Melanie R Wczasek

Profession: Speech and language therapist

Registration Number: SL28614

Hearing Type: Final Hearing

Date and Time of hearing: 09:00 27/05/2015 End: 16:00 27/05/2015

Location: Health and Care Professions Council, Park House, 184 Kennington Park Road, London, SE11 4BU

Panel: Conduct and Competence Committee
Outcome: Conditions of Practice

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Allegation

From 06 April 2010 to 3 May 2013, during the course of your employment as a Speech and Language Therapist by The Royal Wolverhampton Hospitals NHS Trust:

 

1. On 01 July 2010, you carried out an assessment of Patient A, and you:

(a) Did not accurately record the assessment within the case note entries in that you:

(i) Did not include patient identifiers;

(ii) Did not specify how long Patient A was seen for;

 

2. In relation to Patient B:

(a) On 04 August 2010, you made an entry within Patient B’s case notes without including a signature or specifying how long Patient B was seen for;

(b) You did not complete case note entries for assessments carried out on:

(i) On 25 August 2010;

(iii) On 18 January 2011.

(c) You did not accurately complete the Assessment Sheet.

 

3. In relation to Patient C:

(a) You did not complete case note entries for assessments carried out on:

(i) 7 December 2011;

(ii) 26 November 2012;

(iii) 29 November 2012;

(iv) 6 February 2013;

(v) 4 March 2013;

(b) You did not complete reports in respect of care planning.

 

4. In relation to Patient D:

(a) You did not complete case note entries for assessments carried out on:

(i) 05 November 2010;

(ii) 11 May 2011;

(iii) 7 July 2011;

(iv) 1 November 2011.

(b) You did not complete accurate records in that you:

(i) Did not include client identifiers on the assessment sheet;

(ii) Did not include patient identifiers within the case note entry for 17 February

2011;

(iii) Did not include client identifiers on the continuation sheet dated 1 November

2011.

 

5. In relation to Patient E, you did not complete case note entries for two assessments carried out on 8 November 2012.

 

6. In relation to Patient F:

(a) You did not complete case note entries for assessments carried out on:

(i) 28 January 2011;

(ii) 4 February 2011.

(b) Your case notes were incomplete for assessments carried out on:

(i) 27 January 2012

(ii) 10 December 2012;

(iii) 11 February 2013;

7. In relation to Patient G, you did not complete a written report for an assessment carried out on 29 May 2012.

 

8. In relation to Patient H, you did not complete a written report until four months after the patient's assessment on 25 June 2012.

 

9. In relation to Patient I, you did not complete a written report for an assessment carried out on 11 July 2012.

 

10. You did not complete appropriate reports, in that:

(a) In a treatment plan for Patient J dated 11 March 2013, you did not fully outline the aims of intervention;

(b) In a report for Patient K dated 25 March 2013, you did not fully outline Patient K’s progress;

(c) In a discharge report for Patient L dated 28 March 2013, you did not accurately complete details about Patient L’s speech and language;

(d) In a treatment plan for Patient M dated 4 March 2013, you did not accurately explain the progress, aims of intervention and targets;

(e) In a discharge report dated 2 April 2013, you did not accurately set out Patient N’s understanding of language.

 

11. The matters described in paragraphs 1 – 10 amount to misconduct and/or lack of competence.

 

12. By reason of that misconduct and/or lack of competence, your fitness to practise is impaired.

Finding

Decision:


1. The Panel has been convened to consider an application made jointly by the HCPC and the Registrant that a Conditions of Practice Order (“CoPO”) be imposed.

2. The Registrant has attended the hearing and addressed the Panel.

3. The Registrant was employed by as a Speech and Language Therapist (“SLT”) by the Royal Wolverhampton Hospitals NHS Trust from 6 April 2010 to 3 May 2013.  Following an audit of files, during which deficiencies in the Registrant’s record keeping were identified, in July 2012 the first stage of a capability procedure was instigated by the Trust.  In March of 2013 the second stage of the capability procedure was invoked.  However, in early April 2013 the Registrant tendered her resignation with the effect that her employment ended on 3 May 2013.  On 22 October 2013 the Trust notified the HCPC of the results of the capability investigation undertaken.

4. On 11 April 2014 a Panel of the Investigating Committee determined that there was a case to answer in relation to the following allegations:
From 06 April 2010 to 3 May 2013, during the course of your employment as a Speech and Language Therapist by The Royal Wolverhampton Hospitals NHS Trust:

1. On 01 July 2010, you carried out an assessment of Patient A, and you:

(a) Did not accurately record the assessment within the case note entries in that you:
(i) Did not include patient identifiers;
(ii) Did not specify how long Patient A was seen for;

2. In relation to Patient B (DT):

(a) On 04 August 2010, you made an entry within DT’s case notes without including a signature or specifying how long DT was seen for;

(b) You did not complete case note entries for assessments carried out on:

(i) On 25 August 2010;
(iii) On 18 January 2011.

(c) You did not accurately complete the Assessment Sheet.

3. In relation to Patient C:

(a) You did not complete case note entries for assessments carried out on:

(i) 7 December 2011;
(ii) 26 November 2012;
(iii) 29 November 2012;
(iv) 6 February 2013;
(v) 4 March 2013;

(b) You did not complete reports in respect of care planning.

4. In relation to Patient D:

(a) You did not complete case note entries for assessments carried out on:

(i) 05 November 2010;
(ii) 11 May 2011;
(iii) 7 July 2011;
(iv) 1 November 2011.

(b) You did not complete accurate records in that you:

(i) Did not include client identifiers on the assessment sheet;
(ii) Did not include patient identifiers within the case note entry for 17 February 2011;
(iii) Did not include client identifiers on the continuation sheet dated 1 November 2011.

5. In relation to Patient E, you did not complete case note entries for two assessments carried out on 8 November 2012.

6. In relation to Patient F:

(a) You did not complete case note entries for assessments carried out on:

(i) 28 January 2011;
(ii) 4 February 2011.

(b) Your case notes were incomplete for assessments carried out on:

(i) 27 January 2012
(ii) 10 December 2012;
(iii) 11 February 2013;

7. In relation to Patient G (LR), you did not complete a written report for an assessment carried out on 29 May 2012.

8. In relation to Patient H (MR), you did not complete a written report until four months after the patient's assessment on 25 June 2012.
.
9. In relation to Patient I (MK), you did not complete a written report for an assessment carried out on 11 July 2012.

10. You did not complete appropriate reports, in that:

(a) In a treatment plan for Patient J dated 11 March 2013, you did not fully outline the aims of intervention;

(b) In a report for Patient K dated 25 March 2013, you did not fully outline Patient K’s progress;

(c) In a discharge report for Patient L dated 28 March 2013, you did not accurately complete details about Patient L’s speech and language;

(d) In a treatment plan for Patient M dated 4 March 2013, you did not accurately explain the progress, aims of intervention and targets;

(e) In a discharge report dated 2 April 2013, you did not accurately set out Patient
N’s understanding of language.

11. The matters described in paragraphs 1 – 10 amount to misconduct and/or lack of competence.

12. By reason of that misconduct and/or lack of competence, your fitness to practise is impaired.

5. Following the decision of the Investigating Committee that there was a case to answer, the Registrant’s Solicitors requested that consideration should be given to the HCPC agreeing to the making of a CoPO.  The terms of the proposed Consent Order put before the Panel today are the result of the discussions between the HCPC and the Registrant’s Solicitors.

6. The joint application is that the Panel should agree to the making of a CoPO for a period of three years.  The conditions of the proposed Order are as follows:


1. You must, within 28 days of you undertaking an SLT role:

a. Place yourself and remain under the supervision of a supervisor registered as an SLT by the HCPC;
b. Supply details of your supervisor to the HCPC.
c. Meet with your supervisor to formulate a Personal Development Plan
("PDP") which sets out a number of objectives is designed to address the deficiencies in your record-keeping skills, report-writing skills, and any other areas identified by your supervisor.

2. You must, following the first meeting with your supervisor set out at 1(c), meet with your supervisor on a monthly basis and:

a. Discuss your progress and performance with reference to the PDP.
b. Produce written summaries of the monthly meetings, approved by your supervisor, and provide them to the HCPC every three months.

3. You must produce a reflective practice document setting out your progress against the PDP every six months after undertaking an SLT role.

4. You must attend upon your supervisor as required and follow their advice and recommendations.

5. You must allow your supervisor to provide information to the HCPC about your progress towards achieving the objectives set out in the PDP.

6. You must inform the following parties that your registration is subject to these conditions:

a. any organisation or person employing or contracting with you to undertake professional work as an SLT;
b. any agency you are registered with or apply to be registered with (at the time of application) as an SLT; and
c. any prospective employer (at the time of your application) as an SLT.

7. You must promptly inform the HCPC of any disciplinary proceedings taken against you by your employer as an SLT.

8. You must promptly inform the HCPC if you take up any other or further employment as an SLT.

7. The Panel has approached the decision it is required to make today on the following basis:

• It is not appropriate that the Panel should question the Registrant’s willingness to admit the allegations on the basis that the CoPO is agreed to.
• The decision to be made is to decide whether, if the present Panel had concluded that the allegations were well-founded, the proposed CoPO would represent a proper sanction disposal of the case.

• In making this decision ordinary sanction considerations apply, namely that a sanction should not be imposed to punish but should be the least restrictive outcome consistent with the need to protect the public and to maintain a proper degree of confidence in the profession of speech and language therapy and in this regulatory process.

8. Having approached the decision in the manner just described the Panel is satisfied that the proposed CoPO represents a proper disposal of the case.  It is relevant to the Panel’s decision to record the fact that the Registrant behaved responsibly by admitting her shortcomings both in the context of the Trust’s process and in the context of the HCPC’s fitness to practise proceedings.  Furthermore, the Panel was impressed by the Registrant’s insight in her address to the Panel today.  In the judgement of the Panel the proposed CoPO puts in place necessary but sufficient measures to ensure public protection.  It follows that the Panel agrees to the making of the CoPO and the Panel Chair will sign the Consent Order.

 

Order

ORDER: The Registrar is directed to annotate the Register to show that, for a period of three (3) years from the date that this Order comes into effect ("the
Operative Date"), you, Miss Melanie R Wczasek, must comply with the following conditions of practice if you undertake a role which requires registration as a
Speech and Language Therapist ("SLT"):

1. You must, within 28 days of you undertaking an SLT role:

a. Place yourself and remain under the supervision of a supervisor registered as an SLT by the HCPC;
b. Supply details of your supervisor to the HCPC.
c. Meet with your supervisor to formulate a Personal Development Plan
("PDP") which sets out a number of objective is designed to address the deficiencies in your record-keeping skills, report-writing skills, and any other areas identified by your supervisor.

2. You must, following the first meeting with your supervisor set out at 1(c), meet with your supervisor on a monthly basis and:

a. Discuss your progress and performance with reference to the PDP.
b. Produce written summaries of the monthly meetings, approved by your supervisor, and provide them to the HCPC every three months.

3. You must produce a reflective practice document setting out your progress against the PDP every six months after undertaking an SLT role.

4. You must attend upon your supervisor as required and follow their advice and recommendations.

5. You must allow your supervisor to provide information to the HCPC about your progress towards achieving the objectives set out in the PDP.

6. You must inform the following parties that your registration is subject to these conditions:

a. any organisation or person employing or contracting with you to undertake professional work as an SLT;
b. any agency you are registered with or apply to be registered with (at the time of application) as an SLT; and
c. any prospective employer (at the time of your application) as an SLT.

7. You must promptly inform the HCPC of any disciplinary proceedings taken against you by your employer as an SLT.

8. You must promptly inform the HCPC if you take up any other or further employment as an SLT.

Notes

 

Hearing History

History of Hearings for Melanie R Wczasek

Date Panel Hearing type Outcomes / Status
08/06/2018 Conduct and Competence Committee Final Hearing Voluntary Removal agreed
27/05/2015 Conduct and Competence Committee Final Hearing Conditions of Practice