Miriam Tighe 1/2 page case

Miriam Tighe was a resident at Edge Hill Residential Home in Oldham Road, Royton,
In October she was experiencing episodes of aggression and agitation and various medications were prescribed by GPs and the psychiatrist to address her symptoms.
However, she continued to receive promazine medication despite the psychiatrist saying it should be stopped.
(Coroner Regulation 28; https://www.judiciary.uk/…/Miriam-Tighe-2019-0234_Redacted.… )
From November, 2016, Miriam was regularly over sedated, leading to increased immobility and deconditioning, which contributed to and worsened Miriam’s underlying frailty.
On December 30, 2016, Miriam was sedated with promazine and after consultation with the GP an ambulance was called and she was taken to the Royal Oldham Hospital.
The home's manager refused to accept Miriam back at the home on the basis that an EMI (elderly mentally ill) nursing bed was required.
On February 6, 2017, she was discharged from hospital to Kings Park Residential Home in Ashton, and on February 19, 2017, she was admitted to Tameside Hospital, where she received palliative care until she passed away on February 28, 2017.
Mrs Galloway said that during the course of the inquest into Mrs Tighe’s death, the evidence revealed matters giving rise to concern.
“In my opinion there is a risk that future deaths will occur unless action is taken,” she said.
She pointed specifically to the continued administering of promazine against the advice of the psychiatrist and under the control of the manager at Edge Hill Residential Home.
“I found that Miriam Tighe had been over-sedated during her time as a resident at Edge Hill,” she went on.
“It was clear the GPs and the psychiatrist were not aware of decisions being made by each other in October to December, 2016, which led to unsafe prescribing of sedatives and anti-psychotic medication.”
Her report has been sent to Edge Hill, Royton and Crompton Family Practice, Pennine Care NHS Foundation Trust and Oldham Clinical Commissioning Group.
Mrs Galloway said: “In my opinion action should be taken to prevent future deaths and I believe you (the organisations mentioned) have the power to take such action."
The organisations were given 56 days to respond to her report, the deadline for which expired on August 29, although she had the power to extend the period.
She added: “Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed.”
Edge Hill Residential Home has been contacted by The Oldham Times but they declined to comment.

Merlyn Ousey death:
Even in 2016 this home was being investigated over serious concerns about the standard of care and it was placed into special measures after being branded ‘inadequate’.
Gillian Bridge's mother (Merlyn Ousey, pictured below) died at this home in 'fear and misery', 'looking like a skeleton', and weighing just six stone.
Gillian had to put her mother, who suffered from dementia, into the home in November 2015. She died aged 85 a year later.
Gillian said she often found her slumped in a chair, looking "miserable and grey" and dehydrated.
She said that most of her mother’s clothes went missing when staff did the laundry, with items getting mixed up between residents, and that she eventually stepped in to do it herself.
Merlyn was often in bed for hours on end, and suffered from horrendous bed sores, which left her "crying and whimpering" in pain in the last few weeks of her life.
Merlyn was regularly given sandwiches for dinner and often went 12 hours without food because of the time between meals. She was often left sitting in the lounge for hours and had nothing to do.
Residents were not stimulated and many didn’t have the opportunity to socialise.
Merlyn died of acute kidney failure. She spent ‘many’ hours alone in her room alone without enough fluids.
Gillian said the member of staff who dealt with her mother when she died was not properly trained to do so, and that they didn’t even appear to know the correct processes.

Gillian had raised a number of safeguarding concerns with Oldham council over "pure neglect"..
She never had an issue with the staff, they were apparently fantastic in difficult conditions.
It was torture seeing her like that. But we were frightened to complain.
“You think that putting a parent in care, they’ll be properly cared for. If I help one person, if one person doesn’t have to go through what my mum went through, it will be worth it. I want the people still at the home to be moved somewhere they will be better looked after. I don’t want anyone else to suffer like my mum did.

Many repeated attempts were made to speak to managers at the home but they typically refused to comment, with the exception of saying it was "not a true reflection of how the home runs"