properly recorded on his care plan, the court heard.


Sentencing the brothers on Monday after the CQC brought a case against them, a district judge branded Mossley Manor “a lack of care home, not a care home”.


Judge Andrew Shaw told the court he was shocked by the harrowing conditions suffered by some of the 43 elderly residents living there when it was closed. The Latif brothers had betrayed their vulnerable clients, he said.


Fees at the home started at £1,000 a month for council-funded residents, with private residents charged almost twice that.


A shortage of hot water meant that staff regularly had to boil pots of water in the kitchen in order to do the washing up or the most cursory bed baths. One resident showed inspectors the bathroom near their bedroom where there was no running water in the sink, a blocked toilet and no plug for the bath.


Some communal toilets were without soap, towels or plastic bags in the bins, with used incontinence pads left around residents’ rooms.


One bedroom window was broken in three places and the cracks had been taped over. It was also jammed open, leaving a 5cm gap that the resident tried to block with socks to keep warm.


A blind woman who fell 14 times in a year was told to press an alarm she could not see if she got into difficulty, said Jenny Ashworth, prosecuting, who branded the home “depressing, unhygienic and unsafe”.


In one of the most shocking observations in the CQC’s 16-page report, inspectors wrote: “We went into some people’s bedrooms and were shocked at the terrible smell and state of their rooms. On two occasions we had to leave the rooms as the smell of stale urine and body odour was overpowering.


“In one of these rooms a person was lying in bed at lunchtime. This person had incontinence issues and required incontinence aids. The records showed that this person had not had a bath or a shower in the four weeks prior to the inspection and had not had a wash for five days.


“We asked a member of the care staff why this person was in bed and they told us that they thought that the person was depressed as they kept saying that they wanted to die. We could not see that any appropriate action had been taken to support this person.”


The substantial Victorian property is part of an estate currently on the market for £2.5m. The elder Latif brother lives in a £1m house in Bowdon, Cheshire, while his younger sibling lives in a £1.2m gated house on a tree-lined street in Woolton, south Liverpool.


The brothers admitted at an earlier hearing that they had failed to notify authorities about the deaths of 10 residents at the home, failed to inform the CQC of three serious incidents, failed to provide safe care and exposed residents to “significant” risk and harm.


They pleaded guilty to 14 charges in all, between 14 April and June 2015.


Fining the brothers £82,429.72, the judge said he had been affected by reading the case papers. “It was a distressing experience and emotionally I felt both a degree of incredulity and anger that the residents in this home were so betrayed by the individuals paid to look after them and deriving a considerable amount for doing so,” Shaw told Amjad Latif, the only brother to attend court.


Latif’s lawyer, Kevin Donnelly, said his client was an educated man with many business interests who had inherited the business from his late father. He wrongly assumed the care home would run itself, Donnelly said. He was remorseful “and accepts that these failures were wide-ranging and significant”.


Amjad declined to talk to reporters outside court, saying: “There’s nothing left to say.”


But one couple whose mothers were both at Mossley Manor, paying £450 a week for private care, said the tough fine should be a deterrent.


“Let this be a lesson to other care home owners that you have got to follow the guidelines of the CQC otherwise they will close you down,” said the husband, whose mother was 91 when she had to leave the home and move to another with just four days’ notice after the CQC shut it down.


He said he was shocked and disgusted to hear how bad conditions had become. “It must have mostly been happening behind closed doors because our mothers were quite well looked after – but we were in almost every day to check on them,” he said. “Perhaps it was the others who didn’t receive any visitors. It was horrendous to hear what was going on.”



Brothers fined over "depressing, unsafe" Liverpool care home

22 Mayıs 2014 Perşembe

Scrapping Liverpool Care Pathway also "extreme"

Dr Wrigley said care of the dying in Britain has been rated as the ideal in the planet, partly due to the fact of the Liverpool Care Pathway and it must not be phased out.


Rather, health-related workers should be properly skilled in its use to make certain it is correctly utilized.


In the Journal of Medical Ethics he wrote: “Searching for to end an strategy that is extensively observed as best practice and which can genuinely supply high good quality care due to the fact of negative impressions that have been formed from failing to put into action it correctly is not a good basis for radically overhauling our technique to end of life care.”


The LCP was developed to transfer hospice level of care for the dying into hospital wards in which the majority of men and women still finish their days.


The LCP was usually intended as a framework to assistance overall health care workers to offer holistic care tailored to the individual’s needs in their last number of hrs or days and it was by no means meant to change ethical selection-creating, he stated.


Some of the most frequent complaints levelled against the LCP were that it denied meals and water to the dying, irrespective of the patient’s desires, creating untold distress to the patient and his/her family members.


The LCP does not suggest this at all, very the opposite Dr Wrigley mentioned.


The Neuberger evaluation acknowledged that the LCP ‘in the right hands’ was a model for good practice but in the incorrect hands it has turn out to be ‘an excuse for poor high quality care’ and so it need to be phased out.


Dr Wrigley wrote: “One particular cause why this [recommendation] would seem also extreme is that finish of lifestyle care in the Uk is of a top quality that is globe-foremost, lately currently being ranked as possessing the best total palliative care in the planet.”


He added: “By analogy, 1 might construct a related argument for numerous distinct treatment options by claiming that, for example, the use of morphine need to be phased out as a painkiller in medicine due to the fact its right use is advantageous but some individuals incorrectly use it, or that insulin ought to no longer be used as a therapy for diabetes because of its hazardous incorrect use.


“It as a result seems a suspect rationale has been offered in calling for the finish to the LCP, in which we stand to drop a high good quality approach to care on the grounds that it can be misapplied by people not appropriately trained in its use.”


Claire Henry, chief executive of the Nationwide Council for Palliative Care, an umbrella organisation for these concerned in care of the dying, explained: “Although Britain has some of the very best palliative care in the globe, it’s clear that something has been going wrong in too several instances.


“The way we care for people who are dying wants to be transformed, so that it turns into core organization for the NHS and so that all individuals who need end of daily life care are in a position to count on it, wherever they are.


“This calls for a more compassionate strategy and necessary coaching, so that health care professionals turn out to be a lot better outfitted to speak sensitively with people who are dying and their families.


“The challenge now is to find out from what worked effectively with the Liverpool Care Pathway, as properly as from what went wrong, so that the quality of care that men and women get in the final days of their life is something which we can all be proud of.”



Scrapping Liverpool Care Pathway also "extreme"