Mary Walker
21 Apr 2016 · Coroner Alison Mutch · Manchester West
The coroner's concerns
1. lack of detailed night time check information
“At the inquest there was no specific evidence about what was revealed in the night time checks that had been carried out upon the deceased. There was a global summary stating the times at which checks had been carried out but there was no information as to what the patient's condition was at the checks. This procedure requires review.”
2. unclear escalation procedures for care assistants
“During the inquest there was a lack of clarity in relation to the procedures to be followed by Care Assistants when they wanted to escalate health concerns. This system requires review.”
Responses
2016-0150-Response-by-Belong.pdf ↗· Belong Village
2016-0150-Response-by-Care-Quality-Commission.pdf ↗· Care Quality Commission
Stated action · 06 and 16 May 2016
“undertake a comprehensive ratings inspection at Belong Wigan Care Village where [the deceased] resided prior to her unfortunate death and to specifically look at actions the provider had taken in response to the Report findings”