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The daughter of an elderly care home resident who suffered 32 falls in only 11 months said she had sent social services “a begging email” to warn her mother “was going to die” unless urgent improvements were made.
“She suffered neglect in every way – it was devastating to see,” said Kylie Gobin, whose mother Winifred Tubb lived at St Luke’s in Runcorn, Cheshire.
Mrs. Gobin spoke to the BBC as part of an in-depth investigation which found nearly one in five care homes across England were rated as either “requiring improvement” or “inadequate”.
A spokesman for Halton Borough Council, which operates St Luke’s, said it had “fully investigated” the complaints and “some lessons have been learned”.
BBC England’s data journalism team analyzed Care Quality Commission (CQC) statistics and found the regulator now regards more than 2,500 care homes across England as “requiring improvement”.
The number of “inadequate” homes stands at 194 across England, but this figure is down on both 2022 and 2023.
This could either be due to services improving, care homes closing down, or both.
Common themes in struggling homes included:
- Gaps in staff training
- Mismanagement of medicines
- Accurate records not being kept
- Facilities not meeting safety and cleanliness standards
- Residents’ rights to privacy and dignity not being upheld
- Poor management oversight
Mrs Gobin said her mum – who had worked in the care sector before being diagnosed with dementia in 2010 – moved to St Luke’s in June 2021.
“From the August, she had repeated falls and broke her hip in October 2021,” she said.
“There was an internal inquiry, but no lessons were learned until I emailed in April 2022.”
A lower bed, sensory mats, and alarms – controlled by a key switch outside Mrs Tubb’s room – were installed so staff could be alerted if she attempted to get out of bed.
On at least two occasions, though, Mrs Gobin says she discovered the alarm had been disabled.
“In November 2022 I visited and found mum on the floor, with the alarms off,” she said.
“I was crying – every emotion you can imagine went through my body. I had to leave the room because I was so angry.
“It would have taken her two or three hours to get into that position because she wasn’t mobile.”
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Winifred Tubb suffered 32 falls in less than a year
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