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recurance

Dorothy Seekings

7 Jul 2021 · Coroner Sean McGovern · Warwickshire

The coroner's concerns

  1. 1. aggressive incidents not recorded in care plans

    “the care plans for did not record incidents where had acted aggressively to staff members including an occasion when a staff member was kicked in the mouth by .”
  2. 2. failure to raise safeguarding alert

    “the failure to raise a safeguarding alert with the local authority regarding the above incident.”
  3. 3. staff unaware of care plan contents

    “The staff did not appear to be aware of the contents of the care plan for or other resident”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Dorothy Seekings · Recurance