Sean Heeney
14 Jul 2023 · Coroner Jonathan Dixey · Northamptonshire
The coroner's concerns
1. narrow corridors and stairs
“The layout of the building. Witnesses described inter alia: (i) the corridors as being narrow and with 90 degree angle turns; (ii) the stairs as being narrow and steep; and (iii) Mr [name redacted] bedroom as being small and with little space to manoeuvre.”
2. non-compliance and agitation after Naloxone administration
“Mr [name redacted] was very seriously unwell. He was described as non-compliant and agitated. When given Naloxone he became increasingly agitated.”
3. reluctance to cooperate with emergency personnel
“It is to be anticipated that residents within Approved Premises may be more reluctant to cooperate with emergency service personnel, in particular the police. This may make extrication more difficult.”