Source · Prevention of Future Deaths
Gladys Smith
Ref: 2014-0502
Date: 17 Nov 2014
Coroner: Melanie Williamson
Area: West Yorkshire (East)
0 responses identified · 9 indexed addressees
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AI-generated concerns summaryThe coroner identified issues with the care home's adherence to care plans, monitoring of resident health, and timely medical advice. Concerns also included incomplete wound documentation, delayed specialist referrals, and a lack of national guidelines for impact injury wounds.
Date
17 Nov 2014
56-day deadline
12 Jan 2015
stated in the report
Responses identified
0 of 9
Coroner's concerns
The coroner identified issues with the care home's adherence to care plans, monitoring of resident health, and timely medical advice. Concerns also included incomplete wound documentation, delayed specialist referrals, and a lack of national guidelines for impact injury wounds.
Report sections
Investigation and inquest
On 19 July 2012 commenced an investigation into the death of Mrs Gladys Smith aged 88 years The investigation concluded at the end of the inquest on 10 October 2014 The Conclusion of the inquest was a Narrative Conclusion; a copy of which is annexed hereto.
Circumstances of the death
Please see attached Narrative Conclusion
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you [ANDIOR your organisation] have power to take such action.
Similar PFD reports
Report details
- Reference
- 2014-0502
- Date of report
- 17 November 2014
- Coroner
- Melanie Williamson
- Coroner area
- West Yorkshire (East)
Responses identified
Responses identified
0 of 9
9 responses not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 12 Jan 2015 (stated in the report).
Sent to
- Berrymans Lace Mawer LLP
- Hempsons Solicitors
- Leeds City Council
- Leeds Community Healthcare NHS Trust
- Moorfield House Surgery
- NICE
- Radcliffesle Brasseur LLP
- St Armands Court Residential Care Home
- Williamsons Solicitors