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recurance

Mary Brady

24 Apr 2020 · Coroner Alison Mutch · Greater Manchester South

The coroner's concerns

  1. 1. open waste baskets in communal areas

    “The inquest heard that the home at the time of Mrs [name redacted] death, in common with many similar establishments had open waste paper baskets in the communal areas. Residents with dementia were left unsupervised in these areas and there was always a risk that they might access material from these waste baskets. In this case the gloves should not have been in the bin at all but there were other items in there which could have presented a choking hazard. The home had since removed all open wastebaskets”
  2. 2. improper disposal of clinical waste

    “The gloves were clinical waste and had been disposed of other than in the clinical waste bin in the secure area. The inquest heard that there had been previous instances of used gloves being found in the waste baskets. However the issue had not been escalated to senior managers and no steps had been taken to avoid the issue reoccurring”
  3. 3. unmanaged choking risk from non-food items

    “Mrs [name redacted] had been seen putting foreign non-food items in her mouth by staff. These instances had not been appropriately documented and risk assessed. The level of risk she presented was not fully understood as a result and her care plan was not updated”

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.

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Mary Brady · Recurance