Frederick Boyd
2 May 2024 · Coroner Alison Mutch · Manchester South
This report repeats 1 earlier warning, and was raised again 1 time later. See the linked reports.
The coroner's concerns
1. lack of clear system for quality checks on unwell resident
“no clear system or expectation regarding the quality of checks on a resident who exhibited signs of being unwell”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“(1) failure of the nursing home staff to recognise an acutely unwell resident;”
This report
“The inquest heard evidence that there was no clear system or expectation regarding the quality of checks on a resident who exhibited signs of being unwell.”
Closely relatedConfidence 0.90 · high
This report
“there was no clear system or expectation regarding the quality of checks on a resident who exhibited signs of being unwell.”
Later report
“During the course of the inquest it was difficult to be clear at times as to what care had been delivered or what steps had been taken because the documentation relating to care and risk was poor.”
Responses
2024-0240-Response-from-Lakes-Care-Centre-and-CQC.pdf ↗· The Lakes Care Centre
Stated action · 26 July 2024
“we will require the registered provider to provide an action plan with clear timescales for completion of each action identified and will review progress against this action plan in line with our processes.”