A pensioner suffered four falls in eight days - the last of which resulted in a broken hip - before council bosses took action and ordered a safeguarding review. The man, in his late eighties, initially recovered from surgery on his hip but died just over two weeks later.
Neither the fall or fracture were recorded as a cause of death. He had been placed at Bradwell Court, in Congleton, having previously been detained under the mental health act.
During his brief time at the home, ‘Mr Y’ also sustained a head injury that needed hospital treatment, an investigation by the ombudsman has found. His family reported concerns over his ‘agitation and mental health’, as well as the ‘poor attitude’ of one care worker.