Recurance · prevention of future deaths reports
Pre-inquest brief
Missing falls prevention equipment in resident care
The earlier warning
Gladys Rich · 14 May 2018 · Hassan Shah, Northamptonshire
“The care home may not have some of the equipment that they require for patients such as Mrs [name redacted] e.g. a bed sensor mat.”
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 10 Jul 2025 · Patricia Heaviside · Rebecca Sutton · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Gladys Rich · 14 May 2018
“The care home may not have some of the equipment that they require for patients such as Mrs [name redacted] e.g. a bed sensor mat.”
Later · Patricia Heaviside · 10 Jul 2025
“Despite the social worker expressing concern about the lack of falls prevention equipment on 27 September 2024, no falls equipment was put in place prior to the Deceased's fall on 4 October 2024.”
What happened next
No web check of the stated actions has been published for this chain.