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recurance

Janet Smith

26 Apr 2023 · Coroner Catherine Mason · Leicester City and South Leicestershire

The coroner's concerns

  1. 1. unmonitored residents

    “no carer was in the lounge area monitoring the residents”
  2. 2. risk of actual or potential harm including death

    “there remains a concern that the provider has not done everything possible to mitigate the risk of actual or potential harm including death”
  3. 3. challenging behaviour

    “residents with challenging behaviour and care needs”

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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error