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recurance

Stephen Lawrence

6 Aug 2025 · Coroner Anna Crawford · Surrey

The coroner's concerns

  1. 1. unexplained injuries to resident

    “Mr [name redacted] sustained significant unexplained injuries whilst he was a resident at Eastcroft Nursing Home”
  2. 2. deficient record keeping

    “Nursing Home records were deficient in their recording of key events following his unwitnessed fall on 21 December 2022”
  3. 3. delayed medical advice

    “There was a delay in seeking medical advice following the unwitnessed fall on 21 December 2022”
  4. 4. conflicting evidence on medical advice

    “The Nursing Home Manager providing conflicting evidence about efforts to obtain medical advice and did not accept that the acute fractures leading to Mr [name redacted] death occurred whilst he was at the nursing home”
  5. 5. ongoing risk to residents

    “In view of all of the above, the Coroner is concerned that there is an ongoing risk to current residents”

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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Stephen Lawrence · Recurance