NHS Grampian's treatment of an elderly dementia sufferer has been described as "very poor" after her care was "left to chance".

The Scottish Public Services Ombudsman (SPSO) has raised serious concerns after a pelvic fracture she suffered in a fall at home was not properly recorded.

Referred to as Mrs A in a newly published report, the woman was diagnosed with the injury at Aberdeen Royal Infirmary but staff at Kincardine Community Hospital were not made aware of it until several weeks after she had been transferred there for rehabilitation.

Her family also raised particular concerns about her care at Kincardine, where she developed pressure ulcers.

The watchdog found there were serious failings in record-keeping and in the prevention and management of pressure ulcers.

SPSO investigators reported: "As a result, Mrs A's care was random and left to chance. Furthermore, although Mrs A was at high risk of developing pressure ulcers, there was a delay in managing her as high risk.

"We also found that the pelvic fracture incident had not been recorded as it should have been and there were failures in communicating with Mr A (her cousin) concerning aspects of Mrs A's care.

"Overall, the advice we received was that the standard of nursing care provided to Mrs A was very poor and we were critical of those failings."

The SPSO said NHS Grampian had failed to acknowledge its failings and described its handling of her family's complaints as "poor".

The health board has been ordered to apologise to the family of Mrs A, who has since died, to discuss the SPSO's findings with staff, and create a plan to address its failings.