Recipient

Options For Care Limited

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First report 5 May 2021•Latest report 5 May 2021

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
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 Options For Care Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Birmingham and Solihull

    AI-generated summary

    Stephen Anthony MAGUIRE · 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

    Stephen Anthony MAGUIRE collapsed while eating lunch at a mental health facility on 14 September 2020 and died after a mass of chewed meat obstructed his airway, causing approximately 30 minutes without oxygen. The report raised concerns that a staff member's personal incident and threat (PIT) alarm was not charged and that staff, including agency workers, might be unaware of the charging system or insufficiently trained in it.

    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 Options For Care Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to ensure staff awareness and training on the PIT alarm charging policy

    Wider context from the report

    “2. I heard evidence that ████████ was an agency worker working for Options for Care at the time of Mr Stephen Anthony MAGUIRE's death, and there was a suspicion (but which could not be proven) that they may have either been unaware of the charging system, or made a simple error. Although not causative in Mr Stephen Anthony MAGUIRE's death, if members of staff (both full time and agency workers alike) are unaware of the charging policy, or are not trained and reminded in the same, there is the risk of death if a member of staff is unable to utilise their own PIT alarm in an emergency due to the same not being charged. ”
    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 Options For Care Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to ensure PIT alarms are charged and operational

    Wider context from the report

    “1. I heard evidence that the PIT alarm used by staff member, ████████, did not work when pressed. I heard evidence this was alarm was checked after the incident and found to not have been charged. I heard evidence from the ████████ ████████ that Options for Care Limited have a system whereby it is the night staffs’ responsibility to check and charge the PIT alarms overnight, and it is the responsibility of the day care staff to check that their PIT alarms are charged and operational when they come on shift in the morning ("the charging system"). Somehow, this charging system failed. Although not causative in Mr Stephen Anthony MAGUIRE's inquest, if a member of staff is unable to utilise their own PIT alarm in an emergency, this creates an obvious risk of death to both service users and staff alike. ”
    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