Mrs Victoria V Asirvatham

Profession: Occupational therapist

Registration Number: OT41405

Interim Order: Imposed on 14 Dec 2016

Hearing Type: Review Hearing

Date and Time of hearing: 10:00 20/02/2019 End: 13:00 20/02/2019

Location: Health and Care Professions Tribunal Service

Panel: Conduct and Competence Committee
Outcome: Hearing has not yet been held

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Allegation

While registered as an Occupational Therapist and during the course of your employment as an Occupational Therapist for 2gether NHS Foundation Trust in a Band 5 post:

 

1. In relation to Service User 1, you:

 

a. Between 11 March 2015 and 08 April 2015, conducted and/or recorded an assessment using the Model of Human Occupation Screening Tool [MOHOST], which did not contain;

(i) A comprehensive analysis of Service User 1’s occupational health needs,

(ii) Adequate clinical reasoning and/or demonstrate understanding of the use of the MOHST tool,

(iii) A summary, and/or

(iv) Recommendations for care intervention.

 

b. On 13 April 2015, conducted and/or recorded an assessment of Service User 1’s activities of daily living which did not contain;

(i) A summary,

(ii) An overall analysis of the Service User’s needs, and/or

(iii) An intervention plan and/or recommendations for care intervention.

 

c. On 30 June 2015, conducted and/or recorded an

 

assessment/observation of Service User 1 and did not report and/or make a record of reporting Service User 1’s mental state to ward staff.

 

d. On 07 July 2015, conducted and/or recorded an assessment/observation of Service User 1 walking in hospital grounds which did not contain;

(i) A proper analysis of the observation,

(ii) An intervention plan, and/or

(iii) Adequate clinical reasoning and/or explanation regarding the relationship between the observations and the service user’s occupational needs.

 

e. On 29 July 2015, conducted and/or recorded an assessment/observation of Service User 1 cleaning their environment which did not contain;

(i) A proper analysis of the observation,

(ii) An intervention plan, and/or

(iii) Adequate clinical reasoning and/or explanation regarding the relationship between the observations and the service user’s occupational needs.

 

f. On 26 August 2015, conducted and/or recorded an assessment/observation of Service User 1 adapting their routine to attend lunch which did not contain;

(i) A proper analysis of the Service User’s process skills,

(ii) A plan for further intervention, and/or

(iii) Adequate clinical reasoning and/or explanation regarding the relationship between the observations and the service user’s occupational needs.

 

g. On 28 August 2015, conducted and/or recorded an assessment/observation of Service User 1 attending a chapel service, which did not contain;

 

(i) A proper analysis of the observation,

(ii) An intervention plan, and/or

(iii) Adequate clinical reasoning and/or explanation regarding the relationship between the observations and the service user’s occupational needs.

 

h. On 31 August 2015, conducted and/or recorded an assessment/observation with the purpose of increasing Service User’s 1’s attendance at music in mind group, which did not contain;

(i) A proper analysis of the observation,

(ii) An intervention plan, and/or

(iii) Adequate clinical reasoning and/or explanation regarding the relationship between the observations and the service user’s occupational needs.

 

i. On 03 September 2015, conducted and/or recorded an assessment/observation of Service User 1 using the bath, which did not contain a detailed analysis regarding;

(i) The Servicer User’s environment,

(ii) The limited use of transfers,

(iii) The Service User’s Mobility, and/or

(iv) The Service User’s use of equipment.

 

j. On 03 September 2015, conducted and/or recorded an assessment/observation of Service User 1’s shopping and banking, which did not contain;

(i) A detailed analysis of the activity and/or the environment in which the activity was conducted, and/or

(ii) Adequate clinical reasoning and/or explanation regarding the

 

relationship between the observations and the service user’s occupational needs.

 

k. On 04 September 2015, conducted and/or recorded an assessment/observation of Service User 1 attending a chapel service, which did not contain;

 

(i) A detailed analysis of the activity and/or the environment in which the activity was conducted,

(ii) An intervention plan, and/or

(iii) Adequate clinical reasoning and/or explanation regarding the relationship between the observations and the service user’s occupational needs.

 

l. Between 11 March 2015 and 1 October 2015, you did not initiate a Care Plan in respect of Service User 1.

 

2. In relation to Service User 2, you:

 

a. On 09 July 2015, conducted and/or recorded a home visit assessment to assess bath transfer, which did not contain;

(i) A summary,

(ii) Adequate analysis and/or clinical reasoning regarding the relationship between the observations and the service user’s occupational needs, and/or

(iii) Did not provide a recommendation about suitability of environment.

 

b. Not proved.

 

 

c. On 17 August 2015, conducted and/or recorded an observation of Service User 2 engaging in an activity which could be adapted into their routine, which did not contain;

(i) Not proved.

(ii) Not proved.

(iii) Adequate analysis and/or clinical reasoning regarding the relationship between the observations and the service user’s occupational needs.

 

d. Did not add any new information to the Care Plan to reflect developments in Service User 2’s treatment, such as the completion of an Interests Checklist on 26 January 2015, Service User 2’s discharge on 10 February 2015 and his re-admittance in June 2015.

 

e. On 24 March 2016, at a joint assessment of Service User 2, completed a record of the assessment which did not contain adequate analysis of the service user’s physical presentation during the assessment.

 

3. In relation to Service User 3, you:

 

a. On 05 February 2016, conducted and/or recorded an assessment of Service User 3’s environment, which did not contain;

(i) A proper analysis of the observation and/or assessment findings,

(ii) An intervention plan, and/or

(iii) Adequate analysis and/or clinical reasoning regarding the relationship between the observations and the service user’s occupational needs.

 

b. Completed a draft Occupational Therapy Report dated 10 February 2016 which was inadequate for the following reasons:

(i) You used incorrect paperwork showing the wrong NHS Trust,

(ii) The report did not contain sufficient information about Service User 3’s occupational needs,

(iii) Not proved.

 

4. In relation to Service User 4 you:

 

a. On or around 19 November 2015, you completed a Care Plan and included the requirement for weekly reviews to be conducted by the Occupational Therapist, which you then did not carry out.

 

b. Not proved.

 

c. On 07 December 2015, completed an Occupational Therapy report, which did not contain;

(i) A proper analysis of the observation,

(ii) Detailed clinical reasoning,

(iii) Detailed information about the Service User’s new environment and/or the relationship between the new environment and the service user’s occupational needs,

(iv) an intervention plan

 

5. In relation to Service User 5 you:

 

a. On 18 November 2015, completed and/or recorded an assessment to adapt Service User 5‘s routine which contained the wrong Service User 5’s name.

 

b. On 30 November 2015, conducted and/or recorded an

 

observation/assessment in relation to Service User 5’s cooking skills, which did not contain;

(i) A proper analysis of the observation and/or potential risk, and/or

(ii) A strategy to support Service User 5.

 

c. On 09 December 2015, made a record of a conversation with a doctor which did not contain any explanation why the Service User was said to have a lack of capacity towards treatment.

 

d. On 11 December 2015, conducted and/or recorded observation of Service User 5 in the hospital grounds, and:

(i) Did not identify the Service User’s behaviour as a potential significant risk in the written record of the observation,

(ii) Did not identify the Service User’s behaviour may indicate the presence of mental health concerns in the written record of the observation, and/or

(iii) Did not feedback the potential risks regarding Service User 5’s presentation during the observation to the ward.

 

6. In relation to Service User 6 you:

 

a. On 20 November 2015, conducted and/or recorded an observation of the Service User engaging in tasks to adapt routine, which did not make reference to the impact of the environment.

 

b. On 23 November 2015, conducted and/or recorded an observation of the Service User during a walk in the hospital grounds which did not contain:

(i) a proper analysis of the observation; and/or

(ii) a detailed analysis of the Service User’s ability to plan for the future.

 

c. On 30 October 2015, conducted and/or recorded an observation/assessment of the Service User involving building rapport, which did not contain;

(i) A proper analysis of the Service User’s process skills, and/or

(ii) An intervention plan.

 

d. On 01 December 2015, completed an occupational therapy discharge summary, which did not contain a proper analysis of the Service User’s needs upon discharge.

 

e. On 01 December 2015, conducted and/or recorded an assessment using the Model of Human Occupation Screening Tool [MOHOST], which did not contain a comprehensive analysis of and/or adequate clinical reasoning regarding Service User 6’s occupational health needs at home.

 

7. In relation to Service User 7 you:

 

a. On 10 May 2016, conducted and/or recorded an observation during an initial contact, which did not contain;

(i). A proper analysis of the observation,

(ii) An intervention plan, and/or

(iii) Indicate what further assessments were/will be required.

 

b. On 12 May 2016, completed a written record of an observation of the Service User, which;

(i) Described the activity incorrectly, and/or

(ii) Did not include detailed analysis and/or clinical reasoning for the recommendations made.

 

c. On 18 May 2016, conducted and/or recorded an observation of the Service User which incorrectly referred to one purpose of the assessment being re-motivation.

 

d. On 20 May 2016, conducted and/or recorded an observation of the Service User, which;

 

(i) incorrectly referred to the purpose of the observation as being re-motivation,

(ii) Did not contain a proper analysis of the observation and/or a summary, and/or

(iii) Did not contain an adequate analysis and/or clinical reasoning regarding the relationship between the observations and the service user’s occupational needs.

 

e. On 25 May 2016, completed and/or recorded a record for an observation at a breakfast group which:

(i) incorrectly referred to the purpose of the observation as being re-motivation,

(ii) contained the wrong Service User’s name.

 

f. On 27 May 2016, conducted an ADL assessment in the community in relation to Service User 7, which was not required as this had already been completed on 17 May 2016.

 

g. On 01 June 2016, completed a written record of an observation involving a breakfast group activity, which incorrectly referred to one of the purposes of the intervention as being re-motivation.

 

8. In relation to Service User 8, on or around 16 April 2015 you completed a Care Plan which was inadequate, in that it:

 

a. did not reflect Service User 8’s Occupational Therapy needs, and/or

 

b. stated goals of exploring Service User 8’s routines and interests and engaging Service User 8 in meaningful activities which were insufficient to address Service User 8’s occupational needs.

 

9. You did not ensure that case notes entered on the RiO system were validated with a signed electronic signature in the cases of;

 

a. Service User 1, namely the entry dated 30 May 2016.

 

b. Service User 2, namely the entries dated:

 

(i). 08 July 2015,

(ii) 2 September 2015

(iii) 14 December 2015,

(iv) 14 March 2016 and/or

(v)14 April 2016.

 

c. Service User 3, namely the entries dated:

(i). 09 February 2016,

(ii). 11 February 2016, and/or

(iii) 23 February 2016 .

 

d. Service User 5, namely the entry dated 09 December 2015.

 

10. Your actions as described at paragraphs 1-9 amount to misconduct and/or lack of competence.

 

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

 

Finding

No information currently available

Order

No information currently available

Notes

No notes available

Hearing History

History of Hearings for Mrs Victoria V Asirvatham

Date Panel Hearing type Outcomes / Status
20/02/2019 Conduct and Competence Committee Review Hearing Hearing has not yet been held
26/02/2018 Conduct and Competence Committee Final Hearing Suspended
04/10/2017 Conduct and Competence Committee Interim Order Review Interim Suspension
07/07/2017 Investigating committee Interim Order Review Interim Suspension