Prevention of Future Deaths reports · 2015

Diane Knight

Regulation 28 report to prevent future deaths, reference 2015-0408, written 22 Oct 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report22 Oct 2015
Reference2015-0408
DeceasedDiane Knight
CoronerJohn Tomalin
Coroner areaExeter and Greater Devon
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedDevon Partnership NHS Trust
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.

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. Ms Melanie Walker, Chief Executive of Devon Partnership Trust.

1 | CORONER

| am John Geoffrey Tomalin Deputy Coroner, for the coroner area of Exeter and Greater
Devon.

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 3" February 2015 | commenced an investigation into the death of Diane KNIGHT, 61
years old. The investigation concluded at the end of the inquest on 7" October 2015,
The conclusion of the inquest was ‘Took her own life’.

1 (a) Hanging

4 | CIRCUMSTANCES OF THE DEATH

Diane Knight had a significant history of mental illness including Depression Anxiety
going back to 2012 following a diagnosis of Osteoporosis. She received various
treatments both drug related and ECT. There have been several attempts by Mrs Knight
to end her life by drug overdose. On the 3rd February 2015, whilst as a voluntary patient
of the Ocean View Ward of North Devon District Hospital in Barnstaple, she hung herself
with her beit from the door to her room. Her room has a door in which there is a window
with a shutter that can be opened both from the inside and the outside. However it
appears to have been an acceptable practise where patients could cover the outside of
this window with a towel to stop light intrusion at night, when staff checked on the
patients, to prevent light from entering their rooms and disturbing their sleep at night.
Diane Knight had put a towel over her door and the window but that towel had hidden a
belt end that was trapped by the door against the door-jamb from which she managed to
hang herself.

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) The continued practice of putting a towel over the door could hide an attempt by a

patient to harm themselves or end their life such as here with a belt end being trapped
by the door against the door jamb.

(2) The continuation of this practice may prevent staff being properly able to monitor the
patients on the Unit, therefore this practice should be reviewed.

(3) An alternative method for preserving patient privacy should be considered that would
not allow a patient to conceal an attempt to cause themselves harm.

6 | ACTION SHOULD BE TAKEN

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

7 | YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by 17" December 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.

8 | COPIES and PUBLICATION

| have sent a copy of my report to the Chief Coroner and to the following Interested
Persons

(1) EEE Husband

| 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.

9 | 22°" October 2015 John Geoffrey Tomalin

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 Respondent Not Named (PDF)
Devon Partnership INHS|

NHS Trust
ER EREeeE” eh PY Trust Headquarters.
Wonford House Hospital
Dryden Road
Exeter
EX2 5AF
Mr J G Tomalin Telephone: 01392 208866
Deputy Coroner Web: www.devonpartnership.nhs.uk
Exeter and Greater Devon Coroner's Office
Room 226 Your Ref: JGT/RCB File No: 365/2015
Devon County Hall
Exeter 14 December 2015
EX2 4QD

Dear Mr Tomalin
Re: Diane Knight (deceased) — DOD 03/02/15 - Inquest 3 to 7 October 2015
Regulation 28 Report to Prevent Future Deaths

Thank you for your letter of 22 October 2015 which we received on the 23 October 2015 following the
inquest into the death of Diane Knight. As an organisation we are committed to learning from these
tragic events and have since receiving your report and recommendations taken the opportunity to
share your findings with the service involved as well as across the wider trust.

The Trust has undertaken a Root Cause Analysis Investigation following the death of Diane Knight;
the report is currently in draft form and has been submitted to our commissioner for review and
approval. A copy of the draft report has been included for information, however this may be subject to
further changes once the commissioner has reviewed the report. The draft report has not yet been
shared with the family. We will be sharing the report with the family once the commissioner has
approved it and we would be happy to forward a copy to you at the same time.

The Root Cause Analysis report contains two recommendations; both of which were accepted and the
actions are being progressed.

Recommendations from the Root Cause Analysis report

(1) The practice of patients obscuring/covering the glass windows in their bedroom doors will be
discontinued across all inpatient areas within Devon Partnership NHS Trust. A patient safety alert
will be issued highlighting the risks and the actions required to be taken to eradicate this risk.

(2) Clinical Governance systems across the Adult Directorate will be used to disseminate and share
this report and its findings with clinical staff across the wider Adult Directorate in order to promote
reflective considerations and discussion.

The investigation and report has identified a specific recommendation and actions that will address the
concerns you raised, and this is detailed further below.

(1) The continued practice of putting a towel over the door could hide an attempt by a patient
to harm themselves or end their life as here with a belt end being trapped by the door
against the door jamb.

Chair: Julie Dent CBE - Chief Executive: Melanie Walker

(2) The continuation of this practice may prevent staff being properly able to monitor the
patients on the unit; therefore this practice should be reviewed.

Following discussion and review with the clinical team directly involved in the care of Diane Knight as

—part of the Root Cause Analysis process-the-historical-practice of covering the bedroom-windows-with—

a towel to minimise light intrusion has been discontinued.

A trust wide safety briefing has been produced and was published on our Trust intranet, this is
accessible to all staff and is one of the ways in which we publish and share learning across our
services. This briefing was also included in our ‘on-line news’ which is sent out by email to all staff.

The briefing stated -

‘The Trust has received a Rule 28 from the Coroner in relation to the continued practice of putting a
towel, or any other item likely to prevent staff properly observing or monitoring the patient through the
window of bedroom doors (to stop light intrusion), as there is a risk that putting a towel or similar item
over the door could hide an attempt by the patient to harm themselves or end their life such as in this
particular case. The alert applies to all inpatient areas across the Trust and requires immediate
action and compliance.’

A copy of the safety briefing is attached for your information.

We plan to issue a further local alert to all inpatient units which will be sent using our alerts process;
this requires a formal response from each ward confirming that the alert has been reviewed and
appropriate action taken. This is going to be sent once the RCA report has been agreed so any
further actions from the commissioner's review can be included. This is due to be completed by the
end of January 2016 (following agreement of the report by the commissioner).

(3) An alternative method for preserving patient privacy should be considered that would now
allow a patient to conceal an attempt to cause themselves harm.

The wards and individual rooms are designed to provide patient privacy whilst maintaining the ability
to manage an individual's safety, however as in this tragic case, the practice of covering the
observation windows; which are designed to be obscured when needed by means of a physical lever
in the window has resulted in the patient being able to conceal themselves. and the implement used to
assist in the suicide.

We are in the process of developing our Respect and Dignity Audit; we will be including a specific
requirement for teams to consider how they maintain privacy in these types of situation and what more
can be done to keep patients safe whilst maintaining their privacy. This audit will then inform any wider
actions needed. The audit is due to be completed by the end of January 2016.

| hope that the actions described demonstrate our commitment to the learning we have undertaken. If
you required any further information please do not hesitate to contact me.

Yours sincerely
\

Director of Nursing and Practice

On behalf of Melanie Walker, Chief Executive

Chair: JulieDent CBE - Chief Executive: Melanie Walker

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