Freda Cordy
17 May 2016 · Coroner Hassan Shah · Northamptonshire
The coroner's concerns
1. inadequate supervision of a frail elderly resident
“Despite the medical team identifying a need for constant supervision, the multi disciplinary team placed Mrs [name redacted] in Templemore Care Home which was only able to provide 2 hourly checks.”
2. absence of falls risk assessment
“Despite the previous history of falls and admission to hospital on 5*^ August 2015 being precisely due to a fall, no specific falls risk assessment was undertaken either before or upon Mrs [name redacted] placement in the care home.”
3. inadequate preventative equipment
“Although the provision of equipment was considered on 7*'' October 2015, this resulted only in the placing of a mattress on the floor and no other preventative equipment was considered.”
Responses
No published response was found on judiciary.uk.