Recipient

Antron ManorIncludes reports addressed to a minister or senior office-holder acting for this organisation.

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First report 9 Oct 2019•Latest report 9 Oct 2019

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Nursing home. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

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

Reports over time

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 Antron Manor linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: ████████, Registered Manager, Antron Manor Care Home.

    Cornwall and Isles of Scilly

    AI-generated summary

    EMILY DAISY SIMS · 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

    Emily Daisy Sims, a 101-year-old care home resident, died after bilateral spiral fractures to both femurs sustained when she was held by the ankles and swung out of bed. The report identified concerns about care plans not being updated to reflect changing needs, inadequate equipment and specialist advice, and insufficient training in equipment use and moving and handling.

    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 Antron Manor; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of provision of or access to specialist occupational therapy and physiotherapy advice

    Wider context from the report

    “4)    The lack of the provision, or access to, specialist advice from occupational therapists and physiotherapists to assist with measures to address changing needs ”
    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 Antron Manor; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of updating care plans with meetings and decisions about changing needs

    Wider context from the report

    “2)    The lack of updating of care plans to include reference to multi-disciplinary meetings or care needs meetings and decisions taken to manage changing needs ”
    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 Antron Manor; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of provision of appropriate equipment for changing needs

    Wider context from the report

    “3)    The lack of the provision of appropriate equipment such as adjustable beds to address changing needs ”
    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 Antron Manor; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of updating care plans to reflect and manage changing needs

    Wider context from the report

    “1)    The lack of updating of care plans to reflect changing needs and how to manage changing needs ”
    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 Antron Manor; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of appropriate training in equipment use and moving and handling

    Wider context from the report

    “5)    The lack of appropriate training regarding the use of equipment and moving and handling ”
    Open source report
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Published response patterns

Compared with other recipients in reports included in PFD Monitor

Describes published response evidence, not performance.

Published responses found

0%
0%All other recipients 58%
0%100%

How actions were described at the time

This respondent
All other recipients
47%25%27%<1%<1%
  • Completed
  • In progress
  • Planned
  • Unclear
  • Partially completed

Statuses reflect what recipients said at the time. PFD Monitor does not verify whether actions happened.

Types of action described in responses

Percentages use all actions described by each group. An action may have more than one type, so percentages do not total 100%.

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