Globe Court Care HomeIncludes 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 11 Aug 2023•Latest report 11 Aug 2023

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

  1. Addressed to: Managing Director, Globe Court Care Home.

    Inner North London

    AI-generated summary

    Doris Irene URCH · 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

    Doris Irene Urch, aged 90, fell at a care home on 6 February 2023 after support was not offered while she was ambulating. She sustained an acute left frontal intracranial haemorrhage and died on 28 February 2023. Concerns included inadequate fall-risk assessment and care planning, staff unfamiliarity with the care plan, failure to update it after an earlier fall, and inadequate preservation of historical care plans.

    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 Globe Court Care Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to update care plans and risk assessments in light of significant developments

    Wider context from the report

    “(4) The care plan/risk assessment was not updated in light of a fall in November/December 2022. I was concerned that potentially significant developments might not be being taken into account in keeping the care plan under review. ”
    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 Globe Court Care Home; that does not assign responsibility.

    PFD Monitor interpretation

    Staff unfamiliarity with risk assessments and care plans

    Wider context from the report

    “(3) Staff seemed unfamiliar with the risk assessment/care plan, which I consider more of a systemic problem. It is unclear if/when care plans were reviewed by staff. ”
    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 Globe Court Care Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to review care plans at identifiable times

    Wider context from the report

    “(3) Staff seemed unfamiliar with the risk assessment/care plan, which I consider more of a systemic problem. It is unclear if/when care plans were reviewed by staff. ”
    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 Globe Court Care Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to preserve old care plans in their contemporaneous format

    Wider context from the report

    “(5) The system does not preserve old care plans in their contemporaneous format which is a serious shortcoming which has the potential to hinder future investigations. I encourage that system to be reviewed. ”
    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 Globe Court Care Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of risk assessment to specify responses to identified risks

    Wider context from the report

    “(2) The Risk Assessment did not make no recommendations or suggestions as to what to do about the risks identified. ”
    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 Globe Court Care Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of risk assessment to engage with the particular patient

    Wider context from the report

    “(1) The Question and Answer tickbox form for Risk Assessment seemed to me to leave much to be desired. It was excessively binary and meant that those who filled it in did not need to “engage” with the particular patient. ”
    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