Ms Rawden said between 6 and 13 October there had not been references to Ms Woollen’s facial injuries in the care notes.
In the meantime, the inquest also found that on 11 October staff had noticed a “decrease” in Ms Woollen’s food and drink intake.
However, this had not been recorded in the care notes and medical assistance had not been sought either.
In a response to the PFD, lawyers for Sheffcare said a new director of quality and care had been appointed since Ms Woollen’s fall.
The firm added she had been “implementing changes and improvements at the service”.
Through her leadership, the response said, Sheffcare had reviewed its relevant policies and guidance including falls and risk assessment and admission policy.
The law firm said following Ms Woollen’s fall, a so-called “huddle” was carried out and staff were reminded of policies about falls risk, documentation, and escalation, the Local Democracy Reporting Service reported.
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