A coroner has said a 'missed opportunity' to increase the care of a severely disabled man partly contributed to his horrific death. Matthew Dale, previously of Warrington, died at the Vancouver House care home in Netherley, Liverpool, on December 27, 2020 after choking on an incontinence pad.
The 43-year-old had complex needs including significant learning disabilities, autism, visual impairment and bi-polar affective disorder, CheshireLive reports. He moved to Vancouver House in February 2011.
He had a previous history of swallowing non-food items, which happened four times in 2010 before he moved to the care home. There were two incidents of Matthew trying to ingest a piece of his incontinence pad shortly before his death - December 15 and December 26 2020.
