William Eichler 26 July 2019

Agencies ‘let down’ Down’s Syndrome woman with scabies

Agencies ‘let down’ Down’s Syndrome woman with scabies image

A safeguarding report has concluded that local agencies in Hackney ‘could have worked better together’ after the death of a woman with Down's Syndrome.

The 38-year-old woman lived with her mother and had been known to the London Borough of Hackney’s Adult Social Services since March 2007.

She was diagnosed in 2013 with probable crusted scabies and her 2016 support plan stated that she needed help to maintain her personal care. This was provided by her mother.

Hackney council’s Integrated Learning Disabilities Services(ILDS) funded a package of care for six hours per week to support the woman – known as Jo-Jo in the report – to access the community.

In March 2017, Jo-Jo was rushed to an emergency dermatology out-patient appointment after a GP visited the family home. She died in the hospital the same day.

As this was an unexpected death, Barts Health NHS Trust raised a Safeguarding Adults Review referral with the City and Hackney Safeguarding Adults Review Panel and the local Learning Disability Mortality Review (LeDeR) Programme.

The ambulance crew that transported Jo-Jo to the dermatology department also raised a safeguarding referral about her living conditions and deteriorating condition.

A post-mortem concluded that she died of a number of issues including a subarachnoid haemorrhage and ‘severe scabies’, but there was no inquest into the cause of death.

The safeguarding review concluded: ‘a number of different agencies could have worked better together resulting perhaps in avoidance of death, but at least providing a better analysis of pain that Jo-Jo may have been in and possibly seeking clinical engagement sooner.’

Dr Adi Cooper, independent chair of the City and Hackney Safeguarding Adults Board, said: ‘The CHSAB was very sorry to learn of the circumstances surrounding JoJo’s death.

‘There are critical lessons for all agencies involved, to ensure that health and social services for adults with learning disabilities, are improved to minimise the risk of harm, abuse and neglect.

‘A Learning Disability Mortality Review, which looked into the role of health services has been carried out, alongside the SAR to ensure all of the gaps are identified.

‘In addition, all agencies have undertaken individual reviews to identify learning and development, for their own organisation and as part of the wider safeguarding partnership.

‘All of the recommendations are being fully implemented and I hope this review will ensure agencies work better together to ensure no vulnerable adults slip through the net.’

Learning from Leeds image

Learning from Leeds

Joanne Volpe the best of giving people the information they need to find a home right for them.
Highways jobs

General Practice Surveyors

London Borough of Bexley
£42,030 - £49,032 (inclusive of Choices Flexible Benefits of £2,370 pa)
We are looking for professional surveyors with the capability to build a progressive and innovative approach Bexley (City/Town), London (Greater)
Recuriter: London Borough of Bexley

Ugobus Driver (multiple positions)

Essex County Council
Up to £18938 per annum
Please note that we have permanent, fixed term and relief contract opportunities on a part time, job share and flexible working basis. The salary is u England, Essex, Chelmsford
Recuriter: Essex County Council

Team Manager – Leaving Care

London Borough of Bexley
£51,570 - £58,182 (inc. Market Premium £3,000 & *Choices Benefits £2,370 pa)
The Leaving Care Team is part of Bexley’s Looked After Children and Permanence Service Bexley (City/Town), London (Greater)
Recuriter: London Borough of Bexley

Social Worker - Children with Disabilities Team

Essex County Council
£30001.0 - £41000.0 per annum
Children with Disabilities The Children and Young People with Disabilities Service supports children and young people up to 25 years old with specia England, Essex, Harlow
Recuriter: Essex County Council

Project Manager (permanent)

Essex County Council
£38400 - £46460 per annum + benefits
This role is accountable for managing projects which make a contribution to the delivery of ECC's strategic aims. The Project Manager is responsible f England, Essex, Chelmsford
Recuriter: Essex County Council

Local Government News

Latest issue - Local Goverrnemnt News

The June issue of Local Government News contains the full details of all the winning schemes in the 2019 Street Design Awards. From Children's Play to Pedestrian Environment, find out who has been recognised for their innovation and use of best practice.

This issue also explores how local government pension funds can hedge currency risk, how councils can best address the shortfall in school places, and an update on the number of authorities banning the use of Roundup over safety fears.

Register for your free magazine