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Investigation and inquest
On 21st December 2015 I commenced an investigation into the death of Malcolm Bennett dob 20th January 1931. The investigation concluded on the 13th June 2016 and the conclusion was one of Open Conclusion. The medical cause of death was 1a Head Injury.
Circumstances of the death
The deceased was resident in a Care establishment and whilst there he sustained a number of injuries due to falls and he also became involved in a number of fracas with other residents again sustaining injury.
During the late hours of the 15th December 2015 he was allegedly assaulted by a female resident, he was injured but was not taken to hospital until the early hours of the following day.
Later that same day, he died at Stepping Hill Hospital as a result of a head injury.
There was insufficient evidence to show whether the head injury which led to his death emanated from the alleged assault or from one or more of the falls to which he was prone.
Coroner’s concerns
In the care Plan for this person, it clearly indicated that in the event of any significant injury he should be taken as expeditiously as possible to the Emergency Dept. of the hospital. Clearly this was not done, in that the staff left him knowing that he had apparently been hit by someone and he might well be injured, and they did not call for an ambulance for another three hours. In the light of his cause of death, this delay might have been contributory.
Information checked against the published report and official responses