She also said his nursing notes did not follow set guidelines and were not good enough.

BBC: Paul Ridd inquest: NHS neglect 'contributed to death'

The other two recommendations are that medical and nursing notes are kept separately and that no additions are made to notes, where the death of a person will be subject to an inquest.

BBC: Europe

She also wrote on Mrs Richards' patient notes that she was happy for the nursing staff to certify death.

BBC: Gladys Richards

Some of the nursing staff were not informed that Mrs Astbury was diabetic and some said they were too busy to check the patient notes at the foot of her bed, the inquest heard.

BBC: Gillian Astbury