A vulnerable mental health patient was unable to leave the locked rehabilitation unit she was in for nearly a year after she was discharged an investigation has found.
The patient, known only as Ms A, made a complaint to the Public Services Ombudsman for Wales about the care she received from Cardiff and Vale University Health Board.
Ms A had been detained in Wales under the Mental Health Act but later moved to a secure hospital in England to be closer to her family. Cardiff and Vale University Health Board funded the patient's placement in a rehabilitation unit in England. She was then discharged from detention in March 2016.
While aftercare and supported living accomodation were arranged, Ms A agreed to remain in the rehabilitation unit as a voluntary patient. But almost a year later she was still on the locked ward with other patients detained under the Mental Health Act.
Ms A said during her time on the ward she was physically attacked by other patients. In his report, Wales' Public Services Ombudsman Nick Bennett, said the patient "was targeted by other patients, during her stay".
In his report, the Ombudsman found Ms A had been stuck in a "Catch 22" situation. The Community Mental Health Team in England would not accept a referral from the Health Board until Ms A was discharged from the Hospital, living at a local residential address, and registered with a local GP,
But the providers of supported living accommodation would not accept a referral to assess Ms A they had confirmation from the Community Mental Health Team - who would not accept the referral.
Following the report Cardiff and Vale University Health Board has agreed to a number of recommendations, including providing a written apology to Ms A for the failings identified.