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Carole Charles, whose husband Winbourne's case is one of the most disturbing, said the Trust needed "to look at everything".

Carole describes him as "a beautiful man, a beautiful soul", but during the Covid-19 pandemic, the 58-year-old became increasingly depressed.

Carole and her children had spoken to him on a video call the day before.

"They'd written observations of Winbourne being in the day room, sitting there eating his breakfast, and this was three days after he'd passed away," says Carole.

Carole and Winston also say they were deeply shocked when one of the staff members who gave evidence by video link, tried to do this from his bed.