Dorethea Parr

“the electric armchair had been ordered by the Occupational Therapist and delivered by Tremorvah Industries (Mobility) at short/no notice to Mrs [name redacted] address on 21*' March 2016. No notification was given to the son - who had requested to be present when it was delivered nor to the Occupational Therapist or Kerrier Home Care Ltd who provided the carers who would assist Mrs [name redacted] in using the new chair. This meant there was limited or no opportunity for the family and carers or district nurses to”

“District Nurse [name redacted] explained that it was the role of the District Nurses to carry out the Falls Risk Assessment for clients living in the Community at risk of falling. The District Nurses were very dependent on other agencies to inform them of falls or changes to the risk of falls e.g. the delivery of the electric chair or changes in presentation which increase the risk of falls e.g. confusion. In this case the District nurses were not informed of the fall on 21*' March from the new electric”

“There is a high mortality rate of elderly patients who fall and fracture their femur”