East Riding and Hull
Concerns raised3
Inaccurate and inconsistent record keeping
Failure to provide handover information between care shifts
Failure to follow the falls policy for suspected head, neck, back or hip injury
Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised.9
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Action
Implement the electronic care management system and complete staff training for its use.
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Action
Operate the Resident of the Day process to review care plans, risks, mobility, falls risk and documentation.
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Action
Hold the scheduled staff meeting and practical workshop on falls assessment, observation, escalation and documentation.
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Action
Operate the structured incident-reporting workflow, including witnessed entries, senior authorisation and management escalation.
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Action
Replace the paper diary with a structured handover process providing staff with shared resident information.
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Action
Conduct monthly governance audits of accident and incident records to monitor documentation and identify service improvements.
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Action
Circulate the updated Falls policy to existing and new staff through the policies-of-the-month programme.
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Action
Provide all staff with guidance notes on post-fall assessment, safe movement, emergency escalation, monitoring, documentation and reporting.
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Action
Deliver additional training on assessing, managing, escalating and documenting witnessed and unwitnessed falls and injuries.
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations