On the 29th April 2019 / commenced an investigation into the death of Miriam Tighe investigation concluded on the 2r May 2019 where ! left a narrative conclusion: "Miriam Tighe died as consequence of naturally occuning disease , exacerbated by high levels of sedation and immobility in the months prior t0 her death, which worsened her underlying frailty" The medical cause of death was recorded as. Ia) Vascular Dementia II) Old age; Frallty CIRCUMSTANCES Of THE DEATH In August 2016 Miriam Tighe became a resident at Edge Hill Residential Home 315 Oldham Road, Oldham following a period / hospital admission at the Royal Oldham hospital Atter a short time, she appeared to settle at the home. In late October 2016 , Miriam Tighe was noted t0 be experiencing episodes of aggression and agitation and various medications were prescribed from that time in an effort t0 address her symptoms Different medications with sedative effect were prescribed by GPs and by the Psychiatrist Mrs Tighe continued t0 receive Promazine medication after the Psychiatrist had advised that this should be stopped on the 16 November 2016 and again on the 16* December 2016 From November 2016, Mrs Tighe was regularly over-sedated, leading to increased immobility and deconditioning Immobility was further contributed to by limited stimulation and the promotion of a sedentary lifestyle by staff under the instruction of the home manager. In tum, this contributed to and worsened Miriam Tighe's underlying frailty: On the 30 December 2016 Miriam Tighe was sedated with promazine Alter consultation with the GP an ambulance was called ad she was taken t ROH The home manager refused to accept Miriam Tighe back at the home On the basls that & EMI nursing bed was The required, MT was admitted (0 hospital whilst an EMI bed was found. On the 61 February 2017 she was discharged into the care of Park Residential Home; Road, Ashton-Under Lyne for nursing care On the 1gin February 2017 she was admitted t0 Tameside Hospital Miriam Tighe remained hospital and received palliative care until she passed away on the 28th February 2017,

In my opinion action should be taken to prevent future deaths and believe you have the power to take such acton