A coroner is told a Mental Health Act assessment was not completed for the man, who had dementia.
BBC Look East
The coroner was told the ward was short of two healthcare assistants that night and lacking beds for mental health patients. She had several health conditions but was described as very independent and still walked to local shops. The coroner was told he was declared fit for discharge on 29 November, more than a month before the incident, but that staff were unable to find him a care home that would take him quickly, largely because of his challenging behaviour.
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