Source · Prevention of Future Deaths

Anthony McManus

Ref: 2016-0388 Date: 31 Oct 2016 Coroner: Thomas Osborne Area: Milton Keynes Responses identified: 0 / 1 View PDF

The system of patient observations was flawed, with nurses performing non-random, fixed-time checks, some observations not conducted, and charts completed retrospectively.

Date 31 Oct 2016
56-day deadline 26 Dec 2016
Responses identified 0 of 1
Mental Health related deaths

Coroner's concerns

AI summary
The system of patient observations was flawed, with nurses performing non-random, fixed-time checks, some observations not conducted, and charts completed retrospectively.
View full coroner's concerns
(1) The system of observations carried out within the unit, particularly at night is in need of reform.

(2) Many of the nurses were conducting hourly observations every hour at the same time each hour, rather than randomly.

(3) Some observations were not carried out and the observation chart completed at the end of the shift.

(4) A robust system of observations should be considered.

HM Coroners Office, Civic Offices, 1 Saxon Gate East, Central Milton Keynes, MK9 3EJ Tel 01908 254326 | Fax 01908 253636

Report sections

Investigation and inquest
On 08/12/2015 I commenced an investigation into the death of Anthony Thomas McManus, 48. The investigation concluded at the end of the inquest on 7th October 2016. The conclusion of the inquest was a detailed narrative conclusion. See attached.
Circumstances of the death
The deceased suffered from a personality disorder and learning difficulties, he was detained under Section 37 of the Mental Health Act. He had been a resident at Chadwick Lodge for a number of years. He was on a standard regime, hourly checks. On 08/12/2015 he was checked at 0200 and not visible. He was then checked again at 0300 and was still not visible so staff entered his room and found him hanging from the back of the bathroom door using a draw string bag. His death was confirmed at 0338.
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CQC

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Report details

Reference
2016-0388
Date of report
31 October 2016
Coroner
Thomas Osborne
Coroner area
Milton Keynes

Responses identified

Responses identified 0 of 1
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 26 Dec 2016.

Sent to

Priory Group

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