Cann House Care Home

Private and voluntary organisations · Nursing home

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First report 30 Jan 2026•Latest report 30 Jan 2026

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
Published responses: 0%
Concerns addressed: 0
Stated actions: 0

Concerns and recipient responses

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

30 Jan2026
Devon, Plymouth and Torbay
Concerns raised12
1. Unclear documentation of falls, symptoms and measures taken to seek medical input
2. Lack of policies for reporting concerns
3. Inability of care home staff to meet residents’ care needs
1. Failure to closely monitor medical conditions and follow escalation policies
2. Failure to appropriately escalate concerns to Adult Social Care
3. Failure to adequately manage and monitor breast infection
4. Failure to carry out regular blood tests
5. Unavailability of a system for actioning discharge summaries
6. Lack of escalation policies
7. Failure to document capacity appropriately in care plans
8. Failure to record steps taken to support decision-making
9. Lack of medication policies
No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

Pamela George · 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

Pamela George, aged 70, died at Derriford Hospital on 30 June 2023 after being urgently admitted with suspected sepsis. The report identified missed opportunities to carry out required blood tests, manage a breast infection, document and escalate a fall and medical concerns, assess and record capacity, and maintain relevant care-home policies and records.

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 Cann House Care Home; that does not assign responsibility.
PFD Monitor interpretation
Unclear documentation of falls, symptoms and measures taken to seek medical input
Wider context from the report
“4. The documentation surrounding the fall, the symptoms seen and measures taken to seek medical input were not clear. ”
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 Cann House Care Home; that does not assign responsibility.
PFD Monitor interpretation
Lack of policies for reporting concerns
Wider context from the report
“6. There was little or no evidence of policies in place generally at the home and in particular on medication, escalation and reporting of concerns . ”
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 Cann House Care Home; that does not assign responsibility.
PFD Monitor interpretation
Inability of care home staff to meet residents’ care needs
Wider context from the report
“3. It is likely that Miss George’s needs were too great for the care home and that the withdrawal of 1 to 1 supervision had an effect on the home’s ability to care for her. I do think it likely that she was unkempt because of the inability of staff to meet her needs as well as the sepsis This does not however remove the need for close monitoring of medical conditions and appropriate escalation policies to be followed and to happen. The home has been unable to provide me with evidence that they appropriately escalated concerns to Adult Social Care which may have resulted in additional care or Miss George being removed to another provider. ”
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 Cann House Care Home; that does not assign responsibility.
PFD Monitor interpretation
Failure to closely monitor medical conditions and follow escalation policies
Wider context from the report
“3. It is likely that Miss George’s needs were too great for the care home and that the withdrawal of 1 to 1 supervision had an effect on the home’s ability to care for her. I do think it likely that she was unkempt because of the inability of staff to meet her needs as well as the sepsis This does not however remove the need for close monitoring of medical conditions and appropriate escalation policies to be followed and to happen. The home has been unable to provide me with evidence that they appropriately escalated concerns to Adult Social Care which may have resulted in additional care or Miss George being removed to another provider. ”
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 Cann House Care Home; that does not assign responsibility.
PFD Monitor interpretation
Failure to appropriately escalate concerns to Adult Social Care
Wider context from the report
“3. It is likely that Miss George’s needs were too great for the care home and that the withdrawal of 1 to 1 supervision had an effect on the home’s ability to care for her. I do think it likely that she was unkempt because of the inability of staff to meet her needs as well as the sepsis This does not however remove the need for close monitoring of medical conditions and appropriate escalation policies to be followed and to happen. The home has been unable to provide me with evidence that they appropriately escalated concerns to Adult Social Care which may have resulted in additional care or Miss George being removed to another provider. ”
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 Cann House Care Home; that does not assign responsibility.
PFD Monitor interpretation
Failure to adequately manage and monitor breast infection
Wider context from the report
“2. The infection which caused her sepsis was a bacterial infection which ████████ told me could only have been successfully treated with antibiotics. I am not satisfied that the breast infection was adequately managed at Cann House it being noted that there was no record of how the breast infection was progressing between 25th May and 27th June 2023 . ”
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 Cann House Care Home; that does not assign responsibility.
PFD Monitor interpretation
Failure to carry out regular blood tests
Wider context from the report
“1. Cann House missed an opportunity to carry out regular blood tests on Miss George between 23rd May and 29th June. These blood tests may have identified the need to continue to treat acute kidney injury which if left untreated may have affected her resilience to infection. The system for ensuring that discharge summaries are actioned was not available for me to see and I was not clear if any policy on this issue existed. ”
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 Cann House Care Home; that does not assign responsibility.
PFD Monitor interpretation
Unavailability of a system for actioning discharge summaries
Wider context from the report
“1. Cann House missed an opportunity to carry out regular blood tests on Miss George between 23rd May and 29th June. These blood tests may have identified the need to continue to treat acute kidney injury which if left untreated may have affected her resilience to infection. The system for ensuring that discharge summaries are actioned was not available for me to see and I was not clear if any policy on this issue existed. ”
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 Cann House Care Home; that does not assign responsibility.
PFD Monitor interpretation
Lack of escalation policies
Wider context from the report
“6. There was little or no evidence of policies in place generally at the home and in particular on medication, escalation and reporting of concerns . ”
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 Cann House Care Home; that does not assign responsibility.
PFD Monitor interpretation
Failure to document capacity appropriately in care plans
Wider context from the report
“5. There was little or no evidence that capacity had been appropriately documented with care plans remaining silent on the issue and records not analysing carefully what steps had been taken to help Miss George 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 Cann House Care Home; that does not assign responsibility.
PFD Monitor interpretation
Failure to record steps taken to support decision-making
Wider context from the report
“5. There was little or no evidence that capacity had been appropriately documented with care plans remaining silent on the issue and records not analysing carefully what steps had been taken to help Miss George 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 Cann House Care Home; that does not assign responsibility.
PFD Monitor interpretation
Lack of medication policies
Wider context from the report
“6. There was little or no evidence of policies in place generally at the home and in particular on medication, escalation and reporting of concerns . ”
Open source report

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

Reports, concerns and published responses

Reports over time

Concerns raised12

Unclear documentation of falls, symptoms and measures taken to seek medical input

Lack of policies for reporting concerns

Inability of care home staff to meet residents’ care needs

Failure to closely monitor medical conditions and follow escalation policies

Failure to appropriately escalate concerns to Adult Social Care

Failure to adequately manage and monitor breast infection

Failure to carry out regular blood tests

Unavailability of a system for actioning discharge summaries

Lack of escalation policies

Failure to document capacity appropriately in care plans

Failure to record steps taken to support decision-making

Lack of medication policies