Coronavirus: What went wrong in Scotland’s care homes?

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During the coronavirus pandemic more people died with the virus in Scotland's care homes than in its hospitals. The latest figures show almost 1,900 deaths in care homes where Covid-19 is on the death certificate. A BBC Disclosure programme, The Care Home Scandal, looked at what went wrong.

Staff sickness hit nursing home care

At the height of the pandemic, 39 staff members at Whitehills care home in East Kilbride were off work.

In April, the BBC understands, the home had issued a red staffing alert – meaning it did not have enough staff to properly care for its residents.

Figures released to the BBC under Freedom of Information suggest absence rates like this were not unusual.

During lockdown, the Care Inspectorate received 30 red warnings that homes did not have enough staff to properly care for their residents, and 149 amber warnings that staffing was stretched.

Louise McKechnie believes the high level of absence at Whitehills affected her grandmother's care.

Bridget Snakenburg had been at Whitehills for four years when she contracted Covid, then had a stroke.

Louise – who herself works in the care sector – got into the home and was shocked by what she saw.

She said she found Bridget soiled and wet, in a dirty room, with an open bag of used PPE in her bathroom.

"That's how bad it was," Louise said.

"It was meant to be discarded right away, to prevent any more infection getting about.

"She'd been in her bed for a long time, and her room hadn't been touched for a long time. The debris had built up. I've never seen a room like that.

"There weren't enough staff to care for their needs."

Four days after her stroke, Louise decided to clean her gran's mouth and found what appeared to be old food inside.

"I had to break it off of her cheek."

Bridget died later that day. At the time, the BBC understands, the home was on an amber staffing alert.

"She should not have been left in the first place to die like that," Louise said. "Nobody should be left like that."

A spokesperson for Whitehills said: "We have apologised to Mrs Snakenburg's family for failing to quickly remove used PPE from her room during the Covid crisis.

"Our infection control procedures have since been fully reviewed and endorsed by the Care Inspectorate, which has praised our high standards of hygiene."

An investigation by South Lanarkshire Council found "no significant issues that would pose a risk to care home residents".

Discharges from hospital into care homes with Covid

In May, Rodger Laing was moved from hospital into a care home. Twenty-two days later he was dead. He had caught Covid-19.

Rodger was one of more than 1,300 patients discharged into homes in Scotland to free up hospital beds for coronavirus patients.

The 80-year-old had dementia and had been in Midlothian Community Hospital for about seven months.

In December, before the pandemic, Rodger's family had agreed on a move to a care home – one of several considered was Drummond Grange in Edinburgh.

But when social workers wanted to move him there, coronavirus was already in the home.

Rodger's story was first reported in the Edinburgh Evening News. His son, Rodney Laing, was interviewed for BBC Scotland's Disclosure.

He said: "I said to the social work department 'you cannot take a human being out of an environment that he's healthy in, and put him in an environment that is riddled with Covid. There's elderly people in there dying. You're sending my dad to the gallows'."

Rodney was worried about the risk from the virus and said he felt under pressure to agree to move his father.

Rodger was tested when he left hospital. The test was negative; he didn't have Covid when he moved to Drummond Grange.

But within three weeks, the family's worst fears were realised when he contracted the virus.

Rodney said: "The people that were in the hospital ward with my dad are still alive. And our dad's not.

"He was just a file with a name on it, and they wanted that file off their desk, so they thought, get him into that nursing home, then I can move on to my next case."

Morag Barrow, from Midlothian Health and Social Care Partnership, said they had been working closely with the Laing family since December 2019.

She said: "Mr Laing's son was given power of attorney to make the decisions affecting his father's care.

"Decisions affecting a patient cannot be made without the permission of the patient themselves or in cases where that is not possible, their power of attorney."

The day after Rodger died, the Care Inspectorate carried out an unannounced inspection of Drummond Grange.

It found serious concerns about availability and use of PPE, infection prevention and control practices and staff knowledge of residents' status relating to Covid-19.

The home was issued with a letter of serious concern and at the next visit improvements were found.

Barchester, the company that owns Drummond Grange, said it had significant concerns about the Care Inspectorate report.

It told the BBC: "The home had full PPE stocks and the staff are all trained and experienced in infection control.

"In addition, the home increased staffing levels to address the fact that not all residents have capacity, and many are not able to socially distance."

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