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And i have seen so many times in my complaints where it is the family members who have drawn the attention of staff to where their have been failings. 0ur adult safeguarding is not fit for purpose. over the course of the next year, stanley s health would go downhill and he would die in hospital in december 2021. since then, a belfast trust investigation uncovered a number of concerning incidents in the nursing home that were not reported properly and that mr 0 neill s family were not told about. my grandfather was seen placing a pillowcase over his head. that was really, really upsetting for me, really distressing, because why was that not being followed up? because that is alarming behaviour. the investigation found that in the last three months of his life, there were aspects of mr 0 neill s care in bradley manor that fell short of the expected standard. 0n hygiene, it found a failure by the care home to provide adequate oral care to mr o neill and noted a lack of showering during th ....