Prevention of Future Deaths reports · 2021

Peter Harte

Regulation 28 report to prevent future deaths, reference 2021-0283, written 24 Aug 2021. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report24 Aug 2021
Reference2021-0283
DeceasedPeter Harte
CoronerAdam Hodson
Coroner areaBirmingham and Solihull
CategoryCare Home Health 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 TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO: 

1) 
CORONER

 -MANAGER OF BROMFORD LANE NURSING HOME 

 I am Mr Adam Hodson, Assistant Coroner for Birmingham and Solihull 
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. 
INVESTIGATION and INQUEST 

On 29 March 2021 I commenced an investigation into the death of Peter Michael HARTE. The 

investigation concluded at the end of the inquest. The conclusion of the inquest was Natural 
Causes. 

The deceased was admitted into Birmingham Heartlands Hospital at 01:27 on 19/03/2021 and was 
diagnosed and treated for sepsis. His prognosis was poor due to his pre-existing comorbidities and 
it was determined that a ward-based ceiling of care was appropriate and would preserve his 
dignity. Sadly, his condition deteriorated despite treatment, and he died with his family at his 
bedside at 10:25 on 19/03/2021. Prior to admission, he was being cared for in a care home but he 
was difficult to manage and was non-compliant with care due to symptoms of suspected vascular 
dementia. During that time, his skin was monitored, but records were not kept between 14th to 
18th March. Post-mortem examination revealed pressure ulcers to his buttocks and sacral area, 
but these occurred peri-mortem and did not cause or contribute to death. His death was due to 
multiple organ failure and sepsis, stemming from a bacterial skin infection causing cellulitis which 
sadly did not respond to treatment. 

CIRCUMSTANCES OF THE DEATH 

Natural Causes 

Following a post mortem, the medical cause of death was determined to be: 

1a Multi-organ failure / septic shock 

1b Staphylococcus Aureus Septicaemia 

1c Cellulitis 

II Vascular insufficiency due to atherosclerosis 

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.  The evidence of 

 suggested that proper skin inspections and skin 

1 

2 

3 

4 

5 

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 monitoring were not carried out between 14th to 18th March 2021 as, had they had been 
carried out, they would have been documented and recorded in detailed body maps. 

2.  The evidence of 

 suggests that skin inspections were carried out but were 

not recorded. It was admitted by 
proper and adequate records by staff. 

 in evidence that there was a failure to keep 

3.  At inquest I found that, on the balance of probabilities, inspections were carried out but 

observations were not recorded and records were not kept. 

4.  It was unclear whether this was a "one-off" incident or whether it reflected a systemic issue. 
On reflection, the fact that records were not taken or kept over a period of four consecutive 
days (as opposed to one isolated day), is indicative of a systemic issue that staff are not 
ensuring that their observations are correctly and adequately recorded. 

5.  It is clear that a failure to ensure that there is a correctly working system of record taking 
poses a risk of future deaths occurring, especially in the context of extremely frail and 
vulnerable adults/residents who in a position of dependency by virtue of their frailty or 
vulnerability. 

ACTION SHOULD BE TAKEN

 In my opinion action should be taken to prevent future deaths and I 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 
19 October 2021. 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. 

COPIES and PUBLICATION

 I have sent a copy of my report to the Chief Coroner and to the following Interested Persons: 

Next of Kin

 I have also sent it to the CQC who may find it useful or of interest. 

 I 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. 

 24 August 2021 

6 

7 

8 

9

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Signature: 

Adam Hodson 

Assistant Coroner for 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 Bromford Lane Care Centre (PDF)
Bromford lane  care centre     RE Peter Heart 

 18/10/2021 

Dear Sir, 

This is a response to some concerns raised by the coroner following an investigation into a death of 
one of our service users Mr Peter Harte.  

Firstly, I think it is imperative to remember that the service user in question had extreme behaviours 
that challenges, and the care plans can evidence the actions needed to try and de-escalate and 
overcome the service users’ distress and agitation. When the service user moved into the service, he 
was under one of our enablement beds. This is a bed that enables multi-disciplinary team members 
to assess, collate and facilitate care and identify necessary treatment for illness etc.  

The service user was showing challenging behaviour where he was aggressive, agitated and 
obviously distressed by the situation and the environment, this usually calms after a couple of days 
as people with dementia are unable to cope with changes in their environment, although this was 
not the case with peter. The staff who looked after this service user had all the relevant experience 
and training to facilitate and identify techniques to reduce distress. The service user would not settle 
in their bed and would spend almost all of the day and night on the floor. Crash mats was therefore 
put in place. We see this sort of behaviour often in our environment and client group that we look 
after. In Peters case he found the floor comforting and preferred to remain on the floor.  when 
trying to encourage peter to go to bed this heightened his agitation. That being said, this service user 
was still provided with all the necessary care, support, and empathy throughout their stay in the 
service. The nursing staff and care team identified potential concerns with his health and flagged 
these up to the relevant MDT members for treatment and assessment, this included both the GP 
and the mental health team to offer the service user and staff support to try and overcome/resolve 
the service user’s challenging behaviours and agitation. 

 When peter was admitted to Bromford lane there were numerous wounds bruise on his body.  
Throughout the service users stay and on admission the staff had completed mandatory body maps 
for multiple bruises, scars, scabs etc all at various stages of healing, these can be identified on the 
body maps shared to the coroner. This in itself was a challenging task as the service user was often 
non-compliant with many aspects of his care and treatment and would show behaviour that 
challenges by being aggressive towards staff. He was also mostly on the floor meaning that staff 
would try and discreetly and check skin integrity to try and reduce this service users’ distress and 
maintain their privacy and dignity. (We often discreetly check skin for many service users who are 
non-compliant, this is often done in the service user best interests and on occasions can be 
extremely difficult to complete accurately due to lashing out or the service user not able to keep 
still). When we say discreetly, we would have to try and gain inspection of peters body when doing 
personal care dealing with his incontinent needs and although some areas of his body were mapped 
on discussion with staff that delivered care to peter they found it extremely difficult due to peter 
lashing out at them. 

The staff who was looking after the peter on the days in question have explained that the peter was 
distressed, and they had done everything they could to reduce his distress and both nursing and care 
staff had tried to complete body maps however had been unsuccessful for some of the pre-existing 
wounds. However, the body maps for the 16/3/2021 18/3/21 had been completed where possible 
by the staff on the 15/3/21 and 17/3/2021 peter was non-compliant all day when staff approached 
peter, he bit punched and slapped them. so interventions were limited due to peters agitation but 
observations still took place. In the evidence pack provided to the coroner ABC charts was in place 
on both these days as peter was uncompliant with personnel care on both days. All staff have been 
spoken to and have received feedback and support to follow paperwork protocol if unable to follow 

 Bromford lane  care centre     RE Peter Heart                                                                   18/10/2021 

process. Documentation needs to be put in place. After coroner’s court I sat back and reflected on 
what was said and discussed with staff who had nursed peter, they felt they had provided good care 
to peter but found it very difficult to provide personnel care due to his behaviours. So throughout 
the days they ensured he received care in his best interest his personnel care, eating drinking and 
incontinent needs, which took many attempts on every occasion but our staff continued to ensure 
his well being and keep his dignity. Staff fully understand the importance of body maps and why we 
do them, but due to the difficult circumstance with peters challenging behaviour staff felt they 
couldn’t do anymore for peter than they already had. 

Following this review, we have had an external auditor come and audit our body maps to ensure 
that they are being completed accurately for all service users . This identified that we are completing 
body maps in a timely manner and that staff are aware of the importance of skin integrity, how to 
check for concerns and how to report any concerns to the relevant staff member. 

I think it is essential to understand that at Bromford lane we pride ourselves on ensuring that the 
most complex service user group are supported with all aspects of their care. This can in itself 
provide us with some challenges we as a team feel we are very responsive to the service user’s well-
being and any concerns or changes are reported to the relevant MDT member to ensure we have all 
the support needed to offer the best quality of life for the most complex client group. We have a 
very good rapport with the local services and they often express that they feel we absolutely do 
thing as needed to provide best care and sometimes this is in the most extreme circumstances.  

We will of course continue to monitor the service quality and identify areas of improvement 
required and ensure that the staff are offered suitable training and ongoing supervision and support 
as required. 

Many thanks 

Home manager 

  
 
 
 
 
 
 
 
 
 
 
 
 
 Bromford lane  care centre     RE Peter Heart                                                                   18/10/2021 

The staff who was looking after the service user on the days in question have explained that the 
service user was distressed, and they had done everything they could to reduce his distress and both 
nursing and care staff had tried to complete body maps however had been unsuccessful for some of 
the pre-existing wounds. However, the body mas had been completed where possible by the staff. 
All staff have been spoken to and have received feedback and support to improve the service 
provided 

Following this review, we have had an external auditor come and audit our body maps to ensure 
that they are being completed accurately. This identified that we are completing body maps in a 
timely manner and that staff are aware of the importance of skin integrity, how to check for 
concerns and how to report any concerns to the relevant staff member. 

I think it is essential to understand that at Bromford lane we pride ourselves on ensuring that the 
most complex service user group are supported with all aspects of their care. This can in itself 
provide us with some challenges we as a team feel we are very responsive to the service user’s well-
being and any concerns or changes are reported to the relevant MDT member to ensure we have all 
the support needed to offer the best quality of life for the most complex client group. We have a 
very good rapport with the local services and they often express that they feel we absolutely do 
thing as needed to provide best care and sometimes this is in the most extreme circumstances.  

We will of course continue to monitor the service quality and identify areas of improvement 
required and ensure that the staff are offered suitable training and ongoing supervision and support 
as required. 

Many thanks 

The team at Bromford lane care centre

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