UK Inquiry Tracker

May Hall

PFD Report Historic (No Identified Response)

Date of Report 3 September 2015

Coroner John Pollard

Coroner Area Manchester (South)

Response Deadline est. 29 October 2015

Care Home Health related deaths

Judiciary.uk Report PDF

Coroner's Concerns (AI summary)

Care home staff lacked awareness and clear training on fall reporting policies and how to contact emergency services, indicating a need for regular, confirmed training.

View full coroner's concerns

The Bourne House staff indicated that they were not aware of a policy for reporting falls and for the ambulance or emergency doctor: There should be clear training as to how any fall should be addressed by the staff and should sign to confirm that have received such which should be regularly reviewed:

Sent To

Bourne House

Response Status

Linked responses 0 of 1

56-Day Deadline 29 Oct 2015

About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Report Sections

Investigation and Inquest

On 24th April 2015 commenced an investigation into the death of Hall dob 6th February 1931.The investigation concluded on the 3r September 2015 and the conclusion was one of Accidental Death. The medical cause of death was 1a Subdural Haematoma with midline shift 11. Type two diabetes mellitus, chronic kidney disease and angina.

Circumstances of the Death

She fell twice on the night of the 11th 12th April 2015. On both occasions she banged her head. She later died from a subdural haematoma

Action Should Be Taken

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