Recipient

Lifeway Care Ltd

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First report 2 Dec 2024•Latest report 2 Dec 2024

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Private limited company. 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
5

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
5stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Lifeway Care Ltd linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. West Yorkshire East

    AI-generated summary

    Gloria Linton · 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

    Gloria Linton became trapped in the aperture of a commode while being assisted by carers, sustaining multiple rib fractures. She died in hospital from pneumonia, with the rib fractures identified as a direct contributing cause. The principal concern was that carers did not use the Rotanda transfer equipment required by her care plan, despite previous reports and reminders that it should be used.

    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 Lifeway Care Ltd; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to use the Rotanda for transfers between sitting and standing

    Wider context from the report

    “(1) The care plan in place for Gloria required her to be transferred between sitting and standing by two carers using a piece of equipment called a Rotanda. (2) Prior to the events of 06/08/2022 it had been noted and reported that carers were not routinely using the Rotanda, and it had been reiterated to carers by the relevant Community Health Trust that the Rotanda should be used, notwithstanding Gloria’s reluctance. (3) On 06/08/2022 the carers did not use the Rotanda either to support Gloria to stand so she could be dried and her skin moisturised or to assist her to sit back on the commode when her bowels opened as she was being dried. (4) Had the Rotanda been used to assist Gloria to sit, it is unlikely that she would have been placed on the commode seat at an angle such that her legs could have passed through the opening at the front of the commode seat. ”
    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Train all staff to follow care plans and use prescribed equipment, with signed declarations confirming understanding and commitment.

    Verbatim wording from the response

    “Since the Inquest into the death of Mrs Linton, further training has been carried out with all staff in order to ensure that carers strictly adhere to care plans with regards to prescribed equipment in the future and do not use their own discretion or judgement to determine whether or not a piece of equipment ought to be used (regardless of any desire to fulfil a service user's wish which may involve not using prescribed equipment or any determination by the carer that it would be the safer option not use a prescribed piece of equipment).”

    Source location

    Response from Lifeway Care
    Page 2 · response
    Published 3 December 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Provide regular refresher training in the future.

    Verbatim wording from the response

    “As was the case prior to the Inquest into the death of Gloria Linton, Lifeway Care Limited will continue to carry out regular spot checks to ensure compliance with all its policies, including adherence to the use of prescribed equipment. It will also ensure that refresher training is provided regularly in the future.”

    Source location

    Response from Lifeway Care
    Page 2 · response
    Published 3 December 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Display an app banner reminding carers to follow care plans and use prescribed equipment during every care visit.

    Verbatim wording from the response

    “In addition to the additional training provided to staff, Lifeway Care Limited has also arranged via its online monitoring system providers for a banner to be inserted to the top of the online app used by its carers. This means that each time a carer attends a care visit and accesses the app, they are reminded of the following message "Attention: ensure you follow care plan and use prescribed equipment in all situations".”

    Source location

    Response from Lifeway Care
    Page 2 · response
    Published 3 December 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Provide care-plan and prescribed-equipment training to all new staff.

    Verbatim wording from the response

    “The attached "Staff Declaration of Compliance with Care Plan and Equipment Use" document details the additional training that has been provided in this regard. It has been signed off by all staff to acknowledge their understanding and commitment to the use of prescribed equipment. Any new staff will be provided with this training.”

    Source location

    Response from Lifeway Care
    Page 2 · response
    Published 3 December 2024

    Open published response
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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

100%
100%All other recipients 58%
0%100%

How actions were described at the time

This respondent
60%40%
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