Recipient

Angel Solutions (UK) Ltd

First report 26 Jun 2019•Latest report 26 Jun 2019

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Company limited by guarantee. 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 Angel Solutions (UK) Ltd linked to the concerns in each report. Select any concern, action or position to view the source wording.

26 Jun2019
Surrey
Concerns raised8
1. Failure to maintain complete identifying and contact information for responsible carers
2. Provision of inadequate care to patients
3. Failure to provide two carers when required for patient care and movement
1. Failure to maintain patients’ personal hygiene
2. Failure to keep adequate patient records
3. Failure to seek medical attention for patients’ pressure sores
4. Failure to regularly reposition patients
5. Failure to maintain and provide complete patient records
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

Mr Charles Knapp · 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

Mr Charles Knapp, who was paraplegic and dependent on care, developed necrotic pressure sores while living at home and later died in hospital on 24 February 2018 from aspiration pneumonia. The concerns included failures by Angel Solutions (UK) Ltd to maintain his hygiene, reposition him, seek medical attention, provide two carers as required, and maintain or supply complete care records; the Coroner was concerned that inadequate care and records could put other service users at risk of future deaths.

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 Angel Solutions (UK) Ltd; that does not assign responsibility.
PFD Monitor interpretation
Failure to maintain complete identifying and contact information for responsible carers
Wider context from the report
“(iv) Angel Solutions (UK) Ltd failed to supply the court with the full name and contact details of the main carer who was responsible for Mr Knapp’s care and as such the court did not have the benefit of hearing from her. Further, her surname had been redacted from the records which were left at Mr Knapp’s house. ”
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 Angel Solutions (UK) Ltd; that does not assign responsibility.
PFD Monitor interpretation
Provision of inadequate care to patients
Wider context from the report
“The Coroner understands that although Angel Solutions (UK) has now been rated as inadequate following an inspection carried out by the Care Quality Commission in March 2019, it continues to provide care to approximately 8 individuals. The Coroner is concerned that there is a risk that the company will provide inadequate care to those individuals and keep inadequate patient records in respect of them, which gives rise to the risk of future deaths. ”
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 Angel Solutions (UK) Ltd; that does not assign responsibility.
PFD Monitor interpretation
Failure to provide two carers when required for patient care and movement
Wider context from the report
“(ii) Angel Solutions (UK) Ltd did not always provide Mr Knapp with two carers, despite his care plan requiring two carers to be present in order to move him and otherwise effectively care for him. ”
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 Angel Solutions (UK) Ltd; that does not assign responsibility.
PFD Monitor interpretation
Failure to maintain patients’ personal hygiene
Wider context from the report
“(i) Angel Solutions (UK) Ltd omitted to maintain Mr Knapp’s personal hygiene or regularly reposition him, and thereafter omitted to seek medical attention for the pressure sores. These omissions contributed to the development of the pressure sores and to Mr Knapp’s death. ”
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 Angel Solutions (UK) Ltd; that does not assign responsibility.
PFD Monitor interpretation
Failure to keep adequate patient records
Wider context from the report
“The Coroner understands that although Angel Solutions (UK) has now been rated as inadequate following an inspection carried out by the Care Quality Commission in March 2019, it continues to provide care to approximately 8 individuals. The Coroner is concerned that there is a risk that the company will provide inadequate care to those individuals and keep inadequate patient records in respect of them, which gives rise to the risk of future deaths. ”
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 Angel Solutions (UK) Ltd; that does not assign responsibility.
PFD Monitor interpretation
Failure to seek medical attention for patients’ pressure sores
Wider context from the report
“(i) Angel Solutions (UK) Ltd omitted to maintain Mr Knapp’s personal hygiene or regularly reposition him, and thereafter omitted to seek medical attention for the pressure sores. These omissions contributed to the development of the pressure sores and to Mr Knapp’s death. ”
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 Angel Solutions (UK) Ltd; that does not assign responsibility.
PFD Monitor interpretation
Failure to regularly reposition patients
Wider context from the report
“(i) Angel Solutions (UK) Ltd omitted to maintain Mr Knapp’s personal hygiene or regularly reposition him, and thereafter omitted to seek medical attention for the pressure sores. These omissions contributed to the development of the pressure sores and to Mr Knapp’s death. ”
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 Angel Solutions (UK) Ltd; that does not assign responsibility.
PFD Monitor interpretation
Failure to maintain and provide complete patient records
Wider context from the report
“(iii) Angel Solutions (UK) Ltd failed to provide the court with a full set of Mr Knapp’s records, and as such the court did not have the opportunity to review the records for the key period prior to the development of the pressure sores. ”
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 raised8

Failure to maintain complete identifying and contact information for responsible carers

Provision of inadequate care to patients

Failure to provide two carers when required for patient care and movement

Failure to maintain patients’ personal hygiene

Failure to keep adequate patient records

Failure to seek medical attention for patients’ pressure sores

Failure to regularly reposition patients

Failure to maintain and provide complete patient records