The inquest revealed that staff at Bupa's Harts House Care Home reported Pauline Austin's health had been deteriorating for two days before they called for an ambulance.
After the ambulance was called, medical examinations at the hospital confirmed Mrs. Austin had suffered from a brain haemorrhage, leading to rapid deterioration and her eventual death.
Family members of Pauline Austin voiced specific concerns regarding the delay in seeking medical assistance, suggesting negligence in the care provided at the home.
The coroner confirmed that the family, care provider, and ambulance service were recognized as interested parties in the inquest, allowing them to question evidence.
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