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Learning from Experience Database - Serious Case Reviews

View Serious Case Reviews by Theme, Local Authority Area or Year

Orchid View SCR report

The report of the Serious Case Review into Orchid View has been published. The review was launched last October after an inquest found that neglect at the West Sussex home had contributed to the deaths of five residents and that a further 14 had received ‘sub-optimal’ care.  The report makes more than 30 recommendations.

Professional Learning:

  • Private care homes being required to provide they can sustain a skilled workforce.
  • Care providers should be required to demonstrate that they have robust plans for recruiting and sustaining a skilled workforce to the Care Quality Commission (CQC).
  • Agreement of  thresholds and a system for alerting relatives about safeguarding concerns at homes so that they can make “informed choices” about where to place their loved ones.
  • CQC should name homes that lack a registered manager on its website.
  • CQC to do more to get the views of relatives in its inspections, including providing them with the opportunity for private discussions about any safeguarding concerns they may have.

June 2014 Orchid View Serious Case Review Report