Found in a wet bed, in the dark, beside uneaten food
Case Study 2
Resident X was 86-years-old and had been living with dementia after being diagnosed in 2012.
The resident's family first raised concerns after four days in the home when they noticed they had not been washed or showered.
This was particularly worrying given the history of urinary tract infections (UTI) and specific daily personal care needs.
On November 18, 2014 the family were asked not to visit for a few days to give the resident "a chance to settle in properly".
Three days later, the resident suffered a fall and the family were also advised that they had a UTI.
Nursing staff had not called the doctor and when the children arrived, they found them lying in a wet bed, in the dark, with three trays of uneaten food beside them.
The family believed they were wearing the same clothes from November 18.
They had to insist a doctor was called and oxygen provided.
On admission to hospital the resident was unconscious and never regained consciousness. They were diagnosed with pneumonia, a UTI, severe dehydration and sepsis and died three days later.
The family brought a complaint but there were no care records available and the family did not feel that they were being taken seriously.
It was only after the family sent a detailed letter to the RQIA that senior management at Runwood appeared willing to investigate the matter further.
Unfortunately, a subsequent review showed that no care records or documentation had been generated or maintained.
No investigation was therefore able to be conducted and the family's questions remain unanswered.