Families of vulnerable people who died in care believe failings in the system contributed to the deaths of their loved ones.
Amanda Briley, who had autism, was just 20 when she took her own life on the Bradgate Mental Health Unit in Leicestershire in the early hours of Boxing Day 2016.Her parents Michael and Jackie described her as an"amazing" girl and an"unforgettable character" who was vulnerable because of Asperger's Syndrome, diagnosed when she was 15.
At her inquest, which recorded a narrative verdict, the jury identified multiple failings in her care and was highly critical of delays in transferring Amanda to the Transforming Care programme."I think we all knew it was never the right place for her to go but there was nowhere else, she was in crisis and she needed somewhere to keep her safe," said Jackie.
"And we need to get resources together so that if someone has a need and needs to go to a specialist place it is available on a central register because time is of the essence."Clive Treacey was 47 when he died following an epileptic seizure at a privately-run autism unit, Cedar Vale in Nottingham. "Our primary concern was their blase attitude around his medication, their lack of knowledge around his epilepsy. They couldn't offer me any reassurances on any direct questions I offered in relation to any topics relating to Clive's care plan or epilepsy," his sister Elaine Clarke said.
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