Emmeline Hampson
6 Mar 2015 · Coroner Alan Walsh · Manchester (West)
The coroner's concerns
1. significant change in mobility and general condition
“There was a significant change in Mrs [name redacted] mobility and general condition from the 4" October 2014”
2. omissions in documentation and record keeping
“There were omissions in the documentation and record keeping at the Nursing Home particularly in relation to falls, and changes in Mrs [name redacted] condition”
3. indistinguishable alarm signals for falls sensor and assistance request
“The alarm in relation to the activation of the falls sensor placed in Mrs [name redacted] room and the handheld buzzer available to Mrs [name redacted] were the same so that it was not possible to distinguish between activation of the falls sensor arising from Mrs [name redacted] getting out of bed and Mrs [name redacted] requesting assistance from a carer”
4. risk of future deaths due to unresolved safety issues
“The evidence raised concerns that there is a risk that future deaths will occur unless action is taken to review the above issues”
Responses
No published response was found on judiciary.uk.