Prevention of Future Deaths reports · 2013

Peter Pattinson

Regulation 28 report to prevent future deaths, reference 2013-0250, written 6 Sep 2013. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report6 Sep 2013
Reference2013-0250
DeceasedPeter Pattinson
CoronerDerek Winter
Coroner areaSunderland
CategoryCare Home Health related deaths
Sourcejudiciary.uk record · original PDF
Responses published1

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.

Derek Winter
Senior Coroner for the City of Sunderland

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:

Mr Ted Smith

Chief Executive Officer
European Care Group

Two Parklands Business Park
Birmingham Great Park
Rubery

West Midlands, B45 9PZ

CORONER

| am Derek Winter, Senior Coroner for the City of Sunderland

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.

http://www. legislation.gov.uk/ukpga/2009/25/schedule/5/paragraph/7

http://www. legislation.gov.uk/uksi/2013/1629/part/7/made

INVESTIGATION and INQUEST

On 21/03/2013 | commenced an investigation into the death of Peter Pattinson aged 71. The
investigation concluded at the end of the inquest on 05/09/2013. The conclusion of the inquest
was: -

‘Natural Causes’;

medical cause of death being: -

la Bilateral Pheumonia

ll Congestive Cardiac Failure; Chronic Renal Failure; Chronic Obstructive Pulmonary Disease

CIRCUMSTANCES OF THE DEATH

Mr Pattinson who had complex medical needs was hospitalised from the 29" November 2012
until 30°" January 2013 when he was discharged to Cedar Court Care Centre, Portland Avenue,
Seaham SR7 8BT. However he was readmitted to hospital on 4" February 2013 after he had
fallen from his bed at Cedar Court Care Centre. Despite on-going care at the hospital he died on
the 19°" March 2013.

CORONER’S CONCERNS

1. The concerns expressed by the family and their requests for Mr Pattinson’s bed rails to be
raised were not acted upon or documented, and were not subject to a risk assessment.

2. The repair to the bed rails of Mr Pattinson’s bed was not actioned in a timely way.

3. There were missing daily statements from the file (27 November 2012 18:00 hrs to 29"
November 2012 18:30 hrs)

4. The daily statements that were provided were not paginated sequentially.

Civic Centre, Burdon Road, Sunderland, SR2 7DN
Tel 0191 5617843 | Fax 0191 5537803 | DX 60729 Sunderland
www.sunderland.gov.uk/coroner

ACTION SHOULD BE TAKEN

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

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report, namely by
Monday 4" November 2013. |, 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.

COPIES and PUBLICATION

| have sent a copy of my report to the Chief Coroner and to the following Interested Persons: -
- Family
- Cedar Court Care Centre
- Care Quality Commission
- City Hospitals Sunderland NHS Foundation Trust
- Regulation 28 Archivist for Coroner Society of England and Wales

am also under a duty to send the Chief Coroner a copy of your response.

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.

Dated this 6" day of September 2013
Aq

Signature
Senior Coroner for the City of Sunderland

Responses

1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.

Response from European Care Group (PDF)
; a
sy
EUROPEAN
CARE

Group

21 October 2013

Private & Confidential

Mr Derek Winter

Senior Coroner for the City of Sunderland
Civic Centre

Burdon Road

Sunderland

SR2 7DN

Dear Mr Winter,

Mr Peter Pattinson - Response Regulation 28 Report

| am writing in response to your Regulation 28 report regarding Mr Peter Pattinson dated
6 September 2013 and | set out below the actions that we have undertaken in order to address the
concerns set out at paragraph 5 of your report.

1. Requests to raise bed rails not being acted upon or documented and not being subject to a
risk assessment
We have now undertaken the following actions:

a. bed rail risk assessments are carried out within 24 hours of admission and are then
reviewed monthly or when needs change. Any changes will be discussed with the
service user or a family member; and

b. all present staff in post will undertake training in the safe usage of bed rails and read
European Care's “Safe Use of Bed Rails” policy, signing to confirm they understand the
policy. All new staff will undertake this training as part of their induction and understand
European Care’s policy on the safe use of bed rails. Competencies for all staff will be
signed off by the manager, training coordinator and clinical lead and a record kept on

their personnel file. Continuous understanding will be monitored in supervisions.

2. Repairs to the bed rails of Mr Pattinson’s bed were not actioned in a timely manner
We have now undertaken the following actions:
a. a daily checking system is now in place for a senior member of staff to visually check the
condition of the bed rails and record this on the handover. This in turn is checked by the

manager;
European Care & Lifestyles (UK) Ltd
Registered in Engiand. Registered No. 3856015
en» Two Parklands Business Park, Birmingham Great Park,
fy INVESTORS Rubery, Birmingham, West Midlands, B45 9PZ
i, oY . 4
YL IN PEOPLE T: 0844 980 3666 F: 0121 457 4460
tool www.europeancare.co.uk

b. any defects regarding bed rails are to be reported and repaired immediately. All staff are
now aware of how to report defects both within office hours and out of hours; and
c. maintenance of bed rails will be untaken monthly in accordance with European Care

policy by the maintenance manager and a record of this maintenance will be kept.
3. Missing daily statements from Mr Pattinson’s file

All documentation relating to daily statements used are now numbered so pages
cannot be mislaid.

4. Daily statements provided were not paginated sequentially
Please see response to paragraph 3 above.

Please be absolutely assured that European Care are committed to continuously improving our
quality and care and the safety and wellbeing of all our residents is paramount. We therefore trust
that the above addresses all your concerns fully and comprehensively however if you do require

any further information or have any further concerns please do not hesitate to contact me.

Yours sincerely,

Director of Quality Development

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