A Surrey care home has pledged to learn “any further lessons” after a coroner concluded that “neglect” had contributed to the death of a resident from sepsis.

The 61-year-old former resident of Leonard Cheshire’s Hydon Hill Nursing Home in Hydestile, near Godalming died on 3 January 2022 after a urinary tract infection spread to her kidneys and caused sepsis.

Anna Crawford, assistant coroner for Surrey, found the resident’s death was “contributed to by neglect on the part of Hydon Hill Nursing Home”.

Crawford found the care home did not tell the resident’s GP about a positive urine sample, did not start her on antibiotics, and did not pass on key information to paramedics.

A spokesperson for Leonard Cheshire said: “We have received the coroner’s report and are considering the conclusions drawn. We take the responsibilities we have for people’s care extremely seriously. The death of anyone in our services affects us deeply.  Our thoughts remain with everyone who knew Linda.

“Any further lessons to be learned from this tragic case at Hydon Hill, following our actions to date, will be. We will respond to the coroner by the deadline given, following further review of the circumstances and the measures taken by Leonard Cheshire – both at the service and nationally since Linda’s death in hospital on 3 January 2022. Further training was undertaken by nursing staff with an internal audit of the service and competencies also undertaken. New processes have been implemented, including around clinical governance, to identify areas of concern early.

“We are currently reviewing all policies and procedures as part of our ongoing commitment to care quality.”