Prevention of Future Deaths reports · 2017

David Sheppard

Regulation 28 report to prevent future deaths, reference 2017-0153, written 8 May 2017. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report8 May 2017
Reference2017-0153
DeceasedDavid Sheppard
CoronerLouise Hunt
Coroner areaBirmingham and Solihull
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.

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT [S BEING SENT TO:
1. Boldmere Court Care Home
2. Care Quality Commission
3. Department of Health

CORONER

Jam Louise Hunt Senior Coroner for Birmingham and Solihull

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 15/08/2016 | commenced an investigation into the death of David Sheppard who died at Good Hope
Hospital on 03/08/16 aged 66. The investigation concluded at the end of an inquest on 5th May 2017.
The conclusion of the Jury at the inquest was

“On 31st July 2016, inadequate action was taken to help the deceased from choking. Failure to give
appropriate medical assistance in an immediate timeframe. A lack of training and communication
between caregivers ultimately resulted in the deceased being rushed to Good Hope Hospital where he
later passed away due to a severe hypoxic brain injury. In conclusion his death was contributed to by
neglect.” :

CIRCUMSTANCES OF THE DEATH

The deceased suffered from vascular dementia and a previous stroke. He became a resident at Boldmere
Court in July 2013. He had challenging behaviour and was cared for on the challenging behavioural unit
however, he was able to verbally communicate his needs. On 31/07/16 he was given a doughnut at 23:22
and went back to his own room. Soon after he was found by a carer outside his room, pointing at his
throat and unable to communicate verbally. The carer took the deceased back into his room, leaving to
find the nurse who was on another floor. During this time another carer checked on the deceased and
raised the emergency alarm at 23:38. Various members of staff attended, including 2 nurses who entered
the room. A nurse checked the deceased's airways which appeared clear, however the deceased still had
breathing difficulties and could not communicate. The first ambulance call was placed at 23:41 stating
the deceased was having difficulty breathing. Staff brought crash mats into the deceased’s room. In this
period all members of staff who initially attended the alarm call, continually left and re-entered the room
until 23:48 when CPR commenced by a carer. Soon after starting CPR a piece of doughnut came out of
the deceased’s mouth. There were points during this time where the deceased was left alone. At 23:49 a
second ambulance cal! was placed, stating the deceased was now in cardiac arrest and not breathing.
The ambulance arrived 6 minutes later. When the paramedics arrived there was no CPR in progress and
no airway assisting the deceased’s breathing. The paramedics noted the deceased had agonal breathing.
They took over care and resuscitated the deceased several times. The deceased was then taken to
hospital where he arrived with a pulse and a Glasgow coma score of three. The deceased was treated in
A&E where food particles were found in the airway. The deceased was resuscitated and taken to ITU
where he was found to have suffered a severe Hypoxic Brain Injury as a result of the cardiac arrest which
was caused by choking on a doughnut. Following this, a decision was made to withdraw treatment and
let nature take its course. The deceased later died at Good Hope Hospital! on the 3rd August 2016.

Following information from the Deceased’s treating clinicians the medical cause of death was

determined to be:

da. HYPOXIC BRAIN INJURY

1b. CARDIAC ARREST

1c. CHOKING

2. VASCULAR DEMENTIA, HYPERTENSION

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. —

4. Communication. There are three areas where communication is a concern:

a. The initial nurse who attended the deceased after the emergency call had poor English and
needed to give evidence at the inquest through an interpreter. The carer who started CPR
had very poor English and also gave evidence through an interpreter. The evidence heard at
the inquest was that the response to this emergency was chaotic. Inability of staff to
communicate with each other contributed to the chaos and poor decision making.

b. Staff failed to pass on an accurate history of what had happened to the deceased resulting
in there being a poor understanding of his initial complaint — namely that the deceased was
pointing to his throat and was unable to communicate. These factors would indicate
choking.

c. The patients on the challenging behavioural unit are extremely vulnerable and many suffer
from dementia and other conditions. Staff being unable to communicate effectively with
these patients may cause harm and confusion,

2. Record keeping. Staff failed to keep an acute and contemporaneous note of the events that
occurred with timings. This made reconstruction of the event extremely difficult.

3. Training. Several of the staff who gave evidence had not received first aid training. They did not
understand the signs of choking displayed by the deceased.

4, Post event investigation. The quality of statements produced by staff immediately after the
event was extremely poor. Subsequently staff had a very poor recollection of what happened
which seriously hampered the inquest. Direction needs to be given to ensure that accurate and
contemporaneous statements are taken after such an incident to ensure events are accurately
recorded to enable the correct lessons to be Jearnt.

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 3 July
2017. |, 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

i have sent a copy of my report to the Chief Coroner and to the following Interested Persons
The _

| have also sent it to Nursing and Midwifery Council who may find it useful or of interest.

lam 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.

08/05/2017

Signature
Louise Hunt Senior Coroner Birmingham and Solihull

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)
A Philip Dunne MP
Minister of State for Health

Department
of Health
Richmond House
Our reference: PFD-1085354 * penne
SWIA 2NS
Your reference: 115279 - DAVID SHEPPARD (LH/AS) Tel: 020 7210 4850
Mrs Louise Hunt
HM Senior Coroner
Birmingham & Solihull Areas
Coroner’s Court
50 Newton Street
Birmingham
B4 6NE
%:
Dear Lomise , P sx, Tu ly 2017

Thank you for your letter of 9 May 2017 to the Secretary of State about the death of
Mr David Sheppard. I am responding as the Minister with responsibility for workforce
and quality regulation at the Department of Health.

I was very saddened to read of the circumstances surrounding Mr Sheppard’s death.
Please pass my condolences to his family and loved ones.

I have noted very carefully the conclusion of the inquest and the areas of concern you
have detailed. Clearly, the failure to take adequate action in response to Mr
Sheppard’s fatal situation was unacceptable. I can appreciate how distressing these
circumstances must be for Mr Sheppard’s family.

All registered providers of health and social care in England are required to provide
safe, effective, compassionate and high quality care and to meet the fundamental
standards of quality and safety as set out in Regulations (Health and Social Care Act
2008 (Regulated activities) Regulations 2014)

www. legislation.gov.uk/uksi/2014/2936/contents/made.

It is the responsibility of Boldmere Court Care Home as the registered provider to
ensure there are sufficient numbers of suitably qualified, competent, skilled and
experienced persons deployed and appropriately trained as necessary to enable them
to carry out their duties.

It is the responsibility of the Care Quality Commission (CQC), as the independent
regulator of health and adult social care in England, to monitor, inspect and regulate
services to make sure they meet the fundamental standards of quality and safety.

You have therefore taken the correct action in addressing your Report to the CQC and
Boldmere Court Care Home who will respond on the specific matters of concern you
have raised.

I understand the provider has taken a number of measures to address concerns
including, but not limited to, the provision of training with first aid, CPR and choking
prioritised in the induction process, as well as documentation training sessions and the
introduction of an incident reporting questionnaire.

I am aware that the CQC conducted an inspection of Boldmere Court Care Home in
January 2017, resulting in a rating of ‘Good’ overall with no breaches of regulation
identified. At this inspection the CQC reviewed the provider’s progress on the actions
it had taken in light of this incident.

! am assured that as part of its inspection programme, CQC will continue to monitor
that service user’s needs are being met through verbal and non-verbal communication
skills at Boldmere Court. The CQC will also monitor that the provider continues to
meet the required standards around ensuring staff receive appropriate support,
training, professional development, supervision and appraisal as necessary to enable
them to carry out the duties they are employed to perform (Regulation 18); and that
systems and processes are in place to ensure compliance with the requirements around
maintaining accurate, complete and contemporaneous records for people receiving
care (Regulation 17).

You mention in your Report that two nurses were involved in the incident. As you
may be aware, nurses must register with the Nursing and Midwifery Council (NMC),
and meet professional standards to work in the UK, and be fit for practise. This
includes sufficient knowledge of the English language to be able to perform their
roles.

For registered nurses, we expect the NMC’s registration processes and associated
checks to be appropriate, robust, fit for purpose, effective and to verify that the
applicant is who they claim to be and that they are appropriately qualified, competent
and fit to practise and have the ability to speak English to the required standard,

The NMC has three different registration processes ~ UK, Europe and the rest of the
world. The NMC requires all overseas applicants, defined as those who trained
outside the European Economic Area (EEA), to complete the academic version of the
International English Language Testing System (IELTS) achieving level 7.0 across all
four aspects of listening, reading, writing and speaking.

a

Department
of Health

The NMC also requires those European trained applicants who are unable to provide
sufficient evidence of English language skills - such as having trained or worked in
an English-speaking country — to complete an English Language Assessment to the
required standard.

Where there is concern that a nurse may not meet the professional standards required
in the UK, the NMC has a duty to investigate and, where necessary, take action to
safeguard the health and well-being of the public. Fitness to Practise allegations can
relate to concerns over a nurse’s ability to communicate effectively in English, in
addition to matters such as clinical competence. I note your report has been shared
with the NMC. I should clarify that the Department does not get involved with or
comment on individual fitness to practise cases.

There is no requirement for language testing non-regulated workers, such as care
staff. However, social care employers are responsible for ensuring that their staff are
trained and competent for the tasks they are recruited to do. This includes the ability
to communicate effectively.

Communication is covered within the Care Certificate. However, there is no explicit
reference to being proficient in the English language. The Care Certificate is an
identified set of standards that health and social care workers adhere to in their daily
working life. Designed with the non-regulated workforce in mind, the Care Certificate
provides confidence that these workers have the same introductory skills, knowledge
and behaviours to provide compassionate, safe and high quality care and support.

Further information on the Care Certificate can be obtained from the Health
Education England website https://hee.nhs.uk/carecertificate. I should point out that
the Care Certificate also covers awareness of mental health, dementia and learning
disabilities so that staff supporting people with challenging behaviours have a basic
awareness of their needs. At Boldmere Court Care Home, I am advised that this is
supplemented with mandatory training and hands-on training with staff and patients.

LT hope this reply is helpful in setting out the national requirements and regulations
around these areas of concern. Thank you for bringing the circumstances of Mr
Sheppard’s death to our attention.

(MO

PHILIP DUNNE

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