Prevention of Future Deaths reports · 2015

Phyllis Broomhead

Regulation 28 report to prevent future deaths, reference 2015-0290, written 6 Jul 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report6 Jul 2015
Reference2015-0290
DeceasedPhyllis Broomhead
CoronerNicola Mundy
Coroner areaSouth Yorkshire (East)
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.

Nicola Jane Mundy
Senior Coroner for South Yorkshire (East District)

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO: The Chief Executive
Rotherham MBC Riverside House Main Street Rotherham S60 1AE

|
CORONER

lam Nicola Jane Mundy, Senior Coroner for South Yorkshire (East District)

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 12/06/2013 | commenced an investigation into the death of Phyllis Broomhead, 90.
The investigation concluded at the end of the inquest on 06 July 2015.
Cause of death: Traumatic left sided subdural haemorrhage

The conclusion of the inquest was a Narrative conclusion:

Phyllis Broomhead became a resident at Lord Hardy Court in December 2012 due to her
dementia and general care needs. Despite multi-agency support she continued to suffer falls
between 11 February 2013 and the time of her death. Three of these falls led to significant
injuries. On 9 June she fell from her bed whilst trying to reach the toilet and sustained a head
injury from which she died later that day

CIRCUMSTANCES OF THE DEATH

Mrs Phyllis Broomhead suffered from advanced brain disease (dementia) as a consequence of
which she was admitted to the Lord Hardy Court EMI Residential Home on the 18th December
2012. The home cared for her general care needs and her dementia needs. Despite multi
agency input Mrs Broomhead suffered several falls between the 11th December 2013 and her
death on the 9th June 2013. Of the falls she suffered three of them were significant and all
required hospitalisation. A Safeguarding Alert was raised at the time of the second significant
injury which was exited the day of the alert, after enquiries had been made. It was felt all
appropriate measures were in place and Mrs Broomhead returned to Lord Hardy Court. The
falls continued until final fatal fall on 9 June 2013. Measures in place were not fully
implemented.

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: —

(1) Staff employed at Lord Hardy Court EMI Residential Home require further training with
regard to:
i. the head injury protocol, how this should be followed and the importance of
doing so.

Coroner's Court and Office, Doncaster Crown Court, College Road, Doncaster, DN1 3HS
Tel 01302 320844 | Fax 01302 364833

ii. record keeping.
iii. indicators and triggers to seek social worker input.

(2) With regard to the Safeguarding team, subject to the impact of any subsequent
legislation, the importance of ensuring that any initial screening process following a
referral is sufficiently detailed and objective to facilitate the making of safe, sound
and informed decisions with regard to any future action which might be indicated or
indeed before exiting the process. Furthermore, | heard evidence that there were
three types of home available; care homes, EMI care homes and nursing homes. For
residents who are clearly continuing to be at high risk of serious injury, as was the case
here, consideration should be given to introducing or expanding any local procedures
or protocols to ensure closer scrutiny and monitoring of such residents’ progress. It
seemed that although Mrs Broomhead was identified as being of high risk of falls, as it
was felt that her needs didn’t amount to nursing needs there was no alternative but for
her to remain in a care home.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you The Chief
Executive, Rotherham Metropolitan Borough Council 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
31 August 2015. 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.

COPIES and PUBLICATION

y report to the Chief Coroner and to the following Interested Persons:
| have also sent it to Messrs Kennedys solicitors and Capsticks solicitors
- who may find it useful or of interest.

| 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 r¢phesentations to me, the coroner, at the time of your response, about the
release or the publication of your response by the Chief Coroner.

Signature
Senior Corone

Coroner's Court and Office, Doncaster Crown Court, College Road, Doncaster, DN1 3HS
Tel 01302 320844 | Fax 01302 364833

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 Rotherham Borough Council (PDF)
Rotherham p)

lita iy

Managing Director’s Office
Riverside House

Main Street
Rotherham

S60 1AE 2 EY

Tel: (01709) 822773 ee weet
E-mail: Stella.manzie@rotherham.gov.uk we ee
Email the Council for free @ your local library! ee

Our Ref: Direct Line: Extension: Please Contact:

SM/LH (01709) 822773 22773 Commissioner Manzie

11" September 2015

Ms N J Mundy

HM Coroner, South Yorkshire (East District)
Coroner's Court and Office

Crown Court

College Road

Doncaster

DN1 3HS

Dear Ms Mundy

RE: Phyllis Broomhead, (Deceased)
DOB: 05.03.1923 — DOD: 09.06.2013

On the 6 July 2015 you concluded the inquest into the death of Phyllis Broomhead. You
recorded a narrative conclusion and submitted a report under Regulation 28 to express
concerns about certain aspects of Mrs Broomhead’s care. Your report was received in to
the department on 26 July 2015.

You requested that the Local Authority respond to your report within 56 days outlining
details of action taken or proposed to be taken, setting out the timetable for action. The
original response time was extended to the 14! September 2015 by your office in a letter
to Jill Wetherall, Service Manager, Safeguarding Adults dated 1° September 2015.

Please find enclosed a detailed action plan of recommendations made under regulation
28, actions taken by Rotherham Metropolitan Borough Council, if these actions have been

achieved and a timescale to conclude any uncompleted actions. | hope these meet with
your approval.

Yours sincerely

suo and Managing Director

www.rotherham.gov.uk

ea ee re |

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