Source · Prevention of Future Deaths
Maria Silkin
Ref: 2015-0061
Date: 19 Feb 2015
Coroner: John Pollard
Area: Manchester (South)
0 responses identified · 1 indexed addressee
View PDF
AI-generated concerns summaryThe care home's "Falls Risk Assessment" document incorrectly recorded no previous falls, despite evidence of multiple falls, which contributed to a delay in the person being taken to hospital.
Date
19 Feb 2015
56-day deadline
16 Apr 2015
stated in the report
Responses identified
0 of 1
Coroner's concerns
The care home's "Falls Risk Assessment" document incorrectly recorded no previous falls, despite evidence of multiple falls, which contributed to a delay in the person being taken to hospital.
View full coroner's concerns
_ During the course of the evidence the Care Home produced a document entitled "Falls Risk Assessment" . In part of that document it was indicated that the "falls history showed there had been no previous falls whereas had already heard evidence which was not challenged, to the effect that she previously fallen numerous times Because of the above, the action to take her to hospital was, in my opinion, delayed:
Report sections
Investigation and inquest
On 6th October 2014 commenced an investigation into the death of Maria Silkin dob gth February 1927_ The investigation concluded on the 6th February 2015 and the conclusion was one of Accidental Death: The medical cause of death was Ia Left lower lobe pneumonia and surgical wound infection 1b Fractured right neck of femur (operated on 11.9.14) and 11. Ischaemic heart disease and aortic valve stenosis_
Circumstances of the death
On or about the 2nd September 2014 she fell at the Care and broke her hip. It was then a week before she was taken to hospital: She was operated on and then developed pneumonia.
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. Home The had
Similar PFD reports
Report details
- Reference
- 2015-0061
- Date of report
- 19 February 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: 16 Apr 2015 (stated in the report).
Sent to
- Appleton Lodge Care Home