Recipient

Happy at Home Community Care Services Ltd.

First report 30 Aug 2024•Latest report 30 Aug 2024

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Domiciliary care provider. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports: 1
Published responses: 100%
Concerns addressed: 1
Stated actions: 3

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.

100%published responses found

3stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Happy at Home Community Care Services Ltd. linked to the concerns in each report. Select any concern, action or position to view the source wording.

30 Aug2024
Berkshire
Concerns raised8
1. Inadequate training in the use of care plans
2. Incomplete recording of repositioning movements
3. Unreliable use of electronic care-record repositioning prompts and mandatory tasks
1. Failure to complete body maps at the required frequency for monitoring pressure areas
2. Failure to audit records and compliance with care plans
3. Inadequate training in record keeping
4. Inadequate training in monitoring skin integrity
5. Failure to identify and assess high risk of pressure damage in skin-integrity risk assessments
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response 1
1. Action
  Create an incident matrix covering skin-integrity documentation in risk assessments, care notes and care plans.
  Stated completed
AI-generated summary

Wendy Ann AFFORD · 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

Wendy Ann Afford was bedbound and living alone with a package of care before developing worsening pressure damage and an infected pressure ulcer. After hospital treatment and discharge to a care home, her health declined and she died on 15 November 2023. Concerns included inadequate skin-integrity risk assessment and monitoring, incomplete repositioning records, unclear compliance with care plans, insufficient management oversight, and possible inadequate staff training.

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 Happy at Home Community Care Services Ltd.; that does not assign responsibility.
PFD Monitor interpretation
Inadequate training in the use of care plans
Wider context from the report
“5. Given these numerous difficulties there is a concern that care staff are not properly trained in the use of care plans, record keeping and importance of monitoring skin integrity. ”
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 Happy at Home Community Care Services Ltd.; that does not assign responsibility.
PFD Monitor interpretation
Incomplete recording of repositioning movements
Wider context from the report
“3. It was not clear whether the carers were properly following the care plan and the records showing whether or not Mrs Afford was repositioned were incomplete. The records that did exist only recorded her position or stated ‘repositioned’ they did not record whether she was moved, for example, from left to right. The facility within the electronic care record system to highlight the need for carers to reposition Mrs Afford, and record the move, were not used reliably and I heard evidence from a manager which suggested they were not aware of the ability to set repositioning as a mandatory task for each visit. ”
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 Happy at Home Community Care Services Ltd.; that does not assign responsibility.
PFD Monitor interpretation
Unreliable use of electronic care-record repositioning prompts and mandatory tasks
Wider context from the report
“3. It was not clear whether the carers were properly following the care plan and the records showing whether or not Mrs Afford was repositioned were incomplete. The records that did exist only recorded her position or stated ‘repositioned’ they did not record whether she was moved, for example, from left to right. The facility within the electronic care record system to highlight the need for carers to reposition Mrs Afford, and record the move, were not used reliably and I heard evidence from a manager which suggested they were not aware of the ability to set repositioning as a mandatory task for each visit. ”
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 Happy at Home Community Care Services Ltd.; that does not assign responsibility.
PFD Monitor interpretation
Failure to complete body maps at the required frequency for monitoring pressure areas
Wider context from the report
“2. It is not clear whether body maps were completed as often as required by the carers and therefore there is a concern that they were not monitoring Mrs Affords pressure areas properly. ”
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 Happy at Home Community Care Services Ltd.; that does not assign responsibility.
PFD Monitor interpretation
Failure to audit records and compliance with care plans
Wider context from the report
“4. The management of the care company did not appear to carry out audits of records and compliance with care plans nor have any other effective means of oversight. ”
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 Happy at Home Community Care Services Ltd.; that does not assign responsibility.
PFD Monitor interpretation
Inadequate training in record keeping
Wider context from the report
“5. Given these numerous difficulties there is a concern that care staff are not properly trained in the use of care plans, record keeping and importance of monitoring skin integrity. ”
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 Happy at Home Community Care Services Ltd.; that does not assign responsibility.
PFD Monitor interpretation
Inadequate training in monitoring skin integrity
Wider context from the report
“5. Given these numerous difficulties there is a concern that care staff are not properly trained in the use of care plans, record keeping and importance of monitoring skin integrity. ”
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 Happy at Home Community Care Services Ltd.; that does not assign responsibility.
PFD Monitor interpretation
Failure to identify and assess high risk of pressure damage in skin-integrity risk assessments
Wider context from the report
“1. The risk assessment for Mrs Afford in respect of her skin integrity did not record her high risk of developing pressure damage and it was entirely unclear how the risk was assessed in the first place. ”
Open source report
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Create an incident matrix covering skin-integrity documentation in risk assessments, care notes and care plans.

Verbatim wording from the response
“Further to the incident that happened regarding the death of the late Wendy Afford, the following action plans have been taken and implemented:”

Source location
Response from Happy at Home Community Care Services Ltd
Page 1 · response
Published 3 September 2024
Open published response

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

Reports, concerns and published responses

Reports over time

Concerns raised8

Inadequate training in the use of care plans

Incomplete recording of repositioning movements

Unreliable use of electronic care-record repositioning prompts and mandatory tasks

Failure to complete body maps at the required frequency for monitoring pressure areas

Failure to audit records and compliance with care plans

Inadequate training in record keeping

Inadequate training in monitoring skin integrity

Failure to identify and assess high risk of pressure damage in skin-integrity risk assessments

Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised.1

Actions described in response 1