19.1.07

Part 5 - Ralph Winstanley - FACTS about his death - 20Apr2004

Click for A Full Index - but stay on this page if you want to read the main facts

Table of FACTS in respect of Ralph Winstanley’s death
23Apr2004 - plus numerous supporting document abstracts




Fifth part - 20Apr2004
19/20Apr2004 - overnight - 22.00-07.00
FACT: Notes made by overnight Hospice-at-Home nurse make no mention of turning Ralph Winstanley every two hours – because he was still being deliberately kept bolt upright at the instigation of Nina Clayton and with the moral and physical support of the various nurses and Dr Rachel Sykes.
Nursing Notes - RGN Lorna Clark - No 49
NOTE WELL: This is where the pain began

20Apr2004 - 11.50
District Nursing Sister Julie Marshall states ‘pressure areas intact’
Nursing Notes - District Nursing Sister Julie Marshall - No 50

FACT: At this point Ralph Winstanley was still sitting bolt upright as he had been since being drugged, which rendered him too unconscious to move about.
NOTE WELL: The main pressure area, at the base of his spine was certainly not checked, or he would have had to be lain down at this time because of the building damage across the base of his spine, his buttocks and scrotum.
Nursing Notes - Patient/Carer Communication Form – filled in on 21Apr2004 by Charlotte Peters Rock - following conversation with RGN Watts at 20.15 on that day - but written about 20Apr2004 - No 51

20Apr2004 - 14.00
FACT:
two different handwriting styles – one RGN Grimshaw the other DNS Julie Marshall. The first notes are not signed.

Nursing Notes - abstract -(these are the first entries under 14.00 for 20Apr2004) - RGN Sarah Grimshaw and District Nurse Julie Marshall - No 52

FACT: On the lower half of the page the second notes are entered on the wrong day for what actually happened. These notes were entered after Ralph Winstanley’s death and are pure fiction in respect of that day. They state:
‘Granuflex to obtained for next visit. Discussed with Nina possibility of having airwave mattress but due to his current condition it would be very difficult to move Ralph onto a new bed. Dr Sykes has requested Hospice at Home team to visit this afternoon to bring pressure relief cushion. Ralph positioned onto his left side.’
Nursing Notes - abstract -(these are the first entries under 14.00 for 20Apr2004) - RGN Sarah Grimshaw and District Nurse Julie Marshall - No 52

NOTE WELL:Recorded by District Nursing Sister Julie Marshall on wrong day
This could not have happened at this time on this day. See Nursing Notes of RGN Lorna Clark for 22.00 20Apr2004 to 06.00 on 21Apr2004
Nursing Notes abstract - Hospice-at-Home nightsitting nurse - RGN Lorna Clark - No 59

20Apr2004 - 11.45
FACT:
DNS Julie Marshall records: 'Mr Winstanley’s daughter present at time of visit and expressed extreme concern regarding how sedated she felt Ralph was and was enquiring as to whether medication could be reduced. She believes that his pain was due to indigestion and if he was given medication for this he would not be in so much pain. I advised that I was unable to reduce the dosage without prior notification from Dr Sykes and due to the level of agitation Ralph had displayed over the weekend and yesterday I felt that he was much more settled. Explanation was given as to why syringe driver had been requested due to his condition and possible difficulties in swallowing. His daughter however felt that if he was not sedated he would be able to swallow. I have advised his daughter to discuss her concerns with Dr Sykes during her visit this morning.'

Nursing Notes (second entry re 11.45 on 20Apr2004 – after the first entry for 14.00, on that day) - District Nursing Sister Julie Marshall & RGN Sarah Grimshaw - No 52b
NOTE WELL: second notes for 20Apr2004
NOTE WELL:SERIOUS COMPLAINT RECORDED


20Apr2004 - 20.15
FACT:
Possibility of a pressure relief equipment was originally brought up at 20.15, on 20Apr2004, by Ralph Winstanley’s own daughters, who - discovering the damage to his spine and insisting he was lain down - began to ask for pressure relief for him.

Nursing Notes abstract - Twilight Nursing Service - District Nursing Sister Edgecombe - 53

20Apr2004 - 20.15
FACT:
Following the discovery of pressure damage - and the overruling of her decision to sit the patient upright on such pressure damage - Sister Edgecombe also made a series of inaccurate and rather nasty little observations in the Twilight Nursing Service Office Notes, stating: ‘Just for information another daughter has arrived – very demanding and complaining about previous care. I was there a long time. Obvious friction between Nina and the older daughters of Mr Winstanley (In fact the ‘older daughter’, Charlotte, had been at Grange Farm since 09.30 on 18Apr2004 – and was asking for help)

Twilight Nursing Service Office NotesDistrict NursingSister Edgecombe - No 53a
NOTE WELL: SERIOUS COMPLAINT RECORDED

20Apr2004 - 11.50 - 14.00 - 11.45 - 14.00
FACT:
There is a serious duplication of the Nursing Notes on 20 April. Ralph Winstanley’s blood family believes this shows that the notes were tampered with, after Ralph Winstanley’s death, since the only possible running order – shows intention to remove the original notes. However, this does not seem to have been achieved, before the police retrieved the Notes.

Nursing Notes abstract - 6 pages - RGN Sarah Grimshaw - District Nursing Sister Julie Marshall - No 54a
Nursing Notes abstract - 6 pages - RGN Sarah Grimshaw - District Nursing Sister Julie Marshall - No 54b
Nursing Notes abstract - 6 pages - RGN Sarah Grimshaw - District Nursing Sister Julie Marshall - No 54c
Nursing Notes abstract - 6 pages - RGN Sarah Grimshaw - District Nursing Sister Julie Marshall - No 54d
Nursing Notes abstract - 6 pages - RGN Sarah Grimshaw - District Nursing Sister Julie Marshall - No 54e
Nursing Notes abstract - 6 pages - RGN Sarah Grimshaw - District Nursing Sister Julie Marshall - No 54f
NOTE WELL: The whole Clinical Notes File, which had been kept at Grange Farm was ‘missing’ from 23Apr2004 to 27Apr2004

20Apr2004 - 11.45
FACT:
Note made at 11.45 on 20 April shows that a serious complaint had been made to District Nursing Sister Julie Marshall - who did not act upon it.

‘Mr Winstanley’s daughter present at time of visit and expressed extreme concern regarding how sedated she felt Ralph was and was enquiring as to whether medicines could be reduced. She believes that his pain was due to indigestion..’and
‘His daughter however, felt that if he was not sedated he would be able to swallow.’
Nursing Notes abstract - 6 pages - RGN Sarah Grimshaw - District Nursing Sister Julie Marshall - No 54d
NOTE WELL: SERIOUS COMPLAINT RECORDED

20Apr2004 - 11.45 - 14.00 - (2nd 14.00)
FACT:
Notes made at 11.45 and 14.00 wander into complete fiction, in respect of assessing ‘his sacrum’ (11.45) and ‘Pressure areas assessed and graded’.

NOTE WELL: signed and dated by DNS Julie Marshall
Nursing Notes abstract - 6 pages - RGN Sarah Grimshaw - District Nursing Sister Julie Marshall - No 54e

FACT: The Initial Wound Assessment Form shows that the assessment - mentioned above - did not take place until the following day, 21Apr2004
NOTE WELL: signed and dated by DNS Julie Marshall
Nursing Notes - Initial Wound Assessment Form - District Nursing Sister Julie Marshall - No 55

FACT:
The Walsall Community Pressure Sore Risk Score Calculator shows that this assessment did not take place until the following day 21Apr2004

NOTE WELL: signed and dated by DNS Julie Marshall
Nursing Notes - Walsall Community Pressure Sore Risk Score Calculator - District Nursing Sister Julie Marshall - No 56

20Apr2004 - 11.45
FACT:
11.45 ‘Unable to fully assess pressure areas to sacrum..’ and ‘Mrs Winstanley happy not to disturb Ralph..’ shows that the nurses were being led by Nina Clayton (Mrs Winstanley) and not by professionalism, since – at that time – he was still sitting bolt upright as the pressure damage took serious hold on the base of his spine – and he was being deliberately drugged unconscious, which caused him to become increasingly still.

Nursing Notes abstract - 6 pages - RGN Sarah Grimshaw - District Nursing Sister Julie Marshall - No 54e

20Apr2004 - 14.00 - (the second 14.00 in the Nursing Records on that day)
FACT:
In spite of the reservations expressed by ‘Mr Winstanley’s daughter’ at 14.00, District Nursing Sister Julie Marshall writes here:

‘Visit required to increase Diamorphine to 60mg as requested by Dr Sykes following her visit.’
Nursing Notes abstract - 6 pages - RGN Dabell - District Nursing Sister Julie Marshall - No 54e
NOTE WELL: the word ‘INCREASE’
And
‘On assessing Ralph he appeared uncomfortable and leaning forward’. This shows that he was still upright at that point.
Nursing Notes abstract - 6 pages - RGN Dabell - District Nursing Sister Julie Marshall - No 54e
and
‘Ralph assisted onto his left side and made comfortable..’ is pure fiction, since he was still sitting bolt upright until 20.15 that evening.
Affidavit abstract - Charlotte Peters Rock - No 57
Affidavit abstract - Charlotte Peters Rock - No 57a
Affidavit abstract - Charlotte Peters Rock - No 57b
and
‘Ralph’s daughter concerned that it is the level of pressure which has caused Ralph to have pain and require the syringe-driver’, is yet again a complete fiction in that this note could not have been made at this time on 20 April, since the great pressure damage to the base of his spine was not discovered until 20.15 that evening, during the visit of DNS Edgecombe – see No 53 for first mention of ‘turning every two hours’.
Nursing Notes abstract - 6 pages - RGN Sarah Grimshaw - District Nursing Sister Julie Marshall - No 54e
NOTE WELL: His pain continued because no one would lie him down

20Apr2004 - 14.00 - (the second 14.00 on that day)
Another fiction: It is stated that ‘Dr Sykes had requested Hospice at Home to visit and bring pressure relieving mattress. Val Derks (Macmillan Nurse) arrived during visit with Spenco mattress. Following discussion with Val and Mrs Winstanley it was agreed not to place Ralph on mattress at time of visit’.

FACT: This could not possibly have taken place on that day - 20Apr2004 – since the damage was not discovered until later that night 20.15. This note was probably written after Ralph Winstanley died.
As an added complication RGN Val Derks, in her Hospice at Home Office Notes claims that this incident occurred on 19April2004 – which is also untrue. Most of the information which she has put down as 19Apr2004 actually took place on 21Apr2004
Hospice-at-Home Office Notes - Lead Palliative Care Nurse, RGN Val Derks - No 53b

20Apr2004
Another fiction:
Ralph’s daughter insistent that Ralph be lifted onto mattress but advised by myself and Val Derks that this was inappropriate as he was now laid comfortable.’

Nursing Notes abstract - 6 pages - RGN Sarah Grimshaw - District Nursing Sister Julie Marshall - No 54f

FACT: It was in fact ‘Ralph’s daughter’ who - on 21Apr2004 - seeing that a complete box mattress – rather than a ‘sheepskin’ had just been brought, who expressed the impossibility that her father could be moved, with less than 4 people to hold him and two more to change the mattresses. The interchange above, did not take place on this day, but in the afternoon of the following day, (21Apr2004) after he had been discovered to have a serious pressure wound at 20.15 on the evening of 20Apr2004 and his daughters had insisted that he was lain down. Following this he had relapsed into complete unconsciousness, where he remained until he finally died.
Affidavit abstract - Charlotte Peters Rock - No 57
Affidavit abstract - Charlotte Peters Rock - No 57a
Affidavit abstract - Charlotte Peters Rock - No 57b

20Apr2004
FACT:
Pressure areas certainly could not have been checked, since he was left - unmoved and hardly moving - sitting bolt upright, in increasing pain and increasingly being rendered unconscious until Charlotte and Linda, discovering the pressure wounds, insisted that he was lain down – at 20.15 that evening, during the visit of District Nursing Sister Edgecombe (?)

(name not printed – signature unclear - previously thought to be Edgeware)
Affidavit abstract - Charlotte Peters Rock - No 57a
Affidavit abstract - Charlotte Peters Rock - No 57b
Affidavit abstract - Linda Kirby - No 58
Nursing Notes abstract - District Nursing Sister Edgecombe - No 53
Twilight Nursing Service Office Record - District Nursing Sister Edgecombe - No 53a
NOTE WELL: the building pain, from sitting upright, stopped the drugs from making him unconscious.

20Apr2004
FACT: 20Apr2004 - the Patient/Carer Communication Page was filled in, (on 21Apr2004) by Ralph Winstanley’s elder daughter, Charlotte, at the instigation of RGN K Watts, to comment on this lack of checking by the various nurses – and on the point when the pressure damage was found on 20 April
Patient/Carer Communication Form – (filled in on 21Apr2004 by Charlotte Peters Rock) - following conversation with RGN Watts at 20.15 on that day - but written about 20Apr2004 - No 51
NOTE WELL SERIOUS COMPLAINT RECORDED
20Apr2004
FACT: Sister Edgecombe (?)(previously thought to be Edgeware) notes in the Twilight Nursing Service Office records only that ‘another daughter has arrived – very demanding and complaining about previous care’ (In fact this daughter, Charlotte, had been at the house since 09.30 on 18Apr2004.)
Twilight Nursing Service Office Record – abstract - District Nursing Sister Edgecombe - No 53a
Affidavit abstract - Linda Kirby - No 34a
Affidavit abstract - Charlotte Peters Rock - No 34b
NOTE WELL SERIOUS COMPLAINT RECORDED

20Apr2004 - 20.15
FACT:
Also written in the Nursing Notes ‘Nina didn’t want Ralph Disturbing.’

This refers to the fact that he was still sitting upright when Sister Edgecombe arrived – and that both she and Nina Clayton objected to him being lain down.
Nursing Notes - abstract
Nursing Notes abstract - District Nursing Sister Edgecombe - No53
NOTE WELL: It was Nina's wishes that kept him upright

20Apr2004 - 20.15
FACT:
Also written in the Nursing Notes:

‘Family are turning Ralph every two hours to relieve pressure.’ Nursing Notes abstract - District Nursing Sister Edgecombe - No53

FACT: This refers to the fact that – by the time this nurse left – Ralph Winstanley had been lain down – at the insistence of his own two daughters, Linda and Charlotte – and against the wishes of both Nina Clayton (Mrs Winstanley) and District Nursing Sister Edgecombe (?)
Affidavit abstract - Charlotte Peters Rock - No 57


Click 'Older Posts' to read the remaining 4 posts in this series. There are 9 in total >>>>


3 comments:

Anonymous said...

11/05/2011
Are you the lunatic who makes those barmy FOI requests?

RalphWinstanley said...

I wonder who has put this comment on my web site? Is it someone from whom I have made the perfectly reasonable - and legally arranged - Freedom of Information Act 2000 requests in respect of my father, Ralph Winstanley's - deliberate killing?

Or is it the woman who had my father, Ralph Winstanley, killed at Grange Farm, Moss Road, Moss, Doncaster on 23 April 2004?

If so - or if the comment was made by any of her very dubious associates - feel free.

I will use all such comment as publicity for the fact that Nina Anne Clayton deliberately organised the killing of Ralph Winstanley.. and still lives at Grange Farm where she had him killed.

Her elder daughter, Kerry Evans, who I believe was fully aware of that deliberate killing, before it happened - but chose not to say anything to us, still lives at The Pinfold, also on Pinfold Lane, Moss, Doncaster.

Her younger daughter, Rosemary Alice Cheesman, and son-in-law Frazer John Cheesman, helped inteh killing, and still live at Hunters Moon, Pinfold Lane, Moss, Doncaster.

She also appears, looking like the too-readily available middle-aged woman she is at: http://en-gb.facebook.com/people/Rosie-Clayton-Cheesman/1228433667

"Ovver the 'ill.. but ok if tha'r stuck, an dun't mind not seein tomorrer - except wi black fingers an toes"

Anonymous said...

WOW BLATANTLY A MURDER..SIXK TWISTED WIFE HOPE YOU ROT FOR TAKING THIS MANS LIFE.. CONDOLENCES TO THE REAL FAMILY!

Protest songs and poems - coming shortly

  • A Full Index
  • Abide With Me (mine)
  • Dead An Buried? Ardly!
  • Director of Public Health - Dr Tony Baxter
  • If - (not by Rudyard Kipling)
  • Jayne Brown - The Cover-Up Woman
  • Practice - Field Road Made
  • Quack Quack Dr Lee
  • St John's Hospice - My Father Was Not Dying
  • Thanksgivin? Thanksgivin? Ah'll be Waitin On
  • The NHS/PCT Thinks You Should Go
  • The Palliative Gillian
  • The Power behind the Patient Dr Brown

Who was Ralph Winstanley?

My photo
sister sites: 1.http://rwinstanley.blogspot.com 2.http://ralphwinstanley.blogspot.com 3.http://ralphwinstanley83.blogspot.com 4.http://winstanleyr.blogspot.com 5.http://ralphwinstanleyofwath.blogspot.com