Table 2

Characteristics of SARs reviewed

SCIE Library
no.
Date of
publication
LocationSubject(s) of review
and age
Type of care homeRelevant incident/circumstances leading to SAR
4May 2016RotherhamFemale (90)ResidentialRecurrent falls and death because of head injury
6November 2015Kirklees33 residentsResidentialEmergency closure order by care quality commission
15May 2016RotherhamFemale (92)Nursing and residentialOmission in respect to medication leading to death
28December 2016Nottingham28 residentsUnspecifiedDeath of resident following gross neglect
37September 2017RichmondFemale (80)ResidentialDeath by suffocation
49March 2017DarlingtonFemale (86)ResidentialDeath following a succession of falls
50October 2016StockportFemale (82)ResidentialDeath following physical deterioration during short term placement
51July 2017KirkleesFemale (unknown)UnspecifiedDeath from grade 4 pressure ulcer
61May 2015Isle of WightFemale (mid 80s)ResidentialDeath from skin condition and pressure ulcer
66June 2016Dorset7 residentsNursingSerious harm and neglect
80September 2017KentFemale (89)UnspecifiedDeath following delayed admission to hospital after falling
82December 2017LancashireFemale (84)Nursing and residentialRecurrent falls and death
92December 2015WorcestershireMale (82)ResidentialResident died unsupported outside the home
93April 2017WorcestershireMale (78)ResidentialDeath following assault by another resident and falls
94February 2018WorcestershireMale (68)UnspecifiedDeath following chest infection, septicaemia and injuries to lower leg
101July 2017LewishamMale (69)NursingDeath from burns
103August 2018NorthumberlandMale (90)NursingDeath from complications of diabetes
105September 2018StockportFemale (77)ResidentialDeath from sepsis, empyema, purulent pericarditis and bronchopneumonia

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