UK Inquiry Tracker

Henry McQuoid

PFD Report Historic (No Identified Response) Ref: 2013-0348

Date of Report 6 November 2013

Coroner G U Williams

Coroner Area Worcestershire

Response Deadline est. 1 January 2014

Community health care and emergency services related deaths

Judiciary.uk Report PDF

Coroner's Concerns (AI summary)

Insufficient staffing, particularly with high reliance on agency workers, meant some residents requiring eating assistance might not receive it.

View full coroner's concerns

_ (1) Evidence given by the family suggested that there were an insufficient number of staff to provide assistance with eating for each resident who required it and that the family had been told by some members of staff that they themselves felt under staffed with too many agency staff being employed and thus a possibility that some residents who needed help in feeding might not receive it. (2) (3

Sent To

Moundsley Hall Nursing Home

Response Status

Linked responses 0 of 1

56-Day Deadline 1 Jan 2014

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 2nd October 2013 | commenced an investigation into death of Henry MCQUOID then aged 89 years The investigation concluded at the end of the inquest on 29lh October 2013. The conclusion of the inquest was "accidental death" the medical cause of death 1(a) choking on food

Circumstances of the Death

Mr McQuoid was a resident at Moundsley Hall Home and suffered from dementia and swallowing difficulties. Whilst eating his lunch at the home he choked on food and died. The evidence given was that whilst there were a number of staff available to help Mr McQuoid and others who needed help with feeding there may have been an insufficient number of staff available to deal with the number of residences who needed

Action Should Be Taken

the being help:

In my opinion action should be taken to prevent future deaths and believe you have the power to take such action specifically to review staffing levels at the home.