A serious case review (SCR) into the deaths of five people in a care home in Copthorne has identified a number of failings that contributed to their neglect.
Staff and managers at Orchid View care home, run by Southern Cross, "turned a blind eye" to errors, and were criticised for the following:
- A lack of respect for residents
- Poor nutrition
- Poor hydration
- Mismanagement of medication
- A lack of staff
The coroner at the inquest into the deaths last October said all residents suffered "sub-optimal" care, but five people, Wilfred Gardner, Margaret Tucker, Enid Trodden, John Holmes, and Jean Halfpenny, died from natural causes "which had been attributed to by neglect". She said:
– Coroner Penelope Schofield
There was institutionalised abuse throughout the home and it started, in my view, at a very early stage, and nobody did anything about it.
This, to me, was from the top down. It was completely mismanaged and understaffed and failed to provide a safe environment for residents.