Ruth E Yorkston
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During the course of your employment as an Occupational Therapist for Tees, Esk and Wear Valleys NHS Foundation Trust between April 2010 and February 2012, you:
1. Did not demonstrate adequate clinical reasoning and/or skills in that you:
a) Were unable to demonstrate an adequate understanding of the MOHOST tool and/or its rating system.
b) Were unable to demonstrate an adequate understanding of the Mayers Lifestyle Questionnaire.
c) In relation to Case 1:
i) You did not specify height measurements in relation to a bath, toilet and/or bed;
ii) You did not provide any/or adequate indication of whether the heights referred to at 1c)i) might pose a problem for the Service User post-surgery;
iii) You did not contact the acute hospital about any help they could provide the Service User following her planned surgery.
d) In relation to Case 3, on 25 October 2011 recorded a plan to visit the Service User for food shopping on 2 November 2011 but did not state why
you had selected this activity in the notes.
e) In relation to Case 4, on or around 25 October 2011 you made an entry in the notes which was fragmented and/or did not make sense.
f) In relation to Case 5:
i) Your entry dated 19 October 2011 was unclear, in that it did not specify what further assessment was to be undertaken;
ii) On 1 November 2011, the information you recorded in relation to a cooking assessment of the Service User did not state how he managed the process and/or whether he was able to continue cooking for himself;
iii) Your entry relating to contact which took place on 9 November 2011 was unclear and/or fragmented.
g) In relation to Case 8:
i) Following a home visit on 25 November 2011 you noted that the Service User wanted to have his teeth removed but did not take any/any adequate steps to clarify whether this was a genuine need or a possible symptom of his mental health;
ii) Your plan, recorded following a home visit on 25 November 2011, did not adequately address the Service User’s needs.
h) In relation to an OT assessment you observed on 6 October 2011 you produced a reflective log but did not include all relevant information.
i) In relation to an OT assessment you observed on 19 October 2011 you produced a reflective log which did not include all relevant information.
2. Did not complete follow-up actions in that:
a) In relation to Case 1, you did not contact and/or did not adequately record your contact with the Service User's Care Coordinator as planned:
i) following a telephone conversation with the Service User on 3 November 2011;
ii) following a home visit to the Service User on 8 November 2011;
iii) until prompted in supervision on 17 November 2011.
b) In relation to Case 1, you did not make and/or record appropriate enquiries into the Service User’s potential vulnerability on:
i) 1 November 2011;
ii) 8 November 2011.
c) In relation to Case 2, having recorded a plan on 24 November 2011 to speak to the Service User’s Care Coordinator you:
i) did not contact and/or adequately record contacting the Care Coordinator in a timely manner;
ii) did not inform and/or record informing the Care Coordinator of a potential risk to the Service User, in that a person who answered the phone indicated that he “did not live there” or words to that effect.
d) In relation to Case 8, following information being provided to you during an assessment on 28 November 2011 as to the Service User’s incontinence, you did not make a referral to an incontinence nurse in a timely manner or at all.
3. Did not maintain adequate records in that:
a) In relation to Case 1, in an entry dated 8 November 2011, you:
i) referred to yourself both as ‘therapist’ and as ‘Occupational Therapist’;
ii) made reference to a telephone call but did not state when it occurred;
iii) your entries made on 3 November 2011 and 8 November 2011 were unclear such that they required subsequent amendments.
b) You made amendments to records after entries had been countersigned by your clinical supervisor, in that you:
i) In relation to Case 1, made amendments to an entry dated 17 November 2011;
ii) In relation to Case 5, made amendments to an entry dated 2 November 2011.
c) Did not record the following relevant information:
i) In relation to Case 1, a telephone conversation between you and the Service User which took place on 8 November 2011;
ii) In relation to Case 3, the outcome of the OCAIRs and/or Mayers Lifestyle Questionnaire completed on 25 October 2011 within the case entry;
iii) In relation to Case 8, your entry following the home visit on 25 November 2011 was blank in respect of Objective 3.
d) In relation to case 7:
i) on or around 8 December 2011, did not record sufficient information to identify the level of risk arising from the Service User’s failure to take her
ii) did not seek and/or record seeking advice from a consultant or other suitable professional in relation to the Service User missing her medication.
e) In relation to Case 8, on 25 November 2011 you conducted a home visit and did not conduct and/or record a Mental State Examination (MSE) despite being made aware that the Service User's father had halved his medication the night before your visit.
f) Your entry following the home visit on 25 November 2011 did not record sufficient information to enable an assessment to be made of the risk involved after being made aware that the Service User’s father had halved his medication.
4. Did not complete an adequate report in that, in relation to Case 3, the Occupational Therapy Functional Assessment report completed between 11 and 16 November 2011:
a) Contained unnecessary repetition;
b) Recorded information in the wrong sections;
c) Did not include observations on the Service User's abilities and/or functioning during the shopping trip.
5. Did not complete tasks in a timely manner in that:
a) In relation to Case 5, a cooking assessment took place on 1 November 2011 but your report was not completed until 24 November 2011;
b) In relation to Case 3:
i) You had not completed an entry on PARIS for a community assessment made on 2 November 2011 by 9 November 2011;
ii) You had not completed an Intervention Plan by 17 November 2011, despite having been instructed to complete this on 9 November 2011.
c) In relation to Case 7, on 14 December 2011 you had not recorded an assessment and/or completed an intervention plan when the original deadline for completion was 6 December 2011.
d) In relation to Case 8:
i) By 12 December 2011, you had not seen the Service User despite having planned to see him the week of 5 December 2011;
ii) By 12 December 2011, you had not completed an intervention plan when the original deadline for completion was 5 December 2011.
6. The matters set out in paragraphs 1 - 5 constitute misconduct and/or lack of competence.
7. By reason of your misconduct and/or lack of competence your fitness to practise is impaired.
No information currently available
No information currently available
Final hearing of the Conduct and Competence Committee to reconvene on Thursday 8 December and Friday 9 December 2016 at 405 Kennington Road, London.
The hearing will commence at 10:00 hours on day 1 and at 09:30 hours on day 2.
This hearing was scheduled to take place from Tuesday 19 April to Monday 25 April 2016 but adjourned part heard.
History of Hearings for Ruth E Yorkston
|Date||Panel||Hearing type||Outcomes / Status|
|11/10/2019||Conduct and Competence Committee||Review Hearing||Struck off|
|17/04/2019||Conduct and Competence Committee||Review Hearing||Suspended|
|10/04/2018||Conduct and Competence Committee||Review Hearing||Suspended|
|18/04/2017||Conduct and Competence Committee||Final Hearing||Suspended|
|08/12/2016||Conduct and Competence Committee||Final Hearing||Hearing has not yet been held|
|09/11/2015||Conduct and Competence Committee||Final Hearing||Other|