Recipient

MiHomecare Limited

First report 22 Apr 2024•Latest report 22 Apr 2024

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
Published responses: 100%
Concerns addressed: 3
Stated actions: 10

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

10stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

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

22 Apr2024
Inner North London
Concerns raised4
1. Lack of assurance about company trainer qualifications
2. Lack of clarity about carers’ aspiration pneumonia training
3. Failure of carers to recognise aspiration pneumonia
1. Lack of knowledge of company policy contents
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response 6
1. Action
  Launch the further updated refresher training with additional clarity on aspiration and choking.
  Stated planned
2. Action
  Launch redesigned annual Care Professional Development training covering choking, aspiration and related care-safety topics.
  Stated completed
3. Action
  Update themed choking supervision to include aspiration and aspiration pneumonia, and release the revised version.
  Stated in progress
1. Action
  Launch the CCH Connect app to provide staff with immediate access to policies, learning initiatives and organisational news.
  Stated completed
2. Action
  Update induction training with additional clarity on aspiration and choking.
  Stated completed
3. Action
  Launch a choking and aspiration campaign with an updated staff prompt card through CCH Connect and branch team meetings.
  Stated planned
Respondent positions 2
1. Position
  Medical concerns requiring professional assessment or emergency intervention are escalated to GPs, district nurses, NHS 111 or 999.
  Redirects responsibility
1. Position
  The provider does not provide nursing care, and its care workers are not trained medical professionals.
  Outside remit
AI-generated summary

Angela Marietta Carpos · 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

Angela Marietta Carpos collapsed while eating dinner on 25 December 2022 and later died in hospital after respiratory arrest, aspiration-related hypoxia and cardiac arrest. The report raised concerns that carers were unable to recognise aspiration pneumonia and were unclear about their training, including its content and frequency. A witness was also unable to say what qualifications the company’s trainers had or what the company’s policies contained.

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 MiHomecare Limited; that does not assign responsibility.
PFD Monitor interpretation
Lack of assurance about company trainer qualifications
Wider context from the report
“In Angela’s case, her daughter recognised very quickly that there was a problem and called an ambulance immediately. However, the carers (who knew Angela well, and cared for her with diligence) were unable to recognise aspiration pneumonia and were unclear about whether they had received any training on it, were unclear about what training they do receive, or how often they receive it. The PFD witness was unable to say what qualifications the company’s trainers have and did not know the contents of the company’s policies. ”
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 MiHomecare Limited; that does not assign responsibility.
PFD Monitor interpretation
Lack of clarity about carers’ aspiration pneumonia training
Wider context from the report
“In Angela’s case, her daughter recognised very quickly that there was a problem and called an ambulance immediately. However, the carers (who knew Angela well, and cared for her with diligence) were unable to recognise aspiration pneumonia and were unclear about whether they had received any training on it, were unclear about what training they do receive, or how often they receive it. The PFD witness was unable to say what qualifications the company’s trainers have and did not know the contents of the company’s policies. ”
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 MiHomecare Limited; that does not assign responsibility.
PFD Monitor interpretation
Failure of carers to recognise aspiration pneumonia
Wider context from the report
“In Angela’s case, her daughter recognised very quickly that there was a problem and called an ambulance immediately. However, the carers (who knew Angela well, and cared for her with diligence) were unable to recognise aspiration pneumonia and were unclear about whether they had received any training on it, were unclear about what training they do receive, or how often they receive it. The PFD witness was unable to say what qualifications the company’s trainers have and did not know the contents of the company’s policies. ”
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 MiHomecare Limited; that does not assign responsibility.
PFD Monitor interpretation
Lack of knowledge of company policy contents
Wider context from the report
“In Angela’s case, her daughter recognised very quickly that there was a problem and called an ambulance immediately. However, the carers (who knew Angela well, and cared for her with diligence) were unable to recognise aspiration pneumonia and were unclear about whether they had received any training on it, were unclear about what training they do receive, or how often they receive it. The PFD witness was unable to say what qualifications the company’s trainers have and did not know the contents of the company’s policies. ”
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
Launch the further updated refresher training with additional clarity on aspiration and choking.

Verbatim wording from the response
“4.3. CCH Group had also updated its induction and refresher training from October 2022 (starting with the induction training and then moving to the refresher training) to include more detail on choking and aspiration. This version of the training was completed by the two care workers on shift on the evening on 25 December 2022, in June and August 2023. Our training on choking and aspiration has since been further updated and launched to include additional clarity around aspiration (again, starting with the induction training and then moving to the refresher training, the updated version of which is due to go live this week). I have appended a printout of the materials from the most recently updated [induction / refresher] training at Appendix 2 to demonstrate the topics covered.”

Source location
Response from Mi Homecare
Page 6 · response
Published 29 April 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
Launch redesigned annual Care Professional Development training covering choking, aspiration and related care-safety topics.

Verbatim wording from the response
“2.5. In terms of refresher training, our revised Care Professional Development training (CPD training) has just been launched. This annual update training has been redesigned and now includes relevant updates alongside scenarios to enhance understanding around the impact and consequences of decisions made by our care staff. It looks to expand knowledge as our care workers progress and to bring our training to life, linking these to outcomes for people under our care. This is an online modular course covering the following topics: Health and Safety; First Aid Awareness (which covers choking and aspiration); Moving and Assisting; Infection Prevention and control; Food Safety; Medication administration; Handling Information (GDPR); Record Keeping and internal communications; and Dementia Awareness.”

Source location
Response from Mi Homecare
Page 2 · response
Published 29 April 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
Update themed choking supervision to include aspiration and aspiration pneumonia, and release the revised version.

Verbatim wording from the response
“2.6. Care workers receive supervisions at their relevant Branch Office every 3 months. We have a specific type of supervision called a themed supervision – one of the available themed supervisions covers choking (and is in the process of being updated to cover aspiration / aspiration pneumonia – see paragraph 4.4.1). In a themed supervision, there will be scenarios that care workers need to answer and then Branch Office staff will discuss the answers with them. Staff can raise their concerns regarding a client in the supervision as well. They will be provided with clear and accurate guidance.”

Source location
Response from Mi Homecare
Page 3 · response
Published 29 April 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
Launch the CCH Connect app to provide staff with immediate access to policies, learning initiatives and organisational news.

Verbatim wording from the response
“2.10. We have recently launched a new CCH Group app – called CCH Connect. Operational and care staff have instant access to key policies through this app. We believe this innovation will give our teams better visibility and in particular, it gives another platform in which to reach out to the teams and keep them informed of organisational learning, policies, procedures, and resources.”

Source location
Response from Mi Homecare
Page 3 · response
Published 29 April 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
Update induction training with additional clarity on aspiration and choking.

Verbatim wording from the response
“4.3. CCH Group had also updated its induction and refresher training from October 2022 (starting with the induction training and then moving to the refresher training) to include more detail on choking and aspiration. This version of the training was completed by the two care workers on shift on the evening on 25 December 2022, in June and August 2023. Our training on choking and aspiration has since been further updated and launched to include additional clarity around aspiration (again, starting with the induction training and then moving to the refresher training, the updated version of which is due to go live this week). I have appended a printout of the materials from the most recently updated [induction / refresher] training at Appendix 2 to demonstrate the topics covered.”

Source location
Response from Mi Homecare
Page 6 · response
Published 29 April 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
Launch a choking and aspiration campaign with an updated staff prompt card through CCH Connect and branch team meetings.

Verbatim wording from the response
“4.4.1. CCH Group’s Best Practice Forum has considered the circumstances surrounding Ms Carpos’ death as part of a serious incident review. A number of actions have been prompted by this review. For example, the themed supervision relating to choking (see paragraph 2.6) is being updated to include more detail on aspiration / aspiration pneumonia and the updated version is due to be released by the end of July. In addition, there is also a campaign initiative that has been created to highlight both choking risks and management alongside aspiration and the differences in presentation. This initiative is expected to be launched prior to the end of June 2024 and will be included on our new CCH Connect app as a “Talking Head” discussion, along with an updated prompt card for staff. Please see the latest version of this updated prompt card at Appendix 1.”

Source location
Response from Mi Homecare
Page 6 · response
Published 29 April 2024
Open published response
Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation
Medical concerns requiring professional assessment or emergency intervention are escalated to GPs, district nurses, NHS 111 or 999.

Verbatim wording from the response
“3.4. The fundamental message care workers receive from their training is that if they have any concerns about an individual’s health and wellbeing these should be escalated as appropriate – e.g., to the Branch Office, the GP, the District Nurses,”

Source location
Response from Mi Homecare
Page 4 · response
Published 29 April 2024
Open published response
Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation
The provider does not provide nursing care, and its care workers are not trained medical professionals.

Verbatim wording from the response
“3.2. MiHomecare is a homecare provider that provides care and support to people within their own homes in the community. The care and support MiHomecare provides to individuals is varied and will depend on the package of care commissioned, usually, by the local authority. Care and support tasks completed by MiHomecare care workers can include assistance with personal care (for example, assistance with washing, dressing and toileting), assistance with administering medication, assistance with meal preparation, and support with shopping and domestic activities (such as hoovering). MiHomecare does not provide nursing care and whilst care workers receive basic first aid training, they are not trained medical professionals.”

Source location
Response from Mi Homecare
Page 4 · response
Published 29 April 2024
Open published response

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

Reports, concerns and published responses

Reports over time

Concerns raised4

Lack of assurance about company trainer qualifications

Lack of clarity about carers’ aspiration pneumonia training

Failure of carers to recognise aspiration pneumonia

Lack of knowledge of company policy contents

Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised.6

Respondent positions A position is what this recipient says about the concern when it does not describe a specific action.2

Actions described in response 6

Respondent positions 2