Source · Scotland · Fatal Accident Inquiry
Jamesina MacKenzie
Scotland · FAI
Reference: B45/11
Published: 3 Jul 2012
Sheriff: Sheriff Alasdair Lorne Macfadyen
Sheriffdom: Grampian, Highland and Islands
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Court recommendations
Identified
Responses identified
0
8-week deadline
28 Aug 2012
Section 28 status
Response pending
Recommendations
It is management’s responsibility to remind staff of their primary duty to the residents and to monitor staff’s fulfilment of that duty.
What can be said however, and on this I do agree with the Procurator Fiscal, is that there is a role in the Care Inspectorate in considering the level of medical and nursing expertise available to the care provider and further for that body to audit the quality of the necessary record-keeping.
[87] The knowledge that this combination of circumstances was allowed to occur will, I hope, enable care homes and general medical practices, to identify similar factors at an earlier stage and allow measures to be taken to prevent the recurrence of such a situation being allowed to develop.
What can be said however, and on this I do agree with the Procurator Fiscal, is that there is a role in the Care Inspectorate in considering the level of medical and nursing expertise available to the care provider and further for that body to audit the quality of the necessary record-keeping.
[87] The knowledge that this combination of circumstances was allowed to occur will, I hope, enable care homes and general medical practices, to identify similar factors at an earlier stage and allow measures to be taken to prevent the recurrence of such a situation being allowed to develop.
Under section 28 of the 2016 Act, each recipient of a recommendation must respond within 8 weeks.
The window from publication ran to 28 August 2012.
See how we track responses.
Section 28 responses
Response pendingNo response has been identified on the case landing page yet. The 8-week window has closed without a published response or non-response notice.
Determination details
- Reference
- B45/11
- Published
- 3 July 2012
- Sheriff
- Sheriff Alasdair Lorne Macfadyen
- Sheriffdom
- Grampian, Highland and Islands
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About FAIs
Fatal Accident Inquiries are held under the
2016 Act
before a sheriff. They are mandatory for deaths in custody and at work.
The sheriff may make recommendations under s.26(1)(b); recipients must respond within 8 weeks under
s.28. See the methodology page for detail.