A coroner describes three bereaved families' campaign over poor care as 'remarkable'.
But could action have been taken sooner?
Only three months after that inspection, Cambridgeshire County Council's contracts team rated the home as "good."But by June 2022, following a In April 2022, nearly two years to the day after Ms Parrott died, a council officer found the handwriting on care plans was difficult to read, noting "name is not consistent".
By July 2022, the council had suspended sending new referrals to all of HC-One's homes in the county. The home relied upon agency staff to fill gaps, but the council said there were "concerns that due diligence is still not in place in all cases" and that the "volume of agency staff can also adversely impact the quality of care delivery in individual homes".
It said the home and regional management team no longer worked for the company, adding: "A lot has changed in the organisation over the past four years, but we know we still have a lot more to do to win back the trust of people in Cambridgeshire.
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