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Lack of bed rail assessment lead to nursing home resident’s leg amputation

A nursing home has been fined after a resident’s leg was repeatedly trapped in a bed rail.

Merthyr Tydfil Magistrates’ Court heard how, a resident at Crosfield House Limited in Rhayader was admitted to hospital when her leg, which had repeatedly been trapped between her mattress and the bed rail, became discoloured and cold to the touch. She had to have her leg amputated.

An investigation by the Health and Safety Executive (HSE) into the incident found that there was a lack of training and guidance on how to complete a bed rail assessment. Employees at the home had not received any training on the safe use of bed rails and were unaware of the risks from bed rail entrapment. It also found that, despite the resident’s leg becoming repeatedly trapped between September and November 2018, no review on the use of bed rails was carried out.

Crosfield House Limited of Dark Lane, Rhayader, Wales pleaded guilty to breaching Section 3 (1) of the Health and Safety at work Act 1974 and have been fined £25,000 and ordered to pay costs of £11,747.