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Croissant Chokes Man to Death in Care Home
11 Sep
Summary
- A non-verbal man died after a croissant lodged in his throat.
- Inquest found meal preparation unsuitable for his needs.
- Shortfalls in staff training and alarm systems caused delays.
Paul Spearing, a 41-year-old non-verbal man, died on November 15, 2023, after a croissant tragically lodged in his throat at the Essex Care Consortium in Birch. An inquest at Essex Coroner's Court concluded his death was a misadventure, citing catastrophic and irreversible brain damage due to oxygen starvation.
The jury specifically noted that the preparation, content, and consistency of the meal served to Mr. Spearing were inappropriate and unsuitable for his condition. He had resided at the care home for over 20 years and had learning disabilities, autism, cerebellar ataxia, and dysphagia.
Further findings revealed deficiencies in staff training and the lack of an emergency alarm, which caused delays in getting Mr. Spearing timely assistance. The jury emphasized the life-threatening risk he faced due to choking.