A young woman died on an 'unsafe' mental health ward after nursing staff delayed CPR for 10 minutes because they thought she was faking being unconscious. Edwige Nsilu, 20, died on February 5 2020 after being found with multiple ligatures.
An investigation was launched by healthcare watchdog the Care Quality Commission in the week after her death. An inquest heard how multiple failures including not updating her care plan, not increasing observation intervals, and delays to giving life support, played a role in her death.
The daughter of Democratic Republic of Congo immigrants was first taken into care at the age of 15 and detained under the Mental Health Act at 16, after which she was detained in multiple secure units until her death. She was diagnosed with emotionally unstable personality disorder and had a history of self-harm, MyLondon reports.
