Belle Green Court

Private and voluntary organisations · Residential care home

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First report 11 Jul 2023•Latest report 11 Jul 2023

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 Belle Green Court linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. South Yorkshire (Western)

    AI-generated summary

    June Peel · 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

    June Peel, a resident at Belle Green Court Care Home, sustained a displaced distal femur fracture that was not identified or medically assessed promptly. She underwent surgery after admission to hospital and did not recover, dying on a palliative care pathway. The principal concerns were failures to follow her care plan, record and hand over information about her knee injury, and seek timely medical attention.

    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 Belle Green Court; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to pass injury information on at handover or document its transfer

    Wider context from the report

    “1. There was a failure to record the injury from the body map in the daily communication records both on 3rd June and 6th June, and a failure to pass that information on at handover (or to document that the information had been passed on). This led to a period in which June was being turned on a 2 hourly basis with a displaced femur fracture. ”
    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 Belle Green Court; that does not assign responsibility.

    PFD Monitor interpretation

    Failure by healthcare assistants to follow the care plan

    Wider context from the report

    “3. There was a failure to follow the care plan by the healthcare assistants. There has been no investigation done to identify whether this is a condoned or common practice within the home. ”
    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 Belle Green Court; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of investigation into whether care-plan non-compliance is condoned or common practice

    Wider context from the report

    “3. There was a failure to follow the care plan by the healthcare assistants. There has been no investigation done to identify whether this is a condoned or common practice within the home. ”
    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 Belle Green Court; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to recognise when medical attention is required

    Wider context from the report

    “2. There was a failure to recognise that medical attention was required for June from at least 3rd June 2022, notwithstanding all personal care being conducted by the healthcare assistants. ”
    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 Belle Green Court; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to record injuries from body maps in daily communication records

    Wider context from the report

    “1. There was a failure to record the injury from the body map in the daily communication records both on 3rd June and 6th June, and a failure to pass that information on at handover (or to document that the information had been passed on). This led to a period in which June was being turned on a 2 hourly basis with a displaced femur fracture. ”
    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