Inconsistent assessment of the risk of pressure areas is likely to have been one of the causes of pressure ulcers among people who contacted the independent inquiry into Mid Staffordshire Foundation Trust.
The inquiry’s report, published today, said around 20 people complained of bad experiences with pressure ulcers.
It said: “Their stories suggested a lack of care; these stories were not surprising given the general description of care afforded at times.”
In addition to inconsistent assessment techniques, the report highlighted an apparent lack of multidisciplinary team working and shortage of staff as other likely causes.
“Shortage of staff and other obstructions made it inevitable that there would be cases of avoidable skin breakdown,” it said.