Prevention of Future Deaths reports · 2015

Violet Cloudsdale

Regulation 28 report to prevent future deaths, reference 2015-0387, written 25 Sep 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report25 Sep 2015
Reference2015-0387
DeceasedViolet Cloudsdale
CoronerPaul O’Donnell
Coroner areaCumbria
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.

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

1; FP Director of Nursing, Risedale Estates Limited

2. Care Quality Commission

1 CORONER

| am Paul O’Donnell assistant coroner, for the coroner area of Cumbria

2 | 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.

3 | INVESTIGATION and INQUEST

On 22™ December 2014 an investigation was commenced into the death of Mrs Violet
Cloudsdale, aged 99 years old. The investigation concluded at the end of the inquest on
16" September 2015. The conclusion of the inquest was accidental death. The medical
cause of death was:
1.a Bronchopneumonia
2. Fractures of the left tibia, right humerus and left radius.
Cerebrovascular disease. Diabetes mellitus. Hypertension.

4 | CIRCUMSTANCES OF THE DEATH

Mrs Cloudsdale was a resident at Lonsdale Nursing Home, Barrow-in-Furness. On am
December 2014, she fell whilst unattended from a seated position in a stationary
wheelchair and sustained fractures to the left tibia; right humerus and left radius. She
died 5 days later from bronchopneumonia whilst being treated for her injuries at Furness
General Hospital, Barrow-in-Furness.

5 | 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) It was confirmed in evidence by a =:

a) Mrs Cloudsdale would have been less likely to have fallen if the lap-belt which was
fitted to the wheelchair had been fastened;

b) No risk assessment had been undertaken as to whether the lap-belt should
generally have been utilised;

c) No attempt had been made to identify whether Mrs Cloudsdale or her family would
have indeed consented to the lap-belt being fastened to enhance her feeling of
safety or security;

d) There was a concern that utilising lap-belts may be construed as applying an
unlawful restraint;

e) Guidance on the use of lap-belts is unclear.

A thorough review of your procedures with regard to the use of lap belts fitted to wheel
chairs is required.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you and 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 20'" November 2015. |, 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
Pereoas: a oo oF of the deceased). | have also sent it to the Care
Quality Commission 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 representations to me, the coroner, at the time of your
response, about the release or the publication of your response by the Chief Coroner.

Signed:

Paul O’Donnell

Dated: 25th September 2015

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