Recipient

Everdale GrangeIncludes reports addressed to a minister or senior office-holder acting for this organisation.

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First report 20 Sep 2013•Latest report 20 Sep 2013

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 Everdale Grange linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: Manager, The Manor Residential & Nursing Care Home, under the organisation's former name; now Everdale Grange.

    Leicester City and South Leicestershire

    AI-generated summary

    Joan Mary Jones · 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

    Joan Mary Jones, a resident of a care home with Alzheimer's dementia, became unwell on 23 September 2012 and later deteriorated following an aspiration episode. She died on 1 October 2012; the inquest recorded bilateral bronchopneumonia due to locally advanced adenocarcinoma of the large bowel and Alzheimer's dementia. Concerns included failure to escalate her care and failure to communicate relevant information to attending healthcare professionals, resulting in a missed opportunity to treat and an inappropriate care package.

    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 Everdale Grange; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to put an appropriate package of care in place

    Wider context from the report

    “(1) The staff did not escalate Mrs Jones' care when they should have done (2) The staff did not communicate all that was known to them and therefore attending health care professionals were unable to make fully informed decisions (3) Due to the lack of communication, an appropriate package of care was not put in place for Mrs Jones (4) These omissions (failure to escalate and the lack of communication with other attending health care professionals) together or alone, could in future circumstances cause or contribute to death. ”
    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 Everdale Grange; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to communicate all known information to attending healthcare professionals

    Wider context from the report

    “(1) The staff did not escalate Mrs Jones' care when they should have done (2) The staff did not communicate all that was known to them and therefore attending health care professionals were unable to make fully informed decisions (3) Due to the lack of communication, an appropriate package of care was not put in place for Mrs Jones (4) These omissions (failure to escalate and the lack of communication with other attending health care professionals) together or alone, could in future circumstances cause or contribute to death. ”
    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 Everdale Grange; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to escalate care when clinically required

    Wider context from the report

    “(1) The staff did not escalate Mrs Jones' care when they should have done (2) The staff did not communicate all that was known to them and therefore attending health care professionals were unable to make fully informed decisions (3) Due to the lack of communication, an appropriate package of care was not put in place for Mrs Jones (4) These omissions (failure to escalate and the lack of communication with other attending health care professionals) together or alone, could in future circumstances cause or contribute to death. ”
    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