Our conclusions as to mistakes of fact in DBS’s decision
Our conclusions as to mistakes of fact in DBS’s decision
DBS accepted in its skeleton argument for the hearing that its core factual finding about 11 March 2021 was not one on which its decision was based; it follows that this factual finding is irrelevant for the purposes of the Upper Tribunal’s jurisdiction in this appeal.
Turning to DBS’s other core factual findings, on which its decision was based, we find that DBS made mistakes in all of these:
DBS’s finding about AW on 17 March 2021 “failing to provide personal care to JB despite knowing that he was soiled” is mistaken because, as per our findings above, AW provided personal care to JB throughout the night, and made the decision not to change JB’s pad at around 6.45 am for the (entirely rational) reasons set out in our findings; JB was not “soiled” at this point; and AW’s decision-making cannot accurately be described as a “failure to provide personal care”;
DBS’s finding about AW on 17 March 2021 in relation to TH is mistaken because, as per our findings above, AW properly kept an eye on TH overnight and approached TH in the morning with a view to giving personal care; TH made it quite clear that he would not accept it from AW; it is not therefore accurate to say that AW did not “attend” to TH; and (in the circumstances as we have found them) it is obviously misleading (if technically accurate) to say that AW failed to notice and respond to vomit on his bed and did not carry out personal care;
DBS’s finding about AW on 17 March 2021 “falsifying” bowel monitoring checks is mistaken because, as per our findings above, it was a simple mistake on AW’s part to make the “5:30 am” entry on JB’s record.
- Heading
- The decision of the Upper Tribunal is to ALLOW the appeal. The Respondent made mistakes in findings of fact it made and on which its decision of 22 August 2022 (reference DBS6191 00960513296 ) to incl
- DBS’s decision
- Jurisdiction of the Upper Tribunal
- The grant of permission to appeal
- Documentary evidence in the bundle
- Background facts
- Review of the key evidence
- TH
- JB
- Night of 16-17 March 2021: general
- Night of 16-17 March 2021: JB
- Night of 16-17 March 2021: TH
- Aspects of AW’s evidence emphasised in cross examination
- Other evidence
- Documents recording PK’s views shortly after the night of 16-17 March 2021
- Documents recording IG’s and ER’s views shortly after the night of 16-17 March 2021
- Documents recording GB’s views shortly after the night of 16-17 March 2021
- The “significant discussion” with AW and employer on 8 December 2020 - the record keeping issue
- Points emphasised by DBS’s counsel on the evidence
- Our factual findings
- TH
- Our conclusions as to mistakes of fact in DBS’s decision
- Conclusions
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