AN ELDERLY woman did not receive “appropriate care” in the Borders General Hospital before her death.

That is the conclusion of the Scottish Public Services Ombudsman (SPSO) after investigating and upholding two complaints from the woman’s daughter.

Among a raft of recommendations, the watchdog has ordered NHS Borders to review the care and treatment provided in the hospital’s 30-bed medical assessment unit (MAU) “to ensure timely care is provided to those patients at risk of rapid deterioration”.

The health board has also been told to share its findings about record-keeping, blood testing and blood pressure monitoring with the medical and nursing staff who were involved in the care of the patient – referred to in the SPSO report as Mrs A – during her stay in the unit.

And the watchdog is also seeking “more detailed information” on a pilot project set up by NHS Borders to improve communication with family members to show that this been implemented throughout the hospital.

The report recounts how Mrs A’s daughter, referred to as Mrs C, had complained that her late mother did not receive appropriate care after she was admitted to the BGH.

Mrs C had also complained that the family were not informed in a timely manner when Mrs A’s condition significantly deteriorated.

At the outset of the SPSO investigation, the health board accepted that staff had failed to inform the family about Mrs A’s worsening condition when it was known and had apologised.

But NHS Borders claimed care had been delivered to Mrs A “in a timely manner”.

However, after taking independent advice from a consultant geriatrician, the SPSO has concluded that the patient did not receive appropriate care in the MAU.

“We identified evidence of poor record-keeping and that there was undue delay in identifying that Mrs A was significantly unwell,” states the ombudsman’s report published last week.

“There was a delay of six hours in nursing staff checking Mrs A’s blood pressure, which was contrary to national guidance.

“We considered that blood tests could have been carried out sooner and that there was several hours’ delay in staff taking these abnormal blood results into account after they were reported.

“We also noted there was a four-hour delay in the family being informed that Mrs A’s condition had significantly deteriorated.”

Responding to the report, Andrew Murray, newly appointed medical director of NHS Borders, told the Border Telegraph: “We fully accept the recommendations from the SPSO and recognise that the care provided to Mrs A was not of the standard that we expect for our patients.

“We are deeply sorry for this and have apologised to Mrs A’s daughter. I can confirm that the actions from the SPSO report have been implemented and the learning from Mrs A’s experience and that of her family is being used to make improvements.”