Investigation and inquest
On 12/05/2017 I commenced an investigation into the death of Ronald Frank JONES aged 88. The investigation concluded at the end of the inquest on 21/11/2017. The conclusion of the inquest was:
Mr JONES medical cause of death was 1a Bronchopneumonia, 1b Congestive Cardiac Failure, 1c Cardiac Hypertrophy and Amyloidosis, II Fractured Ribs, Chronic Kidney Disease, Diabetes Mellitus and Frailty of Old Age.
My Conclusion was Narrative Conclusion: Ronald Frank JONES died as a result of the processes of natural disease accelerated or significantly contributed to by a fall he sustained in his home on 25 January 2017.
Circumstances of the death
On 25th January 2017 Mr JONES, a resident of sheltered housing at Arthur Dann Court, Portsmouth, fell in his bathroom. He was found by a Night Support Assistant and subsequently moved to his bed by a Night Responder. He was admitted to Hospital the next day where he died on 4th February 2017.
Coroner’s concerns
I was told in evidence at Mr JONES inquest that following his fall, he was moved to his bed by personnel who had not undergone first aid training as this had been discontinued by Portsmouth City Council. If persons are moved following a fall, unless this is done correctly, there is a risk that they may be injured or their existing injuries exacerbated, potentially fatally. The Council should consider re-activating this training for all staff involved with residents in the City council's sheltered housing schemes.