Roland Stannard
17 Aug 2021 · Coroner Nigel Parsley · Suffolk
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. inadequate use of pressure sore prevention equipment
“once Mr [name redacted] sacral sore had occurred, due to staff inexperience and lack of training, the equipment provided to reduce the further development of his sacral sore was either not utilised, or if utilised sometimes used incorrectly”
Linked reports
Closely relatedConfidence 0.85 · high
Earlier report
“Staff working on mental health wards dealing with elderly patients must have a clear understanding of basic medical care in particular how pressure sores occur and what steps are required to address those at high risk.”
This report
“once Mr [name redacted] sacral sore had occurred, due to staff inexperience and lack of training, the equipment provided to reduce the further development of his sacral sore was either not utilised, or if utilised sometimes used incorrectly.”