Dear Mr Winter, Mr Peter Pattinson Response_Regulation 28 Repodt am writing in response to your Regulation 28 report regarding Mr Peter Pattinson dated September 2013 and set out below the actions that we have undertaken in order t0 address the concerns set out at paragraph 5 of your report_ Requests to raise bed rails not being acted upon or documented and not being subject to a risk assessment We have now undertaken the following actions: bed rail risk assessments are carried out within 24 hours of admission and are then reviewed monthly or when needs change: Any changes will be discussed with the service user Or a family member; and b all present staff in post will undertake training in the safe usage of bed rails and read European Care's "Safe Use of Bed Rails" policy, signing to confir understand the policy. All new staff will undertake this training as part of their induction and understand European Care's policy on the safe use of bed rails. Competencies for all staff will be signed off by the manager, training coordinator and clinical lead and record kept on their personnel file. Continuous understanding will be monitored in supervisions_ 2_ Repairs to the bed rails of Mr Pattinson's bed were not actioned in a timely manner We have now undertaken the following actions: daily checking system is now in place for a senior member of staff to visually check the condition of the bed rails and record this on the handover. This in turn is checked by the manager; European Care & Lifestyles (UK) Ltd Registered in England. Registered No. 3856015 Two Parklands Business Park, Birmingham Great Park, INVESTORS Rubery, Birmingham, West Midlands, B45 9PZ IN PEOPLE T:0844 980 3666 F: 0121 457 4460

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b any defects regarding bed rails are to be reported and repaired immediately. All staff are now aware of how to report defects both within office hours and out of hours; and maintenance of bed rails will be untaken monthly in accordance with European Care policy by the maintenance manager and a record of this maintenance will be kept
3. Missing daily statements from Mr Pattinson's file All documentation relating to daily statements used are now numbered so pages cannot be mislaid. Daily statements provided were not paginated sequentially Please see response to paragraph 3 above: Please be absolutely assured that European are committed to continuously improving our quality and care and the safety and wellbeing of all our residents is paramount We therefore trust that the above addresses all your concerns and comprehensively however if you do require any further information or have any further concerns please do not hesitate to contact me.