Maureen Woollen
19 Jun 2024 · Coroner Tanyka Rawden · South Yorkshire West
The coroner's concerns
1. delayed medical attention for falls injuries
“missed opportunities to conduct a falls risk assessment on Mrs [name redacted] arrival to Deerlands Residential home, to seek medical attention when she was found on the floor on 3 October 2023, to seek medical attention when a bruise on her face was noted on 6 October 2023 and to monitor the progression of her bruise”
2. lack of process for medical attention and incident documentation
“no process in place to ensure medical attention is promptly sought for residents who require it, that care notes are not fully utilised, especially for the recording of injury and incidents, and that falls risk assessments are not being conducted on admission”
3. absence of falls risk assessment on admission
“falls risk assessments are not being conducted on admission”