Recipient

Springfield House Nursing Home

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First report 22 Apr 2015•Latest report 22 Apr 2015

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Nursing 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 Springfield House Nursing Home linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Black Country

    AI-generated summary

    Eliza Rebecca Bowen · 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

    Eliza Bowen, a resident of Springfield House Care Home with complex medical needs, became suddenly unwell on 15 November 2014 and died after developing markedly raised blood glucose, acute kidney injury and metabolic imbalances. The inquest concluded that she died from hyperosmolar non-ketotic coma, a natural cause of death. The principal concerns were that regular blood glucose testing might have identified diabetes sooner and that guidance on diabetes screening and management for patients with relevant risk factors should be available to medical staff.

    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 Springfield House Nursing Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to perform regular blood glucose testing for patients with diabetes risk factors

    Wider context from the report

    “1. A simple blood glucose test done on a regular basis may have identified the diabetes sooner and the condition managed. 2. Although the patient wasn’t identified as a diabetic she presented with some of the key associated risk factors including BMI greater than 30 and immobility due to her medical condition. ”
    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