Recipient

Meadbank Care Home

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First report 15 Dec 2016•Latest report 15 Dec 2016

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 Meadbank Care Home linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Inner West London

    AI-generated summary

    Mrs Winifred Elliott · 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 Winifred Elliott, a non-weight-bearing resident of Meadbank Care Home, was transferred using a handling belt rather than the required hoist and two-person assistance, resulting in multiple fractures to her left leg. She later died in hospital, with the report stating that the injuries led to and caused her death. The principal concerns were that transfer information had been removed from display, making it harder for staff to access, and that residents might consequently be transferred inappropriately and sustain fatal injuries.

    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 Meadbank Care Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to keep resident transfer information readily accessible to staff

    Wider context from the report

    “1. That information in relation to transferring residents has been removed from display next to the resident e.g. from above their beds or inside their rooms. 2. That the removal of such information has made it harder for busy staff to access such information. 3. That as such, some residents may be being inappropriately transferred and thus sustaining injuries that may cause to contribute to their deaths as in this case. ”
    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 Meadbank Care Home; that does not assign responsibility.

    PFD Monitor interpretation

    Inappropriate resident transfers causing injury

    Wider context from the report

    “1. That information in relation to transferring residents has been removed from display next to the resident e.g. from above their beds or inside their rooms. 2. That the removal of such information has made it harder for busy staff to access such information. 3. That as such, some residents may be being inappropriately transferred and thus sustaining injuries that may cause to contribute to their deaths as in this case. ”
    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