Two carers were moving a service user from a bed to a chair using a hoist. They placed the hoist sling underneath the service user and then attached it to the hoist. Whilst the hoist was stationary one carer turned away to pick up the service users slippers and as a result the service user fell forward to the ground. The service user suffered wounds on their scalp and bruising to their head. The service user was taking to hospital but passed away 10 days later. It was found that the sling loop fixings were wrongly adjusted and a safety pommel was not used.
In this report the carers were lacking in training and guidance to use the hoist from the company they worked for. One carer was not focused on the task of the service being in hoist as she toke on another task to get the slippers which then meant she wasn’t aware of what the service user was doing. If the correct equipment was used and adjusted properly then that would of prevented the fall and death of this service user. When assisting a service with a task whether it be small or large we always need to carry out the task using the correct equipment and the correct members of staff to be present. Also our full attention should be on that task at all times and aware of what the service is doing and what is happening around them. If not doing so then this could result in the service falling or being injured and equipment not being used properly and damaged. Carers should always carry out a visual check of the equipment due to used before hand and if a problem arises it should then not be used and reported to relevant persons. All equipment should be used correctly to prevent such mishap.
Elderly service users were being transferred to a residential care home without giving the staff a detailed care plan of their needs. Things such as medication and dietary needs were not told which lead to one service user being served food she was allergic to. Some of the cases lead to the deaths of some service users...
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