Recipient

Rosewood Lodge

First report 11 Dec 2017•Latest report 11 Dec 2017

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

  1. Avon

    AI-generated summary

    Irene Winifred BAKER · 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

    Irene Winifred BAKER died following an operation for a fractured hip, which evidence suggested occurred at Rosewood Lodge Nursing Home, although the nursing home had no record of it. Concerns included failures to revise mobility care plans, undertake monthly mobility reviews, and contact a GP or call an ambulance when she was documented as unable to bear weight.

    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 Rosewood Lodge; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to escalate documented inability to weight-bear to the GP or ambulance service

    Wider context from the report

    “3. A failure to contact the GP or call an ambulance in response to a documented inability to weight-bear 12th - 23rd April 2017 ”
    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 Rosewood Lodge; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to undertake monthly mobility reviews

    Wider context from the report

    “2. No monthly mobility reviews were undertaken in January and February 2017; ”
    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 Rosewood Lodge; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to revise the mobility care plan in response to documented deterioration in mobility

    Wider context from the report

    “1. No revision of the mobility care plan in response to monthly reviews documenting a deterioration in mobility in November and December 2016; ”
    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