19 Jul 2022 Beryl Simcock · Prevention of Future Deaths report Nottinghamshire
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Concerns raised 6 Lack of written policies for care planning and review View source Care plan and risk assessment reviews conducted by unsuitable personnel View source Failure to provide families with adequate and timely information for independent scrutiny of care and restrictions during deprivation of liberty View source Failure of audit activity to identify deficiencies in care plan and risk assessment reviews View source Falsification of records to indicate completed care plan and risk assessment reviews View source Failure to complete reviews of care plans and risk assessments View source See 3 more concerns
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AI-generated summary
Beryl Simcock · 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
Beryl Simcock, who lived in a care home because of dementia, suffered several falls, including a fall on 10 June 2021 that caused an impacted fractured neck of femur and led to a severe deterioration in her health. The concerns included inadequate care-plan and risk-assessment reviews, potentially inaccurate records, insufficient oversight, and inadequate information for her family when she was deprived of her liberty.
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 Radcliffe Manor House; that does not assign responsibility.
PFD Monitor interpretation Lack of written policies for care planning and review
Wider context from the report “I was concerned about the lack of written policies for care planning and review . I was concerned that reviews of care plans and risk assessments were either not done (and the records falsified to suggest that they were) or that they were done by someone unsuited to the task. This was not identified despite audit activity during the relevant period.
I was also concerned that at times when Mrs Simcock was deprived of her liberty the care home did not ensure that her family were given adequate and timely information to enable them to provide independent scrutiny of the care and restrictions in place.
” 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 Radcliffe Manor House; that does not assign responsibility.
PFD Monitor interpretation Care plan and risk assessment reviews conducted by unsuitable personnel
Wider context from the report “I was concerned about the lack of written policies for care planning and review. I was concerned that reviews of care plans and risk assessments were either not done (and the records falsified to suggest that they were) or that they were done by someone unsuited to the task . This was not identified despite audit activity during the relevant period.
I was also concerned that at times when Mrs Simcock was deprived of her liberty the care home did not ensure that her family were given adequate and timely information to enable them to provide independent scrutiny of the care and restrictions in place.
” 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 Radcliffe Manor House; that does not assign responsibility.
PFD Monitor interpretation Failure to provide families with adequate and timely information for independent scrutiny of care and restrictions during deprivation of liberty
Wider context from the report “I was concerned about the lack of written policies for care planning and review. I was concerned that reviews of care plans and risk assessments were either not done (and the records falsified to suggest that they were) or that they were done by someone unsuited to the task. This was not identified despite audit activity during the relevant period.
I was also concerned that at times when Mrs Simcock was deprived of her liberty the care home did not ensure that her family were given adequate and timely information to enable them to provide independent scrutiny of the care and restrictions in place .
” 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 Radcliffe Manor House; that does not assign responsibility.
PFD Monitor interpretation Failure of audit activity to identify deficiencies in care plan and risk assessment reviews
Wider context from the report “I was concerned about the lack of written policies for care planning and review. I was concerned that reviews of care plans and risk assessments were either not done (and the records falsified to suggest that they were) or that they were done by someone unsuited to the task. This was not identified despite audit activity during the relevant period .
I was also concerned that at times when Mrs Simcock was deprived of her liberty the care home did not ensure that her family were given adequate and timely information to enable them to provide independent scrutiny of the care and restrictions in place.
” 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 Radcliffe Manor House; that does not assign responsibility.
PFD Monitor interpretation Falsification of records to indicate completed care plan and risk assessment reviews
Wider context from the report “I was concerned about the lack of written policies for care planning and review. I was concerned that reviews of care plans and risk assessments were either not done (and the records falsified to suggest that they were ) or that they were done by someone unsuited to the task. This was not identified despite audit activity during the relevant period.
I was also concerned that at times when Mrs Simcock was deprived of her liberty the care home did not ensure that her family were given adequate and timely information to enable them to provide independent scrutiny of the care and restrictions in place.
” 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 Radcliffe Manor House; that does not assign responsibility.
PFD Monitor interpretation Failure to complete reviews of care plans and risk assessments
Wider context from the report “I was concerned about the lack of written policies for care planning and review. I was concerned that reviews of care plans and risk assessments were either not done (and the records falsified to suggest that they were) or that they were done by someone unsuited to the task. This was not identified despite audit activity during the relevant period.
I was also concerned that at times when Mrs Simcock was deprived of her liberty the care home did not ensure that her family were given adequate and timely information to enable them to provide independent scrutiny of the care and restrictions in place.
” 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