2021

Noted (AI summary) The Department of Health and Social Care will include a link to falls and fractures guidance within its Coronavirus (COVID-19): admissions and care of people in care homes guidance. The Department will also seek clarification from Public Health England and NHS England and NHS Improvement regarding adjustments to falls and fractures guidance for self-isolating care home residents. The CQC acknowledges the PFD report and explains its role as a regulator, including inspection methodology and enforcement actions. It notes ongoing monitoring and liaison with the local authority, but does not outline specific actions taken or planned in direct response to the report.

Noted (AI summary) The CQC acknowledges the PFD report and details actions taken following a notification of death and whistleblowing concerns, including an inspection and review of falls management. They will continue to monitor information received about the service until the next inspection. Castlehill Specialist Care Centre has fitted individual door sensors in every bedroom, installed new monitoring screens linked to the external doorbell, and will make 111/999 calls following any fall. They will also raise safeguarding alerts and request 1:1 funding following any fall.

Noted (AI summary) Norfolk County Council Adult Social Services expresses concerns about the inquest process, stating they were not asked to provide a report or contribute to the inquest. The response focuses on providing context and disputing some of the findings, particularly regarding the availability of suitable placements. Norfolk and Norwich University Hospitals NHS Foundation Trust is seeking funding for a ward-based Dementia Support Worker, and has been providing regular support by the Dementia Support Team. They have reviewed the Falls Risk and Safety Sides assessments, with a final draft completed and at the final adjustment/review stage, with plans for staff education to support the changes.

Noted (AI summary) The Department of Health and Social Care acknowledges the concerns and states that the planning and commissioning of local health services is the responsibility of CCGs. They note that Stockport CCG has responded and that Mastercall has undertaken to conduct a full audit of the ATT service. Stockport CCG has addressed concerns about the ATT service by agreeing that any visit required following initial telephone assessment will be performed by Mastercall, with exceptions only when a GP expresses a preference. The CCG is working with Mastercall and the wider primary care system to remove a 'grey area' in the service criteria.