Recipient

Westgate House

First report 23 Feb 2016•Latest report 23 Feb 2016

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Nursing home. 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 Westgate House linked to the concerns in each report. Select any concern, action or position to view the source wording.

23 Feb2016
Manchester South
Concerns raised7
1. Failure to read or understand medical and nursing notes
2. Inadequate staffing levels and expertise in the ward
3. Inadequate planning and unclear management standards for intermediate care
1. Failure to mobilise patients when clinically indicated
2. Unavailability of records for patients’ ward stays
3. Delays in arranging indicated physiotherapy
4. Failure to hand over patients’ individual needs from hospital to the ward
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

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

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 read or understand medical and nursing notes

Inadequate staffing levels and expertise in the ward

Inadequate planning and unclear management standards for intermediate care

Failure to mobilise patients when clinically indicated

Unavailability of records for patients’ ward stays

Delays in arranging indicated physiotherapy

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