Recurance · prevention of future deaths reports
Pre-inquest brief
Unrecognised acute illness in resident
The earlier warning
Mary Waldron · 10 Jan 2014 · R Brittain, Coventry
“(1) failure of the nursing home staff to recognise an acutely unwell resident;”
judiciary.uk/prevention-of-future-death-reports/mary-waldron
What was promised
No published response from Care Quality Commission was found for the earlier reports.
What recurred
- 2 May 2024 · Frederick Boyd · Alison Mutch · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Mary Waldron · 10 Jan 2014
“(1) failure of the nursing home staff to recognise an acutely unwell resident;”
Later · Frederick Boyd · 2 May 2024
“The inquest heard evidence that there was no clear system or expectation regarding the quality of checks on a resident who exhibited signs of being unwell.”
What happened next
No web check of the stated actions has been published for this chain.