What a sad case that could have been avoided with better communication.
Maidstone Crown Court heard how the man, who was suffering from dementia, was being cared for at the Frank Lloyd Unit, Sittingbourne, by the Kent and Medway NHS Social Care Partnership Trust. On 9 April 2008, he was being bathed, slipped from the hoist and fell about three feet suffering serious injuries. He died the next day in Medway Maritime. Following this reported incident, an investigation by the HSE found that (on 9 April 2008) that there was poor communication between the nursing staff and the agency care workers. It also found that the care plan was not clear and, in any case, was not shared with the agency carers. There was no consideration of the risk of using a bathroom in another ward which precluded any active supervision of the agency carers.