Beryl Walsh
19 Nov 2018 · Coroner J Robinson · Manchester (North)
The coroner's concerns
1. high risk of falls
“multiple missed opportunities to identify the deceased as a person of high risk of falls and to escalate her care by way of a referral to the falls team”
2. lack of falls prevention equipment
“multiple missed opportunities to provide the deceased with falls prevention equipment and to undertake falls risk assessments and care plans”
3. absence of care plans and risk assessments
“No care plans and falls risk assessments had been undertaken”