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Operation Jasmine: Care home neglect inquiry to report Operation Jasmine: Care home doctor 'should have been prosecuted'
(about 9 hours later)
The findings of an independent report into what became the biggest UK inquiry into alleged abuse at care homes are being published later. A highly critical review of an investigation into alleged abuse at south Wales' care homes says one of the owners should have been prosecuted.
Operation Jasmine, led by Gwent Police, focused on six care homes in south Wales and cost £11.6m. Dr Margaret Flynn said Dr Prana Das, whose trial was ended when he was injured following a burglary, "should have and could have been prosecuted".
Launched in 2005 after the death of an 84-year-old woman who was given the wrong medication, it involved 75 police officers over seven years. Her review found those providing the care were "impervious to the needs of older people".
The report was commissioned after prosecutions of staff were abandoned. Operation Jasmine focused on six care homes in south Wales and cost £11.6m.
Launched by Gwent Police in 2005 after the death of an 84-year-old woman, it involved 75 police officers over seven years.
In 2013 the trial of the owner of two of the care homes, Dr Prana Das, was ended after he suffered a brain injury in an attack by burglars.
Dr Flynn was critical of the decision not to pursue the case against Dr Das because he remained as company director and company secretary for 564 days after the attack.
"I would like the CPS to review this again," she said.
Dr Flynn published her findings on Tuesday.
She said families who raised concerns about the care given to their loved ones faced a "take it or leave it" attitude.
Dr Flynn said the "absence of a judgement or legal resolution compounds the families' grief and sense of grievance".
"Older people's injuries, pain and life-threatening deep pressure wounds were unobserved, unreported, reported inaccurately and/or reported belatedly - and yet, in this case, no crimes were identified by the Crown Prosecution Service" - a quote from the Dr Flynn's report
Her report said the Director of Public Prosecutions should refer the Operation Jasmine investigation to the Special Crime and Counter Terrorism Division of the Crown Prosecution Service.
The inquiry identified over 100 potential victims of abuse and neglect. One woman was found to have developed pressure sores that exposed her bones.The inquiry identified over 100 potential victims of abuse and neglect. One woman was found to have developed pressure sores that exposed her bones.
In 2008, the prosecution of eight nurses and carers was dropped, In 2008, the prosecution of eight nurses and carers was dropped.
Then in 2013 the trial of care home owner Dr Prana Das was ended after he suffered a brain injury in an attack by burglars. First Minister Carwyn Jones said he had expected a response from any organisation highlighted in the report which he commissioned in 2013 in the "absence of criminal proceedings".
Following the end of the legal process, First Minister Carwyn Jones ordered a review in 2013 asking what lessons could be learned. "This decision was prompted by the clear seriousness of the events and the impact that they had on the families of those involved," he said.
The inquiry has been led by Dr Margaret Flynn, who has been involved in previous serious case reviews involving the elderly, and is chair of Lancashire's Safeguarding Adults Board. "The report, although recognising progress over the past decade, sets out a number of actions for consideration by a variety of organisations including the Welsh government."
She will publish her conclusions at 09:30 BST on Tuesday. Dr Flynn has been involved in previous serious case reviews involving the elderly, and is chair of Lancashire's Safeguarding Adults Board.
She said: "No agency had any traction in bringing to an end the appalling practices.
"Mistakes and errors in judgement characterise the agencies involved in this review."
Mario Kreft, chair of Care Forum Wales which represents care homes, said the review had highlighted "abhorrent" cases of neglect that must never be allowed to happen again.
He said he felt a fundamental change of culture was needed to end bad practice, encourage people to highlight any problems and then work together to put things right.
He said: "We must collaborate to work in a very different way in the future - not just in identifying poor services but improving all the services we provide."
Operation JasmineOperation Jasmine