Prevention of Future Deaths reports · 2024

Jean Mullen

Regulation 28 report to prevent future deaths, reference 2025-0090, written 12 Dec 2024. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report12 Dec 2024
Reference2025-0090
DeceasedJean Mullen
CoronerNicola Mundy
Coroner areaSouth Yorkshire (East)
CategoryCommunity health care and emergency services related deaths
Sourcejudiciary.uk record · original PDF
Responses published1

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.

CORONER'S COURT AND OFFICE

- pel seal CROWN COURT

194 COLLEGE ROAD
SOUTH YORKSHIRE (East District) DONCASTER DN1 3HS.
email: Tel: (01302) 737135
a Fax: (01302) 736365

Date: 12 December 2024

Case:

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO: EE, Chief Executive, City of
Doncaster Council

1. CORONER
lam Ms N J Mundy for South Yorkshire East

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.

http://www. legislation.gov.uk/ukpga/2009/25/schedule/5/paragraph/7
htto://www.legislation.gov.uk/uksi/2013/1629/part/7/made
3. INVESTIGATION and INQUEST

On 5 July 2024 | commenced an investigation into the death of Jean MULLEN. The
investigation concluded at the end of the inquest . The conclusion of the inquest was

Accidental death.
ja Fracture of neck and subdural haemorrhage

1b Fall from height

4, CIRCUMSTANCES OF THE DEATH

This case relates to the unexpected death of an 87 year old woman who was found
collapsed at her home address. The death has been referred by South Yorkshire Police, who
have confirmed that there are no suspicious circumstances.

According to the referral, Mrs Mullen's pendant alarm triggered at 03:21hrs on the 22nd June
2024. it is noted that the alarm company heard Mrs Mullen scream at 03:31hrs. She was
last heard speaking at 03:38hrs. The alarm responders attended at the address but they
were unable to gain access. Paramedics attended and forced entry. Mrs Mullen was found
faced down at the bottom of the stairs. The police have described her as having her bottom
in the air, in a foetal like position and noted a small cut on the upper left side of the scalp and
a visible fracture to the left forearm.

According to the referral, the attending Paramedics commenced full ALS, but they were
unable to save Mrs Mullen.

HE advised that in March 2024, her Mother suffered a fall at home, which resulted in her
being admitted to Doncaster Royal Infirmary. [EEE confirmed that her Mother sustained
some bruising, but no significant injuries. [J informed me that she lives in Shropshire,
so she is not able to directly support her Mother. [EE advised that following her Mother's
fall, in March, she travelled to Doncaster. [EEE advised that she visited her Mother's
address and noted that her Mother was not coping very well. The property was untidy, with
food left out. At this point, EE realised that her Mother needed more support.

HEB advised that whilst in Hospital, her Mother underwent a needs assessment via the
local authority. An occupational therapist also assessed her Mother. IMadvised that
her Mather was discharged from Hospital on the 22nd March 2024 with a care package in
place. MA advised that 1 x Carer would attend in a morning and 1 x Carer at night to
assist her mother. advised that this was to assist with getting up, going to bed and
showering. I advised that her Mother was a strong willed woman and she would not
always accept help. IB advised that her Mother would also do things that she wasn't
supposed to, such as coming downstairs on her own. | advised that her Mother's
bedroom and bathroom were upstairs, but she would use a commode downstairs during the
day. HB advised that she thought that the stairs were becoming too much for her
mother, which she had communicated to social care, but J was advised that her
Mother had completed a stairs assessment which she had passed. HEM advised that she
thought her Mother should have been placed into a care home, but the Local Authority
advised that her Mother was not yet ready for this.

| have spoken with Doncaster Royal Infirmary, who have provided a copy of the discharge
letter relating to the last admission - see attached. According to the letter, Mrs Mullen was
admitted to Doncaster Royal Infirmary on the 20th March 2024 following a fall from bed and
long lie. The letter notes that Mrs Mullen was managed with IV fluids for raised CK levels.
X rays confirmed no acute injuries, but there was evidence of long standing osteoarthritis
changes. The urine culture was negative. No postural hypotension was noted - ECG Sinus
rhythm. The letter confirms that Mrs Mullen was discharged on the 22nd March 2024.

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
circumsiances it is my statutory duty to report to you.

The MATTERS OF CONCERN are as follows. —

During the course of the inquest | heard evidence regarding communications between
various departments of Adult Social Care and Home First and in particular STEPS. There
had been an assessment by the therapist at Doncaster Royal Infirmary regarding Mrs Mullen
returning to a safe home environment and what support and equipment would be required to
allow that to take place. This included an assessment in the home with social workers
present. A care package was provided by STEPS and it quickly became apparent that long
term care and support would be required in the home and thus an application was completed
on the 12th April. Mrs Mullen's family referred to them being informed that a grab rail would
be required at the top of the stairs near the bathroom to help Mrs Mullen navigate to the
bathroom thus reducing the risk of falls. This was not provided.

A fall occurred when Mrs Mullen was in the shower but the carers failed to escalate this and
made no referrals for any further assessment to take place in relation to Mrs Mullen's mobility
and ability to continue living safely at her home address. Further this was a missed
opportunity to assess whether any other aids or equipment were needed to support her. Had
this taken place it is likely that the absence of the grab rail would have been identified. This
was a further missed opportunity.

Finally, the care and support placement referred to in the second exhibit to E's
report made no reference to the issue of stairs and the risk of falling that they presented.

In order to reduce the risk of such a situation occurring in the future | invite you to consider
the following:

(1) The training of staff regarding the importance of recording instances such as falls and
escalating same.

(2) Following up on recommendations for aids and equipment required to ensure a safe
home environment for elderly persons such as Mrs Mullen.

(3) The importance of full and accurate record keeping.

6. ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you I
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 6th February 2025. |, 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

| have sent_a copy of my report to the Chief Coroner and to the following Interested Persons
as | have also sent it to Doncaster Royal Infirmary who
may find it useful or of interest.

| 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.

12 December 2024

9. Signature

w—

Ms N J Mundy LL.B (hons) Senior Coroner for South Yorkshire East

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 Doncaster Council (PDF)
www.doncaster.gov.uk 

Ms N J Mundy 
The Coroner for South Yorkshire  
(East District) 
Coroner’s Court and Office 
Crown Court 
College Road 
DONCASTER  DN1 3HS 

Email 

Dear Ms Mundy, 

Contact: 

Our ref: 
Your ref: 
Telephone:   
Email: 

Date: 

5th February 2025 

IN  THE  MATTER  OF  A  REGULATION  28  REPORT  TO  PREVENT  FUTURE  DEATHS 
FOLLOWING AN INQUEST INTO THE DEATH OF JEAN MIULLEN 

This response is provided to address the concerns raised by your Regulation 28 report dated 
12  December  2024  in  which  you  invite  me,  on  behalf  of  City  of  Doncaster  Council  (“the 
Council”), to consider the following: 

(1) The training of staff regarding the importance of recording instances such as falls and 

escalating the same. 

(2) Following up on recommendations for aids and equipment required to ensure a safe 

home environment for elderly persons such as Mrs Mullen. 

(3) The importance of full and accurate record keeping. 

I have been able to consider the aforesaid points with reference to the heads of the relevant 
services and am able to provide the following information by way of reassurance  that the 
Council’s systems of record keeping and communication are robust and effective: 

(1) The training of staff regarding the importance of recording instances such as 

falls and escalating the same: 

➢  All of our social care staff undergo specific training as a matter of course on 
the  need  for  detailed  accurate  records  to  be  maintained  in  care  settings, 
including the recording of slips and falls and general health related events. 

➢  As  a  matter  of  practice,  we  use  the  Mosaic  electronic  recording  system  to 
facilitate  our  record  keeping  and  all  social  care  staff  are  fully  trained  and 
familiar  with  the  processes  involved.  Pre-populated  forms  are  available  for 
various tasks, including reports, risk assessments and interactions that need 

Office of the Chief Executive, City of Doncaster Council, Civic Office, Waterdale, Doncaster, DN1 3BU 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 to be recorded and this has the advantage of directing staff to the questions 
and issues that need to be addressed. 

➢  By way of reinforcing this and other aspects of training, front facing social care 
staff  are  required  to  attend  one  to  one  supervision  sessions  on  a  monthly 
basis. The purpose of these sessions is to discuss ongoing cases which are 
specific  to  that  member  of  staff  and  to  provide  the  opportunity  to  raise  any 
issues of concern.  

➢  The  discussion  of  matters of  concern  is not limited  to  the monthly sessions 
and social care workers are constantly engaging with each other and sharing 
experiences and knowledge to solve any problems arising. 

➢  The  need  for detailed  accurate  records  to  be  maintained  in  care  settings  is 
stamped  into  the  DNA  of  our  social  care  staff,  as  well  as  being  a  key 
requirement of CQC, whose jurisdiction we are subject to as care  providers. 
We  are  well  aware  of  our  reporting  and  recording  obligations  and  are  fully 
compliant with these standards and requirements. 

➢  In addition to the measures above, we undertake internal audits on a regular 
basis  to  ensure  consistency  in  reporting.  Cases  are  selected  on  a  random 
basis  at  the  rate  of  two  cases  per  team  per  month  and  the  records  are 
scrutinised  for  discrepancies  and  any  failures  to  follow  up  concerns  and/or 
recommendations for referrals etc. 

➢  Care  packages  are  provided  by  independent  care  providers  who  are  not 
associated  with  the  Council,  but  who  are  subject  to  regulation  by CQC and 
who are engaged pursuant to contracts that stipulate the care standards to be 
expected.  They  are  also  required  to  adhere  to  the  same  protocol  as  the 
Council in respect of record keeping. 

➢  The records produced by care providers are subject to internal audits by the 
Council’s commissioning department on a regular basis in the same way that 
the Council’s own records are subject to scrutiny. 

➢  The care providers also have their own internal auditing processes and would 
face  significant  commercial  disadvantage  if  they  failed  to  adhere  to  the 
standards expected. In such event they might lose the benefit of any contracts 
or more significantly, might be held responsible for any safeguarding issues 
arising, which had not been properly addressed. 

➢  It should be noted that carers and social care staff are not qualified to diagnose 
medical conditions or to make recommendations for aids and equipment. Their 
role is to raise any perceived concerns and to direct the person in question to 
the  relevant  professional  for  advice,  usually  an  occupational  therapist, 
physiotherapist, or District Nurse. All staff are aware of this process and do not 
require permission to take such steps. 

(2) Following up on recommendations for aids and equipment required to ensure 
a  safe  home  environment  for  elderly  persons  such  as  Mrs  Mullen:  where  a 
recommendation has been made for aids and equipment, this will be ordered by the 
professional  making  the  recommendation.  The  Council  will  always  follow  up  any 
delay in provision and assist in any way possible. 

Office of the Chief Executive, City of Doncaster Council, Civic Office, Waterdale, Doncaster, DN1 3BU 

 
 
 
 
 
 
 
 
 
 
 Since  this  incident  and  as  part  of  “lessons  learnt”  we  have  set  up  a  “Home  First 
Forum” with a view to providing all domiciliary home care providers information as to 
when and to whom they should direct any referrals. The first event was held on 30 
January 2025 and further events will be held on a quarterly basis. 

(3) The importance of full and accurate record keeping: the Council is well aware of 
the  importance of full and accurate record keeping and has robust systems in place 
to ensure that this is maintained, as set out above. 

I consider that it might be useful to make some further points to put Mrs Mullen’s situation 
into context and to address some of your observations made in respect of the events leading 
up to her fall. 

I understand that Mrs Mullen was admitted to hospital for several days after a fall from her 
bed (in the context of suffering with a urinary tract infection) and was discharged home on 
22  March  2024.  Whilst  she  was  in  hospital,  a  needs  assessment  was  carried  out  by  the 
Council’s STEPS team. This team provides reablement to persons from hospital to home 
and if care is required, this will be provided by the Council free of charge for 6 weeks.  

The STEPS team concluded that Mrs Mullen needed assistance to manage at home and a 
care package was set up with carers visiting twice a day in the morning and evening. At the 
same  time  an  assessment  was  carried  out  by  the  NHS  occupational  therapist,  Beverley 
Hanes, who passed her fit to manage on stairs. Beverley Hanes also visited Mrs Mullen’s 
home the day before the discharge date and maintained her advice in respect of the stairs. 
This decision was not within the expertise of the Council’s social care staff but lay within the 
expertise of the occupational therapist. 

Mrs  Mullen  did  not  return  home  until  various  remedial  measures  had  been  taken  by  her 
daughter (the owner of her home) including a general clean up and securing pieces of loose 
carpet. Mrs Mullen then received reablement care for 6 weeks and no concerns were raised 
during this period about her ability to manage at home. 

At the 6 week point a review was undertaken by the Council (
). It is correct that 
she did not undertake a stairs assessment. Mrs Mullen had been passed fit to manage on 
stairs  by  the  occupational  therapist  and  a  further  assessment  was  not  considered  to  be 
necessary.  It  would  not  have  been  within 
’s  remit  to  undertake  such  an 
assessment  in  any  event.  If  there  had  been  any  concerns  about  Mrs  Mullen’s  ability  to 
manage stairs, this would have been referred back to Beverly Hanes for further assessment. 

Following this review, Mrs Mullen’s daily care package continued, with additional care being 
provided  on  top  3  days  per  week  to  assist  her  with  showering.  The  care  provider  was 
Newdon Care.  

The Council does not have any record of Patricia Mullen informing social care that the stairs 
were becoming too much for her mother and neither was this identified as an issue by the 
carers. If any concerns had been expressed by Patricia Mullen, the carers or Mrs Mullen 
herself (who had full capacity), this would have been recorded and investigated.  

Mrs Mullen also had daily contact with a neighbour with whom she had a close relationship. 
The neighbour spent most of each day with Mrs Mullen at her home and was present at the 
NHS home assessment prior to Mrs Mullen’s discharge from hospital. The neighbour did not 
express any concerns either to social care about any deterioration in her condition. 

Office of the Chief Executive, City of Doncaster Council, Civic Office, Waterdale, Doncaster, DN1 3BU 

 
 
 
 
 
 
 
 
 
 
 
 The reference to the grab rail appears in the Ambulance records and is attributable to the 
paramedics who attended upon Mrs Mullen after her fall. This suggestion was not taken up 
by the occupational therapist and would not therefore have been followed up by social care.  

Following  the  Inquest,  we  have  made  further  enquiries  and  have  established  that  the 
reference to the fall in the shower relates to an isolated event that was in fact documented 
by  Newdon  Care.  I  understand  that  this  party  was  not  required  to  give  evidence  at  the 
Inquest and therefore this documentation was not available to the Inquest.  

As a matter of practice, a single fall event would not be expected to raise a referral. Mrs 
Mullen was in receipt of care specifically to assist her with showering and any concerns in 
this respect would have been referred by the carers from Newdon Care to RDaSH for the 
falls service, occupational therapy, and physiotherapy, in the event that they considered this 
to be in Mrs Mullen’s best interests. 

Learning from the incident: we strive as an organisation to improve our practices wherever 
we can and have reflected at length on the sad outcome for Mrs Mullen. In terms of action 
to be taken, we will continue to provide training to our staff and will continue to reinforce the 
need for accurate record keeping, particularly in relation to instances such as falls. We will 
also reinforce the need for carers and social care staff to escalate any concerns by making 
appropriate referrals to professionals who will be able to assess the risk and recommend 
further  measures  that  might  need  to  be  put  into  place  to  address  such  risk.  This  will  be 
further facilitated by the establishment of the “Home First Forum”. 

Please let me know if I can be of any further assistance. 

Yours sincerely  

Chief Executive 
City of Doncaster Council 

Office of the Chief Executive, City of Doncaster Council, Civic Office, Waterdale, Doncaster, DN1 3BU

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