Hylton ViewIncludes reports addressed to a minister or senior office-holder acting for this organisation.

Private and voluntary organisations · Nursing home

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First report 19 Mar 2018•Latest report 19 Mar 2018

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 Hylton View linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: ████████ Care Home Manager Hylton View Care Home.

    Sunderland

    AI-generated summary

    Mrs Sheila Sullivan Ross (Sheila) · 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

    Mrs Sheila Sullivan Ross died at Sunderland Royal Hospital on 12 November 2017 after an unwitnessed fall at a care home, sustaining bilateral pubic rami fractures and subsequently deteriorating with urinary sepsis. Concerns included an outdated falls risk assessment tool, limitations in the care home buzzer system that could prevent timely assistance, and poor communication with Sheila’s family.

    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 Hylton View; that does not assign responsibility.

    PFD Monitor interpretation

    Poor communication with residents' family members

    Wider context from the report

    “(3) There was poor communication from the Care Home with Sheila’s family members, which led them to lose confidence in the standard of care Sheila was receiving. ”
    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 Hylton View; that does not assign responsibility.

    PFD Monitor interpretation

    Use of an outdated falls risk assessment tool

    Wider context from the report

    “(1) The falls risk assessment tool used by the Care Home staff appeared to be outdated, and the subsequent level of falls risk recorded by staff was not in keeping with the score generated by the assessment tool. ”
    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 Hylton View; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to record falls risk consistently with the assessment score

    Wider context from the report

    “(1) The falls risk assessment tool used by the Care Home staff appeared to be outdated, and the subsequent level of falls risk recorded by staff was not in keeping with the score generated by the assessment tool. ”
    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 Hylton View; that does not assign responsibility.

    PFD Monitor interpretation

    Buzzer system failing to support simultaneous activation of personal buzzers and sensor mats

    Wider context from the report

    “(2) The Care Home buzzer system only allowed one alert mechanism – personal buzzer or sensor mat – to be active at any one time, unless a resident could access the wall buzzer. This can leave residents unable to summon timely assistance when needed. ”
    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