Aneurin Bevan Health Board and a care watchdog are criticised by the Ombudsman over the treatment of an elderly woman with dementia.
The charity WRVS says that thousands of older people in Wales won't leave their homes on their own because they're scared about falling.
A report by older people's charity WRVS says older people may not be getting the care they need after a stay in hospital.
"As time goes on, more and more people will be cared for in nursing homes" says Peter Tyndall, the Public Services Ombudsman for Wales.
"We need to make sure that what happened in England - where the quality of care in homes wasn't being properly monitored - isn't repeated in Wales".
"I know that the NHS in Wales are taking this seriously, but this is an issue that has to be dealt with across Wales, not just in this particular care home".
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'.
– Dr Andrew Goodall, Chief Executive, Aneurin Bevan Health Board
Aneurin Bevan Health Board accepts the findings of the Ombudsman and would wish to offer its sincere apologies to the family for the failings identified within the report.
The Health Board is aware that some of the matters in the report relate to a period up to and including October 2009, prior to the establishment of Aneurin Bevan Health Board.
Soon after its establishment, the Health Board recognised the issues covered in the report and has responded to these through changes to our Policies and Procedures and our general approach as an organisation.
– Care and Social Services Inspectorate Wales
This is a tragic case which highlights the complexity of care for people with dementia and physical care needs and underlines the importance of advance care planning.
CSSIW would like to extend our sincere apologies to Ms A and her family.
We believe there is much to learn from this report and we fully accept its recommendations, many of which have, or are in the process of being addressed. CSSIW implemented new procedures for inspection, enforcement and handling complaints in April 2012 which strengthen the arrangements for assuring the quality of care provided.
The Public Services Ombudsman has criticised the Aneurin Bevan Health Board and 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.
In his report, published today, the ombudsman raised concerns over:
- the effect on the patient's care and dignity as her care plan was ignored including nutritional, hygiene and safety needs.
- a lack of additional risk assessments after the patient sustained a number of injuries while at the home.
- the patient's wish to die at the care home was not acted upon.