Prevention of Future Deaths reports · 2024

Margaret Aitchison

Regulation 28 report to prevent future deaths, reference 2024-0481, written 3 Sep 2024. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report3 Sep 2024
Reference2024-0481
DeceasedMargaret Aitchison
CoronerNicola Mundy
Coroner areaSouth Yorkshire (East)
CategoryCare Home Health related deaths
Sourcejudiciary.uk record · original PDF
Responses published2

The report

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

MS N J MUNDY  
H M CORONER  
SOUTH YORKSHIRE (East 
District) 

email: 
hmc.doncaster@doncaster.gov.uk 

CORONER'S COURT AND 
OFFICE 
CROWN COURT 
COLLEGE ROAD 
DONCASTER DN1 3HS 

Tel: (01302) 737135 
Fax: (01302) 736365 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS   

THIS REPORT IS BEING SENT TO:  Pristine Care Group Ltd 
1.  CORONER 

I am Ms N J Mundy, Senior Coroner  for South Yorkshire East 
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. 

http://www.legislation.gov.uk/ukpga/2009/25/schedule/5/paragraph/7 

http://www.legislation.gov.uk/uksi/2013/1629/part/7/made 

3. INVESTIGATION and INQUEST 

On the 3rd January 2023 I commenced an investigation into the death of Margaret Aitchison.  The 
investigation concluded at the end of the inquest . The conclusion of the inquest was: 

Accidental death 

1a   Multiple traumatic injuries 

1b   Fall 

1c    

 II    Ischaemic heart disease and hypothermia 

4. CIRCUMSTANCES OF THE DEATH 

Margaret Aitchison was a resident in the Broom Lane Care home.  Her room was on the first floor of 
the Sitwell Unit.  On the 15th December 2022 at around 10:30 p.m. there was a fire alarm activation.  
The fire service attended and established that it was a false alarm having being activated by one of 
the residents.  They departed and the maintenance worker came to reset the alarm.  There was 
conflicting evidence as to the resident checks carried out after the alarm had sounded and I found that 
there were either no or inadequate resident checks following the reactivation of the alarm and 
furthermore some if not all the fire exits were not checked following the alarm.  Although it is not clear 
whether sleep checks were properly performed on a 2 hourly basis throughout the night, I was able to 
determine is that at some time after 6:00 a.m. carers discovered that Mrs Aitchison was no longer in 
her room and after a check of the premises which lasted up to 30 minutes, she was found at the 
bottom of an unheated stairwell leading to an external fire exit.  She had somehow accessed what 
should have been a locked fire door on the landing area and having gone through, fell down the stairs 
sustaining traumatic injuries from which she died.  She was hypothermic when found (the outside 
temperature was -5 degrees).  I heard evidence that new systems are now in place for checking 
resident safety and fire door exits after an alarm has sounded and the system has been reactivated 

 
  
  
  
  
 but one of the witnesses, who was a carer at the time of the incident and has remained at the home, 
said that there were still no formal checks and matters hadn't changed.          

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 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.   

The evidence from a care worker who was at the home at the relevant time, and remains a care 
worker at the home, that there are still no formal systems for checking of residents after fire alarm 
activations, is at odds with the evidence I heard from the care manager that there had been 
comprehensive changes and a training programme implemented. I am concerned that the processes, 
protocols and expectations have not been effectively cascaded to those providing care to residents in 
homes.  Accordingly, I invite you to consider the following and in particular whether there is a need 
for:   

1.  Further training of senior staff.   

2.  A requirement for senior staff to each put in place clear processes for staff to respond to fire alarm 
activations. 

3.  Training of carers, and any other relevant staff members, in terms of checking resident safety and 
fire door exits.   

6.  ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I believe you Tanzeel Younas 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 the 
29th October 2024. 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; Ward 
Hadaway, Rotherham Metropolitan Borough Council and Mrs Aitchison's family. 

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. 

3 September 2024 

  
  
  
  
  
 9.  Signature  

Ms N J Mundy, Senior Coroner   for South Yorkshire East
Also filed under 2024-0481: Margaret-Aitchison-Prevention-of-Future-Deaths-Report-2024-0481.pdf
MS N J MUNDY  
H M CORONER  
SOUTH YORKSHIRE (East 
District) 

email: 

CORONER'S COURT AND 
OFFICE 
CROWN COURT 
COLLEGE ROAD 
DONCASTER DN1 3HS 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS   

THIS REPORT IS BEING SENT TO:  National Care Consortium Ltd 
1.  CORONER 

I am Ms N J Mundy, Senior Coroner  for South Yorkshire East 
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. 

http://www.legislation.gov.uk/ukpga/2009/25/schedule/5/paragraph/7 

http://www.legislation.gov.uk/uksi/2013/1629/part/7/made 

3. INVESTIGATION and INQUEST 

On the 3rd January 2023 I commenced an investigation into the death of Margaret Aitchison.  The 
investigation concluded at the end of the inquest . The conclusion of the inquest was: 

Accidental death 

1a   Multiple traumatic injuries 

1b   Fall 

1c    

 II    Ischaemic heart disease and hypothermia 

4. CIRCUMSTANCES OF THE DEATH 

Margaret Aitchison was a resident in the Broom Lane Care home.  Her room was on the first floor of 
the Sitwell Unit.  On the 15th December 2022 at around 10:30 p.m. there was a fire alarm activation.  
The fire service attended and established that it was a false alarm having being activated by one of 
the residents.  They departed and the maintenance worker came to reset the alarm.  There was 
conflicting evidence as to the resident checks carried out after the alarm had sounded and I found that 
there were either no or inadequate resident checks following the reactivation of the alarm and 
furthermore some if not all the fire exits were not checked following the alarm.  Although it is not clear 
whether sleep checks were properly performed on a 2 hourly basis throughout the night, I was able to 
determine is that at some time after 6:00 a.m. carers discovered that Mrs Aitchison was no longer in 
her room and after a check of the premises which lasted up to 30 minutes, she was found at the 
bottom of an unheated stairwell leading to an external fire exit.  She had somehow accessed what 
should have been a locked fire door on the landing area and having gone through, fell down the stairs 
sustaining traumatic injuries from which she died.  She was hypothermic when found (the outside 
temperature was -5 degrees).  I heard evidence that new systems are now in place for checking 
resident safety and fire door exits after an alarm has sounded and the system has been reactivated 

 
 
  
  
  
  
 but one of the witnesses, who was a carer at the time of the incident and has remained at the home, 
said that there were still no formal checks and matters hadn't changed.          

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 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.   

The evidence from a care worker who was at the home at the relevant time, and remains a care 
worker at the home, that there are still no formal systems for checking of residents after fire alarm 
activations, is at odds with the evidence I heard from the care manager that there had been 
comprehensive changes and a training programme implemented. I am concerned that the processes, 
protocols and expectations have not been effectively cascaded to those providing care to residents in 
homes.  Accordingly, I invite you to consider the following and in particular whether there is a need 
for:   

1.  Further training of senior staff.   

2.  A requirement for senior staff to each put in place clear processes for staff to respond to fire alarm 
activations. 

3.  Training of carers, and any other relevant staff members, in terms of checking resident safety and 
fire door exits.   

6.  ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I believe you 
the power to take such action. 

 have 

7. YOUR RESPONSE 

You are under a duty to respond to this report within 56 days of the date of this report, namely by the 
29th October 2024. 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; Ward 
Hadaway, Rotherham Metropolitan Borough Council and Mrs Aitchison's family. 

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. 

3 September 2024 

  
  
  
  
  
 9.  Signature  

Ms N J Mundy, Senior Coroner   for South Yorkshire East

Responses

2 responses 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 National Care Consortium Ltd (PDF)
06/09/2024, 09:50:20

Subject:     RE: FAO the office of Ms. Mundy- senior Coroner
Sent:    
From:    
To:    
Cc:    

National Care Consortium Ltd

HMC Doncaster

Follow Up Flag:                                      Follow up
Flag Status:                                             Flagged

Caution! This message was sent from outside your organization.

Allow sender

Good morning 

,

Thank you very much for your response-. I just want to confirm that the required documents did go to the correct
person, our Chairman 
family portfolio.

 who is the nominated individual for many of the services within the 

National Care Consortium is our umbrella parent company and Broom Lane care home is a part of one of the sister
companies within the organisation which comes under the business heading of Pristine Care Group LTD.
Thank you for your assistance in this matter.

Kind regards
Kelly

From: HMC Doncaster
Sent: 05 September 2024 15:24
To: '
Subject: RE: FAO the office of Ms. Mundy- senior Coroner

 - National Care Consortium Ltd'

Afternoon Kelly
Thank you for your email Ms Mundy wishes to clarify is National Care Group part of Pristine Care and did the Reg 28
report go to the correct person.

Kind regards

Coroner Support Assistant
Corporate Resources
Doncaster Council

 
 
 
 
 
 
 
 
 
 
 
 
 Good afternoon

I am writing to you today thank you for your correspondence and to acknowledge receipt of the letter from Ms. Mundy
dated 3.9.24, along with a copy of the prevention of future deaths- Regulation 28 paperwork.

Can I please respectfully request that the letter be amended to state that Broom Lane is part of Pristine Care Group LTD
and not National Care consortium as stated at present.

Many thanks

Kind Regards,

NCC Care Home Support Manager
Response from Pristine Care Group (PDF)
Broom Lane Care Home
Broom Lane
Rotherham
S60 3NW

Dear Ms Mundy

Your Ref Case No: 

Margaret Aitchison, (Deceased)

DOB: 03.08.1943 – DOD: 16.12.2022   

I write on behalf of 
Group Ltd in respect of the case heard by you regarding Mrs Margaret Aitcheson and the 
resulting issue of a PFD report.

 the nominated individual and Chair of the Pristine Care 

I have attached the necessary documents which I feel should answer your concerns you raised 
in your conclusion. 

 when she 
I can confirm and agree with the statement made by my colleague 
gave evidence that the processes and protocols put in place after reviewing the original items  
are definitely in place (some of which were with immediate e(cid:431)ect) and as an organisation we are 
confident as we can be that any identified shortfalls have been addressed and the auditing 
duties carried out by the senior management team on a regular basis should highlight any 
discrepancies in the future.  I can also confirm that a CQC inspector visited the care home only 
this week to review the protocols after receiving notification from your o(cid:431)ice and she was more 
than happy with improvements made.

As always the ethos of the organisation is ensuring the safety of our residents is paramount and 
the lessons learnt have been cascaded to our sister services within the portfolio.

I thank you and your o(cid:431)icers for your assistance in this matter.

Yours sincerely 

Regional Manager 

20/09/2024

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