AN inquest has heard how a man was found dead in his room at a Dudley mental health facility by a nursing assistant carrying out hourly welfare checks.
Glen Jordan died at Bushey Fields Hospital on April 24, just four days after he admitted himself due to suicidal thoughts.
The 39-year-old from Cannock, took his own life using the strap from a bag, which had not been confiscated when he was admitted.
Mr Jordan's former partner, Lisa Bowers, instructed expert medical negligence lawyers Irwin Mitchell to investigate his care under the Dudley and Walsall Mental Health Partnership and represent her at the inquest into his death.
After the two day hearing concluded at the Black Country Coroner’s Court in Oldbury on Tuesday, the family expressed relief that inquest was now over.
The conclusion was recorded as misadventure with a failure in medical intervention; namely the failure to respond to the risk of self-harm, for example the holdall bag strap not being confiscated.
Ms Bowers, who has a son with Mr Jordan, said: “Glen admitted himself to Bushey Fields because he didn’t want to die.
"He was having suicidal thoughts and thought that voluntarily admission was the best way to get the right help to recover.
“We are grateful to the coroner for investigating his death but it has left us heartbroken and it will take time for us to come to terms with what happened.”
Lydia Arntzen, the lawyer representing Ms Bowers, said: “The family hoped the inquest would provide answers and it has obviously been a very difficult time for them.
"We are now examining the coroner’s findings and will be advising her on next steps as she seeks to come to terms with Glen’s death.”
Wendy Pugh, director of operations and nursing at Dudley and Walsall Mental Health Partnership NHS Trust, told the News: “We would like to express our sincerest condolences to the family of Glen Jordan following this tragic incident.
“The nature of mental health care means that we are often caring for people who have complex needs – particularly within our hospital settings. We have to strike a careful balance between protecting people and providing care in a least restrictive way.
“We have already completed a thorough investigation to look at the circumstances surrounding this incident and ascertain what lessons could be learned. We will note the further recommendations in the coroner’s report and will consider what additional improvements we can make to the care we provide.”
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