Safeguarding board find mental health staff facilitated the self-inflicted death of Laura Davis

Lonely Woman sits outsidesource: INQUEST
published: 17 November 2020

A review published today by the Warrington Safeguarding Adults Board has concluded that the self-inflicted death of Laura Davis was facilitated by staff at the inpatient mental health facility, Arbury Court.

Laura was 22 years old when she was found unresponsive on her bed on 20 February 2017. On the day of Laura’s death staff granted her unsupervised use of problematic materials, despite what was known to staff about her recent self-harming behaviour, her history and her wellbeing at the time.

Laura was from Brixham in Devon, and grew up in Cheltenham. She enjoyed flying drones, and was a hard-working and high achieving student. She had ambitions of going to Wellbeck college and then on to Sandhurst to become an RAF officer. Her family say she was very caring and intuitive, and she always put others before herself.

Laura had a diagnosis of Emotionally Unstable Personality Disorder. She was admitted to Wotton Lawn mental health hospital in Gloucestershire in June 2016. She was a victim of sexual assault and had a known history of serious self-harm, which continued during her time at Wotton Lawn.

In November 2016, Laura was transferred to a privately run mental health unit called Arbury Court, over 120 miles away in Warrington. Arbury Court is run by Elysium Healthcare but Laura’s placement was funded by the NHS.

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