Woman’s Sheffield care home death sparks coroner’s concerns

Ms Dewey was taken to hospital where a fracture to the right proximal tibia and fibula was found, the coroner said.

His report added: “Despite appropriate care in hospital, Mavis did not recover and she died there.”

Mr Eccleston said Ms Davison, for Monarch Healthcare and Heeley Bank, had accepted it was “entirely inappropriate for the two members of staff to use the Zimmer frame to help Mavis stand, but this is what they did”.

There was “no good reason” for the carers’ actions, he said, and he concluded that “this failure led directly to Mavis’ eventual death”.

Ms Dewey’s death was contributed to by “neglect” from Heeley Bank Care Home, he added.

Mr Eccleston said in his report that he was concerned the “admitted failure of agency staff, on occasion, to read care plans” meant there was “a risk that future deaths will occur unless action is taken”.

“I believe you as the chief executive of the Monarch Group and operator of Heeley Bank Care Home have the power to take such action.”

Mr Eccleston said Monarch Healthcare must respond to his findings by 3 October, and that response “must contain details of action taken or proposed to be taken, setting out the timetable for action”.

Monarch Healthcare has been approached by the BBC for a comment.

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