June Phillips

“The care home records were inaccurate and did not correctly reflect the deterioration in Mrs [name redacted] condition after the fall. There is a concern that this creates a risk of further deaths”

“The risk assessment for prevention of falls was not updated when it should have been after her fall on 07/04/23 and when her condition deteriorated. There is a concern that this create a risk of further deaths as risk assessments are not up to date”

“The post falls investigation did not adequately investigate the circumstances of the fall. There is a concern that this creates a risk of future deaths as lessons are not learnt from incidents”