Latest news with #HenokZaidGebrsslasie
Yahoo
07-03-2025
- Health
- Yahoo
'Changes needed' after asylum seeker's death
A coroner has told a hospital trust it must act to prevent future deaths after a young asylum seeker took his own life while under the trust's care. Henok Zaid Gebrsslasie was found dead at the Caludon Centre in Coventry in 2021, he should have been checked every 15 minutes but was left unobserved for three hours, an inquest was told. Coventry and Warwickshire Partnership NHS Trust said it was "committed to addressing the concerns" identified through an internal investigation into the death. The trust has also been asked by the BBC about the coroner's concerns. A report published by Delroy Henry, area coroner for Coventry, said a camera in the room captured the last interactions between Mr Gebrsslasie and staff, and that moments later he proceeded to take his own life. The coroner said that following the death, an alarm system was due to be installed in the centre to prevent similar incidents happening in future. Three-and-a-half years later, the system had still not been installed, the coroner noted. He said there seemed to be "no expediency to physically better mitigate this known environmental high-risk issue". A spokesperson for the trust issued a statement prior to publication of the coroner's concerns, in which they stated: "We offer our deepest sympathy to Mr Henok Gebrsslasie's family and loved ones." They added that the trust had made improvements to operating procedures and reduced environmental risks on its wards. Follow BBC Coventry & Warwickshire on BBC Sounds, Facebook, X and Instagram. Lack of ward supervision led to asylum seeker's death Health workers falsified checks of man found dead Nurse made 'mistake' in not checking patient HM Courts & Tribunals Service
BBC News
27-02-2025
- Health
- BBC News
Nurse made 'mistake' in not checking Coventry mental health patient
A nurse who did not check on a man who died at a mental health facility said she "made a mistake", not realising she was responsible for carrying out observations every 15 minutes. Henok Zaid Gebrsslasie was found unresponsive at the Caludon Centre in Coventry on 12 August 2021.A jury at an inquest was told the patient was left unchecked for three hours on the afternoon of his death. The 23-year-old had told another worker on the Psychiatric Intensive Care Unit (PICU) he wanted to be left alone to "sleep forever," minutes before his death, the court heard. Giving evidence at the Coventry coroner's hearing on Thursday, Jade Wittey said she had been scheduled to check on the patient every 15 minutes from 14:00 to 15:00 on 2 August. He died shortly after 14:00, the court was told. Asked why the checks were not carried out, she said: "I didn't check the board, I didn't realise I was supposed to be on Level 2 observations".As the nurse in charge of the Sherbourne ward on the day, she said documentation showing that she had carried out the checks had been completed by a the paperwork she inferred that another member of staff had done the therapeutic observations, she told the jury. Ms Wittey denied being given a verbal handover prior to the task from another member of staff who had earlier given such evidence to court. It was "common practice" for observation paperwork to be "left in the office" and not handed from staff member to staff member, she said. Mr Gebrsslasie had been admitted to the facility on 2 August after telling police officers he wanted to kill others as well as himself. After absconding from the facility he was returned on 6 August and admitted to the Sherbourne was observed by some members of staff earlier on 12 August smiling and playing football. Other witnesses told the court he was left feeling disappointed when told he would not be being discharged that day. His last contact with a health worker was at 13:55 when student nurse Amy Edwards was sent to his room to take physical includes taking a patient's blood pressure and temperature. Ms Edwards told the court that on asking the patient if she could carry out the task he told her to "go away and leave him alone"."He also said he wanted to be left to sleep forever," she said. "I interpreted it as he just wanted to sleep." Video footage of the interaction played in court showed the 23-year-old patient sitting on the floor on the other side of his bed to where Ms Edwards was standing in the doorway. The witness said she believed she gave a verbal handover to another member of staff about the patient's "low mood" during the interaction and later recorded part of the incident onto the hospital's care notes records system. The inquest continues. Follow BBC Coventry & Warwickshire on BBC Sounds, Facebook, X and Instagram.
Yahoo
24-02-2025
- Health
- Yahoo
Mental health patient not checked for three hours
A man who was found dead while under the care of a mental health facility was left unchecked for three hours, an inquest has heard. Henok Zaid Gebrsslasie was found unresponsive in his room at the Caludon Centre in Coventry on 12 August 2021. The 23-year-old was meant to be checked every 15 minutes by carers, but the specified Level 2 observations did not happen on the afternoon of his death, a jury at his inquest was told. He had been admitted to the facility on 2 August after telling police officers and medical staff he wanted to kill others as well as himself. Mr Gebrsslasie had fled his native Eritrea as a child, arriving in the UK in 2020. At the time of his death, Coventry and Warwickshire Partnership Trust, which runs the facility, had been trialling technology called Oxevision, which had captured events surrounding his death. Data and video retrieved from the system formed part of a West Midlands Police investigation into his death. Giving evidence on Monday, investigating officer DC Nikki McMurray from the force said Mr Gebrsslasie had last had an interaction with a student nurse at about 13:55 BST on the day of his death. Staff were then seen entering his room at 17:05 after an alarm was raised, the jury heard. His treatment at the centre had previously included antipsychotic drugs following episodes of violence, the court was told. He also spent some time in seclusion and was issued with rip-proof clothing. On 5 August he absconded from the hospital before being picked up from his home by officers who saw he had a knife, the court heard, with jurors told he stated he wanted to hurt himself. The inquest at Coventry Council House continues. Follow BBC Coventry & Warwickshire on BBC Sounds, Facebook, X and Instagram. Absconded mental health patient found with knife HM Courts and Tribunals Service Coventry and Warwickshire Partnership Trust
BBC News
24-02-2025
- Health
- BBC News
Coventry mental health patient not checked upon for three hours
A man who was found dead while under the care of a mental health facility was left unchecked for three hours, an inquest has heard. Henok Zaid Gebrsslasie was found unresponsive in his room at the Caludon Centre in Coventry on 12 August 2021. The 23-year-old was meant to be checked every 15 minutes by carers, but the specified Level 2 observations did not happen on the afternoon of his death, a jury at his inquest was told. He had been admitted to the facility on 2 August after telling police officers and medical staff he wanted to kill others as well as himself. Mr Gebrsslasie had fled his native Eritrea as a child, arriving in the UK in 2020. At the time of his death, Coventry and Warwickshire Partnership Trust, which runs the facility, had been trialling technology called Oxevision, which had captured events surrounding his and video retrieved from the system formed part of a West Midlands Police investigation into his death. Giving evidence on Monday, investigating officer DC Nikki McMurray from the force said Mr Gebrsslasie had last had an interaction with a student nurse at about 13:55 BST on the day of his death. Staff were then seen entering his room at 17:05 after an alarm was raised, the jury heard. His treatment at the centre had previously included antipsychotic drugs following episodes of violence, the court was told. He also spent some time in seclusion and was issued with rip-proof clothing. On 5 August he absconded from the hospital before being picked up from his home by officers who saw he had a knife, the court heard, with jurors told he stated he wanted to hurt inquest at Coventry Council House continues. Follow BBC Coventry & Warwickshire on BBC Sounds, Facebook, X and Instagram.
Yahoo
17-02-2025
- Health
- Yahoo
Absconded mental health patient found with knife
A man who died at a mental health facility was found holding a knife when he absconded several days before, an inquest has heard. Henok Zaid Gebrsslasie was being held at the Caludon Centre in Coventry after being sectioned. The 23-year-old had fled his native Eritrea as a child and had lived for years as a refugee, the court heard. He was admitted to the centre on 2 August 2021 and found dead there on 12 August. The football-loving youngster was kind, liked to make jokes and help the needy, his family told the inquest hearing via a statement. He had arrived in the UK in May 2020 after travelling across the Sahara, Mediterranean and Europe. Addressing jurors, Coventry coroner Delroy Henry described how Mr Gebrsslasie had initially been arrested by police on 2 August 2021. His behaviour in detention gave rise to a mental health assessment at the Caludon Centre, where he was detained under the Mental Heath Act. Treatment at the centre included anti-psychotic drugs following episodes of violence, the court was told. Giving evidence on Monday, locum Dr Ahmad Alastal said he had initially assessed the patient via a video link on 4 August where he was uncooperative, agitated and said he did not want to engage with health professionals. "He then took his clothes off, threw them down and left the room," the witness explained. An entry in a care record in the days before the assessment stated Mr Gebrsslasie had told another doctor he wanted to kill two people and then himself. On 5 August he absconded from the hospital before being picked up, from his home address, by officers who saw he had a knife, the court heard, with jurors told he stated he wanted to hurt himself. He was returned to the centre's Sherbourne ward, a psychiatric intensive care unit (PICU), where a further incident led to restraint and medication, jurors learned. He was also issued with rip-proof clothing. On 12 August, Mr Gebrsslasie was found dead in his room. The court was told his own clothes had been returned to him earlier that day. At the time of his death, Coventry and Warwickshire Partnership Trust, which runs the facility, had been trialling technology called Oxevision which had captured events surrounding his death on video. This would be shown to jurors as part of a three-week hearing, the coroner said. The inquest at Coventry Council House continues. Follow BBC Coventry & Warwickshire on BBC Sounds, Facebook, X and Instagram. HM Courts and Tribunals Service Coventry and Warwickshire Partnership Trust
