Meryl Parry

PFD Report Partially Responded Ref: 2015-0259
Date of Report 8 July 2015
Coroner Robert Chapman
Coroner Area Cumbria
Response Deadline ✓ from report 2 September 2015
Coroner's Concerns (AI summary)
A lack of mandatory system for residential homes to seek Social Services advice before discharging residents creates a serious risk that discharged individuals will not have appropriate safety and welfare arrangements in place.
View full coroner's concerns
There appears to be no system in place whereby the managers of a residential home are required to seek advice from Social Services before discharging resident (2) There is therefore a serious risk that there are no appropriate arrangements in place to ensure the safety and welfare of the resident after discharge
3) The system for seeking advice from Social Services should apply irrespective of whether Social Services had placed the resident at the home or whether the placement had been a private one. In the latter case it is likely that a social worker will have been aware of, or had some involvement in, the placement ACTION SHOULD BE TAKEN: Cumbria County Council Social Services should provide general guidance to residential homes in which it is required that if a residential home is considering discharging a resident then before do so should seek advice from Social Services so that Social Services can be satisfied that there are appropriate arrangements in place for the safety and wellbeing of the resident after discharge, and the appropriate time for that discharge. This would apply if Social Services had been responsible for placing the resident within the residential home, and also if they had been placed privately without any Social Services direct involvement; Green Lane House That you should provide to Cumbria Social Services confirmation that your procedures have been changed so that you follow the guidance set out above You should send me a copy of the confirmation that you send to Cumbria Social Services
Responses
Greenlane Care Homes Limited
4 Sep 2015
Action Taken
Greenlane Care Homes Limited confirms their Discharge Pack has been changed to include the procedure to follow for an unanticipated discharge. (AI summary)
View full response
Dear Mr Woodhouse, am writing t0 You aS instructed by R Chapman, HM Assistant Coroner to confirm that our Discharge Pack has been changed. It now includes the procedure to follow for an unanticipated discharge, in accordance with your letter dated 4th September 2015. Please find enclosed a copy _
Sent To
  • Cumbria County Council
  • Green Lane Care Homes Limited
Response Status
Linked responses 1 of 2
56-Day Deadline 2 Sep 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 19"h September 2014 commenced an investigation into the death of Meryl aged 80. The investigation concluded at the end of the Inquest on 6"h July 2015. The conclusion of the inquest was: The Cause of death was:
1.a. Plastic asphyxia The Conclusion of the Coroner was: Mrs was unlawfully killed
Circumstances of the Death
Mrs Parry had suffered from memory loss from about 2006 and in 2012 she was diagnosed as suffering from Alzheimer's disease She lived with her husband; Her abilities declined and this coincided with a substantial downturn in Mrs Parry'$ own health: In August 201 Jafter discussion with Parry's social worker and her
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.