Elan Adams
26 Nov 2024 · Coroner Nadia Persaud · East London
The coroner's concerns
1. poor quality emergency calls
“The call to the London Ambulance Service was of very poor quality partly due to interference in the phone line connection”
2. unclear emergency communication
“The qualified nursing staff were concerningly unclear in the substance of communication with the emergency controller”
3. faulty resident call bell
“The resident call bell had been faulty for an extended period of time”