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.’

Have social services been negligent? image

Have social services been negligent?

Saara Idelbi and Conor Monighan consider the liability of local authorities in negligence where it is argued that social services should have intervened more quickly to remove children from their family homes.
For your free daily news bulletin
Highways jobs

Social Worker - Early Interventions

Essex County Council
£32065 - £43839 per annum
Social Worker - Early Interventions Permanent, Full Time £32,065 - £43,839 per annum Location
Recuriter: Essex County Council

Social Worker - Local Linked Support Team

Essex County Council
£32065 - £43839 per annum
This is a full time fixed term contract for 12 month or a 12 month Secondment.About the RoleThis is a community-based role within the Harlow area. You England, Essex, Epping
Recuriter: Essex County Council

Property and Projects Lawyer

Brent Council
£43,860 - £49,827 p.a. inc.(pro rata)
The successful candidate will have the opportunity to supervise junior staff and deputise in the absence of the Senior Property Lawyer. Wembley, London (Greater)
Recuriter: Brent Council

Training and Quality Assurance Specialist

Essex County Council
Up to £26801 per annum
The OpportunityEssex Registration Service is one of the largest authorities in the Country, serving thousands of customers in the Registration of Bir England, Essex, Chelmsford
Recuriter: Essex County Council

Business Support Officer

Camden London Borough Council
We have recently changed the way that we work so that we are more responsive to... Camden, London (Greater)
Recuriter: Camden London Borough Council

Public Property

Latest issue - Public Property News

This issue of Public Property examines how how flexible workspaces can lead the way in regeneration for local authorities, Why local authority intervention is key to successful urban regeneration schemes and if the Government’s challenge of embracing beauty is an opportunity for communities.

The March issue also takes a closer look at Blackburn with Darwen Council's first digital health hub to help people gain control over health and care services.

Register for your free digital issue