Paul Batchelor
13 Sept 2024 · Coroner Susan Ridge · Surrey
The coroner's concerns
1. mattress extension falling through bed frame
“There may be a lack of awareness of the need to ensure adequate support for the mattress extension or bolster when using nursing care beds with an extension frame fitted”
2. staff not checking residents in distress
“the coroner has been shown minutes of briefings to care home staff conducted after Mr [name redacted] death emphasising the need to conduct checks of residents by going into a resident's room”