It is about deficiencies in following the routines that exist, deficiencies in following action descriptions, missing assessments and follow-ups, deficiencies and missing documentation, and problems with communication within the business.

"This came to light when a new nurse responsible patient arrived at the beginning of April," says Jill Mattsson, operations manager for social housing in Karlstad.

Risk of injury

Kronogården has 29 patients living, according to the municipality's supervision, there have been shortcomings in ten patient cases where one of them risked a serious injury.

- One of the cases leads to a Lex Maria. We have been working on the case since it was discovered. Today the customer is doing well, but we choose to proceed with an application to IVO, says Jill Mattsson. 

The residents of the care home will now be offered places at other care homes in Karlstad.