Recipient

Supreme Care Services Limited

First report 6 Jun 2024•Latest report 6 Jun 2024

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
Published responses: 100%
Concerns addressed: 3
Stated actions: 3

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

3stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

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

6 Jun2024
Inner North London
Concerns raised6
1. Failure to replace or repair reported-broken wrist alarms
2. Lack of a clear allocation of duties and responsibilities for reporting wrist-alarm faults
3. Failure of attending carers to escalate reported wrist-alarm faults
1. Lack of training, instruction or guidance for carers on testing wrist alarms
2. Failure of care workers to read care notes containing wrist-alarm information
3. Lack of clear instruction on care workers’ required review of care notes
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response 1
1. Action
  Report faulty pendants to the responsible telecare provider and commissioning local authority.
  Stated completed
Respondent positions 3
1. Position
  Supplying, maintaining, repairing or replacing faulty pendants falls outside the domiciliary care provider’s role and contractual requirements.
  Outside remit
1. Position
  The telecare provider is responsible for supplying, routinely testing, monitoring, maintaining, repairing and replacing faulty pendants.
  Redirects responsibility
2. Position
  The local authority should take primacy to act and ensure repair or an alternative is commissioned for faulty pendants.
  Redirects responsibility
AI-generated summary

Anoush Summers · 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

Anoush Summers, a frail woman living alone, fell at home after her wrist alarm had been reported as broken and was found the following day. She was taken to hospital and died of hypothermia on 14 January 2024. Concerns included the failure to repair or replace the alarm, unclear reporting responsibilities, and inadequate instructions or training for carers regarding alarm faults and care notes.

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 Supreme Care Services Limited; that does not assign responsibility.
PFD Monitor interpretation
Failure to replace or repair reported-broken wrist alarms
Wider context from the report
“1. Although the wrist alarm had been reported as broken and not working on the 6.1.2024, this was not replaced or repaired by the company engaged by the local authority to provide this service before the deceased fell at home between 11-12.1.2024. ”
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 Supreme Care Services Limited; that does not assign responsibility.
PFD Monitor interpretation
Lack of a clear allocation of duties and responsibilities for reporting wrist-alarm faults
Wider context from the report
“6. There was no clear system identified between the company providing carers and the local authority, as to the duties and responsibilities of each in the reporting of faults with wrist alarms. ”
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 Supreme Care Services Limited; that does not assign responsibility.
PFD Monitor interpretation
Failure of attending carers to escalate reported wrist-alarm faults
Wider context from the report
“3. None of the carers who attended on the deceased after 6.1.2024 ensured that steps were taken to replace the wrist alarm or report the matter to the local authority. ”
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 Supreme Care Services Limited; that does not assign responsibility.
PFD Monitor interpretation
Lack of training, instruction or guidance for carers on testing wrist alarms
Wider context from the report
“5. None of the carers had been given any training, instruction, or guidance on the testing of wrist alarms to ensure they worked properly when attending upon service users. ”
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 Supreme Care Services Limited; that does not assign responsibility.
PFD Monitor interpretation
Failure of care workers to read care notes containing wrist-alarm information
Wider context from the report
“4. The last carer who attended on the deceased before she died, on the 11.1.2024, was not aware that the wrist alarm did not work as she had not read the care notes. No clear instruction was given to care workers about the extent to which they would be expected to read the care notes relating to service users. ”
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 Supreme Care Services Limited; that does not assign responsibility.
PFD Monitor interpretation
Lack of clear instruction on care workers’ required review of care notes
Wider context from the report
“4. The last carer who attended on the deceased before she died, on the 11.1.2024, was not aware that the wrist alarm did not work as she had not read the care notes. No clear instruction was given to care workers about the extent to which they would be expected to read the care notes relating to service users. ”
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
Report faulty pendants to the responsible telecare provider and commissioning local authority.

Verbatim wording from the response
“notified to the local authority so they can take primacy to act and ensure that a repair or an alternative is commissioned.”

Source location
Response from Supreme Care Services Ltd
Page 4 · response
Published 14 June 2024
Open published response
Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation
Supplying, maintaining, repairing or replacing faulty pendants falls outside the domiciliary care provider’s role and contractual requirements.

Verbatim wording from the response
“4. The telecare provider ought to have been aware that the pendant was not working through its own testing.”

Source location
Response from Supreme Care Services Ltd
Page 1 · response
Published 14 June 2024
Open published response
Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation
The telecare provider is responsible for supplying, routinely testing, monitoring, maintaining, repairing and replacing faulty pendants.

Verbatim wording from the response
“16. It remains the role of the telecare provider to monitor and replace any faulty pendants within the terms of its contractual arrangements with the funding authority and it is also their responsibility to routinely test pendants.”

Source location
Response from Supreme Care Services Ltd
Page 3 · response
Published 14 June 2024
Open published response
Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation
The local authority should take primacy to act and ensure repair or an alternative is commissioned for faulty pendants.

Verbatim wording from the response
“notified to the local authority so they can take primacy to act and ensure that a repair or an alternative is commissioned.”

Source location
Response from Supreme Care Services Ltd
Page 4 · response
Published 14 June 2024
Open published response

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

Reports, concerns and published responses

Reports over time

Concerns raised6

Failure to replace or repair reported-broken wrist alarms

Lack of a clear allocation of duties and responsibilities for reporting wrist-alarm faults

Failure of attending carers to escalate reported wrist-alarm faults

Lack of training, instruction or guidance for carers on testing wrist alarms

Failure of care workers to read care notes containing wrist-alarm information

Lack of clear instruction on care workers’ required review of care notes

Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised.1

Respondent positions A position is what this recipient says about the concern when it does not describe a specific action.3

Actions described in response 1

Respondent positions 3