Kathleen Smith
14 Nov 2017 · Coroner Chris Morris · Manchester (South)
The coroner's concerns
1. hip fracture
“neither the family nor Borough Care's corporate risk function had been notified of the circumstances which led to Mrs [name redacted] hip fracture”
2. lack of audit or review of incidents
“no audit or similar review exercise as to incidents or issues at Lisburne Court had been undertaken since the departure of the individual manager”
Responses
2017-0397-Response-by-Borough-Care.pdf ↗· Borough Care
Stated action · 26 October
“therefor devised a form that managers must complete on a weekly basis to inform Head of Care of any significant incidents that happen in the home”