Overview

• Senior coroner Kate Robertson recorded pneumonia and cellulitis secondary to a burn as the cause of death, with old age, asthma and ischaemic heart disease listed as contributory conditions.
• She found the spillage was unintended and determined the death to be accidental.
• Mrs Roberts, who was registered blind, was given hot black tea in a two-handled beaker at Glan Rhos in Brynsiencyn on September 22, 2024, sipped through a straw and then spilled it.
• An ambulance arrived about two hours after the call, and at Ysbyty Gwynedd staff lanced blisters and reclassified the wound from 8% to 4% of body surface, below the 10% burns‑unit threshold, before discharge.
• Following chest problems and readmission on October 7, consultant Dr Abdul Azu said reduced mobility from the burn contributed to a chest infection; Mrs Roberts died in hospital on October 28.