Peter Pattinson
6 Sept 2013 · Coroner Derek Winter · Sunderland
The coroner's concerns
1. bed rails not raised
“The concerns expressed by the family and their requests for Mr [name redacted] bed rails to be raised were not acted upon or documented, and were not subject to a risk assessment.”
2. bed rail repair not actioned
“The repair to the bed rails of Mr [name redacted] bed was not actioned in a timely way.”
3. missing daily statements
“There were missing daily statements from the file (27" November 2012 18:00 hrs to 29" November 2012 18:30 hrs”
4. daily statements not paginated sequentially
“The daily statements that were provided were not paginated sequentially.”