Colin Gumm

“Adult Social Care were first involved in 2017 due to the deceased self neglecting. It is recorded assessments were not able to be completed.”

“It was not until April 2021, 3 years later and despite care packages being in place and funded by Lincolnshire county Council, that the deceased became known again to Adult Social Care where it was deemed necessary to provide ongoing support of the Wellbeing team and Adult Social Care until his passing in November 2021.This was as a result of a referral from the GP. What happened in those 3 years by way of observations upon the deceased by safeguarding and if none shouldn't there have been something”

“EMAS make there own safeguarding referral on 29th November 2021 as he appeared to them on the one time they saw the deceased that he was underweight and showing signs of clinical dehydration. If they were able to observe this why is none else in Adult Social Care making the same assessment during his lifetime?”

“After his death LCC decide to undertake a s.42 assessment under the categories of neglect and acts of omission.”

“The outcome from the admitted "limited information gathered" was that no risk was identified and no action taken. Despite the toxicology report still to be received the enquiry was closed and never reopened. As a result no appropriate action was taken to mitigate any risks to others.”

“Conflicting evidence was provided by bluebird care that : Registered Manager (02/02/2023) - "the only drink we pour for him is water, we never poured alcohol for him" "26th November 2021 14:24 from carer's log - "water and whiskey provided on top of ongoing medication" EMAS report (12/04/2022) - "bottles of alcohol were found by his bed and enquired with the carers ,however they believed he doesn't drink a lot as he was unable to pour on his own”