Recipient

TLC Nursing and Care

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First report 25 Nov 2022•Latest report 25 Nov 2022

Recipient record

Reports, concerns and published responses

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 TLC Nursing and Care linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. North Wales (East and Central)

    AI-generated summary

    Ann Daghlin · 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

    Ann Daghlin died in hospital on 13 February 2021 from sepsis resulting from a sacral pressure sore, with metastatic breast cancer contributing. The report states that her refusal of showering and full-body washing meant the pressure sore went unnoticed until it was identified by a carer. Concerns were raised that TLC nursing and home care lacked a formal review system and mechanisms to monitor whether care plans were being met.

    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 TLC Nursing and Care; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a formal review and escalation system for deterioration in personal care

    Wider context from the report

    “I heard evidence that despite it being recorded and noted by carers that (notwithstanding their efforts to persuade) that there was clear deterioration in terms of the deceased refusing to shower and/or receive full body washing, that there was no formal review system in place at TLC nursing and care which would trigger a request to the local authority (or other appropriate authorities) to request a formal review of those concerns. A formal review request would then have involved a multi disciplinary meeting of various other professionals to consider risk, whether or not the care user had capacity. TLC nursing and home care have no mechanisms in place currently (or planned in the future) which properly monitor care provision to ensure that their care plan is infact being met or if it is not being met. ”
    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 TLC Nursing and Care; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of mechanisms to monitor whether care plans are being met

    Wider context from the report

    “I heard evidence that despite it being recorded and noted by carers that (notwithstanding their efforts to persuade) that there was clear deterioration in terms of the deceased refusing to shower and/or receive full body washing, that there was no formal review system in place at TLC nursing and care which would trigger a request to the local authority (or other appropriate authorities) to request a formal review of those concerns. A formal review request would then have involved a multi disciplinary meeting of various other professionals to consider risk, whether or not the care user had capacity. TLC nursing and home care have no mechanisms in place currently (or planned in the future) which properly monitor care provision to ensure that their care plan is infact being met or if it is not being met. ”
    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