Ann Wells

On 30 December 2013 | commenced an investigation into the death of ANN MARY WELLS, AGE 77 YEARS. The investigation concluded at the end of the inquest on 2 September 2014. The conclusion of the inquest was medical cause of death: 1a) Traumatic intracerebral haemorrhage b) fall with head injury; and short-form conclusion: Accidental Death.

Mrs Wells was resident on Sandringham Ward, Julian Hospital, Norwich (providing care and treatment for those with complexities in later life) and was mobile with the aid of a 3 wheeled frame. Mrs Wells was assessed as being at risk of falls. A Falls Care Plan was in place. On 21 November 2013 Mrs Wells was found on the floor of her room. She told staff she had crossed her room to switch on her light. There is a light switch and a call bell on the wall beside her bed where she was sleeping. Mrs Wells was taken to hospital, returned to Julian Hospital and then readmitted to hospital. She had another fall. Her condition deteriorated and Mrs Wells died on 28 December 2013.

In my opinion action should be taken to prevent future deaths and | believe your organisation has the power to take such action.