Source · Prevention of Future Deaths
Peter Pearson
Ref: 2022-0341
Date: 13 Sep 2022
Coroner: James Puzey
Area: Worcestershire
56-day deadline: 23 Dec 2022 est. (estimated from the Judiciary.uk publication date)
Responses identified: 0 of 3
0 responses identified · 3 indexed addressees
Judiciary.uk page ↗ Report PDF ↗
AI-generated concerns summaryThe coroner noted delays in calling an ambulance, incomplete nursing notes, missing medication records, and a lack of documented oral cavity checks for the patient. Additionally, staff on duty demonstrated insufficient knowledge of the patient's condition.
Care Home Health related deaths
Coroner's concerns AI summary
The coroner noted delays in calling an ambulance, incomplete nursing notes, missing medication records, and a lack of documented oral cavity checks for the patient. Additionally, staff on duty demonstrated insufficient knowledge of the patient's condition.
Report sections
Action should be taken
In my opinion action should be taken to prevent future deaths end I believe you and your organisation have the power to take such action. .
Similar PFD reports Shared signals
Responses identified
3 responses not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 23 Dec 2022 (estimated from the Judiciary.uk publication date).
Sent to
- Care Quality Commission
- Corbett House Nursing Home
- Worcestershire County Council
Source links
Data: judiciary.uk.