A patient sectioned after slitting his neighbour's throat died at a mental health unit due to multiple failings on the part of the NHS, an inquest heard.

Daha Mohamed, 52, died at the Bracton Centre in Dartford on 24 February last year having suffered from bipolar disorder and type 2 diabetes.

The jury sitting at Gravesend Coroner’s Court found he had died of natural causes, but a series of staff failures were a huge contributing factor.

Staff were said to have displayed a lack of knowledge, insufficiently planned for monitoring vital signs, had a lack of working equipment and failed to quickly recognise the need for an emergency response to Mr Mohamed’s situation.

His family said they were pleased to see the trust’s failings brought to light.

“We were anxious to establish the facts surrounding the events that happened that fateful night,” they said in a statement.

“We are thankful that the trust’s failings have finally been brought to light.”

“Clearly, more could and should have been done to avert this tragedy. We hope these findings will result in remedial action being taken and will lead to higher standards of care being provided to patients in the future.”

Mr Mohamed had shown signs of distress and confusion in the days leading up to his death and was found sleeping and wet by nurses at the Oxleas NHS Foundation Trust centre.

Nurses changed him and his bedding before noticing that his breathing had stopped.

An ambulance were called and CPR was administered, but he was pronounced dead at 2.06am.

The inquest lasted for nine days at Gravesend Old Town Hall and reviewed statements and examined evidence regarding the management of the patient’s medication, the time taken to summon emergency aid and problems caused by the ambulance crew’s lack of experience.

Madeline Seibert, the solicitor from Attwaters Jameson Hill representing the family, commented: “The inquest’s findings have exposed some serious failings at the Bracton Centre."

"In this case, not only was the level of care provided substandard, there were also failings in staff training and a lack of the necessary expertise to instigate the appropriate emergency response."

"On top of this, it is frankly alarming that basic medical equipment wasn’t in proper working order. We all sincerely hope that lessons can be learned from the events highlighted in this tragic case.”

Mr Mohamed was sectioned in January 2014 after pleading guilty to the manslaughter of his neighbour.