The Holmes Care (Group) Limited

Private and voluntary organisations · Private limited company

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First report 27 Jan 2022•Latest report 27 Jan 2022

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 The Holmes Care (Group) Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Essex

    AI-generated summary

    Maria Howell · 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

    Maria Howell, a resident of Cranham Court Nursing Home, died in hospital on 28 September 2019 after her RIG tube fell out, reinsertion was delayed, and she later developed peritonitis. The concerns were that the care home lacked qualified nursing staff to reinsert a time-critical RIG tube and that staff did not recognise the need for urgent medical attention when she became critically ill.

    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 The Holmes Care (Group) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of staff clinical judgement to recognise the need for urgent medical attention in critically ill people

    Wider context from the report

    “That the Care Home had a resident with specific complex needs, and they had no qualified nursing staff to reinsert a RIG tube which is time critical. That they employ staff whose clinical judgement on someone who is critically ill does not necessitate urgent medical attention. ”
    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 The Holmes Care (Group) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of qualified nursing staff to reinsert time-critical RIG tubes

    Wider context from the report

    “That the Care Home had a resident with specific complex needs, and they had no qualified nursing staff to reinsert a RIG tube which is time critical. That they employ staff whose clinical judgement on someone who is critically ill does not necessitate urgent medical attention. ”
    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