Fairfield ViewIncludes reports addressed to a minister or senior office-holder acting for this organisation.

Private and voluntary organisations · Residential care home

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First report 18 Jul 2017•Latest report 18 Jul 2017

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

  1. Addressed to: Manager, Fairfield View Care Centre.

    Manchester South

    AI-generated summary

    Ivy Mitchell · 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

    Ivy Mitchell, a care home resident with a history of falls, fell on 29 December 2016 and later developed a subcapital fracture and pneumonia. She deteriorated and died on 26 January 2017; concerns included inaccurate falls-risk documentation, inadequate understanding of post-fall processes and observations, failure to escalate appropriately, and lack of understanding about referral to the community nutrition team.

    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 Fairfield View; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to document observations after a fall

    Wider context from the report

    “2. There was a lack of understanding amongst the care home staff of risk assessments; reviews and the required process following a fall. This included documenting observations after a 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 Fairfield View; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to comply with escalation processes following a fall

    Wider context from the report

    “3. Processes relating to escalation following a fall were not complied with; and ”
    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 Fairfield View; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of understanding of the trigger for referral to the community nutrition team

    Wider context from the report

    “4. There was a lack of understanding of the trigger for a referral to the community nutrition team. ”
    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 Fairfield View; that does not assign responsibility.

    PFD Monitor interpretation

    Inaccurate falls-risk documentation

    Wider context from the report

    “1. The documentation relating to the falls risk was inaccurate. It did not refer to previous falls and did not reflect her mobility; ”
    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 Fairfield View; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of care home staff understanding of risk assessments

    Wider context from the report

    “2. There was a lack of understanding amongst the care home staff of risk assessments; reviews and the required process following a fall. This included documenting observations after a 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 Fairfield View; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of understanding of reviews and required post-fall processes

    Wider context from the report

    “2. There was a lack of understanding amongst the care home staff of risk assessments; reviews and the required process following a fall. This included documenting observations after a fall. ”
    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