Prevention of Future Deaths reports · 2015

Eliza Simpson

Regulation 28 report to prevent future deaths, written 27 Aug 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report27 Aug 2015
DeceasedEliza Simpson
CoronerEmma Brown
Coroner areaBirmingham and Solihull
CategoryCare Home Health related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

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.

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:
1. Birmingham City Council

2. Care Quality Commission

CORONER

lam Emma Brown, area coroner, for the coroner area of Birmingham and Solihull.

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.

INVESTIGATION and INQUEST

On 17" April 2015 | commenced an investigation into the death of Eliza Simpson. The
investigation concluded at the end of the inquest on 19" August 2015. The conclusion of
the inquest was that the medical cause of death was ischaemic heart disease due to
coronary artery disease and the conclusion as to the death was Accidental Death.

CIRCUMSTANCES OF THE DEATH

's Simpson left her residence Roseneath Care Hone
ae unobserved on the 2nd April 2015. It is not known how Mrs.
Simpson was able to leave as all doors are locked on a magnetic locking system that
was fully operational at the time. Mrs Simpson ought to have been being closely
monitored and should not have been able to leave the home unobserved due to the
effects of dementia, she ought also to have been the subject of a Deprivation of Liberty
Safeguarding order (‘DOLS’) and although one had previously been put in place when it
expired no application to renew it was made by the management of the Roseneath Care
Home. Consequently it is my conclusion that there was a failure to adequately observe
Mrs Simpson and to provide appropriate, legal, safeguards to ensure she did not leave
the Care Home unaccompanied. Once her absence was discovered and reported to the
police, the police conducted a diligent search for Mrs Simpson but she was not located
until the 6th April 2015 when her recently deceased body was found by a member of the
public at a local allotment.

The Police’s search for Mrs. Simpson was hampered by the fact that no CCTV cameras
were in place at the entrances to the Roseneath Care Home so it was not possible to
identify the precise time she left the property and the direction she went in.

It could not be concluded that the fact Mrs Simpson was able to leave the Care Home
was causative of her death.

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. —

(1) The Roseneath Care Home appeared to have no system for ensuring that when
deprivation of liberty safeguarding orders expired the client was re-assessed to
determine whether the need for an order persisted and, where appropriate, seeking
further order. In this case the home would have had no legal authority to hold Mrs.
Simpson if she had been detected attempting to leave the premises on the 2" April
2015. The very act of assessing Mrs. Simpson and renewing an application would have
served to enforce to the Care Home and its staff the risk of her absconding and may
have resulted in closer observation. Although the Roseneath Care Home has now
closed if such a system is not standard in Care Homes this issue may arise elsewhere.
(2) The absence of CCTV hampered the Police investigation, although this is unlikely to
have contributed to Mrs. Simpson’s death this may not always be the case and did mean
that a very vulnerable member of society was left wondering around on her own when
she might otherwise have been found with the aid of CCTV footage.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you
[AND/OR your organisation] have the power to take such action. A review is required of
the current requirements and/or guidelines for CCTV monitoring of exits in care homes
and the systems operated by Care Homes to keep track of the expiry date of DOLS
orders so as to make further applications where necessary.

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by the 15" October 2015. 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

| have sent a copy of my report to the Chief Coroner and to the followin Interested
Persons: Acting Inspector Ahmed of the West Midlands cco A the
deceased's daughter an the deceased's son.

| 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.

27" August 2015 Signature:

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