Ask the Care Specialists

Welcome to our 'Ask the Care Specialists', your one-stop portal for social care-related questions. Our team of specialists will try to answer as many of your Social Care questions as possible.

Having removed the nurse call bell for safety reasons, how can we ensure the resident’s needs are still met?

Having removed the nurse call bell for safety reasons, how can we ensure the resident's needs are still met?

Reading this I think you should not try to manage this alone, but should notify the person’s GP, social worker if any,  commissioners of the resident’s service, and perhaps also the local safeguarding team and, of course, their relatives or friends might well be a mine of information about how best to communicate with the resident.


Possible options to be considered must be completely person-centred and focused on this individual. Hence what follows are just matters to consider.


This person must of course be enabled to express their wants and needs.

  • Does the resident have mental capacity to know their own thoughts and needs, but has a problem with expressing themselves and being understood? If this is the case, they need a SALT urgently to assist with communication
  • Was this thought to be a deliberate attempt to kill themselves, or an accident? If it is thought to be deliberate, mental health expertise is urgently needed, to assess if the resident is depressed or actively suicidal; and if this might be the case then their setting must be risk-assessed to remove other potential hazards
  • If this was (as is more likely I would suggest) an accident, can they have a shorter cord, or have the cord attached to a rigid handle?

Rachel Griffiths

Mental Capacity and Human Rights Specialist

Rachel has huge experience and knowledge in the area of Mental Capacity, including how to recognise deprivation of liberty, when and how to assess capacity and how to go about making decisions in someone’s best interests. She is nationally recognised as a leading voice with regards to Mental Capacity, and is involved with setting the agenda as well as providing advice and information about Mental Capacity. The information, guidance and support that Rachel provides helps to ensure that the way people work is within the law and recognises that the person using services is always at the centre of any decisions made. Read more

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Important note: We are not in any way affiliated or connected to the Care Quality Commission, Care Inspectorate Scotland, or Care Inspectorate Wales. If your query relates to someone who is at risk of harm or in danger, you must follow your local safeguarding procedures. It is important that you speak to your regulator who will provide you with the best guidance and support.

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