DBS 1031: Coroners' Rule 43 recommendation
Response to DBS FOI 1031.
MS Word Document, 80.5KB
This file may not be suitable for users of assistive technology. Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email email@example.com. Please tell us what format you need. It will help us if you say what assistive technology you use.
I note your request for information was as follows:
Can you please provide details of the actions you have taken to prevent further deaths from the same cause, following the Coroners’ Rule 43 recommendation was made to you in May 2012 which is shown below.
Can you please provide details of outcomes achieved as a result of the actions you have taken to prevent further deaths from the same cause.
The recommendations for your organisation are:
INDEPENDENT SAFEGUARDING AUTHORITY Recommendation - Published May 2012 To consider a review of communication between care home staff in relation to patient safety and including untoward events which might be relevant to patient care on the accident report form
Published: 2 April 2013