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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think an ambulance should have been called?

130 replies

TotoroElla · 05/03/2024 16:04

Can someone tell me what protocol should be followed in supported accommodation if someone has a fall (unwitnessed - they were heard falling in their room) and shortly afterwards they are found extremely drowsy/non-responsive?

I'm in the middle of trying to make a complaint and still waiting to talk to the manager 6 weeks later. The member of staff involved is still working. The manager just said to me today all procedures were followed correctly and will send me an appointment to speak about it. I want to be prepared to challenge her.

Thanks

OP posts:
TotoroElla · 05/03/2024 19:48

jupiterhigh · 05/03/2024 18:51

I work in this field, yes I would expect an ambulance to be called when someone had an unexplained, un observed fall and was showing the signs you have said.
I would have lots of questions -
How did he get back into bed? Have they moved him?
What mobility needs does he have?
What support should he receive overnight, e.g. is he one to one or is it shared.
I would be reporting this a safeguarding to the local authority.

I believe he got back into bed himself. He has no mobility needs. He doesn't usually need any support at night. I think it does need to be raised for safeguarding as they don't seem to be taking it seriously atall.

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TotoroElla · 05/03/2024 19:49

TraitorsGate · 05/03/2024 18:59

All the more reason to call an ambulance if he maybe overdosed and collapsed, the staff member sounds very unsafe, untrained and shouldn't be working in that environment if he can't look after vulnerable clients safely. Is it private or council funded.

Exactly. It is council funded.

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Soontobe60 · 05/03/2024 19:50

purplecorkheart · 05/03/2024 16:27

Firstly are you the next of kin of the person involved? If you are I would ask for a copy of the procedure and all documentation regarding the incident. However if you are not next of kin or the person involved does not consent then they will not give you these documents.

Next of kin isnt an actual thing in law. the OP would need to have LPOA for health and welfare in order to have access to documentation.

TotoroElla · 05/03/2024 19:54

WetBandits · 05/03/2024 19:00

And that person is ‘looking after’ vulnerable people 😫 all the more reason to call the bloody ambulance if that’s what they suspected!

I know! It was like he thought he was some expert on drug use and 'leaving him alone to chill' was what we needed to do. But then he also lied about calling an ambulance!!

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TotoroElla · 05/03/2024 19:57

DrunkenElephant · 05/03/2024 19:08

If they genuinely thought he had taken something then even more reason to call a bloody ambulance!

I would ask to see all of their policies, lone working doesn’t sound right either - we HAD to have two staff members minimum on every shift, and if one called in sick agency staff were called and staff stayed on until they arrived.

Can I ask what sort of setting this is?

They always only have 1 member of staff at night which I think is not great anyway. But surely there's someone they can ring if an incident happens and someone would have to go over there to help.

It's supported accomodation for people with mental illnesses.

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itsachange2024 · 05/03/2024 19:57

Sorry but how old is he and what relation to you?

TotoroElla · 05/03/2024 19:59

MyGooseisTotallyLoose · 05/03/2024 19:11

So he was unconscious after an hour?! That's scary!! What level of supported living is it?

I don't actually know. All I know is he was unconscious when I got there. Getting information out of the carer was like getting blood out of a stone.

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TotoroElla · 05/03/2024 20:00

overthestorms · 05/03/2024 19:13

Hi OP

I'm in Scotland and so I know there are funding differences and it'll also depend on the setting. But, I work for social services and we fund supported accommodations. If it's appropriate (and there is one) I'd contact the social worker / funding authority to complain. I'd also contact the regulatory body (in Scotland the care inspectorate) to raise a concern. I'd be concerned about the members of staffs attitude / response and (potentially) the staff ratio (depending on the setting).

Of course, if your son has the ability / capacity to do so, he could raise the complaint himself. If he is unable to then I think it's important to advocate on his behalf.

Thank you very much for the advice.

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TraitorsGate · 05/03/2024 20:01

Soontobe60 · 05/03/2024 19:50

Next of kin isnt an actual thing in law. the OP would need to have LPOA for health and welfare in order to have access to documentation.

That's true, are you lpa or down as a nok. A good care manager would be open in their conversation with family. Is he known to social services and listed as vulnerable as its supported living. Why does he need supported accommodation, presumable he was assessed.

TotoroElla · 05/03/2024 20:02

PostItInABook · 05/03/2024 19:15

Paramedic. Yes. I would expect to be called to something like this. I would be unhappy and be requesting an explanation if this were my relative.

Unwitnessed fall with reduced level of consciousness and possible ‘foaming at the mouth’ should be treated as a collapse until proven otherwise. He could have had a seizure and fallen, had a cardiac episode, fallen and sustained a closed head injury and so on.

I know it could have been all sorts!

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MsFaversham · 05/03/2024 20:02

TotoroElla · 05/03/2024 18:56

Thank you - that is what I thought. Honestly, I saw no frothing of the mouth but the member of staff told me 'I think he's taken something. I can tell because some of my friends do drugs. (???) We should just leave him be.'

That is an appalling response. Even more reason to call an ambulance if they suspect he’s taken something and frothing at the mouth. Even an anti histamine can be problematic if he is on other medication. I would ask to see a copy of their accident protocol and then pick it apart as it clearly wasn’t followed.

TotoroElla · 05/03/2024 20:02

itsachange2024 · 05/03/2024 19:17

Were they ok? Had they had a head injury or bleed?

They had concussion from the fall.

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TotoroElla · 05/03/2024 20:04

itsachange2024 · 05/03/2024 19:21

I'm a doctor. Being unconscious is a very good reason to call an urgent ambulance. It could be a primary problem such as a stroke/ intracranial bleed or cardiac problem or other cause if collapse such as seizure or it could be a mechanical fall with a secondary head injury or bleed etc.
what happened??

He was taken into hospital. They said he had concussion. He is fine now.

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TotoroElla · 05/03/2024 20:06

itsachange2024 · 05/03/2024 19:48

Right ok. How old is he

Early 30s

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TraitorsGate · 05/03/2024 20:06

TotoroElla · 05/03/2024 19:57

They always only have 1 member of staff at night which I think is not great anyway. But surely there's someone they can ring if an incident happens and someone would have to go over there to help.

It's supported accomodation for people with mental illnesses.

You can ask what their emergency policy is, is there a senior member of staff, regional manager, on call person to contact for emergencies, fire, sickness , staff not turning up etc. Are they listed on the cqc site, is there a registered manager or person responsible listed. You might be able to Google their policies online.

TotoroElla · 05/03/2024 20:07

Soontobe60 · 05/03/2024 19:50

Next of kin isnt an actual thing in law. the OP would need to have LPOA for health and welfare in order to have access to documentation.

What if he gave permission for me to see documentation?

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soupfiend · 05/03/2024 20:08

So he is a vulnerable young adult or care leaver who has a needs package as an adult which includes being provided with supported accommodation.

The staff in these places vary hugely, often just agency workers that the provider picks, all paid minimum wage, some are very good, others have no idea. They're not carers nor providing care.

Does he have a social worker?

TotoroElla · 05/03/2024 20:11

TraitorsGate · 05/03/2024 20:01

That's true, are you lpa or down as a nok. A good care manager would be open in their conversation with family. Is he known to social services and listed as vulnerable as its supported living. Why does he need supported accommodation, presumable he was assessed.

I'm nok. Not known to SS as far as I know. He is there due to his mental health.

I complained the day after the incident. 6 weeks later still waiting for a response. The manager only started looking in to it last week. She's one of these types who is so busy and important. Every time I speak to her she starts telling me what she's been doing and how busy she is!!

OP posts:
TraitorsGate · 05/03/2024 20:11

TotoroElla · 05/03/2024 20:07

What if he gave permission for me to see documentation?

Can you both go through the documentation with the manager, would he be able to understand and feel comfortable, does he have capacity. Anyone can raise a safeguarding concern with adult social services and the cqc. Does he have a gp, psychiatrist or cpn involved in his care.

TotoroElla · 05/03/2024 20:13

TraitorsGate · 05/03/2024 20:06

You can ask what their emergency policy is, is there a senior member of staff, regional manager, on call person to contact for emergencies, fire, sickness , staff not turning up etc. Are they listed on the cqc site, is there a registered manager or person responsible listed. You might be able to Google their policies online.

Great, thank you.

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TraitorsGate · 05/03/2024 20:13

He must be known if he is in council funded supported housing, do you know who arranged for him to live there.

AttwoodBerryDee · 05/03/2024 20:14

TotoroElla · 05/03/2024 19:57

They always only have 1 member of staff at night which I think is not great anyway. But surely there's someone they can ring if an incident happens and someone would have to go over there to help.

It's supported accomodation for people with mental illnesses.

Welcome to supported housing funding in the UK. Like everything else, woefully underfunded. In the organisation I work in most places are down to one night shift worker overnight. Some are being moved to no support at all overnight.

I'm.not saying its right. But it is the state we are in.

TotoroElla · 05/03/2024 20:15

soupfiend · 05/03/2024 20:08

So he is a vulnerable young adult or care leaver who has a needs package as an adult which includes being provided with supported accommodation.

The staff in these places vary hugely, often just agency workers that the provider picks, all paid minimum wage, some are very good, others have no idea. They're not carers nor providing care.

Does he have a social worker?

No, he doesn't.

OP posts:
AttwoodBerryDee · 05/03/2024 20:17

TotoroElla · 05/03/2024 20:11

I'm nok. Not known to SS as far as I know. He is there due to his mental health.

I complained the day after the incident. 6 weeks later still waiting for a response. The manager only started looking in to it last week. She's one of these types who is so busy and important. Every time I speak to her she starts telling me what she's been doing and how busy she is!!

Do you know if the accommodation he is in is owned by the support provider?

Housing providers have a duty to respond to complaints with 10 days. They should have a clear escalation policy available if they have not and you can then flag with the ombudsman etc.

If the housing provider is different to the support provider then this will not apply.

TotoroElla · 05/03/2024 20:18

TraitorsGate · 05/03/2024 20:11

Can you both go through the documentation with the manager, would he be able to understand and feel comfortable, does he have capacity. Anyone can raise a safeguarding concern with adult social services and the cqc. Does he have a gp, psychiatrist or cpn involved in his care.

He has capacity, but would maybe not understand and I'm not sure he'd feel comfortable. He has a GP and psychiatrist but his CPN has left and he's not been reallocated yet and I'm not holding my breath!

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