Prevention of Future Deaths reports · 2021

Dilys Etchells

Regulation 28 report to prevent future deaths, reference 2021-0428, written 23 Dec 2021. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report23 Dec 2021
Reference2021-0428
DeceasedDilys Etchells
CoronerMartin Fleming
Coroner areaWest Yorkshire Western
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.

IN THE WEST YORKSHIRE WESTERN CORONER'S COURT 
IN THE MATTER OF: 

The Inquests Touching the Death of Dilys Greta Etchells 
A Regulation Report - Action to Prevent Future Deaths 

THIS REPORT IS BEING SENT TO: 

 - Regional Care Home Manager for Aden Nursing Home 

1  CORONER 

Martin Fleming HM Senior Coroner for West Yorkshire Western 

2  CORONER'S LEGAL POWERS 

3 

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 16/7/21,  I opened an inquest into the death of Dilys Greta Etchells 
who, at the date of her death was aged 90 years old.  The inquest was 
resumed and concluded on 29/10/21 
I found that the cause of death to be: -
la Aspiration pneumonia 
lb Advanced Alzheimer' s Dementia 
II  Traumatic fractures of left tibia and fibula 

I concluded with a narrative conclusion as follows: 
On 3/6/21 Dilys Greta Etchells, who suffered with Alzheimer' s was 
found on the floor of her room at Aden Court Nursing home by her 
nursing staff after an unwitnessed fall from her bed.  After 
examination, she was placed back in the bed.  Thereafter, on 6/6/21 
nursing staff reported her left leg to be swollen and discoloured and 
she was taken to hospital where she was found to have suffered a 
fractured tibia and fibula,  and her leg was placed in a cast before she 
was discharged back to the care home.  Subsequently, she attended an 
outpatient's appointment at the fracture clinic on 24/6/21 in order to 
review the cast on her left leg, when an examination confirmed that she 
had developed an ulcer behind the knee to the cast.  As a result, she 
was admitted to hospital, but despite treatment she succumbed and 
died on 2/7/21.  It is found more likely than not that she received 
suboptimal care whilst she was a resident at Aden Court Nursing 

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1 

 Horne, given that at the time of her fall precautionary measures were 
not in place to prevent it and basic checks were not carried out to 
monitor her state of health thereafter. 

4  CIRCUMSTANCES OF THE DEATH 

Upon 3/6/21 Dilys was found on the floor in her room at her nursing 
home at Aden Court at approximately 3am by nursing staff.  At the 
time she was examined, no injuries were reported and she was placed 
back into her bed. 

Subsequently on 6/6/21 her GP was called out after her care staff found 
her left leg to be swollen and discoloured.  This resulted in her 
admission to Huddersfield Royal Infirmary due to a suspected leg 
fracture.  At the hospital it was confirmed she had sustained a fractured 
tibia and fibula and her leg was placed in a cast before she was 
discharged back to her care home. 

Thereafter on 24/6/21, Dilys attended an outpatient's appointment at 
the fracture clinic at HRI in order to review the cast on her leg and it 
was then that the tissue viability nurse found her to have developed 
pressure ulcers to 4 areas of her left leg and ongoing sores to her right 
foot,  such that she was admitted to ward 19, but notwithstanding 
treatment she succumbed and passed away on 2/7/21. 

At the inquest it was accepted by the care home that Dilys had received 
sub optimal care given that there was no evidence to suggest that crash 
and sensor mats were positioned under her bed at the time of the fall 
and no evidence to confirm how long she had been lying on a hard 
floor between 2am and 3am.  Thereafter, when she was discovered, it 
was accepted that she should have been immediately referred to a 
hospital doctor, and there was found to be no supportive 
documentation to cover her treatment and care leading up to and after 
admission, particularly with respect to the pressure sores and any 
advice given by the hospital. 

5  CORONER'S CONCERNS 

The MATTER OF CONCERN is as follows: -

•  To review and reconsider the adequacy of the provision of crash 
and sensor mats and the means for properly documenting their 
use and reporting accidents when they take place. 

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2 

 • 

• 

To review existing practices with regard to the adequacy of note 
taking and to consider protocols to ensure compliance with care 
plans. 
To give consideration to staff training with respect to visual 
checks at handover to ensure resident's needs are met in accord 
with the care plans. 

•  Consider the adequacy of the supporting documentation with 

• 

regard to visual checks on residents in their rooms. 
To consider the necessity of staff training with regard to 
communications at handover and dealing with correspondence 
received from the hospital with regard to patient care. 

•  To review existing protocols governing wound management, 
completion of admission documentation, care plans, initial 
wound assessment, body maps, consent to medical treatment 
form and the return from hospital form. 

6  ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I 
believe that Aden Nursing Home, has the power to take such action. 

7  YOUR RESPONSE 

You are under a duty to respond to this report within 56 days of its 
date; I may extend that period on request. 

Your response must contain details of action taken or proposed to be 
taken, setting out the timetable for such action. Otherwise you must 
explain why no action is proposed. 

8  COPIES 

I have sent a copy of this report to: 

 - Daughter

• 
• 
• 

CQC
Chief Coroner 
9  DATED this 23/12/21 

f¼D~  

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3

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 Hill Care Group (PDF)
11Th February 2022 

Mr Martin Fleming 
HM Senior Coroner 
HM Coroner’s Office 
City Courts 
The Tyrls 
Bradford 
West Yorkshire 
BD1 1LA 

Dear  Mr Fleming 

Head Office: 
Hill Care Group 
5 Dunston Place 
Dunston Road 
Chesterfield
Derbyshire
S41 8NL 

E:  enquiries@hillcare.net 

Re: Inquest touching the death of Dilys Etchells 

I write in response to the Regulation 28 report dated 23 December 2021, which was issued to Aden 
Court Care Home following the above inquest. In preparing this response, I have discussed the issues 
raised with colleagues and have provided information and assurance in relation to each point raised 
below. 

The issues raised within the report are detailed  below in bold and the response is laid out underneath. 

Several  changes  have  been  made  at  Aden  Court  following  Mrs  Etchell’s  death.  In  addition  to  the 
changes  outlined  below,  there  has been  a change  in local  leadership  and since  August  2021, 

 has been the Registered Manager of Aden Court. 

 is a Registered General Nurse 
and  was  in  part  recruited  for  the  role  because  she  has  the  necessary  knowledge  and  skill  base  to 
provide clinical oversight. In addition, she was previously the Deputy Manager at Aden Court before 
 therefore has prior knowledge of 
taking up a Registered Manager role at another home. 
Aden  Court,  as  well  as  previous  experience  as  a  Registered  Manager  during  which  she  has 
demonstrated a proven track record of ensuring the provision of high quality, safe and effective care 
through effective leadership. Hill Care and the staff at Aden Court are committed to providing high 
quality care and continuous service development.  

Please may I reiterate our sincere condolences to Mrs Etchell’s family. 

1.  To review and reconsider the adequacy of the provision of crash and sensor mats and the 
means for properly documenting their use and reporting accidents when they take place. 

All new admissions to Aden Court are pre-assessed to determine whether their needs can be 
appropriately  and  safely  met  by  the  service.   This  is  a  detailed,  holistic  assessment  which 
includes an assessment of an individual’s level of mobility and falls risk.  In undertaking the 
pre-admission assessment, care home staff will obtain a full and detailed understanding of an 

Registered Office: 91-97 Saltergate, Chesterfield, Derbyshire, S40 1LA.  Registered in England 08902865 

Hill Care Holdings Limited 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 individual’s needs by reviewing relevant records and speaking with the individual, their family 
and social worker or hospital staff (if relevant). 

If  it  is  determined  that  a  new  service  user  requires  any  equipment  (including  tumble  and 
sensor mats) to meet their assessed needs, it will be made available and be in situ before the 
new  service  user  is  admitted  to  the  home;  the  service  user  will  not  be  admitted  until  the 
equipment is available. Aden Court has an agreement in relation to service users funded by 
the Local Authority, whereby Kirklees Council will loan any required equipment that is needed 
to meet a service user’s assessed needs. Meetings are held twice weekly between Aden Court 
and  colleagues  within  the  Local  Authority’s  Discharge  to  Assess  (D2A)  Team,  during  which 
forthcoming admissions are discussed including any equipment needs. The Home Manager 
will attend these meetings on a weekly basis to ensure that the local management team have 
oversight of new admissions. As Regional Manager, I will also attend the meetings with the 
D2A team on a weekly basis to provide additional senior oversight. Privately funded service 
users  are  also  reviewed  and  discussed  prior  to  their  admission,  however,  any  additional 
equipment  that  they  may  need  will  be  ordered  and  can  be  obtained  within  24  hours.  As 
outlined above, new residents are not admitted to Aden Court unless / until any necessary 
equipment is in place. 

Staff at Aden Court also have access to a community nurse from the D2A team, who they can 
contact for advice and guidance or if they have any concerns about a service user. In addition, 
Hillcare  has  put  in  place  clinical  nurses  at  director  level,  for  each  home  who  provide  an 
additional layer of clinical oversight and guidance for staff. 

In addition, all care homes owned and operated by Hill Care have their own stock of tumble 
and sensor mats. This ensures that this equipment is immediately available should a resident’s 
needs change at short notice. If the need for tumble and sensor mats exceeds the available 
stock within a home, additional equipment can be obtained urgently and within a 24 hour 
period. 

In addition, equipment can also be transferred between homes in the same locality on a short 
term basis, whilst longer term arrangements are made (for example if service user’s needs 
change suddenly following their admission and the stock equipment is already in use).  Staff 
will also take steps to ensure that a service user’s needs can be safely met in the meantime 
whilst any equipment is being obtained (for example, by moving rooms so that they can be 
closely supervised by staff). It is the responsibility of the care home manager to keep the stock 
level under regular review and ensure that it is sufficient. 

Going forward, where new beds are ordered by Aden Court they will be replaced with high-
low beds which can be used a regular profiling bed or, if a service user’s needs change they 
can be lowered to help manage falls risk. This approach has also been introduced as a wider 
action across Hillcare. 

Service users’ equipment needs are documented in their individualised care plans; both within 
the main body of the document and also set out within the ‘key risk summary’ section, which 
is on the front page. This information is also documented in the daily handover sheets, which 
enable staff to check at each handover that each service user has the correct equipment in 
situ. 

Registered Office: 91-97 Saltergate, Chesterfield, Derbyshire, S40 1LA.  Registered in England 08902865 

Hill Care Holdings Limited 

                                                               
 
 
 
                                                               
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 The  Registered  Manager  undertakes  regular  audits.  The  Home  Managers  Weekly  Audit 
includes consideration of the home environment, documentation, care plans, medication and 
equipment. In addition, specific equipment audits are carried out on a monthly basis to ensure 
that  all  service  users  have  the  equipment  that  they  have  been  assessed  as  requiring.  In 
preparing this response, I have reviewed the audit results and am assured that Aden Court is 
100% compliant with the equipment audit. Any areas issues highlighted on audit are taken up 
with the member(s) of staff involved and feedback is provided to them by the Home Manager. 
Where appropriate, additional training will also be provided to members of staff (see below). 

In the event that a service user has an accident, staff will complete an Accident Form. Staff 
are required to document the details surrounding the incident that has taken place. The form 
is then submitted to the Home Manager who will then undertake an investigation into the 
circumstances of the incident to determine its root cause and whether any action is required 
to prevent reoccurrence and / or improve service provision. This process is in addition to the 
service user being assessed by nursing staff to determine whether they require any medical 
care and treatment following the incident. 

The Home Manager has daily  flash meetings with care staff, in which they will ensure that 
staff are aware of the requirements surrounding accident reporting and the process for 
assessing new admissions and equipment needs etc. In addition, in my role as Regional 
Manager, I have weekly team meetings in which information is shared with care home staff 
to ensure that they are aware of the required processes and policies within the home. All 
Hillcare policies are easily accessible to staff within the home. 

2.  To  review  existing  practices  with  regard  to  the  adequacy  of  note  taking  and  to  consider 

protocols to ensure compliance with care plans. 

There is a clear expectation that staff complete clear,  accurate and up to date documentation. 
This is set out within Hill Care’s policies and procedures, which staff should be familiar and 
comply with as part of their day to day practice. 

All  new  starters  receive  induction  training  and  will  be  ‘buddied  up’  with  an  experienced 
colleague  for  the  first  few  months  of  their  new  role.  The  induction  training  includes 
documentation. 

In addition, I provided a training session to all the Registered General Nurses and Shift Leaders 
at Aden Court on 2 July 2021 (see below). Part of the session covered expectations around 
documentation  and  specifically  how  staff  should  complete  Hill  Care’s  standard  proforma 
documentation  including;  admission  documentation,  care  plans,  initial  wound  assessment, 
body maps, consent to medical treatment form and return from hospital form. Following the 
session, all attendees confirmed that they were aware of and understood Hill Care’s policies 
and  procedures  in  relation  to  documentation  and  that  they  had  received  training  on  how 
documentation must be completed. 

The  Registered  Manager  of  Aden  Court  undertakes  regular  care  plan  audits.  If  any  non-
compliance  is  highlighted  as  part  of  the  audit  process,  feedback  will  be  provided  to  staff 
within the flash meetings. All staff at Aden Court also have regular 1:1s with the management 

Registered Office: 91-97 Saltergate, Chesterfield, Derbyshire, S40 1LA.  Registered in England 08902865 

Hill Care Holdings Limited 

                                                               
 
 
 
                                                               
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 team, which provides a further opportunity for feedback to be provided and learning to be 
disseminated. In addition, end of the month meetings take place which are an opportunity to 
examine and consider any lessons learned and action that may be needed. 

Care  plan  training,  sourced  by  our  training  development  team,  was  delivered  2  and  3 
November 2021. 

As  outlined  above,  all  prospective  service  users  must  have  a  completed  pre-admission 
assessment in place (which includes an initial care plan and risk assessments) before they can 
be  admitted  to  Aden  Court.  Following  admission,  service  users’  risk  assessments  must  be 
reviewed  and  updated  within  12  hours  and  then  again  at  24  and  72  hours  following  their 
admission. Care plans and risk assessments are then reviewed and updated on a monthly basis 
or whenever a service user’s presentation and/or needs change. 

The Home Manager carries out a three weekly audit of service user’s care plans to ensure that 
they are accurate, fully completed and have been reviewed and updated in line with Hill Care’s 
policy. As Regional Manager, I carry out additional care plan audits on a monthly basis. Any 
non-compliance  is  addressed  directly  with  the  member(s)  of  staff  involved  by  the  Home 
Manager and where appropriate, additional training is arranged. 

There are plans to further improve the service provision within Hill Care homes during the 
course of 2022 by i) putting in place a training planner in each care home and ii) implementing 
“e-care plans”. 

The training planner is now in place. Home Managers can log into it and see the training diary 
for the year ahead. Members of staff can log into the training planner and access e-learning 
sessions. The updated training system makes it easier for training to be provided and arranged 
and for training compliance to be monitored by the management team. The training planner 
covers  all  mandatory  training,  including  documentation  and  care  planning  as  well  as 
addressing any additional training needs that may be identified. 

The  Registered  Manager  at  Aden  Court  carries  out  regular  staff  observations  to  check  the 
knowledge  and  understanding  of  members  of  staff  and  provide  assurance  that  the  correct 
practices are being adhered to. Again, any non-compliance or feedback is addressed within 
staff 1:1s and / or the flash meetings. 

Hill Care will be implementing e-care plans by Summer 2022. It had been planned that the 
move to electronic care plans would be sooner, but unfortunately this development was 
delayed because it was necessary to focus on the management of our response to the Covid-
19 pandemic. The move towards electronic care plans will mean that there will no longer be 
any issues with regards to the legibility of entries. The new electronic system will also make 
it quicker to audit documentation, enabling any necessary action to be taken swiftly to 
rectify any identified non-compliance. The system will also provide staff with prompts to 
complete relevant care plans and in circumstances where a care plan requires review, it will 
not allow the user to move onto the next page unless and until that care plan has been 
reviewed and updated. 

Registered Office: 91-97 Saltergate, Chesterfield, Derbyshire, S40 1LA.  Registered in England 08902865 

Hill Care Holdings Limited 

                                                               
 
 
 
                                                               
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 I delivered a training session on 2 July 2021, which was attended by all the Registered 
General Nurses and Shift Leaders at Aden Court.  The session covered the use of Hill Care’s 
standard proforma documentation including; the correct completion of admission 
documentation, care plans, initial wound assessment, body maps, consent to medical 
treatment form and return from hospital form. 

In addition, external training on care plans was sourced by Hall Care’s training development 
team and provided to staff on 2 and 3 November 2022.  The training session focused on 
person centred care plans and how they should not be seen as static documents but rather 
continually kept under review, updated and developed during a service user’s admission. 

There are plans to put in place a training planner at each home, including Aden Court. This 
will be kept under review by the home managers, to ensure that staff are up to date with 
their training requirements. 

Compliance with documentation, including care plans is monitored by the care home 
managers who carry out a three-weekly audit. In addition, in my role as Regional Manager, I 
undertake a care plan audit on a monthly basis. If any non-compliance is identified by the 
audit, the home manager will take this up with the individual member of staff involved. This 
will include a 1:1 session with the home manager to provide feedback and reiterate the 
importance of good documentation and may also include additional training if considered 
necessary. 

Hill Care will be implementing e-care plans by Summer 2022. It had been planned that the 
move  to  electronic  care  plans  would  be  sooner,  but  unfortunately  this  development  was 
delayed because it was necessary to focus on the management of our response to the Covid-
19 pandemic. The move towards electronic care plans will mean that there will no longer be 
any issues with regards to the legibility of entries. The new electronic system will also make it 
quicker to audit documentation, enabling any necessary action to be taken swiftly to rectify 
any identified non-compliance. The system will also provide staff with prompts to complete 
relevant care plans and in circumstances where a care plan requires review, it will not allow 
the user to move onto the next page unless and until that care plan has been reviewed and 
updated. 

3.  To give consideration to staff training with respect to visual checks at handover to ensure 

residents’ needs are met in accordance with the care plans. 

As outlined in my witness statement dated 11 November 2021, handovers are now carried 
out  as  ‘walk  around;  handovers  rather  than  taking  place  in  an  office.  The  walk  around 
handovers take place twice a day and are attended by the Home Manager, Registered General 
Nurses and Shift Leaders, ensuring that senior staff see all the service users face to face. 

Handover sheets have been developed to ensure that all relevant information is passed on 
and checks completed as part of the handover process, including: name of the resident, date 
of the handover, outgoing / incoming member of staff with responsibility for the resident, the 
residents assessed needs and any equipment that they require to meet their assessed needs. 
There  are  two  tailored  handover  sheets;  one  for  residential  service  users  and  another  for 
nursing service users. 

Registered Office: 91-97 Saltergate, Chesterfield, Derbyshire, S40 1LA.  Registered in England 08902865 

Hill Care Holdings Limited 

                                                               
 
 
 
                                                               
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 The change in the way that handovers are carried out has been reflected in Hill Care’s 
Quality and Governance Programme and it is the responsibility of the home manager to 
ensure that handovers take place in this way. 

The Registered General Nurses and Shift Leaders have been informed of the new handover 
process  by  the  Home  Manager  during  weekly  team  meetings.  To  ensure  that  this  change 
becomes  embedded  in  day  to  day  practice,  the  Home  Manager  carries  out  audits  of  the 
handover  sheets  as part of the weekly  quality  programme  to ensure  that the documented 
information accords with the detailed care plan and that the handover sheet has been fully 
completed. In my role as Regional Manager, I also undertake monthly audits of the handover 
sheet  and  process  for  further  organisational  assurance  that  the  correct  process  is  being 
following by members of staff. 

In addition, as outlined in my witness statement  a full audit of all equipment was carried out 
on 7 July 2021 to ensure that all items of equipment stipulated as being required by service 
users’ care plans were in fact in place.  The outcome of this audit was reassuring, with 100% 
of the audited service users having the necessary equipment in place to meet their assessed 
needs. Since September 2021, the equipment audit has been undertaken on a monthly basis 
to  provide  ongoing  organisational  assurance  that  the  provision  on  equipment  matches 
assessed needs documented on care plans. As outlined above, Aden Court has obtained 100% 
compliance in meeting service user’s equipment needs. 

Where any non-compliance or deviation from policy requirements is highlighted by an audit, 
this is taken up directly by the Home Manager with the member(s) of staff concerned and 
actioned immediately.  If necessary, additional training will be provided. 

4.  Consider the adequacy of the supporting documentation with regard to visual checks on 

residents in their rooms. 

As outlined above, handover sheets have been developed to ensure thorough handover of 
information  (including  the  outcome  of  visual  checks)  as  part  of  the  twice  daily  handover 
process. 

In addition to the visual checks that now form part of the handover process, service users are 
checked  on  an  hourly  basis  throughout  the  day  if  they  are  in  their  rooms.  If  service  users 
decide to spend time in one of the communal areas, specific hourly checks are not undertaken 
as they are ‘cohorted’ with other service users. The hourly checks and cohorted supervision 
are  in  addition  to  any  observations  or  interventions  that  may  be  required  from  a  nursing 
perspective (for example in relation to an incontinent individual). 

Staff are required to document the outcome of the hourly checks in the notes. All staff have 
been reminded of the need to ensure that hourly visual checks are carried out in relation to 
service users in their rooms and that a contemporaneous note is made. Compliance with this 
requirement will  be audited by the Home Manager as part of their regular care plan audits 
outlined above and any non-adherence will be addressed directly with the member(s) of staff 
involved. 

Registered Office: 91-97 Saltergate, Chesterfield, Derbyshire, S40 1LA.  Registered in England 08902865 

Hill Care Holdings Limited 

                                                               
 
 
 
                                                               
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 5.  To consider the necessity of staff training with regard to communications at handover and 
dealing with correspondence received from the hospital with regard to patient care. 

Following Mrs Etchell’s death, the handover process was reviewed and updated to ensure that 
information is effectively communicated as part of that process. As outlined above, handover 
sheets have been developed which set out what information must be handed over and what 
checks must be undertaken at handover either by the Registered Nurses or Shift Leaders. 

Following  the walk around handover,  senior staff members  will then provide  an update  to 
their junior team members so that they are aware of the information discussed at handover. 
During  regular  team  meetings,  the  Home  Manager  has  informed  all  members  of  staff  in 
relation to the new two-stage handover process and what is expected from them as part of 
that process. Compliance with the new process will be monitored by way of ongoing regular 
audits, as outlined above. 

Since October 2021, where consent is provided service users’ post is opened by the Home 
Manager and admin staff. If correspondence relates to hospital outpatients’ appointments, 
the appointments are noted in the diary and in the service user’s individual care plan. If any 
information is provided relating to patient care, this is also documented in the care plan. The 
Registered General Nurses and Shift Leaders review the diary as part of the daily handover 
process to ensure that no appointments are missed. Any patient care advice will inform the 
care plan, which as outlined above are regularly reviewed and audited. 

In addition, we are currently liaising with the hospital’s Tissue Viability Team to develop a care 
plan  for  patients  who  are  discharged  to  our  care.  This  will  be  in  addition  to  the  wider 
individualised  care  plans  that  will  be  put  in  place  for  all  new  admissions  (or  re-admissions 
following a hospital admission).  Staff are also encouraged to contact ward staff if they have 
any questions or concerns regarding the management of service users who have recently been 
in hospital or have been seen in outpatients’ clinic. 

6.  To review existing protocols governing wound management, completion of admission 
documentation, care plans, initial wound assessment, body maps, consent to medical 
treatment form and the return from hospital form. 

There  are  clear  protocols  in  place  within  Aden  Court  in  relation  to  wound  management, 
admission  documentation,  care  plans,  initial  wound  assessment,  body  maps,  consent  to 
medical treatment form and the return from hospital form. As outlined above, I provided a 
training session for all the Registered General Nurses and Shift Leaders on 2 July 2021. The 
session covered wound management, completion of admission documentation, care plans, 
initial wound assessment, body maps, consent to medical treatment form and the return from 
hospital form to ensure that they were aware of the protocols in place within Aden Court. 
Compliance  is  monitored  through  an  ongoing,  regular  and  thorough  audit  process.  I  have 
provided more detail below. 

The Registered Manager carries out weekly wound audits, which look at wound management 
and assessment. The use of body maps is reviewed as part of the weekly care management 
review that is also undertaken by the Registered Manager. 

Registered Office: 91-97 Saltergate, Chesterfield, Derbyshire, S40 1LA.  Registered in England 08902865 

Hill Care Holdings Limited 

                                                               
 
 
 
                                                               
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Hill Care’s protocol in relation to the completion and review of admission documentation and 
care  plans  is  outlined  above.  The  Registered  Manager  will  carry  out  a  full  review  of  the 
admission documentation and initial care plans to ensure that they are full and thorough and 
accurately  document  the  service  user’s  needs.  Care  plans  are  then  kept  under  review  and 
monitored  through  the  regular  and  ongoing  care  management  review  process,  during  the 
course of a service user’s admission. 

On admission, service users with capacity will sign the consent to medical treatment form. 
Otherwise a Power of Attorney will be appointed or treatment provided in their best interests, 
having undertaken the best interests decision making process under the Mental Capacity Act. 

Service users returning from hospital will be discussed in the flash meetings to ensure that the 
discharge  summary  has  been  provided  by  the  hospital,  as  well  as  any  medication  and  /  or 
follow up advice and guidance. Aden Court has been liaising with hospital staff in relation to 
service users returning or being admitted to home with a cast in situ and it has been agreed 
that hospital staff will produce initial care plans, setting out advice and guidance for care home 
staff in relation to how to manage the cast and the service user following their discharge from 
hospital. 

I trust this letter has addressed the concerns raised. However, please do not hesitate to contact 
me should there be any outstanding issues. 

Yours sincerely, 

Regional Manager 

Registered Office: 91-97 Saltergate, Chesterfield, Derbyshire, S40 1LA.  Registered in England 08902865 

Hill Care Holdings Limited

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