We are sorry that your dad fell. The original referral and verbal handover we received from the ward on the day of admission stated muddled, shouts at times. No indication of complex needs. Once admitted, we were sent an updated referral stating: need for 1:1 on ward. We had frequent contact with social worker informing them of the falls and escalating challenging behaviour. We requested 24hour 1:1. 16hours where agreed, told it's a "flat no" when more requested. A staff was close by when he fell but could not have done anything to prevent the fall. CCTV was reviewed and analysed in depth.