Kumbulani Mtombeni
16 Aug 2021 · Coroner Lydia Brown · West London
The coroner's concerns
1. unauthorised possession of methadone by staff
“In the deceased's possession was a of methadone in the name of . Evidence was given at inquest that Mr was one of your residents until he died last summer. Mr [name redacted] was a member of your staff and at times had worked as a senior carer and had responsibility for and access to the residents prescribed medications. (1) Can you explain how the methadone was in Mr [name redacted] possession? (2) Were any audits performed that demonstrated missing medication and if so, what actions were taken? (3) What actions”