Recipient

APEX Prime Care

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First report 8 Dec 2022•Latest report 8 Dec 2022

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Domiciliary care provider. 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
100%

Found for named reports

Concerns addressed
1

Across all linked responses

Stated actions
4

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.

100%published responses found
4stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

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

  1. Hampshire, Portsmouth and Southampton

    AI-generated summary

    Tracy Marie BROWN · 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

    Tracy Marie BROWN died at home on 5 January 2022 after taking an excessive quantity of some of her prescribed medication. Medication was required to be kept in a locked box because of an identified risk, but a week’s supply was regularly left unsecured and the carers’ digital application did not state that it needed to be stored securely.

    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 APEX Prime Care; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to include medication security instructions in the digital application used by carers

    Wider context from the report

    “I heard evidence that medication for Ms Brown was required to be kept in a locked box due to a risk of her not taking the correct amount or taking too much medication. This was since Apex Care became involved in her care in March 2021. Despite this identified risk staff left regularly a nomad box containing a week's worth of medication unsecured in her kitchen cupboard. On the digital application used to inform carers of what medication to administer, which was used by the carers daily, there was no reference to keeping the medication in the secure box. ”
    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 APEX Prime Care; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to keep medication in a locked box

    Wider context from the report

    “I heard evidence that medication for Ms Brown was required to be kept in a locked box due to a risk of her not taking the correct amount or taking too much medication. This was since Apex Care became involved in her care in March 2021. Despite this identified risk staff left regularly a nomad box containing a week's worth of medication unsecured in her kitchen cupboard. On the digital application used to inform carers of what medication to administer, which was used by the carers daily, there was no reference to keeping the medication in the secure box. ”
    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Add medication administration and storage instructions to care plans and prevent plans being issued without this task.

    Verbatim wording from the response

    “There is a task on the care plan of how medication is to be given and where it is stored but, on this occasion, it wasn’t which I should have picked up when I audited the care plan before going into the service user’s property. I have learnt a valuable lesson and I have filtered this down to all my office staff and no care plans go out without this task in place.”

    Source location

    Response from APEX Prime Care
    Page 2 · response
    Published 9 December 2022

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Reassess service users’ locked medication storage and require sufficient capacity for all medication without storing other medication in the property.

    Verbatim wording from the response

    “Since the passing of TB Apex Prime Care have learnt valuable lessons with reference to medication, we quickly reassessed every service user that has medication in a locked box to store medication. There now must be room to place all medication in the locked box with no other medication stored in the property. Some service users have had to purchase 2 locked boxes to fit all the medication in or a safe. If the delivery is weekly only, when we do the assessment, we are reiterate to the service user or their families not to buy over the counter medication as we are unable to monitor this closely and are unaware of what the service user is taking.”

    Source location

    Response from APEX Prime Care
    Page 2 · response
    Published 9 December 2022

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Update the medication policy to cover medication storage and locked boxes.

    Verbatim wording from the response

    “Apex Prime Care has also changed their medication policy to reflect medication and locked boxes (I have included the new updated policy and highlighted in yellow the changes to the policy).”

    Source location

    Response from APEX Prime Care
    Page 2 · response
    Published 9 December 2022

    Open published response
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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

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

How actions were described at the time

This respondent
100%
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