Recipient

Colton Lodges Care Home

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First report 13 Feb 2024•Latest report 13 Feb 2024

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
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 Colton Lodges Care Home linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. West Yorkshire (Eastern)

    AI-generated summary

    Blanche Audrey Knowles · 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

    Blanche Audrey Knowles, who had multiple health conditions and was receiving nursing care, suffered burns when an inadequately checked hot drink spilled into her lap. She later became frail and died on 1 September 2023; the burns contributed to her death. The principal concern was that staff had not been adequately informed or trained about cooling burns under running water.

    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 Colton Lodges Care Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to adequately convey and proactively flag the importance of cooling burns by running water to nursing staff

    Wider context from the report

    “Whilst it was clear from the written and oral evidence provided to the inquest that measures had been implemented to address the risks from hot drinks, for example by the purchase and use of thermometers, upon questioning, the matter of the importance of assisting an individual who has suffered burns by way of ‘cooling by running water’ as noted by the Ambulance staff did not appear to have been adequately conveyed to staff, be that through training or by way of clear communication as operational matters/requirements in the nursing care context. The burns suffered by Blanche contributed to the cause of her death and whilst it was not established that the recorded failure to apply ‘cooling by running water’ to her injuries would have made a material difference, I remain concerned that the clear importance of applying ‘cooling by running water’ does not appear to be proactively flagged in relevant policies/procedures or by active practical/operational communications to staff. ”
    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