Prevention of Future Deaths reports · 2018

Stanford Bell

Regulation 28 report to prevent future deaths, written 30 Jul 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report30 Jul 2018
DeceasedStanford Bell
CoronerMartin Fleming
Coroner areaWest Yorkshire (West)
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.

IN THE WEST YORKSHIRE WESTERN CORONER'S COURT
IN THE MATTER OF:

The Inquests Touching the Death of Stanford Shirley Bell
A Regulation Report — Action to Prevent Future Deaths

THIS REPORT IS BEING SENT TO: Mr Brendan Brown, CEO Airedale
NHS Foundation Trust

— Riverview Nursing Home

1 | CORONER
Martin Fleming HM Senior Coroner for West Yorkshire Western

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 20 of the Coroners
(Investigations) Regulations 2013

INVESTIGATION and INQUEST
On 16/3/18 I opened an inquest into the death of Stanford Shirley Bell
who, at the date of his death was aged 82 years old. The inquest was
resumed and concluded on 30/7/18

I found that the cause of death to be: -

1a Status epilepticus

1b Acute on chronic subdural haematoma

1c Traumatic head injury

I Alzheimer’s dementia and type 2 diabetes mellitus

Tarrived at a conclusion of Accident

4 | CIRCUMSTANCES OF THE DEATH

Mr Stanford Shirley Bell who was diagnosed with dementia, had fall at
Riverview Nursing Home, Stourton Road Ilkley on 22/2/18. Upon his
admission to Airedale Hospital he was found to have sustained a
laceration to his upper lip and several broken teeth. After treatment and
a neurological assessment he was discharged back to his care home.

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Subsequently after suffering several seizures throughout the early
morning, his GP attended and after examination immediately referred
him back to Airedale Hospital where a CT head scan revealed that he had
suffered an acute on chronic subdural haematoma to which he
succumbed and died on 2/3/18. It was found more likely than not that he
sustained the acute subdural haematoma as a result of his fall at the care
home on 22/2/18.

During the evidence I heard that Mr Bell was discharged from the
hospital without discharge papers and that no written reference was
made to recommendations about neurological observations. I also heard
that during the early morning of 23/2/18 Mr Bell suffered several seizures
at the care home and that there was a lost opportunity for the care home
to refer him earlier to hospital for the treatment of his seizures, although
earlier referral would not have affected the outcome.

CORONER’S CONCERNS
The MATTER OF CONCERN is as follows: -

e For Airedale Hospital to review procedures at hospital discharge
with respect to patients neurologically assessed with head injuries
given the absence of discharge papers

e For Riverview Care home to review procedures at the care home
with respect to referral to hospital of patients suffering from
seizures after a recently sustained head trauma.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and I
believe Airedale NHS Foundation Trust and Riverview Nursing Home
has the power to take such action. In the circumstances it is my statutory
duty to report to you.

YOUR RESPONSE wal
You are under a duty to respond to this report within 56 days of its date; I
may extend that period on request.

Your response must contain details of action taken or proposed to be
taken, setting out the timetable for such action. Otherwise you must
explain why no action is proposed.

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COPIES —

8
Thave sent a copy of this report to:
EE ic
e NHS England
e Chief Coroner
9

DATED this 30/7/18 Senior Coroner — West Yorkshire(Western)

RT3589 3

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