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recurance

Freda Cordy

17 May 2016 · Coroner Hassan Shah · Northamptonshire

The coroner's concerns

  1. 1. inadequate supervision of a frail elderly resident

    “Despite the medical team identifying a need for constant supervision, the multi disciplinary team placed Mrs [name redacted] in Templemore Care Home which was only able to provide 2 hourly checks.”
  2. 2. absence of falls risk assessment

    “Despite the previous history of falls and admission to hospital on 5*^ August 2015 being precisely due to a fall, no specific falls risk assessment was undertaken either before or upon Mrs [name redacted] placement in the care home.”
  3. 3. inadequate preventative equipment

    “Although the provision of equipment was considered on 7*'' October 2015, this resulted only in the placing of a mattress on the floor and no other preventative equipment was considered.”

Responses

No published response was found on judiciary.uk.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error