Private and voluntary organisations · Residential care 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
100%
Found for named reports
Concerns addressed
4
Across all linked responses
Stated actions
4
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.
100%published responses found
4stated actions described
Topic comparisons are not available in the current evidence snapshot.
Concerns and recipient responses
Statements from Phoenix Care Centre linked to the concerns in each report. Select any concern, action or position to view the source wording.
Lincolnshire
Concerns raised5
Failure to keep doors to unoccupied rooms locked
Failure to keep night lights on in common places
Inadequacy of periodic nightly observations
Lack of signage for bell ringing
Inadequacy of the generic falls prevention policy
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
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.4
Action
Use an electronic care-planning system to record night checks and link them directly to residents’ care plans.
Stated completedThe respondent said that this action was complete when they made their response on 14 September 2023.
Action
Personalise generic care-home policies, including the falls prevention and management policy.
Stated plannedThe respondent said that this action was planned when they made their response on 14 September 2023.
Action
Personalise generic care-home policies, including the falls prevention and management policy.
Stated plannedThe respondent said that this action was planned when they made their response on 14 September 2023.
Action
Use an electronic care-planning system to record two-hourly night checks and link them directly to residents’ care plans.
Stated completedThe respondent said that this action was complete when they made their response on 14 September 2023.
Respondent positions A position is what this recipient says about the concern when it does not describe a specific action.8
Position
The comprehensive falls prevention policy is legally and operationally adequate, although generic policies will be personalised for the home.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Bedroom doors cannot remain locked at all times because residents must retain freedom to access their rooms; locking is limited to local safety decisions.
Unable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
Continuous lighting in common areas, resident choice for bedroom lighting, and care-plan documentation are considered sufficient arrangements.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Two-hourly night checks, previously inspected records, and electronic recording are considered sufficient observation arrangements.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
The comprehensive falls prevention policy, supplied by a professional provider and accessible to staff, was considered sufficient despite its generic format.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Bedroom doors cannot generally remain locked because residents have the freedom to enter their rooms; locking is only a local safety decision.
Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
Common areas and corridors were lit continuously; bedroom lighting was individually chosen by residents or documented in care plans when required.
Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
Night checks were conducted every two hours, recorded separately or electronically, and regarded as standard practice accepted during regulatory inspections.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations