Prevention of Future Deaths reports · 2018

Charles Grainger

Regulation 28 report to prevent future deaths, reference 2018-0353, written 12 May 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report12 May 2018
Reference2018-0353
DeceasedCharles Grainger
CoronerRachel Syed
Coroner areaDerby and Derbyshire
CategoryCare Home Health related deaths · Hospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

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.

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REGULATION 28: REPORT TO PREVENT FUTURE DEATHS

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:

1. The Owner of Milford House Care Home, Derby Rd, Belper DE56 OQW

2. Dr Chris Clayton, Chief Executive Officer, NHS Southern Derbyshire CCG,
Cardinal Square, 1st Floor, North Point ,10 Nottingham Road, Derby DE1 3QT

3. | Strategic Director, Adult Care at Derbyshire County Council

1 | CORONER

| am RACHEL SYED, Assistant Coroner, for the Coroner area of DERBY &
DERBYSHIRE

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 17 December 2013, an investigation was opened into the death of CHARLES EVAN
GRAINGER which was concluded on Wednesday 09 May 2018. The conclusion of the
inquest was Accidental death and the medical cause of death was accepted as being
1a, Bronchopneumonia, 1b.Central Cord Syndrome. During proceedings, the Court
heard Pathology evidence which confirmed that Mr Grainger had essentially died from
complications of Central Cord Syndrome following injuries sustained after a witnessed
fall which occurred at Milford House Care Home on 24 November 2013.

4 | CIRCUMSTANCES OF THE DEATH

1. The Court heard evidence that Mr Grainger was admitted to Milford House
Residential Unit on 20 September 2013, following a fall which occurred at his
home, resulting in a fracture to his right scapula and hospital admission at The
Royal Derby Hospital. Following hospital treatment, he was discharged to
Milford House for mobility rehabilitation which took place in conjunction with the
Community Care Support Team/Occupational Therapy Team. Whilst Mr
Grainger was known to have a long established history of falls which his Social
she eer during her oral evidence, she stated that
she was share this important information with Milford House at
the time they undertook his Pre-Assessment Admission, as his placement was
funded by Health (now known as CCG), rather than the Local Authority. When
challenged as to whether the system or process could be wrong she replied
“maybe”.

2. Following Mr Grainger’s witnessed fall on 24 November 2013, ae
also tasked to undertake initial investigations into the circumstances that led up
to Mr Grainger's fall at Milford House. During evidence, [stated that
she did not feel it necessary to request, review or retain Mr Grainger’s falls risk
assessment documentation to satisfy herself that he had received the necessary
care. She made a number of assumptions and her enquiries lacked basic details
which should have included requesting and reviewing the falls risk assessment.
Her enquiries were slipshod and did not withstand basic scrutiny when

investigating concerns of this nature.

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) Relevant information regarding Mr Grainger’s falls history could not be shared
by his Social Worker with other relevant Multi Agencies such as Milford House
or the Health Team at the time his Pre Admission Assessment was undertaken
as the process/system did not allow it. Milford House, the Local Authority and
the Health Team should have all worked together, more cohesively to ensure
they were working in Mr Grainger’s best interests. Failure of Multi Agencies to
work more cohesively in the future by sharing a patients past medical history,
including previous falls history could result in vital information being missed and
future deaths occurring.

(2 did not consider it important or necessary to request, review or
retain copies of Mr Grainger’s falls risk assessment as part of her basic
investigation enquiries. Failure to undertake a basic and proper investigation
could result in future deaths occurring.

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 11 July 2018. |, 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 following Interested
Persons

1am 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.

12 May 2018

Kutel dyed

Rachel Syed, Assistant Coroner for Derby and Derbyshire

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