Pemberley Manor Care and Nursing Home

Private and voluntary organisations · Residential care home

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First report 9 Jul 2018•Latest report 9 Jul 2018

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

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

Concerns and recipient responses

Statements from Pemberley Manor Care and Nursing Home linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to Baycroft Grays Farm Road (One Housing Group registration), now represented here by Pemberley Manor Care and Nursing Home.

    South London

    AI-generated summary

    Doris McCarthy · 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

    Doris McCarthy, a resident of Baycroft Orpington, had recurrent falls and was involved in two incidents where she slid from a chair without the sensor system alerting staff. The principal concerns were continuing sensor system outages and the steps taken to safeguard residents known to slide when seated in chairs; the inquest concluded that she died from natural causes resulting from a pulmonary embolism, with an underlying subdural haemorrhage caused by recurrent falls.

    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 Pemberley Manor Care and Nursing Home; that does not assign responsibility.

    PFD Monitor interpretation

    Residents sliding when placed to sit in a chair

    Wider context from the report

    “(2) Steps taken to safeguard residents who are known to slide when placed to sit in a chair. ”
    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 Pemberley Manor Care and Nursing Home; that does not assign responsibility.

    PFD Monitor interpretation

    Unavailability of sensor systems for alerting staff to resident falls

    Wider context from the report

    “(1) The sensor system outages might still exist, leaving residents vulnerable due to staff not being alerted to a fall ”
    Open source report
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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