PJ Care Limited

Private and voluntary organisations · Multi-service care provider

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First report 14 May 2018•Latest report 14 May 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 PJ Care Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Milton Keynes

    AI-generated summary

    Philip David Ashton · 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

    Philip David Ashton, a resident of Mallard House, was administered warfarin in error on 13, 14 and 15 October 2017. He was found bleeding from an arteriovenous graft on 17 October, and the report raised concerns about the medication error, the lack of an emergency response and the unavailability of his medical information to ambulance staff; he later died in hospital.

    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 PJ Care Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of staff to deal effectively with emergency situations

    Wider context from the report

    “(2) The staff were not able to deal with an emergency situation. ”
    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 PJ Care Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Unavailability of the deceased's notes to ambulance staff

    Wider context from the report

    “(3) The ambulance staff were not given any information about the deceased as to his medical history or medication. The notes relating to the deceased should have been available to them. ”
    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 PJ Care Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to administer anticoagulation medication correctly

    Wider context from the report

    “(1) That warfarin was administered to the deceased in error and the home should review their medication procedures and put in place a robust system for the administration of anti coagulation medication ”
    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 PJ Care Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to provide ambulance staff with medical history and medication information

    Wider context from the report

    “(3) The ambulance staff were not given any information about the deceased as to his medical history or medication. The notes relating to the deceased should have been available to them. ”
    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