City of Sunderland

Coroner Area
Reports: 51 Earliest: Sep 2013 Latest: 1 Apr 2026

78% response rate (above 63% average).

51 results
Peter Pattinson
All Responded
2013-0250 6 Sep 2013
European Care group
Care Home Health related deaths
Concerns summary (AI summary) Care home staff failed to act on family requests for bed rail use and repairs, did not conduct risk assessments, and maintained inadequate, unpaginated patient records.
Action Taken (AI summary) The care group has implemented new bed rail risk assessment and checking systems, along with staff training on safe bed rail usage. They also numbered daily statement documents to prevent misplacement.