A coroner has warned that more vulnerable people could be at risk after finding "missed opportunities" in the care of a disabled man who choked to death.
Matthew Dale, who had severe learning difficulties and autism, choked to death on his own incontinence pad at Vancouver House on Vancouver Road, Netherley, on the night of December 27, 2020. The 43-year-old had been left alone in the dining area, during which time he was able to ingest a piece of the pad.
His inquest last month revealed there had been a "breakdown in communication" between Liverpool CCG and care home managers, which led to Matthew not receiving the constant one-to-one care he needed during waking hours.
