Recipient

Belgravia Care Home

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First report 22 Dec 2020•Latest report 22 Dec 2020

Recipient record

Reports, concerns and published responses

Health and care · Healthcare site. 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 Belgravia Care Home linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Blackpool and the Fylde

    AI-generated summary

    Tina Murray · 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

    Tina Murray, who lived in a care home, died on 8 January 2020 after being found unresponsive with a plastic bag secured over her head. The principal concerns were that plastic bags were accessible within the home despite a known risk of self-harm involving plastic bags, and that the care home’s risk assessments and safety measures should be robust for residents with mental health conditions, dementia and learning disabilities.

    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 Belgravia Care Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to prevent access to plastic bags for a person at risk of self-harm

    Wider context from the report

    “(1) Tina Murray posed a risk to herself, and specifically in relation to plastic bags, yet plastic bags appear to have been accessible within the home; ”
    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

    Implement individual robust risk assessments for residents at risk of suicidal tendencies.

    Verbatim wording from the response

    “In section 5 it points out concerns in Belgravia Care Home and how there is a risk that another death may occur at the home. Here are the safety measures and risk assessments that we have now put into place.”

    Source location

    2020-0296-Response-from-Belgravia-Care-Home-Redacted
    Page 1 · response
    Published 8 January 2021

    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

    Remove, cut up and safely dispose of bags brought back from shops, bags used during personal care, and all other used bags in a locked external commercial bin.

    Verbatim wording from the response

    “• Residents that have been to the shops have had the bags removed, cut up and disposed of safely when coming back into the home.”

    Source location

    2020-0296-Response-from-Belgravia-Care-Home-Redacted
    Page 1 · response
    Published 8 January 2021

    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

    Secure all plastic bags in locked kitchen and cleaning cupboards accessible only to management and senior carers.

    Verbatim wording from the response

    “In section 5 it points out concerns in Belgravia Care Home and how there is a risk that another death may occur at the home. Here are the safety measures and risk assessments that we have now put into place.”

    Source location

    2020-0296-Response-from-Belgravia-Care-Home-Redacted
    Page 1 · response
    Published 8 January 2021

    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

    Remove plastic bags from residents’ bedrooms.

    Verbatim wording from the response

    “In section 5 it points out concerns in Belgravia Care Home and how there is a risk that another death may occur at the home. Here are the safety measures and risk assessments that we have now put into place.”

    Source location

    2020-0296-Response-from-Belgravia-Care-Home-Redacted
    Page 1 · response
    Published 8 January 2021

    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