Prevention of Future Deaths reports · 2025

Patricia Catterall

Regulation 28 report to prevent future deaths, reference 2025-0189, written 11 Apr 2025. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report11 Apr 2025
Reference2025-0189
DeceasedPatricia Catterall
CoronerJohn Gittins
Coroner areaNorth Wales (East and Central)
CategoryCare Home Health related deaths · Wales prevention of future deaths reports (2019 onwards)
Sourcejudiciary.uk record · original PDF
Responses published2

The report

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

John Adrian Gittins
Senior Coroner for North Wales (East and Central)

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REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

1. BCUHB, Ysbyty Gwynedd, Penrhosgarnedd, Bangor, Gwynedd LL57 2PW (“the Health

Board”).

2. Pendine Park Care Organisation, Highfield, Summerhill Road, Wrexham LL11 4YE (“the

Nursing Home”

CORONER

I am John Adrian Gittins, Senior Coroner for North Wales (East and Central)

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 the 1st of July 2024 I commenced an investigation into the death of Patricia Ann Catterall (DOB
3.1.43 DOD 23.6.24). The investigation concluded at the end of the inquest on the 11th of April
2024.   The cause of death was recorded as being due to 1(a) Hyperosmolar Hyperglycaemic
Syndrome (“HHS”) and Sepsis with Pneumonia 2. Frailty of Old Age and Dementia and the
conclusion of the inquest was that of a death from natural causes.

CIRCUMSTANCES OF THE DEATH

On the 11th of June 2024 the deceased’s care was transferred from the Health Board to
the Nursing home following the deceased having spent 207 days in the care of the Health
Board at Mold Community Hospital

Whilst under the care of the Health Board, the deceased’s blood sugar levels were
checked three times per day, however once she became resident at Pendine, they were
only checked once a day.

During the period between the 11th and the 19th of June 2024, the deceased’s condition
deteriorated and on the 19th of June she was admitted to the Maelor Hospital Wrexham
where she was diagnosed as having HHS and sepsis. Her condition and co-morbidities
were such that it would have been inappropriate to aggressively treat these conditions
and she passed away a few days later.

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CORONER’S CONCERNS

During the course of the inquest the evidence revealed the following matter giving rise to
concern. In my opinion there is a risk that future deaths will occur unless action is taken. In the

Coroner's Office, County Hall, Wynnstay Road, Ruthin, LL15 1YN
Tel 01824 708047 

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 circumstances it is my statutory duty to report to you.

The MATTER OF CONCERN is as follows.  –

That the process of assessment by the Nursing Home prior to the transfer of care to them was
not sufficiently robust so as to ensure that all relevant information required for the safe care of a
patient had been received and assessed prior to the patient being received into their care.

Evidence was received that in the majority of cases (post Covid) there are no face to face
assessments prior to patient transfer and that the assessment is therefore dependent on the
documentation supplied to the Nursing Home by the Health Board which in some cases may
result in not all relevant information being provided.

In this instance evidence was given that the Nursing Home did not know that the deceased’s
blood sugar levels were monitored three times per days whilst in the care of Health Board.

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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
6th of June 2025 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 Family of the Deceased and to the Chief Coroner.

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.

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Dated 11th April 2025

Signature
Senior Coroner for North Wales (East and Central)

Coroner's Office, County Hall, Wynnstay Road, Ruthin, LL15 1YN
Tel 01824 708047 

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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 Pendine Park Care Organisation (PDF)
Dear Mr Gi�ns 

Following issue of the Regula�on  28 report please find below ac�ons that have been taken by the 
Pendine Park Care Organisa�on. 

1.            All pre - admission assessments are now being conducted in person except for emergency 
admissions. 

2.            Our pre - admission assessment document has been updated and includes prompts to 
ensure all informa�on is requested prior to admission ,  this includes a sec�on for diabetes ,   see 
atached pre- 
               admission assessment document .     

The informa�on gathered in the pre -admission assessment is then used to formulate the care plan. 

Yours Sincerely 

Registered Manager Highfield & Nominated Responsible Individual for the Pendine Park Care 
Organisation 

 
 
 
 
 
 
 Pare  Pendine  d...  Pendine Park 
Gofa l Goleued ig  (fl I  Inspiring  Care 
Pre-Admission Assessment 
All residents to be assessed before admission except emergency admissions ta be assessed within 24 hours of admission.  For the Assessment, 
have the Enquiry Form available, and update any gaps.  To be completed by: Clinical Lead Nurse as relevant to conditions and/or Registered 
Manager or as authorised by RM.  Use this Assessment to create the Care Plan then discontinue within Care Plan.  Archive after 12 months. 
Name of proposed Resident 

Current Location 

Date of Pre Admission Assessment 

Pre Admission Carried out by 

Proposed Date of Adm ission 

Proposed Home/ Room No (if known) 

Privacy: Please ensure proposed resident/representative is  made aware: All information recorded on this document is 
processed to decide if we can  provide the required services and, if so, prepare for admission accordingly. On admission, this 
document will be part of the care and support plan. If services are NOT taken up with Pendine, this information wi ll be 
disposed of securely. All Privacy Notices are on our website www.12endine12ark.comL12rivacy.html 

Pendine Admission Criteria &  Control Check 
All must be Yes to approve an Admiss ion Date w ithin next 5  days. 

If t ime lapse between date of Pre-Admission Assessment and  D  Yes 
□ No 

proposed date of admission  is more than 7 days, have you 
ensured that the Pre-Admission data is still current and va lid? 
If this is an EMERGENCY admission, have you obtained 
□ Yes 
enough assessment information to make judgement? 
□ No 
Have you got the DST and all other relevant Third Party Care  □ Yes 
Plans/Assessments relevant? 
□ No 
Does the DST identify Category of Care and does t his agree  □ Yes 
with the proposed admission? 
□ No 
Residentia l: Have t he District Nurses been given t he DST and 
are satisfied that they can  provide appropriate care to 
support this admission? 
D  Yes 
Is all equipment in place to enable appropriate care to be 
delivered from admission onwards? 
□ No 
D  Yes 
Have you considered ALL factors and ensured there are no 
limiters to the admission? 
□ No 
Have fees been forma lly agreed with fam ily and/or funding  D  Yes 
authority? 
□ No 
Are you satisfied that the proposed admission is appropriate  □ Yes 
and all assessed  needs ca n be met? 
□ No 
Have Resident and fami ly made a definite decision to come 
to Pend ine home AND proposed admission is appropriate 
with an  admission date with in next 5 days? 

□ Yes 
□ No 

D  Yes 
□ No 

If  no, ensure relevant  information is sought and 
gained prior to making decision 

If  no,  ensure relevant information is sought  and 
gained prior to making decision 

If no, do NOT admit until all received 

If no, admission may not be possible.  Discuss with 
re levant parties/RM/NRI. 

If no, admission  may not be possible. Discuss with 
relevant parties/RM/N RI. 

If no, do not admit until all relevant equipment in 
place. 
If no, admission may not be possible.  Discuss with 
relevant parties/RM/NRI. 
If no, admission may not be possible. Discuss with 
relevant parties/RM/NRI. 
If  no, admission may not be possible.  Discuss w ith 
relevant parties/RM/NRI. 
If no, await  decision. If yes,  bed ca n be held for 5 
days. If admission date moves forward, bed  may 
not be held, w ithout SRl's express agreement and 
a (SR l's discretionary) non-refundable fee. 

EMERGENCY ADMISSIONS 

Care Planning 

Equipment 

Nursing & Care 
Department 

Catering Department 

Pre-Admission Communication 

□ Ensure admitting staff are aware that information within t he Pre-Admission may not be 

sufficient and assessments must reflect this 

□ Ensure blank Care Plan  has been requested including any Advanced Assessments and Care 

Plans that wi ll be required (complete and  send pages 17 /18 to Ad min) 

□ Consider Primary and Named staff- noting Resident preferences & current allocations? 
□ Primary Nurse: ....................................................................... ........................... ..................... 
□ Primary CP: .................. ..................................... ...................... ....................................... ......... 
□ Named CP: ....... ....................................................................................................................... 
□ Ensure all equipment required is in place prior to admission 
□ Ensure relevant staff updated regarding all physical health, behavioural, personal care and 

enrichment  needs. DIARY POINT and prepare. 

□ Ensure relevant staff are updated regarding any special diets, special aids, allergies etc 
□ Complete dietary needs including food levels on Page 17 /18 and send to Ad min 

Housekeeping &  Laundry  □ Ensure relevant staff updated regarding any allergies or special req uests 
Administration 
Department 

□ Ensure relevant staff updated regarding proposed admission date, room number, f unding 

issues etc 

Maintenance Department 

□ Ensure relevant staff updated regarding any special equipment/servicing/room adaptations 

required/extra electrical sockets etc 

<tJ  Pendine Park Care Organisation 

Page 1 of 17 

ll /  12.05.2025 

 . 
,, ..  •,,  ·"  ', .. 
Resident Person.al. Details 

,,,,, ..  ·'·' 

Pre-Admission Assessment 
.. 

. 

.  < 

Known as 

Tel  No(s) 

Marit;il StiltUS 

First Language 

Next of Ki_n/ Closest Relatiye 

Second  Contact 

Current GI'  .. 

Care Manager/Social Worker 

Full  Name 

Title 

Current 
Location 

Home 
Address 
. 

Date of Birth 

Ethnicity 

Contacts 

Name 

Relationship 

Address 

Tel  No 

Mobile 

Email 

Name 

. 

Address 

Tel  No 

Email 

Will Resident refair1 this GP:ki" I □ Yes  □ No 
If No,  contact local surgeries or,HB to Secure/register GP 

Third Party Care  Rlans  Exist  I □ Yes D  No 
e.g. LA/CHC, physio, SALT,  dietician etc If yes,  obtain copies 

Consultant and  l'rofessional..Contacts  (Consultants, CPNs,  District Nurses, Advocate, IMCA etc) 

Name 

Role 

Contact Details 

Funding Source  □ LA 

□ LHB-CHC  □ LHB-Sc117 

□ Joint LHB/LA 

D  Private 

Name 

Address 

Tel  No 

Email 

Continuing Care APP StatUS:  l 

©  Pendine Park Care Organisation 

Page 2 of 17 

11 /  12.os.2ols 

 Note: For all physical, behavioural and personal care, record any staff preferences or specific needs 
(i.e.  gender, height, strength, triggers behaviours etc) 
Physical Health 

Past and Current History and Physical Health (include relevant dates) 

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Resident's understanding of what is happening to them 

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©  Pendine Park Care Organisation 

Page 3 of 17 

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........................ ---····················· 
....................................................................................................................................................................... 

.... ---·······································"•"·········· 

list Current Meds 

...................................................................................................................................................................... . 

Medication 

Explain  kept in 

Pharmacy where 

administered. 
Explain  policy on 
self 
administration/ho 
mely remedies 

······························································-···············································-························································ 

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....................................................................................................................................................................... 

................................ . 

....................................................................................................................................................................... 

........................................................................................................................................................................ 

....................................................................................................................................................................... 

....................................................................................................................................................................... 

Resident wish to self-administer?  □ Yes  D  No 
Does Resident require Insulin to be  administered by Community Nurses?  □ Yes  □ No 
If Yes,  has  Discharge Team notified Community Team &  confirmed they have capacity to action this?  □ Yes  D  No 
Covert Administration Plan in Place?  □ Yes  □ No 

If yes inform multi-disc. Ass't is required  & will be carried out in  due course 

If yes,  plan available?  □ Yes  D  No 

Vaccines - Provide dates of most current 

Flu 

\ 

I Covid 

I 

\ Other  I 

Pain - State if 
Acute or Chronic 
and provide 
details including 
signs of pain and 
management 
thereof 

Allergies -
Food  /  Drink/ 
Conditions 
e.g., shellfish, hay, 
fever,  bee stings 
etc 

Allergies -
Medication 

....................................................................................................................................................................... 

....................................................................................................................................................................... 

....................................................................................................................................................................... 

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Allergies - Skin  . 
i.e., washing 

powder1  plasters 
etc 

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©  Pen dine Pack Care Ocganisation 

Page 4 of 17 

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 Oxygen Therapy? 

Plan  if out of normal 
ran_ge  on discharge 

Oxygen Suppliers 

Oxygen Therapy 
Contact 

Nebulisers 

Inhalers -
Preventers 

Inhalers - Relievers 

Smoking Habits/ 
History 

History of Asthma, 
COPD, or other 
Lung Conditions 

□Yes  D  No  I Saturation Levels  l 

Breathing 

% l Normal Range  I 

%to 

% 

l How much 02 in  place: 
I Ema~ 

] 

jTel 

litres 

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History of Heart 
Disease 

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Tracheostomy Type 

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r:7 

Date Last 
Chan~ed 

I 

I 

.................................................................................................................................................... 

Ventilation 

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Suction Frequency 

History of DVT / 
Embolism/ Anti 
coagulants use or 
need 

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Suction Machine Required  I  □ Yes  D  No 
I 
If yes, check availability 

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©  Pendine Park Care Organisation 

Pages of17 

11 /  12.os.202s 

 Di agnosed? 

D Yes-Type 1 

□ Yes- Type 2 

D Yes - Prediabetic 

D  No - skip sect ion 

I 

Diabetes 

__J 

First Diagnosed 

History 

Blood Glucose 

········································•·••··••·••••••••••••••••••••••••••••••••••••••••••••••••••• ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

·················································•······•·•·········································································•·································· 

·································•••··••·•··•······••••••••••••••••••••••••••••••••••••••••••••••• •••••••••••••••••••••••••••••••••••••••••••••••• ••••••••••••••••••••• 
mmols/1 
From: 

mmols/1  To: 

I 

Current  BM  Charts  D Viewed in Hospit al/Current Setting 

D  Copies provided 

Risk? 

□ Hypo 

□ Hyper 

On Insulin? 

D Yes 

D Not seen 
0  No 

I Ro ute:  I 

I Dosage 

I 

Insulin Type 

Ant idiabetic meds 

Current HbAlc 

Test Frequency 

Plan if outside 
Blood Norm al 
Glucose  Range  on 
Discharge 

Urinary 

Bowel 

Continence 
Products 

% 

Target  HbAl c 

% 

Date of last test 

······································· ................... ........................... ................................................................ ................. . 

····················· .. ·······•····························································•························· .. ···• ........................................... . 
..................................................... .... ................................................... ................................ ............. ........... ... 

Elimination and Continence 

D Fully Continent  D Incontinent - type:  D  Functional  D  Stress 
D Fully Continent  D Incont inent - type:  D  Functional  D  Constipat ed  D Leakage  D  Urgency 

D Overflow  D  Urge 

0  Bladder  D Bowels 

I Dat e Assessed and 

Ref erred fo r Product s 

I 

..................................................................................... ............................ ... ........................ ........................... 

....................................................................................................................................................................... 

Prod ucts 

................ , ..................................................................................................................................................... . 

············· .. ········ ........ ................................. ............... , ....................................... ........................ ....................... . 

........................ ............................................................. ........................ ................................ .......................... 

Catheterisat ion 

D  Urinary Catheter 

Size  and Type 

Dat e last changed 

D Trial w itho ut Catheter 
··················· .. ··········· ........................... ............................... ................................................ ........................... .. 

Outcome 

....................................... ................................................................................................ .................. ... .... ... .... 

........................ , ............................................................................................................................................ .. 

··········•·· ........................................................... ... ......................................................... .................................. . 

.................................................................................................................................................. ....... .............. 

............................... ......................................... .................................................................... ........................... 

.......................................... ....................................... .............................................. ....................................... 

Tel 

Email 

History of  any 
Bowel Issues 

St om a - Size  and 
type of  bag 
Teams  Contact 

Urology 

Bowel 

Stoma 

© Pendine Park Care Organisation 

Page 6 of 17 

11 I 12.os.20  s 

 Nutrition and Hydration 

•........................  -·-·· ........................................... ··········································--···································· 

---

·················-------·-·····································-··-----······································-··--· 

···························· 

·························-············································-·······································--·····································--· 

···································-···-········································-----··········································································· 

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• •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••··•••·••·•············································· 

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Fluid  Level 

Special  diets 

incl. diabetic, 
vegetarian, 
low fat/salt, 
supplements etc 

Textured diet or 
as assessed  by 
SALT 

Food  Level 

Food  Likes 

Dislikes/foods to 
avoid 

•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••·•··••··•••··•······················································ 

Assistance with 
Eating/ Drinking 
Required 

•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••·············•·················································· 

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............................................................................................................................................ 

Special cutlery/ 
crockery 

NG/PEG Feed 

Last changed 

History of Weight 
Loss/Gain and 
Current 
Management 

Weight (Kgs): 

History of Eating 
Disorders -
Anorexia, 
Bulimia, Obesity 
etc 

••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••·••··••··•···················································· 

•• 

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□ Bolus 
D Flex 

Size 1 

Type 

Feed  & rate 
per hour 

Proposed date of Re-insertion 

.  . 

. ................................................................................................................................................... . 

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j  Height (mJ:l 

. 

. ......................................................................................................................................................... . 

• 

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•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••·••··•••·•••·················································· 

•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••·•••·••··································································· 

•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••·•••·••··••················································· 

Tel 

Email 

Teams 

Contact 

Comm. Dietician 

S&L Therapist 

PEG  Nurse 

©  Pendine Park Care Organisation 

Page 7 of 17 

11 /  12.05.2025 

 Current Maelor Score 

Pressure Relieving 
Equipment 
(check availability) 

Skin Condition 
(History/ Current) 

Tissue Viability and  Pressure Care 

/  How often repositioned:  / 

••••••••••••••••••••••••••• .. ······························-··-·······················"''""''"'•·····························-····················"····•""••·· 
·····----······························································································································-························· 
························································· 

....................................................................................................... . 

--··········································· 

................................................................................................................... . 

................................................................................................................................................................. 

................................................................................................................................................................. 

................................................................................................................................................................. 

Pressure  Ulcer{s}? 

□ Yes 

□ No 

/  Moisture Lesion(s)? 

/ □ Yes 

□ No 

Back 

If yes, give details 
including Grade & 
note on  Body Map 

Dressings used 

Vascular Issues with 
Legs i.e., Venous leg 
ulcers? 
lf yes,  give details 
including management 
thereof 

Any Malignant 
Lesions? 
If yes, give details 
including management 
thereof 

Diabetic Foot Care 
Regime 

□ Yes 

□ No 

□ Yes 

□ No 

Teams  Contact 

Tel 

Email 

TVN 

©  Pendine Park Care  Organisation 

Page 8 of 17 

11 /  12.05.202 

 Safety, Mobility, and Movement 

D Independent 
D  Immobile 

D Walks with aids: 
D  Walks with assistance e.g. 1 or 2 staff 

D  Frame  D  Walking Stick 

Mobility 

Wheelchair Type 

Resident's Own 
Equipment - list 

Moving and Handling - Transfer method & number of persons required 

To/from chair 

To/from bed 

To/from toilet 

Hoist type 

Bed type 

Shower chair 

Crash  mats 

Conditions e.g. 
bariatric/MS etc 

Sling size 

Bedrails/bumpers 

Bath support 

Other 

History of Falls? 

□ Yes  □ No 

Falls, Accidents, or Incidents 

If yes, give details 
and reasons for falls 
{dizziness,  activities, 
environment, 
unknown etc) 

Risk  Factors i.e., 
osteoporosis, 
fractures, 
anorexia/bulimia/ 
excessive exercise/ 
hormones 

Unsteady when standing/walking?  l □Yes 

□ No 

□ Yes  □ No  l Referrals 

made? 

□ Yes  □ No 

Risk Assessment  □ Yes  D  No 
available? 

If yes, give details 

Known to Falls 
Team? 

Fire  Evacuation 
Factors 
Include smoking, 
mobility, capacity etc 

© Pendine Park care Organisation 

Page 9 of 17 

11 /  12.0S.202S 

 Communication and Sensory Loss - Include how needs ore expressed and any sensory aids 

Speech  and 
Language 

Sensory Aids 

Sight 

Sensory Aids 

······························ 

....................................................................................................................................... . 

·················· 

................................................................................................................................................... . 

Hearing 

...................................................................................................................................................................... 

...................................................................................................................................................................... 

...................................................................................................................................................................... 

Sensory Aids 

.............................................................................................................................................................. 

Reproductive Needs 

Last Menstrual 
. Period and any 
Menstrual Issues 

' 

. 

···················································•··••·••••·••··••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 
...................................................................................................................................................................... 

...................................................................................................................................................... . 

Use of Birth 
Control/ HRT / 
Hormonal Issues 

Reproductive 
Health History 
including Cancer 
- Ovarian 7  Breast, 
Testicular, 
Prostrate etc 

Current 
Investigations/ 
Awaiting Results. 

···········································································••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 
...................................................................................................................................................... 

........................................................................................................................................................ 

............................................................................................................................................... 
......................................................................................................................................................... 

·································································•··••······••··•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 
...................................................................................................................................................................... 

..................................................................................................................................................... 

............................................................................................................................................. 

' 

................................................................................................................................................ .. 

...................................................................................................................................................................... 

·······················"··············· 

.. ············.......................................................................................... 

• •• 

······················································••····•••·•··••··•··••··•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• ' 
........................................................................................................................................ 

. ... 

............................................................................................................................................. 

. 

© Pendine Park Care Organisation 

Page  10 of 17 

11 /  12.05.20  5 

 Infection Control 

Seizures /  TIAs 

Neurological Conditions 

End of Life/ Palliative Care 

Any Infections 
e.g.  M RSA,  C Diff, 
TB,  Hepatitis, HIV, 
Skin  Infections, 
etc 

Conditions 
affecting 
Consciousness -
History of Vasa 
Vagal, Passing 
Out,  Brain Lesions 
or Abnormalities 

Huntington's 
Disease, 
Traumatic and/or 
acquired Brain 
Injuries, 
Strokes etc 

End  of Life  Care 
Details 

Legal  Documents 
Advance Directive 
living Will 
DNACPR 

In  Place 
□ Yes  0  No 
□ Yes  0  No 
□ Yes  0  No 

Copy Available 
□ Yes  □ No 
□ Yes  0  No 
□ Yes  □ No 

Original  on  Discharge 

□ Yes  0  No 
□ Yes  □ No 
□ Yes  0  No 

©  Pendine Park Care Organisation 

Page 11 of 17 

11 /  12.05.2025 

 • ••·  Mental Health, Cognition, and Behaviours 

Has  Mental Capacity been assessed? 

If yes, by whom? 

I □ Yes  □ No 

] Date assessed:  I 

Give outcome 

, 

Has best interest decision been made?  J  □ Yes  □ No 

·································-············ 

.. -·-···················"''''••····· 

··················································································· 

If yes, give detail~ 

Any known MHS.Tribunal. Dates?  . 

J  □Yes  □ No 

If yes, give details 

DoLS? 

If yes, give details 

□ Yes 

□ No 

Court of Protection --,H&W? .••  □ Yes  □ No 

Court of Protection - Finance? 

Incapacity Order?. 

.·. 

•·•· 

□ Yes  □ No 

Guardianship? 

□ Yes 

□ Yes 

□ No 

□ No 

POA 

Name 

Relationship 

Address 

Tel No 
Mobile 
Email 

Copy? 

Past and 
Current 
history of any 
cognitive 
disorders/ 
conditions/ 
mental health 

· Health &  Welfare 

Property &  Finance 

□ Yes  □ No 

□ Yes  □ No 

........................................................................................................................................................................... 

······················································································································································"·············'"···· 
........................................................................................................................................................................... 

........................................................................................................................................................................... 

........................................................................................................................................................................... 

........................................................................................................................................................................... 

···•················•··•••·······•··•··••··••·••··••·••·•••·••·•·••••••··•••••••••··••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 
........................................................................................................................................................................... 

........................................................................................................................................................................... 

........................................................................................................................................................................... 

........................................................................................................................................................................... 

........................................................................................................................................................................... 

©  Pendine  Park care Organisation 

Page 12 of 17 

 Cognition 
Impression of 
cognitive ability 
during 
assessment 

···································································--·························································-···--·································· 

························-·-------····································································································································· 
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•••••••••••  •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••·••••••·••••·••·•••··•··••··••••••····················································· 

•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••··••••••••••••··•••······················································ 

To support, you can ask an  appropriate question to assess  levels of cognition. Ensure question is asked within the genera! flow 
of any conversation so as to not be judged as an  assessment and they are at ease whilst doing so - see  prompts: 
Prompts: age, time, home address, current year/location, recognise 2 people, date of birth, well  known  historical dates, well 
known current facts such as name of present Prime Minister/Monarch etc 

One to One 
Needs and any 
Funding 

Safeguarding? 

.. ••···••··•··•••·••·•••···••·••···•·•······················································ 
.......................................... . 
············"·················· 
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...................................................................................................................................................................... 
□ Yes  □ No 

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If yes, give details 

•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••··•••··•·•••·•••··•··•••··•··•••·••·•·········································· 

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Past Trauma/ 
History of PTSD 
and other 
Stress/ Anxiety 
Disorders i.e., 
OCD 

Vocal or other 
Disruptive 
Periods likely to 
affect Others 

·······································••··•·························································································································· 

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························································••············································································································ 
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Physical or Verbal 
Attacks on Others 
or Interference 
with Other's 
Property 

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...................................................................................................................................................................... 

Ability to Manage 
Diet,  Hygiene, or 
Appearance 

••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••·•··••·•••·••••·•···••·•••·••·•••··••·•················································· 
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·····································································································································••······························· 

••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••·••·•••··•··•••·•••··········································· 

••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••·••·•••··••·••··•························································· 

©  Pendine Park Care Organisation 

Page 13 of17 

11 /  12.05.2025 

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 Compliance to 
Participate with 
Prescribed Care 
(Non Compliance) 

Self-Injurious 
Behaviour/ False 
Allegations / 
Suicide Ideation-. 

Wandering and 
any history of 
absconsion 

···············································--·--··-···································································--··· 
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........... ·····················"•"•············································"•"······································································ 

········································••·····•··••·••····••·•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 
·································································•·•·••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 
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Sexual 
Disinhibition 

. 

. .............................................................................................................................................. . 

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Night 
Disturbances 

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.... 

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Repetitive 
Behaviour 

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...................................................................................................................................................................... 

Signs and Triggers· 

Describe Current 
Behaviour 
Management -
and how can  this 
be managed 

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Contact 

Tel 

Email 

Teams 

CPN 

Consultant 

© Pendine Park Care Organisation 

Page  14 of17 

11 /  12.05.20  5 

 Personal Care Needs and Activities of Daily Living Skills 
Record ability to make choices and perform  without sup_ervision  or assistance 

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--·································· 

Washing Body, 
Hands and  Face 

······--······--·······································-· 

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-

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Bathing/ 
Showering 

Grooming 
(including 
shaving,  hair, 
make up etc) 

Dressing/ 
Undressing 

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...................................................................................................................................................... 

Oral  Health 

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••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••·•••·•••·••·············································· 

If yes,  please indicate type:  D Top  D  Bottom  D  Full Set 

D  Dentures 
Dentist required:  □ Yes 

D  No 

...................................................................................................................................................................... 

Foot Care 

.. 

. ..................................................................................................................................... . 

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Chiropodist required:  □ Yes  □ No 

Podiatrist required:  □ Yes 

□ No 

Sleeping Pattern 
Restlessness 
Difficulties 
Disorders 
(apnoea/walking/ 
night terrors) and 
how to manage 

•••• 

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Resting/ Naps 

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© Pendine Park Care  Organisation 

Page  15 of17 

11 /  12.05.2025 

 • Enrichment 
If possible, g;ve some details on  thef~°Jlowing.  Explain full assessment taken during  and after admission . 

........................................................................................................................................................ 

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...................................................................................................................................................................... 

Their life story so 
far 

Significant things 
about them 
(personality, 
major 
achievements, 
etc) 

Things important 
to them including 
dislikes 

Hobbies and 
interests 

Religious Cultural 
Spiritual Info 

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...................................................................................................................................................................... 
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........................................... 

Practising 

□ Yes  D  No 

© Pendine  Park Care  Organisation 

Page 16 of 17 

11 /  12.05.20  5 

 Any Other Factors/ Additional Information 

Family Involvement 
/  Support Network 

Consultation with 
carers/reps/ 
relatives - how they 
would like to 
remain involved? 

Any other factors 
that may influence 
the decision to 
admit 

Any other 
comments/ 
Additional 
Information 

Name of Assessor: 

Signature: 

Position: 

Date: 

© Pendine Park Care  Organisation 

Page 17 of17 

11 /  12.os.202s
Response from Betsi Cadwaladr University Health Board (PDF)
Legal Services, Bron Afon, Bryn y Neuadd 
Hospital, Llanfairfechan LL33 0HH 
---------------------------------------------- 
Gwasanaethau Cyfreithiol, Bron Afon, Ysbyty 
Bryn y Neuadd, Llanfairfechan LL33 0HH 

John Gittins 
HM Senior Coroner 
North Wales (East and Central) 
Coroner's Office 
County Hall 
Wynnstay Road 
Ruthin LL15 1YN  

Ein cyf / Our ref: 
Eichcyf / Your ref: 
: 
Gofynnwch am / Ask for: 
E-bost / Email: 
Dyddiad / Date: 04 June 2025   

Dear Mr Gittins,  

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 
Patricia Ann Catterall 

I am writing in response to the Regulation 28 Report to Prevent Future Deaths dated 11th 
April 2025, issued by yourself to Betsi Cadwaladr University Health Board, following the 
inquest touching the death of Mrs Patricia Ann Catterall.   

I would like to begin with offering my deepest condolences to the family and loved ones 
of Mrs Catterall.  

In the notice, you highlighted your concern in relation to the level of information provided 
to care homes during the community hospital discharge and handover process.  

In  response  to  the  notice,  our  senior  nursing  team  in  the  East  Integrated  Health 
Community have led work to understand the issue across the Health Board. This work 
has identified that whilst there is a standardised form for discharge plans into care homes, 
the level of detail is varied.  

A Task and Finish Group has been set up (consisting of  Community Hospital Matrons 
and  Discharge  Nurses)  to  review  the  current  form  for  suitability,  and  this  work  will 
specifically ensure that frequency of observations and medication is clearly defined within 
the document.  

Changes to the form, once finalised and approved, will be shared with the North Wales 
Care Home Forum, with support from the Quality Development Team (this team supports 
improvements in quality across commissioned care home services). 

The new form, and examples to support learning, will be shared with teams and will be 
included on Team Meeting Safety Briefs. 

Cyfeiriad Gohebiaeth ar gyfer y Cadeirydd a'r Prif Weithredwr / Correspondence address for Chairman and Chief Executive: 
Swyddfa'r Gweithredwyr / Executives’ Office 
Ysbyty Gwynedd, Penrhosgarnedd 
Bangor, Gwynedd LL57 2PW 

Gwefan: www.pbc.cymru.nhs.uk / Web: www.bcu.wales.nhs.uk 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 Audit questions will be developed to monitor these changes which will be completed by 
Ward Managers and Matrons and included in the peer reviews across our services. The 
audit findings will be included in the monthly Matron Reports into local quality groups for 
assurance.  

Our aim is to have this work completed by the end of June 2025. 

I hope this letter sets out for you the actions we have taken to ensure the concerns raised 
by yourself are being addressed and mitigated.  

We would be happy to meet with you and discuss our plans in more detail, or provide 
further information and assurance should that be helpful.  

Once again, I offer my deepest condolences to the family and friends of Mrs Catterall for 
their loss. 

Yours sincerely 

Cyfarwyddwr Gweithredol Nyrsio a Bydwreigiaeth /  
Executive Director of Nursing and Midwifery 

cc  

, Deputy Director for Legal Services

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