Our Top 5 Solutions To Help You Overcome Your Bed Safety Challenges And Avoid Bed Rail Entrapment


We were recently asked to help solve a safety issue for a group of care homes where they had identified that the sizing of their pressure-relieving mattresses was not compatible with their profiling beds and was causing entrapment issues for their residents.


Having discussed their issues and concerns with their Clinical Director, we learned that they had already looked at different ways to overcome this challenge, including purchasing various mattress infills from different companies to try to fill the gaps. However, none had fitted correctly, which left them without a satisfactory solution and a continued health and safety risk.

Through our industry experience and our network, we have been able to recommend and provided a bespoke service for them and we have supplied mattress infills based on the exact dimensions and measurements they needed for their particular bed and mattress combination.

Our Customer Has Achieved Their Desired Outcomes Of:

  • Improved safety of their residents.
  • Reduced risks of entrapment of their residents.
  • Increased compliance with regulators.
  • Gaining peace of mind that their residents are safe in their beds.
  • And we got to do what we ABSOLUTELY LOVE doing, which is to work with our customers to find solutions to their problems.

This prompted me to think: “Who else could be experiencing this challenge and others around entrapment and how to avoid it, and could benefit from me sharing our solutions?”

I decided to write my latest helpful and educational article to provide our ‘Top 5 Solutions To Help You Overcome Your Bed Safety Challenges And Avoid Bed Rail Entrapment’, based on real-time challenges we have helped care managers and providers overcome.

A few simple measures can be taken to provide a safer bed environment for your residents, and to help reduce severe or even fatal danger zones and other bed-related injuries:

Challenge 1: Pressure Relieving Mattress Not Fitting Bed Platforms Correctly And Creating Entrapment Gaps

One of the biggest challenges which care homes face is when profiling beds and mattresses are purchased separately rather than as a complete unit. This leaves the potential high risk that mattresses don’t fit the bed platforms correctly, either width or lengthways, and causing dangerous gaps between mattresses and beds.


Using a properly-sized compatible mattress on each profiling bed will reduce gaps between the bed head, footboards, and bed sides – when purchasing profiling beds and/or mattresses it is vital to check that mattresses will fit the bed platform properly, as stated by The Health and Safety Executive:

‘The length, width and height of the mattress should be checked to ensure that these dimensions are within the limits specified by the bed manufacturer and do not introduce gaps that could increase the risk of entrapment. If the mattress is not the right size, the bed rails may not fit properly and create entrapment gaps. Some manufacturers may also specify the density of static mattresses.’

Make Sure Your Bed And Mattress Combination Are Compatible In Size.

Many hospital bed brands also offer compatible-sized pressure-relief mattresses designed to go along with them. Making the decision to purchase a mattress and bed of the same brand will help to eliminate any entrapment issues, or alternatively, you can ask us if your two products are compatible, and we’ll be happy to help.

Challenge 2: Care Homes Having A Combination Of Beds And Mattresses Which Don’t Fit Correctly And How To Overcome This



By adding mattress side infills, mattress cradles and/or head and foot board protectors will fill dangerous openings between the mattress and side rails or head/footboards while helping to protect fragile or sensitive skin from harmful bruising and tears due to hard surfaces.

These are available in standard off-the-shelf sizing and also any bespoke sizing can be manufactured to your individual and specific measurements.


Challenge 3: The Depth Of The Mattress Or Mattress Combination Is Not Compatable With The Safe Height Of The Bed Rails As Stated In The Side Rail Regulation 60601/2/52

This can create a risk of an elderly and vulnerable person being able to climb over and fall and injure themselves.

These rail regulations must be adhered to by all care providers, which can be difficult, especially in homes with a range of bed and mattress types, and where mattresses can be moved between different beds.


Review your mattress and bed combinations and take into consideration the height of your bed rails and depth of the mattress when purchasing.

If you are still using overlay mattresses with a 2nd underlay mattress, consider moving to replacement mattress systems, which will reduce the height of the mattress and help make you compliant with the regulations.

Some bed manufacturers also provide extra high side rails and/or side rail extensions compatible with their beds to enhance patient safety.


Challenge 4: Ill-Fitting Bed Rail Bumpers

We know that with the various sizes of beds and length of bed rails, there can be challenges with matching the correct sizing, style, and length of bed rail bumpers, which can leave parts of the bed rails exposed and risks of injury to residents creating a safety risk and an issue for care providers.


When purchasing bumpers, opt for full length bed rail bumpers which are considered to be best practice by care professionals and regulators for safety.

Some of the largest bed manufacturers will offer bed rail bumpers which are made to a bespoke size to specifically fit their makes and models of beds and rails for correct fit.

If these options do not give you the right solution, you can consider a bespoke order of bed rail bumpers which we can manufacture to your specific dimensions for specific beds.

Challenge 5: Lack Of Maintenance Of Bed Rails

According to The Health and Safety Executive ‘significant numbers of incidents are caused by a lack of maintenance. Problems include loose fixings, missing clamps and worn or bent components; these can lead to bed rails moving out of position and becoming unsafe. These must be identified, and remedial action taken to prevent injury.’


We can provide a range of manufacturers’ spare parts and accessories. This includes the siderail slider system to ensure your bed rails are well-maintained and fit securely to your profiling beds, helping to prevent falls and other accidents and providing a secure solution to bed protection.

How Can Hcsuk Help You To Improve Your Bed Safety 


All of Hcsuk’s range of profiling beds are side rail compliant for your peace of mind.

  • When we provide proposals for the purchase of profiling beds and or mattresses, we will always raise compatible sizing as a safety issue for your consideration.
  • We can provide you with a bed/mattress measurement call-out service to ensure your new purchase of beds or mattresses are compatible and compliant.
  • We provide you with easy to assemble bed rail height extensions.
  • Part of our servicing package for you includes bed inspections, where your side rails are checked to ensure you are compliant.
  • We can provide you with a simple to use bed rail height measurement tool, shown below, so that you can quickly and easily check if you are compliant. If you would like to be sent copies of these testers, please get in touch.
  • We can provide you with a Bed Rail Audit to check your compliance with current regulations.
  • We can provide you with bespoke sizing solutions for bed rail bumpers and mattress infills according to your individual and specific needs.
  • We have a range of fit for purpose product solutions in our Avoiding Bed Rail Entrapment range which you can view here

If you have a specific challenge or concern around your bed safety, any bed rail entrapment issues or compliance, then please contact us today on 017713 713713 or email us at sales@hcsuk.co.uk, we would love to work with you to help you!



You are part of a great company, if we can help you grow by contracting you out to our sites its good for you, but it’s great for us because your service is fantastic, very efficient, everyone within HCS is super helpful in answering queries and every time we’ve had an issue, HCS has always been there to solve the problem almost immediately, which is fantastic.

A.D – Leicestershire County CouncilImage Sources: Pixabay, Harvest Healthcare.

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Customer Testimonials

“We’ve built a strong working relationship with Hcsuk over many years, having used them to source, install and service our medical training equipment. We have always found the team very professional, helpful, and well-organised. We’d like to give a particular shout out to Phil, the technician / engineer who has been the consistent friendly face visiting our business to inspect and test our mobility hoists every 6 months. Thank you for all your support and advice.”

P. B. (Care Manager), Blue Bird Care Ltd

You are part of a great company, if we can help you grow by contracting you out to our sites its good for you, but it’s great for us because your service is fantastic, very efficient, everyone within Hcsuk is super helpful in answering queries and every time we’ve had an issue, Hcsuk has always been there to solve the problem almost immediately, which is fantastic.

Leicestershire County Council

Truly exceptional levels of customer service, the best I have experienced for many years. Very helpful staff made follow up calls to ask how the equipment was performing and supplied extra user instructions to supplement the manufacturers manual. I would not hesitate to order from this company again.

Savills Estate Agents

We would just like to pass on our thanks for all of your help with our orders and would be pleased if you would also pass on our thanks to the manufacturers for being so accommodating in meeting our requirements. We have found everyone very helpful.

Lincs Partnership NHS Foundation Trust

Since I set up the account for Hcsuk over 18 months ago I have found them to be an excellent advocate of our products. They have been willing to learn about the technical and servicing elements to our hoists and the sales staff have really taken on board and proactively promoted our range where possible. I feel that as a company Hcsuk have got the desire and right people in place for growing in this competitive industry. They seem to push themselves to go that little bit further and offer that little bit more to stand out from the rest. May our relationship continue going from strength to strength.

Joerns Healthcare

As a care home manager I have used Hcsuk for my supplies for the last 20 years in two homes. I have always found them to be helpful and reliable. Their products are of the highest standards, they are able to source anything. The delivery service is prompt and regular so I do not have to keep large amounts of stock. They supply extra services such as servicing and repairs which are done efficiently, and training in COSHH. The reps are pleasant and helpful bringing new products to my attention but are never ”pushy”. Aftercare is good, any problems soon sorted. I would recommend them highly and would not think of using anyone else.

Littleover Nursing Home

HPC have supplied Hcsuk (Health Care Services Ltd) for well over a decade now and we would consider them to be a high quality and professional business run in an organised and progressive manor. We do not rank our customers or have a preferred customer status but if we were to introduce such a scheme I can confirm that Hcsuk would easily make such a grade.

HPC Healthline

As a manufacturer we look for key values in a distributor some of these include honesty, reliability, commitment and reputation. Hcsuk carry all of these and many more. With a twenty plus year working relationship we now place Jo and the team at the top of our distributor list. I have no hesitation in recommending Hcsuk to any prospective manufacturer or customer and wish Jo and the team all the best for the future.

Cleenol Group Ltd

It is brilliant that we are able to ring Health Care Services and that you will go the extra mile to get us the stock we need as soon as possible.

Rykneld View Nursing Home

Just to say a huge thankyou to you and your fantastic team, and I mean that from the Heart. I have never before experienced such a person centred company.

Hampton Grange Nursing Home

What I like about working with Health Care Services is the relationship we have built up and the personal service. The homes report that you always deliver on time, the quality is consistently good and the prices competitive. Your team members are always willing to go that extra mile for us and if ever we have an issue there is always someone there to save the day.

Eastgate Care

Thanks to Jo for going over and above to get us our items in time for our special event at Buddleia House – it was very much appreciated. A massive thankyou for your continued assistance as a supplier to ourselves.

Buddleia House

We have always received excellent services from everyone at HCS at our 2 care homes, especially Lee, Jo and Phil. Always professional with a quick response time. Nothing ever seems too much trouble. Recently I had to use them personally for equipment to enable my mothers discharge from hospital. I had a response within the hour for prices and delivery came straight from the manufacturer to speed up delivery. Phil arrived at the same time to put the equipment together for us! I can’t thank them enough for putting our minds at ease and for the continued support from a personal and professional perspective. I’d recommend them to anyone requiring care equipment and its nice to support local businesses. Especially when they do such a good job!!

Orla House

I contacted HCSUK trying to find a hoist that could be operated unaided by the client. I had become very disheartened, no-one was really helpful until I spoke to Donna at HCSUK.

Donna was incredibly understanding, her professionalism raised my spirits again. Everything Donna said she would do she did, including arranging for me to speak to Andrew the salesman who like Donna was incredibly helpful, happy to bring two machines to demonstrate.

I can’t recommend them highly enough. They are good people.

Penelope C

I spoke to Lee Atterbury 2 weeks ago, when I was despairing about the prospect of finding any equipment to help my husband in the bathroom. I had tried all the popular brands, but none were right for his needs.

When I spoke to Lee he understood what I was saying and set about trying to find what we need. He was so patient and understanding and gave me the confidence to explore outside the box.

I spoke to Lee today and was able to tell him that we, hopefully, have found the solution. I am sorry that it was not a product you sell, though you may in the future, but will certainly look first to HCS for other products.

Thank you so much to Lee for first class customer service.

Christine G, Sheffield

VAT Relief Information

Conditions for VAT relief for disabled people

Some of the products which can be purchased from the Hcsuk website are available for an eligible person to purchase without paying VAT on them. HM Revenue and Customs sets out the conditions when equipment for disabled people might be free of VAT and how to claim exemption from paying VAT on these products.

Products a can only be exempt from VAT when all the following conditions are met:

  1. The customer is eligible to purchase supplies at the zero rate
  2. The goods are for the personal or domestic use of the customer
  3. The goods and services are eligible to be supplied at the zero rate

A more detailed explanation of each of these conditions is given below, but you should visit the HM Revenue and Customs Website to fully understand the conditions

The product must be being purchased for someone who is chronically ill or disabled.

A person is ‘chronically sick or disabled’ if he/she is a person:

It does not include a frail elderly person who is otherwise able-bodied or any person who is only temporarily disabled or incapacitated, such as with a broken limb.

‘personal or domestic’ use means that the supply must be made available specifically for the use of an eligible individual.

You don’t have to physically buy the goods in person. If your parent, guardian or wife or husband buys the goods and services for you, then you won’t be charged VAT.

What counts as personal or domestic use?

Personal or domestic use means that the goods or services are supplied for your own private use, rather than for business purposes. Also, the goods or services must be just for your own use – not for use by anyone else, or chronically sick or disabled people in general. However, if you and your partner are both chronically sick or disabled and you buy goods or services for both of you to use, then you won’t have to pay VAT.

Products which are offered for sale on this website which qualify for VAT relief to be claimed for an eligible person.

The products which can be bought without paying VAT are:

Only the products on our site carrying the VAT exemption price (the smaller price marked ex VAT) are eligible to be purchased this way and you must tick the box on the basket page indicating that you wish to claim VAT exemption on the items in your basket that are eligible for VAT relief.

How to claim

On the my basket page of this website a link to the online declaration form is provided if the basket contains a product that qualifies for VAT relief. You must tick the box to state you wish to claim VAT relief on the eligible product and complete in full the reason by which you are ‘chronically sick or disabled’ and name and address of the claimant. If possible the person making the claim should complete this form, but a family member, carer or medical professional may complete the form on the claimants behalf. To submit the claim and receive the VAT relief, click the ‘Submit VAT Relief Claim’ button before proceeding to the checkout.

Please note that all orders submitted with a VAT relief claim form completed are checked before the order is processed.

It is necessary to complete a separate claim form each time a qualifying product is purchased from Hcsuk.


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