Falls remain one of the most significant risks for people receiving care, whether in their own homes or in residential settings. On Falls Prevention Awareness Day, it’s vital to remember that preventing falls isn’t just about ticking boxes: it’s about understanding each person’s unique needs and risks. Regular and thorough falls risk assessments are the foundation, but what really matters is how those assessments are used to inform care. Providers should ensure that every assessment leads to a clear, well-documented plan, tailored to the individual, and reviewed whenever circumstances change.

Through our work supporting care providers through inquests, we often see that the key issue isn’t whether a fall occurred, but whether the provider can show they took a thoughtful and proactive approach to prevention. This means not only identifying risks, but also carefully considering which measures are appropriate - and being transparent about why some interventions might not be suitable. For example, while crash mats can reduce injuries from bed falls, they may actually increase risk for some people who are mobile but unsteady, as they could trip over the mat itself. The best practice is to document these decisions clearly, explaining the reasoning behind each choice, and involving the person and their family wherever possible.

Ultimately, falls prevention is about balancing safety with dignity and independence. No intervention is risk-free, and not every fall can be prevented. However, by demonstrating a robust, person-centred approach - where risks are regularly reviewed, measures are thoughtfully chosen, and decisions are clearly explained - providers can show regulators, families, and coroners that they are doing everything reasonable to keep people safe. 

It's important to recognise the care teams who get this right, and keep striving for a culture where thoughtful, transparent decision-making is at the heart of every care plan. If you'd like support with falls prevention, please contact me.