The Public Services Ombudsman has criticised Aneurin Bevan Health Board and the watchdog Care and Social Services Inspectorate Wales over the treatment of an elderly woman with Vascular Dementia who died in January 2010.
The Ombudsman was responding to a complaint from the woman's daughter, 'Ms A', over the standard of care provided at a specialist care home contracted by Aneurin Bevan Health Board.
He upheld a complaint against the health board, and partly upheld one against the CCSIW, for failings in the way it dealt with her daughter's complaints and investigated the treatment.
- Records show the woman ('Mrs X') barely had more than one bath per month and was given meat when she was a vegetarian.
- The report found there was no evidence of lessons being learned when she sustained injuries at the home
- Mrs X's wish to die in her own bed, and not be admitted to hospital, was not met because of bad record-keeping.
The Ombudsman advised that the health board and the CCSIW pay Ms A £500 and £250 respectively in recognition of the failures identified in the report.
The Chief Executive of Aneurin Bevan Health Board says the organisation is "committed" to following the Ombudsman's recommendations on improving care in its care homes.
Dr Andrew Goodall says he has met the Ombudsman to discuss the complaint made by 'Ms A'.