Maria Silkin

PFD Report Historic (No Identified Response) Ref: 2015-0061
Date of Report 19 February 2015
Coroner John Pollard
Coroner Area Manchester (South)
Response Deadline ✓ from report 16 April 2015
Care Home Health related deaths
Judiciary.uk Report PDF
Coroner's Concerns (AI summary)
The care home's falls risk assessment contained inaccurate information regarding the patient's fall history. This misrepresentation led to a dangerous delay in appropriate medical intervention.
View full coroner's concerns
_ During the course of the evidence the Care Home produced a document entitled "Falls Risk Assessment" . In part of that document it was indicated that the "falls history showed there had been no previous falls whereas had already heard evidence which was not challenged, to the effect that she previously fallen numerous times Because of the above, the action to take her to hospital was, in my opinion, delayed:
Sent To
  • Appleton Lodge Care Home
Response Status
Linked responses 0 of 1
56-Day Deadline 16 Apr 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 6th October 2014 commenced an investigation into the death of Maria Silkin dob gth February 1927_ The investigation concluded on the 6th February 2015 and the conclusion was one of Accidental Death: The medical cause of death was Ia Left lower lobe pneumonia and surgical wound infection 1b Fractured right neck of femur (operated on 11.9.14) and 11. Ischaemic heart disease and aortic valve stenosis_
Circumstances of the Death
On or about the 2nd September 2014 she fell at the Care and broke her hip. It was then a week before she was taken to hospital: She was operated on and then developed pneumonia.
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. Home The had
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Related Inquiry Recommendations

Public inquiry recommendations addressing similar themes

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Amend GLOS to allow claimants oral submissions at panel hearings
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.