Recipient

Heathcotes Care Limited

First report 8 Dec 2021•Latest report 8 Dec 2021

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Care-home operator. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports: 1
Published responses: 0%
Concerns addressed: 0
Stated actions: 0

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 Heathcotes Care Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

8 Dec2021
Nottinghamshire
Concerns raised7
1. Lack of robust incident reviews
2. Lack of clarity over authority to instruct room stripping after serious self-harm
3. Untested observation-level support plans
1. Lack of a formalised contact and escalation system with Nottinghamshire Healthcare NHS Foundation Trust
2. Lack of inclusion of support workers in regular client meetings
3. Lack of dedicated time for staff to read and digest care plans
4. Failure to monitor compliance with care plans
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.

No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

Rebecca Begg · 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

Rebecca Begg died at Heathcotes, Moorgreen, in the early hours of 15 September 2020 after a self-harm incident, and was found unresponsive despite resuscitation. The report identified concerns about monitoring compliance with care plans, the lack of robust incident reviews, untested observation-level support plans, staff involvement in care planning, and communication and escalation arrangements with the NHS trust.

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 Heathcotes Care Limited; that does not assign responsibility.
PFD Monitor interpretation
Lack of robust incident reviews
Wider context from the report
“Failure to monitor compliance with care plans, and a lack of robust incident reviews – whilst welcome changes are planned with improved audit and monitoring, this is not yet fully implemented ”
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 Heathcotes Care Limited; that does not assign responsibility.
PFD Monitor interpretation
Lack of clarity over authority to instruct room stripping after serious self-harm
Wider context from the report
“Lack of clarity regarding who can instruct for a room to be stripped following an incident of serious self harm ”
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 Heathcotes Care Limited; that does not assign responsibility.
PFD Monitor interpretation
Untested observation-level support plans
Wider context from the report
“As yet untested ‘observation level’ support plans ”
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 Heathcotes Care Limited; that does not assign responsibility.
PFD Monitor interpretation
Lack of a formalised contact and escalation system with Nottinghamshire Healthcare NHS Foundation Trust
Wider context from the report
“Lack of a system for formalised contact with Nottinghamshire Healthcare NHS Foundation Trust (NHCT), including if Heathcotes are unhappy about the response from the Mental Health teams, a means of escalation to NHCT senior 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 Heathcotes Care Limited; that does not assign responsibility.
PFD Monitor interpretation
Lack of inclusion of support workers in regular client meetings
Wider context from the report
“A lack of inclusion of support workers in regular meetings about clients- it is these staff working each day with clients, that can contribute to progress review, and if necessary to a change in the support plans and/or risk assessments ”
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 Heathcotes Care Limited; that does not assign responsibility.
PFD Monitor interpretation
Lack of dedicated time for staff to read and digest care plans
Wider context from the report
“No dedicated time for staff to read and digest care plans ”
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 Heathcotes Care Limited; that does not assign responsibility.
PFD Monitor interpretation
Failure to monitor compliance with care plans
Wider context from the report
“Failure to monitor compliance with care plans, and a lack of robust incident reviews – whilst welcome changes are planned with improved audit and monitoring, this is not yet fully implemented ”
Open source report

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 raised7

Lack of robust incident reviews

Lack of clarity over authority to instruct room stripping after serious self-harm

Untested observation-level support plans

Lack of a formalised contact and escalation system with Nottinghamshire Healthcare NHS Foundation Trust

Lack of inclusion of support workers in regular client meetings

Lack of dedicated time for staff to read and digest care plans

Failure to monitor compliance with care plans