Westgate HouseIncludes reports addressed to a minister or senior office-holder acting for this organisation.

Private and voluntary organisations · Nursing home

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First report 23 Feb 2016•Latest report 23 Feb 2016

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 Westgate House linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: ████████, Managing Director, L and M Healthcare, Westgate House, 1st Floor, 44, Hale Road, Hale WA14 2EX.

    Manchester South

    AI-generated summary

    Edith Kirkham · 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

    Edith Kirkham fell at home on 13 August 2015, broke her hip, underwent surgery and was later moved to intermediate care, where she was not mobilised despite medical advice; she died some days later in North Manchester General Hospital. Concerns included unclear management arrangements, inadequate staffing and handover, failures to read or understand clinical instructions, lack of physiotherapy, and missing records relating to her stay.

    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 Westgate House; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to read or understand medical and nursing notes

    Wider context from the report

    “3. The staff, or some of them, who gave evidence at the inquest, had either failed to read the medical/nursing notes, or if they had so read them, they had failed to understand them. The consultant surgeon had clearly indicated that the patient was to mobilise and was able to fully weight-bear, however for the whole of the week she spent in this ward she was nursed in bed and not mobilised at all. ”
    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 Westgate House; that does not assign responsibility.

    PFD Monitor interpretation

    Inadequate staffing levels and expertise in the ward

    Wider context from the report

    “2. Perhaps as a result of the problems highlighted at (1) above, the ward appears to have been inadequately staffed, both as to numbers of staff and the level of expertise thereof. ”
    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 Westgate House; that does not assign responsibility.

    PFD Monitor interpretation

    Inadequate planning and unclear management standards for intermediate care

    Wider context from the report

    “1. The intermediate care arrangement at Darnton House, I was informed, was a joint venture between L and M Health care and Tameside Hospital, but there seems to have been inadequate planning and unclear rules as to the level and type of management required for the patients/residents. Was the required standard that of a hospital or that of a care home. No-one seemed to know and this led to general uncertainty. ”
    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 Westgate House; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to mobilise patients when clinically indicated

    Wider context from the report

    “3. The staff, or some of them, who gave evidence at the inquest, had either failed to read the medical/nursing notes, or if they had so read them, they had failed to understand them. The consultant surgeon had clearly indicated that the patient was to mobilise and was able to fully weight-bear, however for the whole of the week she spent in this ward she was nursed in bed and not mobilised at all. ”
    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 Westgate House; that does not assign responsibility.

    PFD Monitor interpretation

    Unavailability of records for patients’ ward stays

    Wider context from the report

    “6. Despite the request from me as HM Senior Coroner, it appears that no records were available relating to the whole of her stay in this ward. ”
    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 Westgate House; that does not assign responsibility.

    PFD Monitor interpretation

    Delays in arranging indicated physiotherapy

    Wider context from the report

    “5. Mrs Kirkham was moved to the intermediate care ward on a Friday preceding a bank-holiday weekend, and despite the clear indication that she was to have physiotherapy, none was arranged for four days after her arrival. ”
    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 Westgate House; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to hand over patients’ individual needs from hospital to the ward

    Wider context from the report

    “4. There was no apparent handover from the hospital to this ward, as to the individual needs of the patient, and the staff were therefore placed in an impossible position. ”
    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