Stephen Verrall
1 Oct 2021 · Coroner Jonathan Landau · South London
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. unrestricted windows
“I was informed that CQC did not routinely check window restrictors on inspections”
2. unaccompanied residents leaving home
“I heard that [the deceased] had managed to leave the home unaccompanied on several occasions”
Linked reports
Closely relatedConfidence 0.80 · moderate
This report
“I was informed that CQC did not routinely check window restrictors on inspections.”
Later report
“it is suggested that window restrictors (and their fixings) are capable of withstanding push forces of at least 850N”
Responses
2021-0336-Response-from-Care-Quality-Commission_Published.pdf ↗· Care Quality Commission
Stated action · next inspection
“We will check at our next inspection that these changes have been embedded at St John's Nursing Home and that these were effectively minimising risks where these had been identified.”
2021-0336-Response-from-St-Johns-Nursing-Home-Ltd_Published.pdf ↗· St John's Nursing Home