Recipient

Gloucestershire Social Services

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First report 19 Sep 2013•Latest report 19 Sep 2013

Recipient record

Reports, concerns and published responses

Other public bodies · Sub-organisation. 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 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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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