Rosehill House

Private and voluntary organisations · Nursing home

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First report 28 Nov 2018•Latest report 28 Nov 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 Rosehill House linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. South Yorkshire (Western)

    AI-generated summary

    Ronald Houchin · 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

    Ronald Houchin died on 5 September 2017 after an unwitnessed fall at Rosehill House Care Home, having sustained a subdural haematoma; the recorded medical cause of death was aspiration pneumonia caused by the haematoma. The report identified concerns that falls risk assessments and care plans were not reviewed regularly or followed, despite Mr Houchin having fallen seventeen times.

    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 Rosehill House; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to conduct falls risk assessments regularly

    Wider context from the report

    “Evidence was given before the Court that the falls risk assessment carried out on 31.12.15 was not followed. As such Mr Houchin was not assisted and supervised when mobilising. Mr Houchin fell seventeen times between 31.12.15 and 10.08.17. The falls risk assessment was updated twice between 31.12.15 and 10.08.17. Mr Houchin died as a result of aspiration pneumonia caused by a subdural haematoma sustained in an unwitnessed fall. In my opinion there is a risk that future deaths may occur unless a system is established within Rosehill House Care Home whereby falls risk assessments are conducted regularly and assessments and care plans are followed. ”
    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 Rosehill House; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to follow falls risk assessments and care plans

    Wider context from the report

    “Evidence was given before the Court that the falls risk assessment carried out on 31.12.15 was not followed. As such Mr Houchin was not assisted and supervised when mobilising. Mr Houchin fell seventeen times between 31.12.15 and 10.08.17. The falls risk assessment was updated twice between 31.12.15 and 10.08.17. Mr Houchin died as a result of aspiration pneumonia caused by a subdural haematoma sustained in an unwitnessed fall. In my opinion there is a risk that future deaths may occur unless a system is established within Rosehill House Care Home whereby falls risk assessments are conducted regularly and assessments and care plans are followed. ”
    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