Sarah Holmes
11 Oct 2023 · Coroner Janine Richards · County Durham and Darlington
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. delayed serious incident investigation
“The serious incident investigation remained unallocated and with no timeframe for completion for over 7 months”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“failure of the nursing home managers to undertake an effective investigation into this incident and to take action to prevent repetition”
This report
“The serious incident investigation remained unallocated and with no timeframe for completion for over 7 months”