Care Home Health related deaths
PFD Category
Reports: 407
Areas: 66
Earliest: Aug 2013
Latest: 15 Jan 2026
72% response rate (above 62% average). 70% of classified responses show concrete action taken.
PFD Reports
3 resultsRonald Nelson
No Identified Response
2026-0024
15 Jan 2026
Nottingham City and Nottinghamshire
Mulberry Court Care Home
Care Quality Commission
Concerns summary
Concerns remain regarding poor record keeping and inadequate compliance with care plans, which pose a risk to future patient safety.
Alan Peet
No Identified Response
2025-0609
5 Dec 2025
Manchester South
Care Quality Commission
Acer Mews Care Home
Concerns summary
A nurse untrained in tracheostomy management was allocated to a unit with high-needs patients, and an agency nurse lacked system login rights, leading to poor documentation and compromised care.
Wendy Afford
No Identified Response
2024-0478
30 Aug 2024
Berkshire
Happy at Home Community Care Services L…
Concerns summary
Multiple failures in care home practice include inadequate risk assessments, incomplete records for repositioning and body mapping, lack of management oversight, and insufficient staff training on skin integrity.