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recurance

Margaret O'Brien

11 Dec 2015 · Coroner Chinyere Inyama · London (West)

The coroner's concerns

  1. 1. lack of specific prescribed training of staff on observations of residents

    “There appeared to be an absence of specific, prescribed training of staff on how to carry out and record observations of residents.”

Responses

Response-from-Care-UK.pdf ↗· Care UK

Stated action · end of March 2016

“The revised policy 'Observations of Residents' makes clear under section 7 of the document that the Home Manager is responsible for ensuring staff are aware of this policy document and the guidance in respect of observational practice, frequency of observation, level of interaction, record-keeping and actions in respect of any deviation from the policy guidance.”
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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.

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