Ruth Perkins

1. 1. falls risk

   “[the deceased] mobilises with a Zimmer frame, supported by one staff member. She is at risk of falls MFRA tool for falls is in place”

2. 2. falls

   “Mrs [name redacted] was found by staff on the floor of the corridor outside her room having apparently slipped from the chair she had been sitting in”

3. 3. falls

   “was found on the floor again - this time in the lounge at the Care Home and it appeared that she had again fallen from a chair in which she had been sitting”

4. 4. inadequate supervision

   “if Mrs [name redacted] not suffered a fracture and had been returned to the care of the Care Home after her second fall, she would have suggested to the hospital that, in view of Mrs [name redacted] tendency to act in disregard of care instructions, she was in fact most likely in need of 1:1 care”

5. 5. staffing levels

   “for the 20 residents at the Care Home there are 5 staff on duty during the day, reducing to 3 staff at night”

No published response was found on judiciary.uk.