John Edwards
10 Jan 2018 · Coroner Margaret Jones · Staffordshire (South)
The coroner's concerns
1. inappropriate placement for complex care needs
“Southwinds Care home did not appear to be able to cope with Mr [name redacted] complex care needs”
2. lack of falls and pressure sore policies
“The Care Home had an inadequate policy to deal with falls and no policy for pressure sore prevention and care”
3. generic seizure policy
“Care Home staff applied a seizure policy which was not specific to the resident”
4. delayed medical assistance after seizures
“Care Home staff failed to seek medical assistance following seizures”
5. unaddressed bruising indicating possible injury
“Care Home staff failed to deal with significant bruising which developed 8 days after admission to the Care Home”
6. failure to recognise deterioration and initiate timely help
“Staff and management failed to recognise and seek help for the residents deteriorating condition other than by way of an out of hours attendance when the GP was given minimal information and the urgent follow up request was not done”