He was left alone and told to ring the bell when finished.
The bell didn’t work, so after waiting he tried to get up, and fell. It’s unclear exactly when the fall occurred, the report said.
Ms C said she left him unattended for at least 30 minutes, but Mr A said he was on the floor for hours.
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Mr A’s health deteriorated after both falls and fracturing his ankle, and died a week later. (File photo)
Mr A was found lying on his side, “cold, shaken and in some degree of shock”.
Five to 10 minutes after being helped back to bed, Mr A suffered another fall from his bed to the floor, when reaching for something on his bedside table.