There was also no mention in medical notes of a risk assessment having taken place, the tribunal found. Murphy told the tribunal that another nurse had witnessed Connor bite his tongue and believed that it had been in anger. When questioned by a nurse, Connor said he had been punched in the face. About 20 minutes later, a fellow staff member told the nurse Connor was submerged and his face blue. An inquest jury in 2015 found that a number of serious failings by Southern Health had contributed to the death of the teenager.

Source: The Guardian August 21, 2017 09:56 UTC