Recipient

Monarch HealthcareIncludes reports addressed to a minister or senior office-holder acting for this organisation.

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First report 7 Aug 2024•Latest report 7 Aug 2024

Recipient record

Reports, concerns and published responses

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 Monarch Healthcare linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: Chief Executive, Monarch Healthcare.

    South Yorkshire (Western)

    AI-generated summary

    Mavis DEWEY · 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

    Mavis Dewey, who was 89 and living in residential care, fell at Heeley Bank Care Home after staff used a Zimmer frame instead of the equipment specified in her care plan. She sustained an open fracture to her right tibia and fibula, was diagnosed with Covid-19, and died in hospital on 29 March 2024. The principal concern was that agency staff sometimes failed to read care plans, potentially placing residents at risk.

    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 Monarch Healthcare; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of agency staff to read care plans

    Wider context from the report

    “(1) the admitted failure of agency staff, on occasion, to read care plans such that there can be confidence that residents are safe ”
    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