Recipient

Victoria House (Wallasey)

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First report 13 Jan 2025•Latest report 13 Jan 2025

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Residential care home. 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 Victoria House (Wallasey) linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Liverpool and the Wirral

    AI-generated summary

    Diane POOLE · 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

    On 31 August 2024, Diane Poole left Victoria House Care Home through a faulty emergency escape door whose alarm did not sound, and staff were unaware she was missing for three hours. She was found after an unwitnessed fall, sustained head and facial fractures, and died on 23 September 2024; the fall and injuries contributed more than minimally to her death. The principal concerns were the defective emergency exit door and staff’s lack of awareness that she was missing.

    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 Victoria House (Wallasey); that does not assign responsibility.

    PFD Monitor interpretation

    Faulty emergency exit door

    Wider context from the report

    “The Court received evidence of the following: The investigation uncovered both the fault of the emergency exit door and a lack of awareness among the staff, highlighting the need for immediate corrective measures to prevent a recurrence of this incident. To address these issues, several actions will be implemented. Immediate corrective actions have been implemented to prevent a recurrence of this incident. Actions include: I Rigorous Alarm Checks: Regular inspections of all emergency exit alarms to ensure they are functioning correctly. I Increased Resident Headcounts: Staff will conduct hourly headcounts of all residents, with half-hour checks for those deemed high-risk. I Engaging Activities for High-Risk Residents: Structured, stimulating activities will be introduced to engage high-risk residents and reduce behaviours that may lead to attempts to leave the facility. I Improved Shift Handover Procedures: Shift handovers will be more resident-focused, ensuring clear communication and continuity of care. I Ongoing Staff Training: Regular training sessions will be conducted to reinforce the importance of supervision, resident safety, and emergency procedures. The Court seeks clarification that these actions have been implemented and are continuing ”
    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 Victoria House (Wallasey); that does not assign responsibility.

    PFD Monitor interpretation

    Lack of staff awareness

    Wider context from the report

    “The Court received evidence of the following: The investigation uncovered both the fault of the emergency exit door and a lack of awareness among the staff, highlighting the need for immediate corrective measures to prevent a recurrence of this incident. To address these issues, several actions will be implemented. Immediate corrective actions have been implemented to prevent a recurrence of this incident. Actions include: I Rigorous Alarm Checks: Regular inspections of all emergency exit alarms to ensure they are functioning correctly. I Increased Resident Headcounts: Staff will conduct hourly headcounts of all residents, with half-hour checks for those deemed high-risk. I Engaging Activities for High-Risk Residents: Structured, stimulating activities will be introduced to engage high-risk residents and reduce behaviours that may lead to attempts to leave the facility. I Improved Shift Handover Procedures: Shift handovers will be more resident-focused, ensuring clear communication and continuity of care. I Ongoing Staff Training: Regular training sessions will be conducted to reinforce the importance of supervision, resident safety, and emergency procedures. The Court seeks clarification that these actions have been implemented and are continuing ”
    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