ReinbekIncludes reports addressed to a minister or senior office-holder acting for this organisation.

Private and voluntary organisations · Residential care home

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First report 11 Jan 2019•Latest report 11 Jan 2019

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 Reinbek linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: Registered Manager of Reinbek Care Home.

    Manchester South

    AI-generated summary

    Ruth Gregory · 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

    Ruth Gregory had reduced mobility after a fall that led to a total knee replacement and subsequently developed an infected knee. After vomiting suggestive of an upper gastrointestinal bleed, she was readmitted to hospital, deteriorated due to aspiration pneumonia and died on 2 July 2018. The inquest heard that residents were regularly left unsupervised in communal areas, with no detail available about how this risk was managed or how supervision was ensured.

    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 Reinbek; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of supervision of residents in communal areas of care homes

    Wider context from the report

    “The inquest heard that Mrs Gregory's daughter required the knee replacement after being knocked over by another resident in the care home. The inquest was told that residents were regularly left unsupervised in communal areas of the care home and that this meant similar incidents could reoccur leading to trauma and consequential death. There was no detail available at the inquest about how this risk was managed and arrangements to ensure supervision of communal areas. ”
    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