Recipient

Amplius Living

First report 15 Nov 2019•Latest report 15 Nov 2019

Recipient record

Reports, concerns and published responses

Housing · Registered provider of social housing. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports: 1
Published responses: 0%
Concerns addressed: 0
Stated actions: 0

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

0%published responses found

0stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Amplius Living linked to the concerns in each report. Select any concern, action or position to view the source wording.

15 Nov2019
Birmingham and Solihull
Concerns raised7
1. Failure to complete full service users’ assessments
2. Reliance on applicant and family information when assessing privately funded applicants
3. Failure to complete care plans and risk assessments after admission
1. Failure to routinely obtain independent current medical information from applicants’ General Practitioners
2. Risk of incomplete and inaccurate applicant information about needs and risks
3. Lack of a written admission process for assessment staff
4. Lack of formal training for staff carrying out assessments
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.

No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

Mary Josephine Hoare · Prevention of Future Deaths report

This summary was generated using AI from the published report. Please read the original report for the complete account.

Report summary

Mary Josephine Hoare died on 16 May 2019 at Queen Elizabeth Hospital from catastrophic injuries sustained after deliberately climbing over the balcony of her second-floor apartment and falling. The report raised concerns that she was accepted into unsuitable independent living accommodation without full information about her recent mental health history, adequate suitability assessment, care planning or risk assessments. It also remained a concern that other applicants might be accepted into supported living settings without being fully assessed.

Read the report on judiciary.uk
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Amplius Living; that does not assign responsibility.
PFD Monitor interpretation
Failure to complete full service users’ assessments
Wider context from the report
“5. At assessment a full service users’ assessment was not completed for Mrs. Hoare by the FCH assessor which would have been an opportunity to ask more searching questions of the applicant and her family. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Amplius Living; that does not assign responsibility.
PFD Monitor interpretation
Reliance on applicant and family information when assessing privately funded applicants
Wider context from the report
“1. In April 2019, and currently, Friendship Care and Housing Limited (‘FCH’), who provide care at Phoenix House, and the Solihull Care Housing Association Limited (‘SCHA’), are reliant upon information from the applicant and their family when assessing the suitability of a privately funded applicant to become a resident. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Amplius Living; that does not assign responsibility.
PFD Monitor interpretation
Failure to complete care plans and risk assessments after admission
Wider context from the report
“7. Once Mrs. Hoare was a resident, a care plan and risk assessments were not completed. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Amplius Living; that does not assign responsibility.
PFD Monitor interpretation
Failure to routinely obtain independent current medical information from applicants’ General Practitioners
Wider context from the report
“4. Phoenix House and other settings where FCH provide care do not routinely ask for information from applicant’s General Practitioners to obtain independent current medical information. It was discussed at inquest that there are various proportionate ways this information could be sought with the consent of the applicant. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Amplius Living; that does not assign responsibility.
PFD Monitor interpretation
Risk of incomplete and inaccurate applicant information about needs and risks
Wider context from the report
“2. Due to their changing circumstances and/or health, applicants and their families are not always well placed to be realistic about what the applicant’s needs and risks are. Therefore there is a risk that full and accurate information will not be provided to FCH and SCHA. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Amplius Living; that does not assign responsibility.
PFD Monitor interpretation
Lack of a written admission process for assessment staff
Wider context from the report
“8. At inquest, evidence was given that improvements have already been made by FCH and SCHA to illicit more information from initial application forms but whilst consideration is being given to seeking information from an applicant’s GP for all privately funded applicants, a decision has not yet been made. Further whilst instruction has been given to the staff members involved in this case on the importance of completing full assessments prior to and post admission, no formal training or written admission process for staff carrying out assessment across all of FCH’s supported living services has been introduced. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Amplius Living; that does not assign responsibility.
PFD Monitor interpretation
Lack of formal training for staff carrying out assessments
Wider context from the report
“8. At inquest, evidence was given that improvements have already been made by FCH and SCHA to illicit more information from initial application forms but whilst consideration is being given to seeking information from an applicant’s GP for all privately funded applicants, a decision has not yet been made. Further whilst instruction has been given to the staff members involved in this case on the importance of completing full assessments prior to and post admission, no formal training or written admission process for staff carrying out assessment across all of FCH’s supported living services has been introduced. ”
Open source report

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026

Reports, concerns and published responses

Reports over time

Concerns raised7

Failure to complete full service users’ assessments

Reliance on applicant and family information when assessing privately funded applicants

Failure to complete care plans and risk assessments after admission

Failure to routinely obtain independent current medical information from applicants’ General Practitioners

Risk of incomplete and inaccurate applicant information about needs and risks

Lack of a written admission process for assessment staff

Lack of formal training for staff carrying out assessments