Dementia sufferer, 86, 'weighed less than four stone when she was found dead in her own urine with a rotting bedsore while inspectors claimed 'all was well' at care home
- Ivy Atkin had half normal body mass index for healthy adult at her death
- Found dead at care home in Nottingham just 48 days after she'd moved in
- Retired dressmaker’s body had become ‘emaciated’ during stay at home
- She was skeletal, severely dehydrated and lying on bed soaked in urine
Dementia sufferer: Ivy Atkin, 86, weighed just 3st 12lbs when she died after appalling negligence at a care home in Nottingham
An 86-year-old dementia sufferer who weighed less than four stone died after appalling negligence at a care home, an inquest has heard.
Ivy Atkin weighed just 3st 12lbs and had a body mass index (BMI) of 10.7 - half the normal amount for a healthy adult - when she died.
The widow was found dead in her own urine and with a rotting bed sore just 48 days after she had moved into Autumn Grange Care Home in Nottingham.
An inquest at Nottingham Coroner’s Court heard the retired dressmaker’s body had become ‘emaciated’ during her stay at the care home before she died in November 2012.
And around the time of her death, a Care Quality Commission inspection was released which suggested 'all is well'.
Pathologist Professor Guy Rutty said: 'She had a dramatic decrease in body mass during the time from her admission to Autumn Grange to her death which had been a significant factor in her death.
‘In my opinion, if she had gone out in the same medical condition as she had gone in, she would not have been expected to die as she did from the conditions she did.’
Prior to her death, Mrs Atkin was left skeletal, severely dehydrated and lying on a bed soaked in urine and with a large, open, pressure sore at the base of her back.
Shocking: The widow was found dead in her own urine and with a rotting bed sore just 48 days after she had moved into Autumn Grange Care Home (pictured) in Nottingham
Medical records showed she had lost one-and-a-half stone in the last ten weeks of her life.
Her cause of death was given as pneumonia, with an underlying cause of debilitation and low BMI, contributed to by dementia.
Assistant coroner Stephanie Haskey said: ‘There were serious and deeply concerning issues raised in the week before she died, triggered by a whistleblower from the staff whose prompt actions I formally commend.
‘As a result of this there was a detailed and intensive investigation into the last few months of her life.’
Linda Hirst, an inspector with the CQC, said there were ‘some really serious concerns’ about the care home suggesting a ‘significant risk to patients’.
HOW POLICE PROBE SAW A FIRST IN BRITISH COURTS
Yousaf Khan was jailed for corporate manslaughter
Detective Superintendent Rob Griffin, head of public protection for Nottinghamshire Police, said Operation Hoatzin was launched into concerns over the level of care at Autumn Grange.
As a result of the two-year probe, director Yousaf Khan, 47, became the first person in Britain to be jailed for corporate manslaughter at a care home.
In February this year he was sentenced to three years and two months in prison for manslaughter by gross negligence at Nottingham Crown Court.
His company, Sherwood Rise Ltd, was fined £300,000 plus £41,568.63 costs.
Giving evidence, she described fears around staffing, intervention where residents were abusing each other, neglectful care, discrimination, a dirty kitchen, inadequate nutrition, non-maintenance of equipment or records, use of incorrect equipment to handle people and residents wearing each other’s clothes.
Concerns were also raised about unexplained bruising, delays in assessment of injuries, management of pressure ulcers and incontinence need.
There were also four allegations of residents lying in urine and staff not closing curtains when helping with personal care.
She added that residents were found to be at risk and were moved out of the home within days.
Ms Haskey said there had been a delay between a CQC inspection of the home in September 2012 and publication of its report in November of the same year.
She said: ‘There’s a marked "all is well". That’s patently not true, all is not well.’
She added that there had been no registered manager at the home around the time of Mrs Atkin’s death and that she was ‘somewhat surprised that no more rigorous action was taken by the CQC in the circumstances’. The inquest continues.
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