Prevention of Future Deaths reports · 2022

Maria Howell

Regulation 28 report to prevent future deaths, reference 2022-0022, written 27 Jan 2022. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report27 Jan 2022
Reference2022-0022
DeceasedMaria Howell
CoronerMichelle Brown
Coroner areaEssex
CategoryCare Home Health related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

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

REGULATION 28:  REPORT TO PREVENT FUTURE DEATHS  

NOTE: This form is to be used after an inquest. 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO:  

Managing  Director   

Holmes Care Group Limited 
228 St. Mary’s Lane 
Upminster 
RM14 3DH 

1  CORONER 

I am Area Coroner f or Essex 

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 

4  CIRCUMSTANCES OF THE DEATH 

Maria Howell who died on the 28th September 2019 at Basildon University Trust 
Hospital, Nethermayne, Basildon, was resident in Cranham Court Nursing Home and 
she had a RIG tube in place. The nurse on duty noticed that the RIG tube had fallen out, 
but was not trained to reinsert, she delayed calling for an ambulance so the timings as to 
when this f ell out was unknown. She was taken to Basildon A & E and at the hospital 
some hours later she had the PEG button reinserted and was discharged home. The 
same nurse was on shift that evening and Mrs Howells became unwell, around 7pm. No 
ambulance was called by the nurse until the day nurse came on duty, some 12 hours 
later. Mrs Howell was taken by ambulance where it was diagnosed that she had 
Peritonitis and sadly passed away on the 28th September 2019 

5  CORONER’S CONCERNS 

During the course of the inquest it revealed matters giving rise to concern. In my opinion 
there is a risk that f uture 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.  –  

That the Care Home had a resident with specific complex needs, and they had no 
qualif ied nursing staff to reinsert a RIG tube which is time critical. That they employ staff 
whose clinical judgement on someone who is critically ill does not necessitate urgent 
medical attention. 

 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 6  ACTION SHOULD BE TAKEN 

In my opinion urgent action should be taken to prevent future deaths and I believe you 
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, 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 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 
f orm. 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.  

9  Date. 27th January 2022 

Name Michelle Brown HM Area Coroner Essex

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