BBC News, West of England
The mother of a woman who died after being found to be unlikely in a psychiatry hospital, has said that she is still harassed for her last weeks and no one has been noticed.
One “GDP” was found in 2024 inquiries “ In the care provided to 28 -year -old Lily Lucas, in the Milton Ward, a privately run at the Cygnet Hospital in Kevstok, Summerset. In September 2022, he died of cardiac arrest in Bristol Royal Information, which was caused by excessive fluid intake.
Ms. Lucas’s mother, Mary Karran said: “We realized that after such a decision, the hospital and the employees involved in that day would be held accountable.”
Cygnet said that it had made improvements including training and increase in permanent staffing of employees.
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The BBC understands that Cygnet has referred to three nurses to nursing and midwifery council, but no action has been taken.
In May, Health and Social Care Watchdog, Care Quality Commission (CQC) concluded that it could not start a criminal investigation due to “lack of evidence” to connect “personal failures” back to Signet.
A day before the death of Ms. Lucas – 8 September 2022 – Employees saw their drinks in large quantities of water, smothels and Coca -Cola quickly by noon – some advisors later said that she had never done before, she was told to interrogate.
He was monitored for more than three hours every 15 minutes, but was seen only through a window of a closed bedroom door, and was later found unanswered.
60 -year -old Ms. Karran said: “She [Lily] Lan on the floor, on a rigid floor, was covered in his own vomiting and stool, and was left in that state around 19:00 BST when he realized that things were more serious than his thoughts. ,
The interrogation reported that the next day died in the hospital due to cardiac arrest, due to excessive fluid intake, which was the result of its schizophrenia.
“She was in a place where we were confident that she would be looked after. At one place where she felt, she was safe and we could rest,” Ms. Curan said.
Ms. Karran described her daughter as “spectacular”.
“She was a bundle of our family’s fun and full life and soul. She was just older than life,” she said.
She said that she believes that she could still be alive if the employees responsible for him took better care of her.
Ms. Lucas from Malmesbury, Wiltshire was also diagnosed with a complex post-tromatic stress disorder.
Her mental health deteriorated after the fall in Barcelona in 2017 – while celebrating her graduation as a mental health nurse from Bristol University in West of England.
He was sent to the ward in June 2022 as a NHS patient under the Mental Health Act for Medicine in June 2022 and after 24-hour care, after years of care as a low safe unit.
Ms. Karran said that her daughter wanted to be better, and in her last social media post she shared her dream of finishing treatment and traveling around Australia.
Understood ‘unsafe levels’
In the days before his death, Ms. Lucas was determined at the Anticycotic Drug, Closepine, stated during the interrogation.
He complained to the staff of nausea, hot flush, and unwell and his situation worsened from 7 September.
The inquiry heard that on September 8, the employees saw him vomiting and defecating on the ward, and offered his medicine, which he refused. Later, a nurse was heard “strictly”, asking him to stay in his room.
The ward manager admitted that the day the unit was understood from “unsafe levels”, the day she collapsed, was reported in the inquiry.
He said that for the first time he had told Ms. Lucas about being unlikely, at 22:00 pm, when Lily was on a hospital in an ambulance.
The inquiry jury concluded “gross failures”, ignored and “left opportunities” to prevent his death. Closepine was rejected as the cause of death.
Employees lacked experience ‘
An NHS review of the Milton Ward observed by the BBC, launched in response to the death of Ms. Lucas, was found to have “great use of agency employees” and “extremely high staff turnover”.
Employees lacked mental health experience, and some agency nurses did not know how to “use 999”, it was found.
The review stated: “The story of Milton Ward shows what happens in an environment, which already challenges by the obstacles of external staff and an epidemic.”
It added bad news, “it was not welcomed, and often it was ignored”, and the service “was failing in a simple vision” which was “felt to the level of this level of laxity until a serious incident occurred in the ward”.
The BBC understands that NHS pulled its patients from the ward in 2023 due to concerns raised in the review, which was then shut down by Signet. Cygnet has confirmed that there are no less safe wards in the hospital.
Ms. Curan said that a nurse had treated Lily “many times cruelly”, revealing that she once denied the need for her tampon, asked her to order online.
The nurse was not working on the day she collapsed, but was internal disciplined by Signet instead of a public tribunal.
‘Someone should be held accountable’
Ms. Curan MP, Tonia Antoniazi has spoken in Parliament to urge the government to urge the government to stop similar tragedies after hearing the “Heroing” death of Ms. Lucas.
The Labor MP for Gover said: “Thought there is someone else like Mary, fills me in a completely scary and I need to assure that action is being taken,” she said.
“We need to ensure that someone’s daughter, brother, sister, or friend who finds themselves in a weak position in the hospital … is safe and takes care properly.
“Lily’s death is to come out of it and someone should be held accountable to their actions.”
Ms. Antoniazi also said that death is on “actually exposed” issues between private health hospitals, NHS and accountability, said she had expressed concern with Health Secretary Wes Streeting.
‘Improvement implemented’
A CYGNET spokesperson stated that he “referred to all relevant matters for appropriate and regulatory and professional bodies, and complaints were investigated and dealt with proper procedures”.
“After interrogation, we responded to the findings and implemented reforms, including employees engagement during training, physical health monitoring and observation.
“We increased permanent staffing and reduced the agency employees to ensure continuity and familiarity with the needs of the patients,” he said.
In September 2022, the agency employees made about 50% of the employees on the shift, and in April 2024 it was about 20% at the time of questioning.
Cygnet Hospital Kwstoke is considered to be “good” as a holistic manner by CQC.
The Watchdog has the power to operate criminal cases if failures in care can be proved, but said the evidence about Ms. Lucas’s death “did not meet the legal limit required to move forward”.
It said that if new evidence is revealed, it can review the matter.
A day before the collapse, Ms. Lucas told her mother that she was feeling ill for days.
Ms. Curan told the BBC that she suggested her daughter to brush her teeth again, which could “help reduce nausea”.
“To which he said, ‘I have not received a toothbrush or toothpaste.’ This was his last conversation.
After interrogation, Ms. Curan said that she left her career in social care to challenge the Cygnet and also because “the trauma to lose lily had taken her toll”.
She said that she “lost confidence in the system” she was once accountable, but is firm to fight for her daughter.