Prevention of Future Deaths reports · 2017
Regulation 28 report to prevent future deaths, reference 2017-0007, written 3 Jan 2017. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 3 Jan 2017 |
|---|---|
| Reference | 2017-0007 |
| Deceased | Roseleen O’Donoghue |
| Coroner | Christopher Murray |
| Coroner area | Manchester South |
| Category | Other related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | none published |
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: The Chief Executive, Your Housing, 602 Aston Avenue, Birchwood Park, Warrington, WA3 6ZN CORONER lam, Christopher Murray Assistant coroner, for the coroner area of South Manchester 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 INVESTIGATION and INQUEST On 4" July 2016 | commenced an investigation into the death of Roseleen Mary O'DONOGHUE. The investigation concluded on the 23% November 2016 and the conclusion was one of Accidental Death. The medical cause of death was 1a) Traumatic scalp laceration and subdural haemorrhage. CIRCUMSTANCES OF THE DEATH Mrs O'Donoghue fell down her stairs at home on the 26" or 27" June 2016 which resulted in a traumatic fatal head injury sustained in the impact following the fall and she was pronounced dead at the scene on 27" June 2016. 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. — The stair lift fitted at 7 Radnor St does not come to rest in the safest possible position when at the top of its journey giving rise to a risk of falling, as the step plate is suspended over the stair well. | am concerned you may have other properties featuring the same type of risk. ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you 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 28" February 2017. |, the coroner, may extend the period. Your response must contain details of action taken of 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 next of kin, 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 i 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. Mr Christopher Murra’ Ww Assistant Coroner i ~~") movew
See every Prevention of Future Deaths report matching Christopher Murray, and how often a new one appears.
What would an alert for this have sent me? Search the full text
Free to try — the preview shows the real matches and how many arrived in the last 12 months. Your first email alert is free.
These reports are published by the Chief Coroner's office at judiciary.uk and are © Crown copyright. The text here is reproduced from the published PDF so it can be searched. If something on this page is wrong, or you are a person named in it and want it reviewed, email drcjar@gmail.com and we will act promptly.