Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate nighttime staffing for dementia residents
The earlier warning
John Gwynfryn Morris · 11 Nov 2013 · Edward Thomas, Hertfordshire
“Staff both during the day and night need to be able to give attention to residents.”
judiciary.uk/prevention-of-future-death-reports/morris-2013-0295
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 27 Feb 2020 · Kenneth Clarke · Emma Serrano · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · John Gwynfryn Morris · 11 Nov 2013
“Staff both during the day and night need to be able to give attention to residents.”
Later · Kenneth Clarke · 27 Feb 2020
“Evidence emerged during the inquest.that Normanton Village View Nursing Home had no formal policies covering how residents were to be observed, how foods were to be stored, locks on the kitchen and cupboards, dementia”
What happened next
No web check of the stated actions has been published for this chain.