Prevention of Future Deaths reports · 2018

Gladys Rich

Regulation 28 report to prevent future deaths, reference 2018-0149, written 14 May 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report14 May 2018
Reference2018-0149
DeceasedGladys Rich
CoronerHassan Shah
Coroner areaNorthamptonshire
CategoryCare Home Health related deaths · Hospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

REGULATION 28 REPORT ON ACTION TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:
1. Avenue House Nursing and Care Home
2. Kettering General Hospital
3. Northamptonshire Healthcare NHS Trust (Falls Clinic)
4. Care Quality Commission
1 CORONER
I am Hassan Shah, Assistant Coroner for the coroner area of Northampton.
2 CORONER’S LEGAL POWERS
I 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 the 15/03/2017 I commenced an investigation into the death of Gladys
Kathleen Rich. The investigation concluded at the end of an inquest on
28/02/2018. The conclusion of the inquest was accidental death.
4 CIRCUMSTANCES OF THE DEATH
Mrs Rich was referred by her GP to the Falls Prevention Service in July 2013. An
appointment was made to see her at home on 13/08/2013 but this was
subsequently cancelled by Mrs Rich’s daughter because Mrs Rich had been
admitted to hospital with a fall on 02/08/2013. The falls service did not seek to
re‐book the appointment or attempt to reach out to Mrs Rich in order to
determine whether their input was still required.
On 28/07/2016, Mrs Rich sustained a fall, fracturing her right greater
trochanter. Around 9 weeks later, on 07/10/2016, Mrs Rich moved into Avenue
House Nursing and Care Home. The home undertook a pre‐assessment but
none of the witnesses were able to confirm its outcome. It was not known if any
of the previous history including the recent fall had been considered. It was not
known if Mrs Rich had been identified as being at risk of falls.
The care home’s policy was to wait for 3 falls before making a referral to the
falls prevention service. However, the Falls Prevention Service only require
there to have been one fall within the past 12 months before they will accept a
referral. Mrs Rich suffered falls on the 8/10/2016, 13/10/2016 and 8/11/2016.
The care home then sent a referral on 10/11/2016 to the Falls Prevention
Service.
The Falls Prevention Service then sent a 12 page assessment document to the
care home which included guidance on how to reduce the risk of falls. Page 4 of
1
the document which relates to cognitive impairment suggests possible options
as follows:
1. Instigate more frequent checks on residents [there was no evidence that
the care home changed the supervision regime from 2 to 1 hourly, save
in relation to the immediate aftermath of 2 falls].
2. Move resident’s rooms nearer to care station [the care home stated
there were no such rooms available]
3. Check for infections [the care home only undertakes general
observations monthly and were not able to say how regularly Mrs Rich
was checked. Infections are only checked when symptoms present].
4. Consider use of chair/bed sensor mats [it was established at the inquest
that bed sensor mats were perhaps the most appropriate for Mrs Rich
however none were available at the care home].
5. consider review by community psychiatric nurse [the care home was not
able to confirm if this had been considered].
The falls risk action plan and its covering letter both specify that if further input
is required, the action plan must be sent by fax to the falls service. Instead, the
care home retuned the form by post and it was not received by the Falls
Prevention Service.
On 9/12/2016, the Falls Prevention Service wrote to the care home stating that
they had not received a falls risk action plan and on that basis it was assumed
the service was no longer required and the patient would be discharged. It was
again stated that if further input is required, the falls action plan should be sent
by fax. The care home did not respond to this letter and did not re‐submit the
falls action plan.
During this period, Mrs Rich suffered further falls, more specifically on
21/11/16, 27/11/16, 10/12/16, 24/12/16 and 28/12/16. Despite this, the care
home made no further referrals to the Falls Prevention Service.
Mrs Rich suffered 2 falls of 28/12/16. The first was at 7.15am. Mrs Rich was
taken to hospital. Her GCS was 14/15. Neurological examination was clear.
Other tests were in the normal ranges except for slightly increased
inflammatory markers for which antibiotics were prescribed. The doctor in A&E
at Kettering General Hospital consulted the frailty team who flagged that Mrs
Rich was "prone to falls". Despite this, following a consultation with Mrs Rich
and her daughter and in light of the fact that Mrs Rich had returned to her
baseline, she was discharged back to the care home, without a referral to the
Falls Prevention Service.
Before 10pm on 28/12/2016, Mrs Rich suffered a further fall which led to a
traumatic subdural and sub arachnoid haemorrhage plus an acute skull fracture.
It was those injuries that led to Mrs Rich’s death on 3/03/2017.
2
The Falls Prevention Service confirmed that they are a county wide service but
only employ 6 people. Although there is County Council strategic
implementation group, no entity exists which has an overarching responsibility
for ensuring that GPs, care homes and hospitals are fulfilling their falls risks
prevention obligations. The Falls Prevention Service do not currently have the
resources to do follow ups.
Following a post mortem, the medical cause of death was:
1a) Chest infection
1b) Left subdural haemorrhage and small left subarachnoid haemorrhage
1c) Fall
2. Rectal cancer with liver metastases
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 could 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. In relation to Avenue House Nursing and Care Home.
a) Failure to identify Mrs Rich as a falls risk during a pre‐assessment process,
despite the fact that she had sustained a fall requiring hospitalisation 9
months before. The pre‐assessment check may not therefore be
sufficiently robust.
b) The policy of waiting for 3 falls before making a referral seems to be
arbitrary and also at odds with the Fall Prevention Service requirement of 1
fall within a 12 month period before a referral will be accepted.
c) Once a referral was made, and a falls risk action plan was received the
advice within does not appear to have been properly considered or
actioned. Furthermore, the action plan was returned to the Falls
Prevention Service by post rather than the required method of facsimile.
Although the care home was notified that the Falls Prevention Service had
not received the completed action plan, it was not resubmitted. Despite
Mrs Rich then suffering a series of further falls, no new referrals were
made to the Falls Prevention Service.
d) The care home may not have some of the equipment that they require for
patients such as Mrs Rich e.g. a bed sensor mat.
2. In relation to the Falls Prevention Service.
a) Despite Mrs Rich having been referred to the Falls Prevention Service by
her GP and the service being notified of a fall related hospitalisation in
August 2016, the onus was placed on the patient and her family to make a
further appointment. In the absence of any further contact, the service
assumes that their input is no longer required. As is clear in the case of Mrs
Rich, the prevention service was very much still required. Again, when the
service was contacted in November 2016 the failure to receive a form or a
response to the subsequent letter again led to an automatic assumption
that input was no longer required despite the fact that this was the second
referral to have been made in relation to Mrs Rich. It was explained in
3
evidence that the reason the service cannot be more proactive is because
they are inadequately resourced.
3. There does not seem to be any mechanism for ensuring that Falls Prevention
Service input is in fact delivered when it is required and that a patient is only
ever discharged when it is clear that the underlying symptoms causing the falls
are resolved or that measures have been put in place to mitigate the falls risk.
6 ACTION SHOULD BE TAKEN
In my opinion action should be taken to prevent future deaths and I believe you AND/OR
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 10th July 2018. I, 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
I have sent a copy of my report to the Chief Coroner and to the following Interested
Persons:-.
(daughter).
Similarly, you are 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.
9 H Shah –
Mr H Shah – Assistant Coroner
14th May 2018
4

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 Avenue House Care Home (PDF)
HM Coroner for the County of Northampton 
Constabulary Block 
Angel Square 
Angel Street 
Northampton 
NN11ED 

~~ 

~J.-.n+ 

Avenueo 
House 

I  P  . \I 

A~::-  HUMf:. 

Avenue House Nursing and Care Home 

173-175 Avenue Road 

Rushden 

Northants NN10 OSN 

T: 01933 358 455 

F: 0872 111 4156 

241n  May 2018 

Dear Ms A. Pember & Mr H.  Shah 

Thank you for your report in relation to the death of Mrs Rich.  I  outline below our response to your 
matters of concern and what actions we have already taken in relation to them: 

A) 

8) 

C) 

Our pre-assessment was completed by a previous manager and we believe it is likely that the 
previous falls were not disclosed to her at the pre-assessment stage prior to  Mrs  Rich's 
admission. 
In addition,  there was  nothing  in  Mrs  Rich's pre-assessment or care plan to 
indicate that the family had ever informed the home of Mrs Rich's previous falls.  Ultimately we 
have to rely on the honesty and full disclosure by residents (if they have capacity),  relatives 
and other professionals. 

The management of the home followed the company's policy about making a referral  after 
three falls (that it was aware of).  We believe the company's  policy is reasonable and is 
common across the care home industry.  However,  if the home had been informed of Mrs 
Rich's  previous falls,  and  her previous referrals to the falls team,  the home would  have 
referred Mrs Rich sooner under this reasonable and balanced policy.  The Coroner should also 
note that the home has recently referred residents,  who have had 3 or 4 falls to the Falls 
Team, and even after this number of falls, the Falls Team have made the decision not to get 
involved in the management of these residents' falls. 

The management of the home completed the falls risk assessment and action plan and sent 
this by post,  albeit not by the fax facility.  There was a copy of this in the resident's file for 
reference.  There was no information in the resident's file to say that the falls team hadn't 
received this  information.  Mrs  Rich  had  also  been  referred  to  the Falls  Team  prior to 
admission to Avenue House and again this was not followed up by the Falls Team.  Once falls 
risk action plans are received by the falls team,  they do not typically give the home even a 
rough  estimate of how long  it will be  before  it is  followed  up  and the  resident is  seen. 
Therefore the care home simply has to wait for the Falls' Team's input. 

Although we believe we followed normal and reasonable procedures in this case,  in future to 
further mitigate against shortcomings of the Falls Team, we will contact the them after sending 
them referrals and action plans.  This will be done to ensure that the Falls Team have received 
them and to find out what action  they intend to take.  All  contact will  be recorded in our 
residents' care plans under the visiting professionals' information section. 

D) 

The home was never recommended to put in place any additional equipment for Mrs Rich, 
such as a bed sensor mat.  However,  despite most of Mrs Rich's falls not being when she got 

jasmine 

Avenue House Care Home ,s owned by Jasmine Healthcare Limited 
Registered oflice, Suite One,  Patt,~son House Oak Park. East Road.  Sleaford.  Lincolnshire NG34 7EQ 
Reg,s!ered Ill England No 04974703 

 
 out of bed,  she did have a sensor mat on the floor by her bed,  which did alert staff if she was 
up and walking around her bedroom.  A floor based sensor mat is the normal equipment used 
in care homes for residents at risk of falls.  Bed sensor mats are extremely rare and we believe 
do not offer any advantages over floor based pressure mats.  Mrs  Rich also had falls in the 
communal areas of the home and unfortunately no equipment could safely be used to reduce 
the likelihood of these.  However,  staff were aware of her high falls risk,  and did monitor her 
when mobilising independently with her frame. 

I  hope you will deem the above responses and proposed actions reasonable in the circumstances. 
Please don't hesitate to let me know if you need any further information. 

Yours sincerely 

Peripatetic Support Manager 

jasmine 

,, 

Avenue House Care Home is ow,,ed by Jasmine Healthcare Lnnited 
Registerad otnce  Suite One.  Pattinson Matise  Oak Park,  East Road.  Sleaford,  Lincolnshire NG34 7EQ 
Registered in England No  04 97 4 703

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