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A care plan had not been prepared, a key worker had not been assigned and observation sheets were missing.The coroner suggested North Essex Partnership University NHS Foundation Trust should hold a public inquiry into his death but it argued money would be diverted from front-line services.The dual threat quarterback also rushed for two more touchdowns in the win.

up to 20 patients, all who died by the same means’.

A week after admission a doctor contacted his mother, Melanie, to say he had been found dead in his room.

An inquest later ruled there had been a series of failings and missed opportunities.

Giandomenico, a senior, added a receiving touchdown in the victory.

The deaths of up to 20 patients at an under-fire mental health facility are being investigated by police.

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Two years ago a Care Quality Commission report found improvement was required and warned there were too many places where patients could hang themselves.

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