Jean Williams
16 Nov 2020 · Coroner Rachel Galloway · Manchester (West)
The coroner's concerns
1. bed levers fitted without patient present
“that: The supplier of the Bed Lever (Mobility 2000), Occupational Therapy staff at the Trust and Lancashire County Council Staff (including Care Assistants) working at Thornton House now fit or adjust Bed Levers if - on assessment - there is identified to be a problem. This raised concerns due to the following: (a) Mobility 2000 and Lancashire County Council staff are fitting Bed Levers and/or adjusting Bed Levers in the absence of the patient (and therefore not taking into account important”
2. bed levers fitted without patient present
“Mobility 2000 did and do continue to fit bed levers in the absence of the patient at various different locations (not just at Thornton House)”
3. missing strap on bed levers
“I found that Mobility 2000 did not routinely use the strap when fitting bed levers in 2017 and it is unclear whether staff now have training that they should always use a strap on a Divan bed”
4. supplying bed levers without strap
“The evidence from the Director of Mobility 2000 was that no Bed Levers had been supplied without a strap (to his knowledge). It was clear on the evidence 2 that Mobility 2000 had purchased Bed Levers without a strap from Drive Devilbiss Healthcare Limited”