Inadequate falls risk assessment update

Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals. ?Every quote shown was checked by code to appear word for word in the original report.

• 2019 → 2021Raymond Powell2 years 2 months after Jean Cutler · same coronerClosely relatedConfidence 0.85 · high

  Closely relatedConfidence 0.85 · high

  Both reports concern inadequacies in the falls risk assessment process at the nursing home. The earlier report highlights undated, unsigned assessments relying on staff presence, while the later report shows assessments not being updated after a prior fall.

  Jean Cutler · 8 Feb 2019

  “The current falls Risk Management and Risk Assessment documents (requested by the CQC and CCG) are undated and unsigned and continue to place reliance on the presence of a staff member to prevent falls”

  Check it in the source

  Raymond Powell · 29 Mar 2021

  “The nursing home manager in her written report 5 to the Coroner stated that [the deceased]'s falls risk assessment had been updated. However, the evidence revealed in fact the falls risk assessment had been created on 30 September upon [the deceased]'s arrival, and had never been updated”

  Check it in the source

  Stated action in the response to the earlier report

  “New, comprehensive Falls Risk Assessments (FRAs) for all residents have been introduced and completed. The FRAs consider internal and external risk factors, provide a risk score which then generates a”

  Earlier report in the app · Later report in the app