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recurance

Lillian Hursell

1 Apr 2016 · Coroner Patricia Harding · Mid Kent and Medway

The coroner's concerns

  1. 1. unstable bedrails lowering inadvertently

    “The mechanism to hold the cotsides (bedrails) in a vertical position comprise a retaining button in a sliding vertical rail which engages with a corresponding hole in a static rail. Whilst this mechanism operates safely when the mechanism is properly engaged which is established by an audible click, staff at the care home had experienced occasions when the cotsides retaining button had not been fully engaged when the cotside had been raised to prevent a resident falling from the bed rendering the”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Lillian Hursell · Recurance