A Coroner is to write to a Long Melford nursing home following the death of an 88-year-old resident.
Joyce Hardy, had suffered a bleed on the brain following a fall at Melford Court Nursing Home and died in hospital on December 6 last year.
The inquest today at Bury St Edmunds heard that despite receiving appropriate medical treatment, doctors had been unable to save Mrs Hardy.
However, Assistant Suffolk Coroner Yvonne Blake said she was concerned that staff at the nursing home had not appeared to be aware that Mrs Hardy was being prescribed an anti blood clotting drug.
Mrs Blake also said she was concerned that a nurse who was in charge at the time was not aware of official guidelines for dealing with people who are taking blood thinning medication.
The inquest heard that Mrs Hardy, who suffered from confusion, had suffered a fall in her room at Melford Court, striking the back of her head.
Mrs Hardy had told staff that she had overbalanced while reaching for a door, the inquest heard.
While the manager of the home had asked for Mrs Hardy’s GP surgery to be informed of what had happened, this did not appear to have taken place and no record of such a report being made could be found.
Following a change in Mrs Hardy’s behaviour, her condition deteriorated, and she was taken to hospital where a scan revealed that she had suffered a bleed on the brain and she later died.
The inquest heard that in July last year, Melford Court Nursing Home was placed in special measures. Issues highlighted in the CQC report included inadequate staff numbers, inadequate records of food and fluids given to residents and multiple breaches of the Health and Social Care Act.
Mrs Blake recorded a verdict that Mrs Hardy suffered a fall and her condition deteriorated leading to her death in hospital, despite receiving appropriate treatment.
The Assistant Coroner said: “I am a bit concerned that members of staff at the home appeared not to know that she was on anti coagulents.”
Mrs Blake said she intended to write to the nursing home to ask what has been done to address the issue and what training had been provided for staff.