Recipient

The Human Support Group Limited

First report 30 Dec 2016•Latest report 30 Dec 2016

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Domiciliary care provider. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports: 1
Published responses: 0%
Concerns addressed: 0
Stated actions: 0

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 The Human Support Group Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

30 Dec2016
Manchester City
Concerns raised7
1. Failure to identify deterioration and make appropriate primary health care referrals
2. Poor standard of record keeping in the Home Care Support Service User comment book
3. Failure to undertake both daily care visits
1. Failure to undertake or arrange review of a mental capacity assessment
2. Failure to update and review the Home Care Support Customer file
3. Failure to respond to indicators of self-neglect and inadequate nutrition
4. Failure to notify the GP or ambulance service after reported or observed falls
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.

No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

Raymond David SHEPHERD · 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

Raymond David SHEPHERD had chronic ill health, severely limited mobility and a high risk of falls and self-neglect. In January 2016, care records noted repeated falls, poor appetite and a deterioration in his condition, but referrals to a GP or ambulance service were not made; he later sustained a femur fracture after a further fall and died in hospital on 30 January 2016. The principal concerns were poor care record-keeping, missed care visits, failure to escalate reported or observed falls and deterioration, and the absence of a mental capacity assessment.

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 Human Support Group Limited; that does not assign responsibility.
PFD Monitor interpretation
Failure to identify deterioration and make appropriate primary health care referrals
Wider context from the report
“6. Over a period of some days there seems to have been a deterioration in his condition which could have been identified and steps taken to stop it by appropriate referrals to primary health care services. In the event it had led him to having a further significant fall in which he fractured a femur as well as sustaining other injuries. This in turn led to a hospital admission but he was not fit enough to undergo surgery and died. ”
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 Human Support Group Limited; that does not assign responsibility.
PFD Monitor interpretation
Poor standard of record keeping in the Home Care Support Service User comment book
Wider context from the report
“1. The standard and detail of the record keeping in the Home Care Support Service User comment book was of very poor standard. ”
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 Human Support Group Limited; that does not assign responsibility.
PFD Monitor interpretation
Failure to undertake both daily care visits
Wider context from the report
“3. On some occasions both daily visits were not undertaken. ”
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 Human Support Group Limited; that does not assign responsibility.
PFD Monitor interpretation
Failure to undertake or arrange review of a mental capacity assessment
Wider context from the report
“7. There was no mental capacity assessment undertaken or a review of this arranged. ”
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 Human Support Group Limited; that does not assign responsibility.
PFD Monitor interpretation
Failure to update and review the Home Care Support Customer file
Wider context from the report
“2. The Home Care Support Customer file does not seem to have been updated and reviewed. ”
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 Human Support Group Limited; that does not assign responsibility.
PFD Monitor interpretation
Failure to respond to indicators of self-neglect and inadequate nutrition
Wider context from the report
“5. The deceased was a service user with chronic health problems which affected his mobility and was at high risk of suffering a fall as well as self-neglect. He reported not wishing to eat anything over a period of days which again should have triggered some concern. ”
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 Human Support Group Limited; that does not assign responsibility.
PFD Monitor interpretation
Failure to notify the GP or ambulance service after reported or observed falls
Wider context from the report
“4. From 18 January 2016 there were at least three occasions when the deceased had either reported a fall or been found having after fallen, but no action was taken to notify the GP or ambulance service. ”
Open source report

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 raised7

Failure to identify deterioration and make appropriate primary health care referrals

Poor standard of record keeping in the Home Care Support Service User comment book

Failure to undertake both daily care visits

Failure to undertake or arrange review of a mental capacity assessment

Failure to update and review the Home Care Support Customer file

Failure to respond to indicators of self-neglect and inadequate nutrition

Failure to notify the GP or ambulance service after reported or observed falls