Response to allegations Fitness to Practise

Response to allegations Fitness to Practise

                                                                                                14 July 2011,

 

Response to allegations in letter of 20/05/11: Notice of referral to the Investigating Committee

 

(Allegations in blue print; my response in black)

That you, whilst employed as a registered nurse at XXXXXXXXXXX Nursing Home:

1. Failed to take appropriate action about serious concerns you had regarding practices at the home, in particular that you:

a. did not raise them in supervision meetings or appraisals

I had no supervision or appraisals while working at XXXXXX except for one meeting with Manager XXXXXXX at the end of her time as manager. Ms XXXX left the home due to, as I understand, interactive problems with her deputy, Head of Care Ms XXXX, who thereafter was promoted to manager. I had up to this time repeatedly raised my concerns about the care of the residents and other concerns regarding the running of the home. As Ms XXXXX was head of care it was obvious that she was to be seen as the ultimate responsible for the alleged neglect.

b. did not raise them with Director XXXXXX, directly or in writing;

I was fully aware that Ms XXXXX read the communication books in order to keep herself informed about developments at her home. It would have been irresponsible and negligent  if she hadn’t, as that book was used as the main tool of important exchange of information between senior staff in her company. Therefore she was fully informed at all time. Also, she has been told on numerous other occasions. Written examples:

 

E-mail, Wed, 25 Nov 2009 20:05:53 +0100 (attachment), Report January 2010 (attachment),  Statement_to_XXX_XXX_7th_Oct._2008 (attachment).

 

Following that statement from Manager XXXX, Ms XXXXX (the owner) telephoned me as requested by Manager XXXX. I expressed my opinion about the problems in the home, only to be told that this was her business and she wasn’t interested in what I had to say. Care assistant XXXX reported that she had had a similar conversation with the owner and been dismissed in the same way. I recommend that the investigator talk to Ms XXXX regarding that. For all these reasons I cannot accept this allegation of not having raised the problems with the owner.

c. did not complete risk assessments in relation to your concerns;

I was concerned regarding the process of risk assessments. In XXXXXXX Nursing Home a ‘risk assessment’ form was filled and filed but  rarely action was taken (as one example, see attached 

 

‘Risk assessment car’,

 

I can produce more). Therefore, I tried to solve problems by addressing the source. If I had reported the matters via risk assessments I would have been accused of not trying to address the problem directly. A Catch 22. Yes, there is a certain risk of not looking after vulnerable people properly. It should not be necessary for me to instruct the head of care/manager about that.

d. did not take remedial action or solve problems in relation to your concerns, particularly regarding issues which were your responsibility to deal with;

In my shifts residents were given appropriate care. However, I could only appeal for improvements at other times of the week, as I only worked in the home Friday and Saturday night.

e. did not follow XXXXXXXX Nursing Home safeguarding policy;

I have addressed these problems in a proper and correct way. However, I  remain extremely distressed at the plight of many residents.

f. did not follow XXXXX Nursing Home’s whistle-blowing policy;

I have addressed these problems in a proper and correct way. Each time I addressed a problem my concerns were ignored.  Interestingly, neither Ms XXXXXX (owner) nor Ms XXXXXX (head of care later manager) ever raised their concerns verbally or in writing regarding my entries in the communication book. I repeatedly was whistle blowing – but to my sadness and regret on deaf ears. Ms XXXXXX clearly told me that it was her home and she would run it her way.

g. did not act in a reasonable time frame, but instead waited two years before raising issues in your letter dated 12 February 2010 to Andy Burnham, the then Minister for Health;

This is of course incorrect. The communication books (and the diary that I had to use for the same purpose after the communication books had been removed due to the coming inspection) are full with my detailed, written concerns. They are legal documents and must be produced for the investigator to read. Also, there are numerous entries from me in residents care plans which document the same.

2. On an unknown date in or after November 2009, spoke to Director XXXXXX  in a threatening and intimidating manner, saying that:

a. you were going to teach her a lesson, or words to that effect;

I have not said as stated. I told her (firmly) I would under no circumstances be talked to in the way she spoke to me. Please read

 

‘Incident 13.11.09’ (attachment) and ‘carers report 15.09.09’ (attachment).

 

Following that episode Ms XXXXXX phoned me at work and accused me of having talked in an ‘inappropriate’ manner with the resident and accused me of having been rude to the two gentlemen. Ms XXXXXX had no first hand background knowledge to base her accusations on. She dismissed mine and XXX’s (the carer’s) reports of the incident and took the husband’s version at face value. Because of a history of aggressive episodes involving this person I claim that Ms XXXXXX made these unfounded malicious allegations against my person against better knowledge. The problems around this client and her family were well known at XXXXXX and often discussed at official handing-over sessions. In one particular episode the resident had been transported in a wheel chair by a carer too fast across a thresh hold. The chair came to an abrupt stop and the resident continued forwards head first into a wall. According to the husband (told to various staff at the home including myself) he was given four months free care/stay in compensation for not reporting the incident. This would be easy to investigate: please look into the book keeping. I would be happy to give further details to the situation around this family on request. Further to this matter: as a consequence of the two men’s aggressive attacks on me that night Ms XXXXXX (the owner) ordered that, because of security, no outside person – including relatives – should be allowed access to the home after 8 pm and police should be immediately called if anybody would try and force access  

 

(night security alert).

 

It must be remembered that the home is located in an isolated rural location.

b. you had been gathering information about the home for two years;

The information I have been gathering is written down in the home’s own communication books and is to be found in various documents around the residents. I have made notes regarding where to find this information to be used by any future serious investigator. Information I have kept myself consist of my own reports and reports written by others and given to me in confidence. My ‘gathering of information’ also consist of emails I have written and received. There is nothing wrong with that. I find it interesting that I am on one hand accused of ‘gathering information’ and on the other I am asked to present evidence…. It is indeed difficult to please both wishes.

3. On a variety of unknown dates, acted in a bullying and intimidating manner towards your colleagues, in particular that you:

This is a malicious, unfounded, libellous accusation.  Please, present details and evidence for this accusation.

a. acted in a hostile and confrontational manner to colleagues who disagreed with or challenged you;

This is a malicious, unfounded, libellous accusation.  Please, present details and evidence for this accusation.

b. made rude and abrupt phone calls to homes;

This is a malicious, unfounded, libellous accusation.  Please, present details and evidence for this accusation.

4. On various unknown dates, made comments in the ‘RGN book’ which were directed at the manager and registered nurses and which were

a. inappropriate;

b. upsetting for the subjects to read;

I have made no comments about any (staff) nurses in those books. All critical comments are regarding the head of nursing turned manager’s negligent management. The books’ entries are self explaining. They are in no way ‘inappropriate’. No other nurses than Ms XXXXXX are addressed in those appeals – except for general appeals asking all staff to ‘please look after our residents’. I don’t think that is inappropriate.

5. Made a complaint against a senior member of staff, which was:

This ‘senior member of staff’ is (again) the head-of-care-turned-manager XXXXXX. I have made no complaints about anybody else.

a. inappropriate as you had neither worked with nor dealt with her directly;

…As XXXXXX  was head of nursing respectively manager during my time at XXXXX this statement in itself is obviously inappropriate and incorrect.

b. unsubstantiated as you blamed her for the failings of her manager and for a failure to perform duties which were in fact her manager’s responsibility;

This must be referring to the time when XXXXXX was the head of care. The task of supervising the care of the residents would naturally be the duty of the head of care.

c. in an unprofessional contemptuous tone;

The written comments in the communication books are self explaining.

 

( attachment )

 

The discussions around these issues were in writing. I repeatedly wrote my concerns; XXXXXX hardly ever responded (as I recollect only once, this time because she had a plausible and correct explanation).  Please explain in what way these entries are unprofessional and contemptuous. I acknowledge my clear intent to ensure that vulnerable residents were not subject to neglect/abuse.

6. On unknown dates, commented that the owners of the home were greedy, money-grabbing proprietors who did not care about staff or residents, or words to that effect, to

a. the manager

b. other staff members;

To start with I found the completely opposite to be the case. Ms XXXXXX seemed to be constantly investing in new equipment after taking over the business some time before I joined the work force. This continued well into my first year and included necessary purchases such as proper hospital beds for all those residents who are in need of such (i.e. most residents). I was very impressed by this approach.

However, at one point I did express to other staff that the owner put financial interest before the safety of her staff. I presume this must be what is meant in the allegation.

As the care home is located a few miles outside of XXXX, and can only with great difficulties be reached by public transport, the home provides a picking up service to and from the railway stations in XXX and XXXX. On Friday 15 may 2009 I was waiting in the company’s car with the driver, XXXX, for one more night-staff member to arrive – in order to be taken to work. I wrote following in the home’s handing over book (which I have been told by lawyers is a legal document on level with other sources of documentation) shortly after arriving at work that evening: ‘At 7.10 pm I was waiting in the company car (the Honda) at XXX station with XXX in the driver seat. It was raining heavily. All of a sudden water poured down over XXX. This could have caused a serious accident had it happened on the road. This car has been in serious disrepair for many months. This problem with a leaking roof has been known just as long. Paper towels all around to prevent water from dripping down. Newspapers on the seats to suck up the fluid. This is totally unacceptable and should have been dealt with long ago. Staff are risking their lives on a daily basis because of this transport. We need action NOW. Lars’

I also immediately reported this very serious incidence to Manager XXXXXX (telephone, the manager at the time, my comment), and I know that she e-mailed Ms XXXXXX (the owner). It was clear: the situation was totally unacceptable and no later than the same evening this vehicle should have been taken off the road. It is worth noting that the drivers at this point already had complained about the car for months, as the indicator didn’t work – especially dangerous on the dual carriage way, as a very abrupt turn was needed to enter the home’s premises from the very busy road. Also, they had problems with the clutch and, as I recollect, only after this finally broke down the car stopped being used. The drivers had kept complaining about the car’s condition but nothing had been done.

All weekend following this extremely dangerous Friday night episode (try and consider suddenly to get a bucket of cold water on top of you while driving…) the car continued to be in use transporting staff to and from shifts at the home. As usual I was off duty Sunday morning and remember heavy rain all that day. I was no longer personally in danger of being killed because of the owner’s refusal to act immediately to stop a dangerous car being used for passenger transport. But, as I have a human responsibility to act in order to protect people who are vulnerable (and because of their dependence on the employer for work permits cannot afford to stand up for their own rights of protection), and because no immediate action was taken to safe guard staff (and other road users), I had the car reported to Guildford police. As I understand nothing happened. Fortunately, despite further long delays, nobody had to pay with their lives for what I do call greed.

 

See attached risk assessment in which Nurse XXX

 

(the Head of Nursing later turned manager – not expert in car safety or auto mechanic – my comment) proclaim the car being road worthy….

I presume that this is what is referred to in ‘were greedy, money-grabbing proprietors who did not care about staff (or residents)’.

Yes, I said that, and I stand by that (regarding staff). It is irresponsible greed that allows yourself to drive around in a safe modern car and let your staff risk their lives in a wreck.

On top of that: though many staff (most on close to minimum wages)  had not had a pay rise for up to six years (!), the owner at around the same time as this happened introduced a fee for being transported by the same vehicle – i.e. lowered the pay. However, according to the defect car’s insurance policy this would risk invalidate the insurance had something happened. In the insurance there was a limitation stating that it would not cover for ‘commercial travelling’. As I understand, staff were transported in a road-unworthy car in order to save money (for a proper replacement or taxi) and, in case of an accident, the insurance company could have used this limitation for not paying damages to the victims. Yes, I call that greed and gambling with dependent people’s lives in order to save money.

Regarding the accusation that I should have claimed that the proprietor didn’t care about the residents: I deny ever having said that. Opposite, the owner of the home, opposite to many other homes I have worked for, always provided enough supplies for the care. When supplies (rarely) were short it was never the fault of the provider. Contrary to many other homes Ms XXXXXX also invested in proper equipment and modern, purpose built beds. More investments were still needed – especially in the laundry and kitchen area – but things take time and investments have to be step by step following the financial situation. I have understanding for that. I have a strong feeling that Ms XXXXXX was committed to provide her residents with the best she could.

7. Did not work effectively as part of a team;

I will ask the investigator to interview staff who worked with me: XXX, XXX (full name can be given by the home) XXXXX, XXX and XXX (surname can be given by the home).   

8. Did not keep accurate records, in that you:

a. did not fully document your actions;

There is no evidence for that. If so, please present. A big problem in many nursing homes is that nurses are obliged to excessive documenting of non events. They are told to write on every single resident at the end of every shift. As most days for residents in these homes are uneventful – they live there, have their basic needs met (if they are lucky), but their health is stable and unproblematic – this writing (when nothing new and important has happened) is superfluous and a complete waste of nurses’ time. Most of this writing will be trivialities as ‘slept well’ (how do the nurse know?), ‘have had a good day’, ‘no problems noted’ and so on. Writing this on thirty something residents in a home like XXXXXX would, as anybody would be able to see, be extremely time consuming at a time at the end of the shift when time is not there. To write trivialities on each resident would (real documentation would of course take much longer time) approximately take two minutes – find the file, find the page, write, put it back. As these notes cannot (or rather should not) be written before the end of the shift (how else could you document what has happened during the shift?) this nonsensical writing would take up the night nurse’s time between 6.30 and 7.30 (when she, in her own time, is to start handing over to the incoming day nurse). In this very same time she is also requested to see to the residents’ real needs – such as medication etc. As we deal with vulnerable and frail people, her time might also have to be used to deal with sudden problems with specific residents, leaving everything else aside – after all this is a nursing home with living human beings, not a factory.

I know that it is common practice that the (two) carers do all the personal care work while the nurse writes notes and gives medication only. That means that they from around 5.30 in the morning each have 15 (often) heavy and (always) physically dependent resident to care for, a work that must be completed before 7.30 – leaving around 7-8 minutes to each (many has to be taken up and prepared for the day). In that calculation I have not taken account of all those residents who – for safety reasons – have to be dealt with by two staff (such as hoisting).

I know it is not common practise, but I actively ‘helped’ in that work, as I see that as a nurse’s job in a nursing home. Actually caring for the residents actually gave me the knowledge about the residents’ conditions which I would not have had if I had followed the example and stayed safely in the office writing nonsensical entries about people whose condition I didn’t really know much about.

As Ms XXXX (the previous manager, my comment) took over as manager at XXXXXX it was decided that nurses should only write in the care plans if they actually had something important to write. Ms XXXXXX’s policy was that nurses should be allowed time to actually do nursing. I welcomed that chance of using my time to care for people instead of writing nonsensical notes nobody would read. I know that Ms XXXXXX, after taking over as manager, introduced several box-ticking forms which usefulness in care I seriously question.

b. did not perform adequate handovers, in particular when handing over to an agency registered nurse on an unknown date when you

i. did not detail the care provided on your shift;

See above under 8a. Also, see attached letter from Nurse XXXX. And, please note that the handing-over (as it is generally practised) of responsibility for 30 frail residents, staff and a building to a new agency nurse is irresponsible in nature. However, this takes place all over the country on numerous places every day all year round. It is impossible to introduce a person properly to such a job in a handing-over situation. If it was, why are people given days of introduction when they start in a new position? To be able to get through the morning medication-round for a new agency nurse who does not know the residents or the house she/he needs to be told certain basic facts as to where to find necessary things and very basic special routines. The nurse also needs to know if there are residents with very special needs she/he needs to handle. I like to stress that this is important; it is not important, or it cannot be the priority in such a situation, for this person to be informed about general details and backgrounds of 30 different people. To medicate people in a nursing home where one does not know the individuals can be a nerve racking experience. XXXXXX has had agency nurses who have spent the entire shift (12 hours) doing nothing but given out tablets…. For her to be informed about details in those peoples previous lives is not only unnecessary, but would further endanger the situation by taking up her time.

Furthermore: it is so that handing over at XXXXXX is not only taking place in one of the nurses’ own time, it is taking place in the whole leaving team’s own time as none of the people using the transport can leave the premises before the nurse is ready to go. Should I have given a detailed report about 30 residents, thereafter detailed instructions about the building, fire regulations, the office etc. anybody with the will to consider how long it would take hopefully can consider the consequences for all these implicated people. On top of that. After an hour’s (to do it properly we would talk about several hours) introduction this nurse would also be helplessly late with the morning drug-round which in itself would cause her further stress, as she now would have to chase up the residents in all different places where they would be after breakfast.

 ii. did not provide background information;

See above. Also, I am offended by this malicious attack on me. Every time there was an agency nurse coming in who did not know the place I took great care informing her about the essentials and if possible I had also tried to do things for her in advance in order to make her day easier. I also always gave her my mobile number so that she could phone me if she had questions (if she couldn’t find something f.eks – a major problem when new). I would be on stand-by at least for the first 3 hours (the time it would take for me to get home), but I would generally also tell her that if necessary I wouldn’t mind even if she woke me up during my sleep. If it was the last day of my shifts she could phone me freely for the rest of the day. Agency nurses gratefully did take advantage of this offer from my side. I am therefore deeply offended by Ms XXXXXX’s malicious allegations.

iii. had not completed the nursing notes;

See above under 8a. If there are anything that should have been documented and which was not, please provide evidence.

9 Failed to re-order medication when you were responsible for doing so, in particular that you:

I worked nights in the weekend and had no obligation to order medication, other than drugs which had been prescribed acutely.

a. when Resident XX’s supplies of Clexane (Enaxoparin) ran out on Friday 23 and Saturday 24 October 2009:

i. did not call Thames doc and ask them to issue a prescription;

This was known days before as Ms XXXX routinely ordered too few syringes of Clexane. If I had asked Thames Doc to issue a prescription I wouldn’t have had that before late Friday evening. Thereafter I would have had problems getting the medication. We were miles from a town and/or pharmacy. This resident would not have accepted to get an injection at the middle of the night. Had I done so it would have been equivalent with abuse. If there was no medication I reported that to the day nurse next morning. That was my responsibility, nothing further. The repeated problem with this medication was due to Ms XXXXXX’s neglect.

ii. did not tell the day nurse that this medication needed to be ordered;

This is untrue and a fabrication. Generally I find it interesting that Ms XXXXXX in her ‘investigation’ consider information she allegedly has received from ‘not named nurses on unspecified days’ as evidence, but information given by me – earned from working there for two and half year and talking to my colleagues at official handing over sessions – is dismissed as nothing but ‘hearsay’.

iii. did not take any action to ensure this medication was ordered;

As above.

iv. wrote a note dated Monday 26 October 2009 to your manager XXXXXX  in the ‘RGN book’ saying ‘XX: has not had Clexane Fri/Sat/Sun. Why is this not planned ahead? Who is responsible?’

…Sorry, what is the problem with that comment? Actually (after this had happened repeatedly) I think it is a very polite way of saying ‘you, XXXXXX, are responsible for this, please improve.’

b. when Resident XX was not given any Atropine for two weeks from 2 November 2009 until 15 November 2009, despite you having been responsible for checking in medication 30 October 2009, did not take action to replenish the supply of Atropine;

10. In relation to your actions in Charge 9 (a) and (b) above you:

a. did not report this to Director XXXXXX XXXXXX;

…It is always a Catch 22. Had I reported it to Ms XXXXXX it would have been seen as undermining the manager. When I did report it I was told by her ‘it was her business and she could run it as she liked’ or ‘something like that.

The problem with the Atropine was as follows: the patient, who suffered from glaucoma, was on daily eye drops to control the pressure in the eye. All of a sudden these eye drops were not delivered. I reported that they were missing to XXXXXX (the manager). She found out that the producer had stopped the production, and left it there. She took no further action. She did not find out what medication would replace it. Thereafter the resident just continued without this medication. I repeatedly asked Ms XXXXXX to sort this problem out – again, it was her responsibility, and I only worked from Friday 7.30 pm till Sunday morning 7.30. As you will understand this was no night time/weekend urgent matter. Not before I asked the daughter to contact Ms XXXXXX (the manager) anything happened. Weeks had gone by, but after XXXXXX had been approached by the daughter Monday morning, a replacement drug had been ordered, delivered and given the same evening. XXXXXX repeatedly ignored me, but reacted immediately when relatives interfered….

b. did not report this to the CQC in a Regulation 37 notification;

as above. This medication should have been given every night, not just when I was on duty. It was XXXXXX’s responsibility to address this problem when pharmacies and GP surgeries were open. It was not a night time job. Reporting it to CQC? It would have been the end of my time at XXXXXX. It is impossible to do anything right. No matter what you do you will be blamed – a Catch 22.

11. On unknown dates, did not prioritise residents care or treat residents kindly, in particular when dealing with:

a. Resident XX;

see under 12 and 2 a.

b. Resident XX;

…..I am not aware of who this might be referring to. However, I find this accusation unfounded and malicious as I during my time as a nurse treated all people with respect and kindness. However, I have a right not to be exposed to abusive, aggressive behaviour from relatives.

12. In November 2009, were involved in an incident with a resident and her family in which you emotionally abused the resident;

I find this statement unfounded, malicious and libellous  – made against better knowledge. Please see under 2 a. Please, present details and evidence for this accusation.

 

13. On various unknown dates, including the night shift which ended on the morning of Saturday 6 February 2010, did not attend promptly to residents’ toileting needs during your shifts, which resulted in a strong smell of urine in the home;

As anybody with some knowledge to nursing homes will know: most nurses do not attend to residents’ hygienic needs or personal care, or do very little of such work. This is generally accepted in the industry.  I did, but it is completely unreasonable on that ground to hold me responsible for whatever can have happened a random morning – whether a pad had not been changed or not. I do not recall if there might have been some problems that particular morning. What I do remember, however, is that night staff the days before (and I might have been the spokesperson for the carers) had complained about the state residents were being left to us when we arrived in the evening to take over.

And that you, whilst or shortly after being employed as a registered nurse at Nightingale Lodge Nursing Home, Surrey:

14. Failed to take appropriate action within a reasonable time about serious concerns you had regarding practices at the home, and in particular

a. did not follow Nightingale Lodge Policy;

I have never worked in a home with that name. Therefore it is not possible for me to comment.

b. did not raise your concerns until you sent a letter of complaint dated 18 July 2007;

If this allegation refers to XXXX Home in XXX, please ask to see this home’s communication book from that time. I had to leave because I had raised concerns. All evidence regarding this home will be provided upon request.

15 Disclosed confidential data about residents in previous care homes you had worked at, in your book ‘Abuse UK’;

I dispute that statement. Apart from (former) Minister Andy Burnham no personal names of any kind (residents, staff, owners, civil servants, MP or companies) have been disclosed in that book. Characters who appear in the book are generally, as said on page 3, fictive. However, the basic story, the story about the abusing nature of the nursing home industry and the people I met there, is a truthful account of real life. However, apart from individuals whom I claim have been exposed to serious abuse (part 4 and 5) and the individuals about whom I have formally complained (part 4 and 5) all individual characters portrayed in the book have been taken from different sources and mixed fully in line with the rules of fiction. Of course, just as any writer, I cannot exclude that there might be some person out there who would claim to be the origin for one of my characters. If that person insists on being that, he or she is welcome to claim and prove  that to be the case. However, I cannot see that Ms XXXXXX can have the authority to make herself into a spokesperson for people who might not even exist.

16. Behaved in an underhand and destructive, rather than constructive, manner by publishing your complaints in your book ‘Abuse UK’, rather than attempting to resolve them;

I have tried for eight years to resolve problems in the nursing home industry, tried to safeguard vulnerable adults. It is my fundamental right in a democratic state of justice to go public with my  concerns when all other attempts (CQC, social services, owners, managers, police authorities) have shown to be futile. Just as any other resident in the United Kingdom I have a right to freedom of expression and in that respect only responsible to the judicial courts. What I disclose in Abuse UK is or should be of public interest as any person in this country could end up in a nursing home.

17. Continuing to harass and make accusations against your colleagues, in particular XXXXXX, (the manager, my comment) even though your allegations against them were found to have no substance.

Please provide evidence for me having harassed and made accusations against any colleagues. Who apart from Ms XXXXXX have I personally criticised? Please provide evidence that substantiate the claim that my allegations against her and Ms XXXXXX (the owner, my comment)

a. constitute harassment and

b. have been ‘found to have no substance’.

There has never been an investigation into these claims against the owner and manager. The ‘investigation’ that you provided me with (dated 12 February 2010) was carried out by Ms XXXXXX (the owner) herself, and to the three very serious allegations regarding XX,XX and XX Ms XXXXXX’s (the owner’s) findings simply say ‘In separate reports prepared by XXXXXX (the manager! my comment. The reports undisclosed) I am not impressed by that kind of ‘independent investigation’.

Please provide me with details about the alleged harassment of other people. I am deeply disturbed by those untrue, fabricated allegations.

 

 

 

 

Comments to ‘Investigation into serious complaint received from Lars Petersson to Health Secretary Andrew Burnham about XXXXXX  Nursing Home – Dated 12th February 2010’

 

I will challenge the credibility of an investigation into a complaint about serious abuse in health care addressed to the minister of health that has been completed by the very same people who have been complained about. I complained about Ms XXXXXX and Ms XXXXXX and both are authors of the ‘investigation’ – Ms XXXXXX as the main author (though she has no health care training or qualifications) and Ms XXXXXX as author of separate undisclosed reports concerning the most serious individual concerns I had raised (regarding her own practise). I cannot take an investigation seriously that is carried out by the very same people who have been reported. However, I will point out a few specifics:

Under 1. Here is referred to a senior member of the team. For anybody who does not know the details it would sound as if this is another person than the one whom the whole concern has been built up around. Ms XXXXXX ‘forgets’ to write that this ‘senior member of the team’ is the Head of Nursing (later Manager). I hold her responsible for the ordering of medication at this was her responsibility. Also, as ultimately responsible for the care, she should have taken action. She did not. As mentioned in the complaint the ordering of medicine was chaotic.

3. The circumstances around this family has been described above. However, I have to declare Ms XXXXXX’s statements here as complete untrue and fabricated. She mentions that I had been taken of the rota as a consequence. That is true. But, though it was said at the time that it was to protect me from further aggression, I wasn’t happy with that step. I wanted to work and saw no reason for why I shouldn’t.

 

Note E-mail 27/11/09 (attached)

 

 in which Ms XXXXXX writes: Again to be absolutely clear you were in no way suspended on the night of the 14th December 2009′. It is clear that Ms XXXXXX now incorrectly in the text tries to give the impression that I had been taken of due to ‘bad behaviour’.

She also mentions the ‘suggested’ meeting. Ms XXXXXX had ordered me to a meeting in a hotel in Farnham the next day where I would be met by her, XXXXXX (the manager) and another director of the company and where my behaviour would be discussed. I told her that this was too short notice, that my UNISON rep would have to be given time to plan and prepare herself for the meeting and that the communication books (mentioned above) should be presented (they had been removed the days before the CQC inspector was due to come…). Following that Ms XXXXXX lost interest in the meeting. I heard no more from her about that. I find that her proposed meeting was an attempt to bully me. She would allow herself to have two helpers and I was expected to have no witnesses. Ms XXXXXX did not come once to speak to me about that issue. Her claim here is untrue. And, I did not ‘leave for a couple of weeks over Christmas’ (that this is an incorrect statement – likely to paint a picture of me as irresponsible – can be verified by having a look at the rotas) and it is not my fault that it was snowing heavily at that time – I never missed a shift on that ground.

Regarding ‘lockable clinical area and discarded medication’: Ms XXXXXX claims that no staff she has asked can ‘ever remember a time when the medication room did not have a lock’. Interesting. That room had no lock for months, as the door had been broken up and never was repaired before I left. All medication was openly accessible to anybody who would open the door – a whole big box of discarded tablets and all blister packs were there, right in front of them.

Please note: during my 30 years career as a registered nurse there was not one professional complaint against my personal conduct or professionalism. If there are any questions, please, do not hesitate to contact me.

Yours sincerely

 

Lars G Petersson