Prevention of Future Deaths reports · 2013

Vera Lillian Steel

Regulation 28 report to prevent future deaths, reference 2013-0185, written 13 Aug 2013. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report13 Aug 2013
Reference2013-0185
DeceasedVera Lillian Steel
CoronerMichael Burgess
Coroner areaSurrey
CategoryCare Home Health related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.

ANNEX A

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

NOTE: This form is to be used after an inquest.

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

1. Care Quality Commission
2. South East England Fire and Rescue Service

CORONER
1 am Michael BURGESS assistant coroner, for the coroner area of Surrey
CORONER'S LEGAL POWERS

| make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009
and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013.

INVESTIGATION and INQUEST

On 29 March 2012, an inquest (under Coroners Act 1988) was opened into the death of
Vera Lillian STEEL, aged 81 years. The investigation concluded at the end of the
inquest on 13 August 2013.. The conclusion of the inquest was that she died from
Multiple Burn Injuries (with Oesophageal Cancer) Conclusion: Accident
CIRCUMSTANCES OF THE DEATH

The deceased was a heavy smoker. On Saturday 24 March 2012, she was taken
onto the garden terrace of Glebe Nursing Home where she resided in order to
smoke. She had refused to dress and was still in her night attire with a blanket
over her legs. She asked her carer to fetch a glass of brandy and whilst the carer
was gone, the deceased attempted to light a cigarette using a match. She
apparently dropped the lit match into her lap causing a fire and resulting in
severe burns. Despite treatment by attending paramedics and the specialist
burns unit at King’s College Hospital she died later that evening.

CORONER’S CONCERNS

During the course of the inquest the evidence revealed matters giving rise to concern. In
my opinion there is a risk that future deaths will occur unless action is taken. In the
circumstances it is my statutory duty to report to you.

The MATTERS OF CONCERN are as follows. —
The deceased who had full testamentary capacity, was either bedbound or in a wheel
chair. She insisted on smoking. She was extremely frail and tried to light a cigarette
using a match. She apparently managed to strike one but she then dropped it (the lit
match) into her lap. Her cotton night dress caught fire and she received burns.

In the course of evidence we received evidence how it is now possible to obtain a fire
protective apron or smock that could be worn or draped over the smoker so that any
such incident would result in the match (or a lit cigarette) burning out without any
damage to the clothing or smoker.. With many fatal domestic fires being caused by the

“incautious disposal of smoking products” this sort of pro-active clothing could be more
widely available and those places (such as care homes) whose residents may include
smokers should be encouraged to provide access to these protective.measures.

In my opinion action should be taken to prevent future deaths and | believe you AND/OR
your organisation have the power to take such action.

You are under a duty to respond to this report within 56 days of the date of this report,
namely by 8" October 2013. I, the coroner, may extend the period.

Your response must contain details of action taken or proposed to be taken, setting out
the timetable for action. Otherwise you must explain why no action is proposed.

| have sent a copy of my report to the Chief Coroner and to the following Interested
EE and Glebe House Nursing Home, Church Lane, Chaldon,

The Chief Coroner may publish either or both in a complete or redacted or summary
form. He may send a copy of this report to any person who he believes may find it useful
or of interest. You may make representations to me, the coroner, at the time of your
response, about the release or the publication of your response by the Chief Coroner.

13 August 2013

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