Janice Hopper
28 Nov 2022 · Coroner Jacqueline Lake · Norfolk
The coroner's concerns
1. dementia care plan prepared without husband input
“Mrs [name redacted] had dementia. The Care Plan was not prepared with input from Mrs [name redacted] husband.”
2. care plan contains copied information from another resident
“Evidence was heard that some information in the Care Plan purporting to relate to Mrs [name redacted] was”
3. incorrect gender reference in care plan
“The Care Plan contained several inaccuracies such as referring to Mrs [name redacted] as a”
4. weekly weight monitoring not performed
“The Care Plan provided for Mrs [name redacted] to be weighed weekly. She was not weighed weekly.”
5. blood sugar monitoring schedule mismatch
“Mrs [name redacted] was diagnosed with Diabetes. The Care Plan provided for Mrs [name redacted] blood sugar levels to be checked twice weekly. This information differed from information contained in other documents. Mrs [name redacted] blood sugar levels were not checked until the day she presented as unwell and was admitted to hospital, some fourteen days after admission.”
6. diet instructions not documented
“The Care Plan provided for Mrs [name redacted] to be on a controlled diet due to her diagnosis of Diabetes. Evidence was heard this meant”