Recipient

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

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First report 19 Mar 2018•Latest report 19 Mar 2018

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Nursing 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
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 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 Concerns included an outdated falls risk assessment tool, limitations in the care home buzzer system that could prevent timely assistance, and poor communication with Sheila’s family.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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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