Susan Dale
26 Jun 2026 · Coroner Sally Robinson · East Riding and Hull
This report repeats 2 earlier warnings. See the linked reports.
The coroner's concerns
1. inaccurate and inconsistent record keeping
“The record keeping in the home appeasers to be inaccurate and inconsistent”
2. moving resident with suspected head injury without clinical assistance
“The falls policy of the home states that there are number of scenarios to consider before lifting a resident for the floor and states that the resident should not be moved until clinical assistance arrive. One such situation is if head, neck, back or hip injury is suspected. The incident log on advanced care cloud states there was ahead injury yet Mrs [name redacted] was moved and no clinician saw her until she worsened and an ambulance was called”
3. lack of handover after resident fall
“The senior care worker who came on shift later that day said she did not receive any hand over from the staff going off shift”
Linked reports
Identical hazardConfidence 0.95 · high
Earlier report
“There were concerns that entries contained in Mr [name redacted] care plan were incorrect, including vital information contained on his weight monitoring sheet. Furthermore, the general quality of record keeping was poor.”
This report
“(1) The record keeping in the home appeasers to be inaccurate and inconsistent”
Closely relatedConfidence 0.90 · high
Earlier report
“The record keeping was inconsistent and lacked detail on general wellbeing.”
This report
“The record keeping in the home appeasers to be inaccurate and inconsistent”