Source · Prevention of Future Deaths
Henry McQuoid
Ref: 2013-0348
Date: 6 Nov 2013
Coroner: G U Williams
Area: Worcestershire
Responses identified: 0 / 1
View PDF
Insufficient staffing, particularly with high reliance on agency workers, meant some residents requiring eating assistance might not receive it.
Date
6 Nov 2013
56-day deadline
1 Jan 2014 est.
Responses identified
0 of 1
Coroner's concerns
Insufficient staffing, particularly with high reliance on agency workers, meant some residents requiring eating assistance might not receive it.
View full coroner's concerns
_ (1) Evidence given by the family suggested that there were an insufficient number of staff to provide assistance with eating for each resident who required it and that the family had been told by some members of staff that they themselves felt under staffed with too many agency staff being employed and thus a possibility that some residents who needed help in feeding might not receive it. (2) (3
Report sections
Investigation and inquest
On 2nd October 2013 | commenced an investigation into death of Henry MCQUOID then aged 89 years The investigation concluded at the end of the inquest on 29lh October 2013. The conclusion of the inquest was "accidental death" the medical cause of death 1(a) choking on food
Circumstances of the death
Mr McQuoid was a resident at Moundsley Hall Home and suffered from dementia and swallowing difficulties. Whilst eating his lunch at the home he choked on food and died. The evidence given was that whilst there were a number of staff available to help Mr McQuoid and others who needed help with feeding there may have been an insufficient number of staff available to deal with the number of residences who needed
Action should be taken
the being help:
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action specifically to review staffing levels at the home.
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action specifically to review staffing levels at the home.
Similar PFD reports
Related inquiry recommendations
Muckamore Abbey Inquiry
Needs-based staffing with acuity measures
Muckamore Abbey Inquiry
Staffing review in safeguarding investigations
Muckamore Abbey Inquiry
Risk-based inspection prediction
Muckamore Abbey Inquiry
AHP and social care workforce recruitment
Brook House Inquiry
Quarterly assessment of staffing levels against population needs
Brook House Inquiry
Ensure senior manager presence and accessibility to staff
Vale of Leven Inquiry
Staffing and skills mix review
Mid Staffs Inquiry
Safe staff numbers and skills
Mid Staffs Inquiry
Responsibility for regulating and monitoring compliance
Mid Staffs Inquiry
NHS Litigation Authority Improvement of risk management
Report details
- Reference
- 2013-0348
- Date of report
- 6 November 2013
- Coroner
- G U Williams
- Coroner area
- Worcestershire
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: 1 Jan 2014 (estimated).
Sent to
- Moundsley Hall Nursing Home