Gloucestershire Social Services

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First report 19 Sep 2013•Latest report 19 Sep 2013

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 Gloucestershire Social Services linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Gloucestershire

    AI-generated summary

    Daniel Onley · 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

    Daniel Onley, a resident at Orchard House, was found face down in his bath on 22 June 2012 and was concluded to have died from sudden unexplained death in epilepsy. Concerns included insufficient support for taking anti-convulsant medication, inadequate management of medication-related risks, and insufficient evening supervision.

    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 Gloucestershire Social Services; that does not assign responsibility.

    PFD Monitor interpretation

    Insufficient supervision to safeguard safety and wellbeing

    Wider context from the report

    “(3) The supervision provided to Daniel during the evening of Thursday 21st June 2012 was not sufficient to safeguard Daniel’s safety and wellbeing. ”
    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 Gloucestershire Social Services; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to manage risks associated with medication management

    Wider context from the report

    “(2) There had been a failure to manage risks associated with Daniel’s management of his medication. ”
    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 Gloucestershire Social Services; that does not assign responsibility.

    PFD Monitor interpretation

    Insufficient arrangements to support taking anti-convulsant medication

    Wider context from the report

    “(1) That the arrangements in place to support Daniel to take his anti-convulsant medication were insufficient. ”
    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