Winifred Elliott
15 Dec 2016 · Coroner Dr Fiona Wilcox · London Inner (West)
The coroner's concerns
1. inappropriate resident transfers
“information in relation to transferring residents has been removed from display next to the resident e.g. from above their beds or inside their rooms”
2. delayed access to transfer information
“removai of such information has made it harder for busy staff to access such information”
3. resident injuries from transfers
“residents may be being inappropriately transferred and thus sustaining injuries that may cause to contribute to their deaths”
4. lack of transfer information display
“all homes should display as appropriate such information”
5. lack of required transfer information systems
“the CQC should advise all residential homes that they should come up with such a system and implement it forthwith”
6. lack of verification of transfer information systems
“the CQC should inspect homes and confirm that such systems are in place”