Recipient

Lean on Me (Northolt)

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First report 13 Mar 2023•Latest report 13 Mar 2023

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

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 Lean on Me (Northolt) linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. West London

    AI-generated summary

    Gunapathyammah Ranganathan · 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

    Gunapathyammah Ranganathan, who was elderly and frail, fell backwards while walking to the bathroom with a Zimmer frame during a care visit on 11 July 2021. She sustained a severe head injury and died in hospital on 14 July 2021. The report raised concerns that the new carer lacked adequate training and shadowing experience, and that Mrs Ranganathan was left unattended despite requiring direct supervision while mobilising.

    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 Lean on Me (Northolt); that does not assign responsibility.

    PFD Monitor interpretation

    Lack of adequate training and shadowing for new carers

    Wider context from the report

    “There was little evidence before the court that the new carer had received any or any adequate training or shadowing experience. The new carer could not be deemed to be competent at mobilising a service user with a Zimmer frame as there was no evidence that she had done so. Lean on Me care agency was said to not currently be trading, but the company and web site remain live and therefore could recommence work in the care sector. The court requires confirmation of training schedules and policies, together with shadowing policies for new carers with no previous experience or training and confirmation that steps have been taken to avoid the situation that arose in this case, when a service user who should have been under direct supervision at all times when mobilising was unattended, and sustained a fatal head injury when she fell. ”
    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 Lean on Me (Northolt); that does not assign responsibility.

    PFD Monitor interpretation

    Failure to provide direct supervision during service-user mobilisation

    Wider context from the report

    “There was little evidence before the court that the new carer had received any or any adequate training or shadowing experience. The new carer could not be deemed to be competent at mobilising a service user with a Zimmer frame as there was no evidence that she had done so. Lean on Me care agency was said to not currently be trading, but the company and web site remain live and therefore could recommence work in the care sector. The court requires confirmation of training schedules and policies, together with shadowing policies for new carers with no previous experience or training and confirmation that steps have been taken to avoid the situation that arose in this case, when a service user who should have been under direct supervision at all times when mobilising was unattended, and sustained a fatal head injury when she fell. ”
    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