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Nursing misconduct hearing told of poor care given to elderly lady.

Byline: David Deans Reporter

of poor care given to elderly lady THE care given to a resident of a nursing home was so poor that it led to the development of an advanced pressure ulcer, a professional hearing has heard. A Nursing and Midwifery Council (NMC) professional hearing heard yesterday how the resident of Brithdir Nursing Home, New Tredegar, died in June 2005 after she developed sepsis from a pressure sore. Nurses Rachel Tanta, Rachel Pritchard, Tembakazi Moyana, Beverley Mock, Daphne Richards and Susan Greening are accused of misconduct and face allegations over the treatment of residents at the home between 2004 and 2006. Margaret Moody, a consultant who provided expert witness services to the investigation, gave evidence to the NMC committee on one woman in her 70s, known as Resident 1, who was suffering with dementia and who died in June 2005. Ms Moody, said that evidence showed that the care [to Resident 1] "was below the standard expected, resulting in her developing a grade four pressure ulcer".

According to the NHS' website, a grade four pressure ulcer is the most severe type. Ms Moody gave examples of record keeping at the home in respect to Resident 1 and said that daily records included ambiguous statements "meaningless to anyone but the author". Ms Moody said there was "no evidence of what equipment should be used to assist Resident 1 to reposition in bed", and said there was no evidence she was being repositioned any night in the six months before her death, other than on one night. Tembakazi Moyana, a South African national, was a registered mental health nurse at the nursing home between April 2004 and October 2005. Ms Moody said that during three months in 2004 she made no mention in daily statements of Resident 1's pressure ulcer or its treatment. She said that the evidence showed "a clear failure" by Ms Moyana and showed in her opinion "wilful neglect". She said that her alleged failure to inform the husband of Resident 1 of the condition of her pressure ulcer "was further evidence of her could not care less attitude".

Daphne Richards served as acting manager between January and June 2004 and later as a bank nurse in December 2005. Ms Moody said that Ms Richards had failed to ensure the appropriate delivery of care to the resident, resulting in her ulcer deteriorating to grade four. Ms Moody alleged that records had shown that Ms Richards had "insuffi- cient clinical skills and management experience". She told the hearing that Ms Richards had admitted she was unaware of how quickly pressure ulcers developed. Detective Sergeant Ceri Llewellyn, who was involved in a police investigation into the home, also gave evidence to the hearing and said gaps had been found in residents' files. Ms Greening, Ms Moyana and Ms Richards have made admissions of some of the allegations against them. Ms Richards has admitted that her fitness to practise was impaired. Ms Mock denies all charges against her. The hearing continues.

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Publication:South Wales Echo (Cardiff, Wales)
Date:Oct 10, 2014
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