Peter Furness
5 Oct 2015 · Coroner John Gittins · North Wales (East and Central)
The coroner's concerns
1. lack of escalation process for incidents or concerns
“within current systems and protocols operating at the home, there is no documented process by which incidents or concerns are escalated so as to result in a multi disciplinary team meeting aimed at reviewing the risk assessments and care plan relating to the vulnerable person within their care”