Source · Prevention of Future Deaths
Margaret O’Brien
Staff lacked specific, prescribed training on how to properly conduct and record observations of residents.
Date
11 Dec 2015
56-day deadline
5 Feb 2016
Responses identified
0 of 1
Coroner's concerns
Staff lacked specific, prescribed training on how to properly conduct and record observations of residents.
View full coroner's concerns
There appeared to be an absence of specific, prescribed training of staff on how to carry out and record observations of residents_
Report sections
Investigation and inquest
On 22nd March 2014 commenced an investigation into the death of Margaret OBrien age 65_ The investigation concluded at the end of the inquest on 30"h September 2015 The conclusion of the inquest was that Ms OBrien died from natural causes_
Circumstances of the death
The deceased was discovered unresponsive in her bed at the care home where she resided in having shown signs of a cold the previous evening:
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you and your organisation have the power to take such action.
Similar PFD reports
Related inquiry recommendations
Report details
- Date of report
- 11 December 2015
- Coroner
- Chinyere Inyama
- Coroner area
- London (West)
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: 5 Feb 2016.
Sent to
- CARE UK