Recipient

Emral House Nursing Home

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First report 27 Sep 2019•Latest report 27 Sep 2019

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Nursing 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 Emral House Nursing Home linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. North Wales (East and Central)

    AI-generated summary

    Edna Drury Evans · 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

    Edna Drury Evans became a resident at Emral House Nursing Home after a number of falls and experienced further incidents while resident. Her final unwitnessed fall on 27 April 2019 caused a significant head injury, and she died from a subdural haematoma on 2 May 2019. Concerns included incomplete falls-risk training, her categorisation as medium rather than high risk despite repeated falls, and the absence of evidence of reassessment after further falls or of a policy requiring it.

    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 Emral House Nursing Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to categorise residents with repeated falls as high risk

    Wider context from the report

    “The evidence provided at the inquest indicated that staff at the home were currently undergoing training in relation to the risk of falls but that this had not yet been fully completed. Furthermore, although the manager indicated in her evidence that a resident who had sustained a number of falls would be expected to be categorised as “high risk”, she stated that Mrs Evans was only a “medium risk” despite the fact that she had falls prior to admission and continued to have a number of falls whilst a resident. Although there was an assessment of Mrs Evans on the 11th of January (ie shortly after she became a resident) there is no evidence to suggest that there was any reassessment following further falls nor any apparent policy or protocol requiring this. ”
    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 Emral House Nursing Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to reassess residents' falls risk following further falls

    Wider context from the report

    “The evidence provided at the inquest indicated that staff at the home were currently undergoing training in relation to the risk of falls but that this had not yet been fully completed. Furthermore, although the manager indicated in her evidence that a resident who had sustained a number of falls would be expected to be categorised as “high risk”, she stated that Mrs Evans was only a “medium risk” despite the fact that she had falls prior to admission and continued to have a number of falls whilst a resident. Although there was an assessment of Mrs Evans on the 11th of January (ie shortly after she became a resident) there is no evidence to suggest that there was any reassessment following further falls nor any apparent policy or protocol requiring this. ”
    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 Emral House Nursing Home; that does not assign responsibility.

    PFD Monitor interpretation

    Incomplete staff training in falls-risk management

    Wider context from the report

    “The evidence provided at the inquest indicated that staff at the home were currently undergoing training in relation to the risk of falls but that this had not yet been fully completed. Furthermore, although the manager indicated in her evidence that a resident who had sustained a number of falls would be expected to be categorised as “high risk”, she stated that Mrs Evans was only a “medium risk” despite the fact that she had falls prior to admission and continued to have a number of falls whilst a resident. Although there was an assessment of Mrs Evans on the 11th of January (ie shortly after she became a resident) there is no evidence to suggest that there was any reassessment following further falls nor any apparent policy or protocol requiring this. ”
    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