Coroner's Court of Western Australia

Inquest into the Death of Leon Caporn

Inquest into the Death of Leon CAPORN

Delivered on : 2 October 2014

Delivered at : Perth

Finding of : B P KING, Coroner

Recommendations : N/A

Orders/Rules : N/A

Suppression Order : N/A

Summary : At the time of his death the deceased was a resident at Bethanie Waters aged care facility in Port Kennedy.  Prior to the deceased’s death he had unwitnessed fall early on the morning of 2 July 2010.

The inquest focused on the likely cause of the haemorrhage which the deceased had sustained during his fall, whether the deceased’s risk of falling was adequately managed, whether the deceased was appropriately examined following the fall on the morning of 2 July 2010, whether the deceased had fallen a second time on 2 July 2010 and whether the quality of care the deceased received at Bethanie Waters on 2 July 2010 was appropriate.

The Coroner found on the basis of the evidence before him he was satisfied that the deceased fell and struck his head on the morning of 2 July 2010, causing an injury which led to his death.

The coroner found that the care received by the deceased was reasonable and appropriate.

The Coroner found that the deceased died on 7 July 2010 at Rockingham General Hospital from head injury and that death arose by way of accident.

Catch Words : Bethanie Waters –  head injury – fall prevention - accident


Last updated: 2-Feb-2024

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