Prevention of Future Deaths reports · 2016

Ratidzai Sangare

Regulation 28 report to prevent future deaths, reference 2016-0195, written 18 May 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report18 May 2016
Reference2016-0195
DeceasedRatidzai Sangare
CoronerSelena Lynch
Coroner areaSouth London
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedOxleas NHS Foundation Trust
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

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In the South London Coroner’s Court

Inquest touching the death of Ratidzai Sangare

Report to Prevent Future Deaths (Coroners (Investigations) Regulation 28)

THIS REPORT IS BEING SENT TO:
Acting Chief Executive, Oxleas NHS Foundation Trust

CORONER

lam Selena Lynch senior coroner for the coroner area of South London

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/uksi/2013/1629/pdfs/uksi_20131629_en.pdf

INVESTIGATION and INQUEST

On21* April 2015 | commenced an investigation into the death of Ratidzai Kudakwashe
SANGARE, 38. The investigation concluded at the end of the inquest on 17" May 2016.
The conclusion of the inquest was that Mrs Sangare died from ligature compression of
the neck. The jury recorded a narrative conclusion: that Mrs Sangare died between 5.15
and 8.28a.m. on Millbrook Ward. She was found face down with a dressing gown belt
around her neck that caused the ligature compression.

CIRCUMSTANCES OF THE DEATH

Mrs Sangare was a detained patient with a diagnosis of acute psychotic disorder (in
remission) and personality disorder. On the morning of her planned discharge she was
found unresponsive on the floor of her room with a dressing gown belt around her neck.
Efforts to resuscitate her and to call for medical assistant were delayed, though it is not
possible to determine whether the delay contributed to the cause of death.

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) Healthcare staff were unaware or did not recognise that Mrs Sangare's condition
required immediate cardiopulmonary resuscitation, the activation of the alarm,
and the summoning of an ambulance

(2) Staff did not respond immediately to alarm when it was activated, on the
assumption that it was likely to be a behavioural issue or false alarm rather than
a medical emergency

(3) Access to a telephone was limited to those with a key to the office, which did
not include agency staff.

ACTION SHOULD BE TAKEN

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.

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by 14" July 2016. |, 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 family of the deceased. .
| 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.

DATE 18" May 2016 0)
SIGNED BY CORONER VC 21 (yee

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