Source · Prevention of Future Deaths
May Hall
Date: 3 Sep 2015
Coroner: John Pollard
Area: Manchester (South)
0 responses identified · 1 indexed addressee
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AI-generated concerns summaryThe coroner noted staff at Bourne House were unaware of policies for reporting falls and contacting emergency services, raising concerns about the lack of clear, regularly reviewed training on addressing falls.
Date
3 Sep 2015
56-day deadline
29 Oct 2015 est.
estimated from the report date
Responses identified
0 of 1
Coroner's concerns
The coroner noted staff at Bourne House were unaware of policies for reporting falls and contacting emergency services, raising concerns about the lack of clear, regularly reviewed training on addressing falls.
View full coroner's concerns
The Bourne House staff indicated that they were not aware of a policy for reporting falls and for the ambulance or emergency doctor: There should be clear training as to how any fall should be addressed by the staff and should sign to confirm that have received such which should be regularly reviewed:
Report sections
Investigation and inquest
On 24th April 2015 commenced an investigation into the death of Hall dob 6th February 1931.The investigation concluded on the 3r September 2015 and the conclusion was one of Accidental Death. The medical cause of death was 1a Subdural Haematoma with midline shift 11. Type two diabetes mellitus, chronic kidney disease and angina.
Circumstances of the death
She fell twice on the night of the 11th 12th April 2015. On both occasions she banged her head. She later died from a subdural haematoma
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action.
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Report details
- Date of report
- 3 September 2015
- Coroner
- John Pollard
- Coroner area
- Manchester (South)
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: 29 Oct 2015 (estimated from the report date).
Sent to
- Bourne House