Recipient

Darnall Grange Nursing Home

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First report 16 Oct 2024•Latest report 16 Oct 2024

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Residential care home. 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 Darnall Grange Nursing Home 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

    Christiana Betty Dawson · 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

    Christiana Betty Dawson, known as Betty, was a resident at Darnell Grange who experienced at least ten falls and died in hospital on 19 March 2024 after surgery for a fractured neck of femur and with frailty. The concerns included the management of her falls risk, her return to residential care despite acknowledged difficulties managing that risk, and agency staff not being provided with home-specific training, policies or procedures about moving residents after a fall.

    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 Darnall Grange Nursing Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to provide agency staff with home-specific policies and procedures

    Wider context from the report

    “However, the Court also heard that the nurse involved in moving Betty into bed after her fall on 16 March 2024 was from an agency. The evidence was that agency nurses are not trained on, or provided with, policies and procedures from Darnell Grange and therefore the nurse would not have known the policy was not to move a resident after a fall but to keep them comfortable and preserve their dignity until medical assistance arrived. The Court heard it was presumed from their nursing training they would know not to move a resident after a fall. There is a clear risk of future deaths will occur if agency staff are not provided with home specific training, policies or procedures, not least given that it cannot be said whether the fracture was caused by the fall, or by moving Betty after the fall. ”
    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 Darnall Grange Nursing Home; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of home-specific training for agency staff

    Wider context from the report

    “However, the Court also heard that the nurse involved in moving Betty into bed after her fall on 16 March 2024 was from an agency. The evidence was that agency nurses are not trained on, or provided with, policies and procedures from Darnell Grange and therefore the nurse would not have known the policy was not to move a resident after a fall but to keep them comfortable and preserve their dignity until medical assistance arrived. The Court heard it was presumed from their nursing training they would know not to move a resident after a fall. There is a clear risk of future deaths will occur if agency staff are not provided with home specific training, policies or procedures, not least given that it cannot be said whether the fracture was caused by the fall, or by moving Betty after the fall. ”
    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