Recipient

United Care (North) Limited

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First report 30 Jul 2014•Latest report 30 Jul 2014

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

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

  1. Manchester South

    AI-generated summary

    Edna Smither · 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

    Edna Smither choked on sausage while being fed lunch at Peel Moat Care Home on 25 April 2013 and died later that day in hospital. Concerns included limited up-to-date first-aid certification, a delay caused by a locked door, panic and a lack of calm leadership or training, and failures to report incidents under RIDDOR without delay.

    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 United Care (North) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of training for calm leadership during emergencies

    Wider context from the report

    “3. All the staff in attendance, by their own admission, were in a state of panic. No-one, including the senior staff took a position of calm leadership and there seemed to be no training for this nor a recognition as to who really was in charge. ”
    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 United Care (North) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to designate clear emergency leadership

    Wider context from the report

    “3. All the staff in attendance, by their own admission, were in a state of panic. No-one, including the senior staff took a position of calm leadership and there seemed to be no training for this nor a recognition as to who really was in charge. ”
    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 United Care (North) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of up-to-date first aid certification and choking-response knowledge among staff

    Wider context from the report

    “1. It transpired during the course of the hearing that only one (comparatively junior) member of staff present on the day of the incident and death, had a First Aid certificate which was ‘in date’. Whilst I recognise that there is no legal requirement for this, none the less I feel it would be very helpful for all staff to have up-to-date certification, so that they would know when to, and how to, carry out abdominal thrusts to dislodge food boluses etc. ”
    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 United Care (North) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Locked access door delaying emergency transfer

    Wider context from the report

    “2. There was a door which Mrs Smither was to be carried through by the ambulance staff, and this door was locked. A delay occurred whilst this was unlocked. Was this door in fact a fire escape door, and if so has the situation now been changed? ”
    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 United Care (North) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to report reportable incidents promptly under RIDDOR

    Wider context from the report

    “4. There were two failures to report incidents under RIDDOR. Mrs Smither was involved in an incident concerning the use of a hoist, and she was injured. It apparently took the then owners 11 months to report that incident to the Environmental Health Dept. On the occasion of the choking which led to her death, again it took over a week for this to be reported. The guidance document entitled “RIDDOR Explained” does say where there is a death or major injury, it must be reported without delay (e.g. by telephone) and a completed accident report form must follow within ten days. ”
    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