John Wetton
3 Jul 2026 · Coroner Charlotte Keighley · West Yorkshire West
The coroner's concerns
1. incident recording errors
“The inaccuracy and unreliability of incident recording at Alexander House”
2. incomplete care documentation
“Incomplete documentation in respect of the care provided to residents at Alexander House”
3. staff integrity concerns
“Honesty and integrity of staff working at Alexander House”
4. inadequate safeguarding training
“The absence of appropriate and robust training for the Registered Manager at Alexander House in respect of safeguarding investigations to ensure thorough and complete investigation and transparency of investigation”
5. lack of independent monitoring
“The absence of any form of independent monitoring within the home to provide independent oversight of any events occurring within communal areas”
6. missing external regulatory oversight
“The absence of any form of professional regulatory body (over and above the CQC) to ensure that staff tasked with caring for vulnerable elderly individuals are suitably qualified and consistently deliver safe, high-quality and effective care to provide oversight and accountability of those individuals”