Recipient

Riverview Nursing Home

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First report 30 Jul 2018•Latest report 30 Jul 2018

Recipient record

Reports, concerns and published responses

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
1

Across all linked responses

Stated actions
6

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
6stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Riverview Nursing Home linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. West Yorkshire (Western)

    AI-generated summary

    Stanford Shirley Bell · 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

    Stanford Shirley Bell, who had dementia, fell at Riverview Nursing Home on 22 February 2018 and later died on 2 March 2018 after suffering seizures and an acute on chronic subdural haematoma. Concerns included the absence of hospital discharge papers and written neurological-observation recommendations, and delayed referral from the care home after seizures following head trauma.

    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 Riverview Nursing Home; that does not assign responsibility.

    PFD Monitor interpretation

    Absence of discharge papers for patients neurologically assessed with head injuries

    Wider context from the report

    “For Airedale Hospital to review procedures at hospital discharge with respect to patients neurologically assessed with head injuries given the absence of discharge papers ”
    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 Riverview Nursing Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of care-home referral procedures for patients suffering seizures after recently sustained head trauma

    Wider context from the report

    “For Riverview Care home to review procedures at the care home with respect to referral to hospital of patients suffering from seizures after a recently sustained head trauma. ”
    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Provide training to all staff on completing the Falls Protocol.

    Verbatim wording from the response

    “Training has been provided for all staff in completing the Falls Protocol however the protocol is written in a way to direct staff completing it in a step by step process. In response to your request for a timetable for action, the new protocol was introduced and went live at Riverview Nursing Home on 15th August 2018 (as a final draft awaiting external validation as we believed it offered a safer and improved response to resident falls). The Protocol was fully (externally) validated on 23rd August 2018.”

    Source location

    Stanford-Bell-Response
    Page 2 · response
    Published 30 July 2018

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Introduce and implement a Falls Protocol specifying procedures, observations, neuro-observations, escalation, emergency calls and post-hospital monitoring after resident falls.

    Verbatim wording from the response

    “In responding to your Regulation 28 request we have however taken a more direct ‘Lessons Learnt’ approach and additional measures have now been introduced with a specific ‘Falls Protocol’ including specific procedures to be followed for any resident fall (including falls which may result in head injury). The lesson learnt was that we could be, and will be, much more pro-active in our response to any resident fall.”

    Source location

    Stanford-Bell-Response
    Page 1 · response
    Published 30 July 2018

    Open published response
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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

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

How actions were described at the time

This respondent
100%
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