Three nurses have been struck off the Nursing and Midwifery Council register for poor care which in some cases led to patient deaths at a nursing home in south Wales.
After an 81-day hearing, an NMC panel found that failings by a total of five nurses at the Brithdir Nursing Home in Caerphilly amounted to misconduct.
Nurses Tembakazi Moyana, Daphne Richards and Rachel Tanta were struck off on Friday.
Susan Greening received a caution order and Beverley Mock was suspended for one year.
The NMC panel cleared one nurse, Rachel Pritchard, of all charges relating to misconduct.
In May, a disciplinary panel found 86 failings proven out of an alleged 150 against the six nurses in relation to nine residents between 2004 and 2006.
“[Miss Moyana’s conduct] revealed a profoundly disturbing attitude of indifference to the unnecessary suffering resulting from her neglect”
Amongst other charges they related to poor management of patients’ pressure sores and record keeping.
In the case of Miss Moyana, the panel found that her care led directly to the deaths of two patients and contributed to the deaths of two others while Mrs Tanta’s care also contributed to the deaths of two patients.
The panel found Miss Moyana’s conduct “revealed a profoundly disturbing attitude of indifference to the unnecessary suffering resulting from her neglect”.
It also concluded Mrs Tanta’s conduct “involved a wide-ranging pattern of neglect which persisted over a period of more than three weeks.”
When asked by Nursing Times if the the police had been notified about the care failings that contributed to deaths, an NMC spokesman said the regulator had a memorandum of understanding to share relevant information with the police to ensure public and patient safety, but was unable to comment on individual cases.
The sanctions came after the NMC panel found seven misconduct charges proved against Christine Hayes, the director of nursing at the Caerphilly Local Health Board between 2003 and 2006.
It found that Ms Hayes continued to allow new residents to move into the home, despite being aware of ongoing concerns about the organisation’s standard of care, following adverse reports by the national inspector and multi-agency investigations over a period of years.
Concerns about Brithdir Nursing Home were raised during Operation Jasmine, an investigation by Gwent Police into allegations of neglect in south Wales care homes.
The £11.6 million police inquiry collapsed when former Brithdir Nursing Home owner, Dr Prana Das, was declared unfit to stand trial due to brain damage he suffered in a violent burglary.
Brithdir Nursing Home closed in 2006 but has now reopened under new management.