Anglian Community Enterprise (ACE) Community Interest Company

Private and voluntary organisations · Community interest company

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First report 16 Sep 2016•Latest report 16 Sep 2016

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Concerns and recipient responses

Statements from Anglian Community Enterprise (ACE) Community Interest Company linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Essex

    AI-generated summary

    Martha Ann Davies · 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

    Martha Ann Davies, a 98-year-old woman, fell at home, underwent surgery for a fractured hip, was transferred for rehabilitation, suffered a further fall, and died in hospital on 29 November 2015. The report identified concerns including communication failings, reliance on agency and junior staff, delayed response to deterioration, lack of engagement by ward staff and management, and documentation failings; the inquest concluded that she did not receive adequate care and appropriate treatment at Clacton District Hospital, which may have contributed to her death.

    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 Anglian Community Enterprise (ACE) Community Interest Company; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to ensure appropriately senior staff make decisions

    Wider context from the report

    “(2) Over reliance upon agency staff and on junior staff to make decisions ”
    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 Anglian Community Enterprise (ACE) Community Interest Company; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of engagement of ward staff and ward manager

    Wider context from the report

    “(4) Lack of engagement of ward staff and ward manager ”
    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 Anglian Community Enterprise (ACE) Community Interest Company; that does not assign responsibility.

    PFD Monitor interpretation

    Over-reliance on agency staff

    Wider context from the report

    “(2) Over reliance upon agency staff and on junior staff to make decisions ”
    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 Anglian Community Enterprise (ACE) Community Interest Company; that does not assign responsibility.

    PFD Monitor interpretation

    Failings in documentation

    Wider context from the report

    “(5) Failings in the documentation ”
    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 Anglian Community Enterprise (ACE) Community Interest Company; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of prompt response to patient deterioration

    Wider context from the report

    “(3) Lack of prompt response to the patient’s deteriorating state. ”
    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 Anglian Community Enterprise (ACE) Community Interest Company; that does not assign responsibility.

    PFD Monitor interpretation

    Serious failings in communication across shifts, with senior staff, and at multidisciplinary meetings

    Wider context from the report

    “(1) Serious failings in communication between shifts, with senior staff, and at multi-disciplinary meetings ”
    Open source report
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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