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recurance

Joan Murphy

10 Jul 2026 · Coroner Melanie Lee · West London

The coroner's concerns

  1. 1. inability to reach emergency alarm cord

    “[the deceased] was known to be at high risk of falls. On 15 January 2026 she suffered a fall to the floor in her en-suite bathroom and was unable to get up. The emergency alarm cord in the bathroom hangs from the ceiling and it was the R23 evidence of the Deputy Manager that [the deceased] would not have been able to reach it from the bathroom floor. [the deceased] managed to shout repeatedly and attract attention but strained her voice and was left hoarse doing so. I presume that the bedroom door as a minimum was a fire door. Another resident may not be able to shout or otherwise summons attention and this could result, for example, in a long lie. [the deceased] did not have a pendant/wearable/personable alarm. Despite requests querying this, I did not receive an answer as to why not.”
  2. 2. inability to summon assistance

    “Another resident may not be able to shout or otherwise summons attention and this could result, for example, in a long lie.”
  3. 3. absence of pendant alarm

    “[the deceased] did not have a pendant/wearable/personable alarm. Despite requests querying this, I did not receive an answer as to why not.”

Responses

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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.

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