Diane Austin-Martin
14 Sept 2022 · Coroner Alison Mutch · Manchester South
The coroner's concerns
1. lack of notification of relocation
“no clear mechanism to ensure that Social Services were aware of her move despite her vulnerability having being identified whilst she resided in Northern Ireland”
2. lack of quality assurance for private care
“DWP were aware of her presence and payments were made recognising her needs but there was no mechanism to ensure that the care provided was of an appropriate quality”
3. absence of quality assurance for private care
“where a private care arrangement exists as in this case there is no mechanism to ensure that the care is of a sufficient and appropriate quality in contrast to a resident of a care home”
4. loss of visibility to agencies
“After her initial claim for payment and her initial GP visit she dropped out of sight of agencies until she was found”