Private and voluntary organisations · Residential care home. 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
100%
Found for named reports
Concerns addressed
1
Across all linked responses
Stated actions
13
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.
100%published responses found
13stated actions described
Topic comparisons are not available in the current evidence snapshot.
Concerns and recipient responses
Statements from High Meadows linked to the concerns in each report. Select any concern, action or position to view the source wording.
North London
Concerns raised1
Failure to arrange prompt hospital transfer after two unsuccessful replacement catheter insertion attempts
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
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.8
Action
Distribute a quick-reference escalation flowchart to team leads.
Stated completedThe respondent said that this action was complete when they made their response on 5 November 2025.
Action
Limit replacement-catheter insertion to two attempts, stop sooner for resistance, pain, or bleeding, and call 999 after two failures or earlier if sepsis is suspected.
Stated plannedThe respondent said that this action was planned when they made their response on 5 November 2025.
Action
Record each 999 call reference number and assign a staffed phone to respond promptly to emergency-service return calls.
Stated plannedThe respondent said that this action was planned when they made their response on 5 November 2025.
Action
Create and implement an escalation protocol.
Stated completedThe respondent said that this action was complete when they made their response on 5 November 2025.
Action
Create and implement a full clinical protocol for catheterisation emergencies and escalation.
Stated completedThe respondent said that this action was complete when they made their response on 5 November 2025.
Action
Provide face-to-face refresher training in catheterisation for all nurses and team leads.
Stated completedThe respondent said that this action was complete when they made their response on 5 November 2025.
Action
Distribute a quick-reference catheterisation emergency poster to all nursing stations.
Stated completedThe respondent said that this action was complete when they made their response on 5 November 2025.
Action
Review clinical documentation and escalation procedures to improve clarity and accountability.
Stated completedThe respondent said that this action was complete when they made their response on 5 November 2025.
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations