City and County Healthcare Group Limited

Private and voluntary organisations · Multi-service care provider

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First report 27 Nov 2020•Latest report 27 Nov 2020

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 City and County Healthcare Group Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Stoke-on-Trent and North Staffordshire

    AI-generated summary

    Geoffrey Peter Banks · 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

    Geoffrey Peter Banks, aged 64, took 44 co-codamol tablets after pulling open a locked medicine cupboard at his assisted accommodation on 1 January 2020. He was admitted to hospital and died on 8 January 2020 from an acute heart attack; the overdose contributed to his death, although it was not possible to determine whether it was accidental or deliberate. Concerns were raised about the lack of safe medication storage for residents needing supervision and about the apparent investigation being perfunctory and conducted by an untrained staff member.

    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 City and County Healthcare Group Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of safe medication storage for residents requiring supervision

    Wider context from the report

    “(1) The deceased resided at Oak Priory and was the tenant of a privately rented flat in a scheme from a housing provider. He was on a care package provided by Comfort Call under a contract from Stoke on Trent Council. He received visit four times per day principally to administer medication. The medicine was kept in a locked kitchen cupboard in his flat. He had been identified as not being able to manage his own medication. The tenant was easily able to pull open the cupboard door and the barrel of the lock fell out. He overdosed on medication. There appears to be no system of safe storage in place where a resident has been identified as being in need of supervision with medication. (2)The apparent investigation into the incident was perfunctory and carried out by an untrained member of staff. ”
    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 City and County Healthcare Group Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Use of untrained staff to conduct incident investigations

    Wider context from the report

    “(1) The deceased resided at Oak Priory and was the tenant of a privately rented flat in a scheme from a housing provider. He was on a care package provided by Comfort Call under a contract from Stoke on Trent Council. He received visit four times per day principally to administer medication. The medicine was kept in a locked kitchen cupboard in his flat. He had been identified as not being able to manage his own medication. The tenant was easily able to pull open the cupboard door and the barrel of the lock fell out. He overdosed on medication. There appears to be no system of safe storage in place where a resident has been identified as being in need of supervision with medication. (2)The apparent investigation into the incident was perfunctory and carried out by an untrained member of staff. ”
    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 City and County Healthcare Group Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Perfunctory incident investigations

    Wider context from the report

    “(1) The deceased resided at Oak Priory and was the tenant of a privately rented flat in a scheme from a housing provider. He was on a care package provided by Comfort Call under a contract from Stoke on Trent Council. He received visit four times per day principally to administer medication. The medicine was kept in a locked kitchen cupboard in his flat. He had been identified as not being able to manage his own medication. The tenant was easily able to pull open the cupboard door and the barrel of the lock fell out. He overdosed on medication. There appears to be no system of safe storage in place where a resident has been identified as being in need of supervision with medication. (2)The apparent investigation into the incident was perfunctory and carried out by an untrained member of staff. ”
    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