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recurance

Kenneth Clarke

27 Feb 2020 · Coroner Emma Serrano · Derby and Derbyshire

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. lack of formal policies for resident observation, food storage, kitchen and cupboard locks, dementia residents, and liq

    “Evidence emerged during the inquest.that Normanton Village View Nursing Home had no formal policies covering how residents were to be observed, how foods were to be stored, locks on the kitchen and cupboards, dementia residents or residents on.a liquid food diet”

Linked reports

Repeats an earlier warningJohn Gwynfryn Morris11 Nov 2013 · 6 years 4 months earlier
Closely relatedConfidence 0.80 · moderate

Earlier report

“Staff both during the day and night need to be able to give attention to residents.”
Original on judiciary.uk ↗

This report

“Evidence emerged during the inquest.that Normanton Village View Nursing Home had no formal policies covering how residents were to be observed, how foods were to be stored, locks on the kitchen and cupboards, dementia”
Full chain: Inadequate nighttime staffing for dementia residents

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