Benjamin Clark

“despite Mr [name redacted] having been assessed to be a Level 3 Risk of Falls in Northumbria Specialist Emergency Care Hospital (NSECH), when he was transferred to North Tyneside General Hospital his falls risk was downgraded to Level 2 without any notes being provided to justify this reassessment”

“Matron told me that at the time of the fall, Mr [name redacted] was under observation as though he was a Level 1 falls risk, despite being assessed as Level 2. Note keeping was suboptimal and there was a lack of clarity as to whether he should have been observed every 30 minutes or every 60 minutes”

“The Avoiding Falls Level of Observation Assessment Tool (AFLOAT) was used in both hospitals but only NSECH evidenced use of this tool in writing. Observational charts were not in use in North Tyneside General Hospital. Matron told me that every patient should be reassessed every day and following any significant change in presentation. There was a lack of written evidence at North Tyneside General Hospital to demonstrate that this had been done in Mr. [name redacted] case”