Recipient

Risedale Estates LimitedIncludes reports addressed to a minister or senior office-holder acting for this organisation.

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First report 25 Sep 2015•Latest report 25 Sep 2015

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Private limited company. 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
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

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.

0%published responses found
0stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Risedale Estates Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: ████████ Director of Nursing, Risedale Estates Limited.

    Cumbria

    AI-generated summary

    Mrs Violet Cloudsdale · 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

    Mrs Violet Cloudsdale fell unattended from a stationary wheelchair on 11 December 2014, sustaining fractures, and died five days later from bronchopneumonia while being treated in hospital. Concerns included the absence of a risk assessment and consent consideration regarding use of the wheelchair lap-belt, uncertainty about whether lap-belts constituted unlawful restraint, and unclear guidance on their use.

    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 Risedale Estates Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of risk assessment for the general use of wheelchair lap-belts

    Wider context from the report

    “(1) It was confirmed in evidence by ████████ that: a) Mrs Cloudsdale would have been less likely to have fallen if the lap-belt which was fitted to the wheelchair had been fastened; b) No risk assessment had been undertaken as to whether the lap-belt should generally have been utilised; c) No attempt had been made to identify whether Mrs Cloudsdale or her family would have indeed consented to the lap-belt being fastened to enhance her feeling of safety or security; d) There was a concern that utilising lap-belts may be construed as applying an unlawful restraint; e) Guidance on the use of lap-belts is unclear. A thorough review of your procedures with regard to the use of lap belts fitted to wheel chairs is required. ”
    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 Risedale Estates Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to identify the consent of wheelchair users or their families to lap-belt use

    Wider context from the report

    “(1) It was confirmed in evidence by ████████ that: a) Mrs Cloudsdale would have been less likely to have fallen if the lap-belt which was fitted to the wheelchair had been fastened; b) No risk assessment had been undertaken as to whether the lap-belt should generally have been utilised; c) No attempt had been made to identify whether Mrs Cloudsdale or her family would have indeed consented to the lap-belt being fastened to enhance her feeling of safety or security; d) There was a concern that utilising lap-belts may be construed as applying an unlawful restraint; e) Guidance on the use of lap-belts is unclear. A thorough review of your procedures with regard to the use of lap belts fitted to wheel chairs is required. ”
    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 Risedale Estates Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Unclear guidance on the lawful use of wheelchair lap-belts

    Wider context from the report

    “(1) It was confirmed in evidence by ████████ that: a) Mrs Cloudsdale would have been less likely to have fallen if the lap-belt which was fitted to the wheelchair had been fastened; b) No risk assessment had been undertaken as to whether the lap-belt should generally have been utilised; c) No attempt had been made to identify whether Mrs Cloudsdale or her family would have indeed consented to the lap-belt being fastened to enhance her feeling of safety or security; d) There was a concern that utilising lap-belts may be construed as applying an unlawful restraint; e) Guidance on the use of lap-belts is unclear. A thorough review of your procedures with regard to the use of lap belts fitted to wheel chairs is required. ”
    Open source report
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Published response patterns

Compared with other recipients in reports included in PFD Monitor

Describes published response evidence, not performance.

Published responses found

0%
0%All other recipients 58%
0%100%

How actions were described at the time

This respondent
All other recipients
47%25%27%<1%<1%
  • Completed
  • In progress
  • Planned
  • Unclear
  • Partially completed

Statuses reflect what recipients said at the time. PFD Monitor does not verify whether actions happened.

Types of action described in responses

Percentages use all actions described by each group. An action may have more than one type, so percentages do not total 100%.

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