Recipient

Caremark (Chiltern & Three Rivers)

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First report 14 Oct 2024•Latest report 14 Oct 2024

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
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 Caremark (Chiltern & Three Rivers) linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Berkshire

    AI-generated summary

    Sally Mills · 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

    Sally Mills choked on prescribed medication at home on 23 July 2023 after experiencing difficulty swallowing during its administration, and died later that day in hospital. The principal concerns were gaps in first-aid understanding for an unresponsive person and failures to appropriately escalate difficulties encountered during medication administration.

    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 Caremark (Chiltern & Three Rivers); that does not assign responsibility.

    PFD Monitor interpretation

    Lack of knowledge and embedding of the escalation policy

    Wider context from the report

    “(2) Escalation of issues encountered by care assistants being appropriately escalated. Whilst the evidence demonstrated efforts have been made in this regard, such as a new checklist, and new policy dated September 2023; the evidence revealed lack of knowledge of the policy and embedding of it. ”
    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 Caremark (Chiltern & Three Rivers); that does not assign responsibility.

    PFD Monitor interpretation

    Lack of understanding of first aid for unresponsive people

    Wider context from the report

    “(1) First Aid training. The evidence revealed there is still a lack of understanding of providing first aid to those becoming unresponsive. ”
    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