Recipient

Willow Grange Care Home

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First report 28 Feb 2025•Latest report 28 Feb 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 Willow Grange Care Home linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Birmingham and Solihull

    AI-generated summary

    June PHILLIPS · 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

    June Phillips lived in a care home and, while taking clopidogrel, fell on 7 April 2023 and subsequently deteriorated. She was admitted to hospital on 24 April, where a CT scan confirmed a large traumatic subdural haemorrhage; she died on 30 April 2023. The substantive concerns were inaccurate care home records, failure to update fall-risk assessments, and an inadequate post-falls investigation.

    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 Willow Grange Care Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of care home records to accurately reflect deterioration in condition

    Wider context from the report

    “1. The care home records were inaccurate and did not correctly reflect the deterioration in Mrs Phillips condition after the fall. There is a concern that this creates a risk of further deaths. ”
    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 Willow Grange Care Home; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to update falls prevention risk assessments after falls and deterioration in condition

    Wider context from the report

    “2. The risk assessment for prevention of falls was not updated when it should have been after her fall on 07/04/23 and when her condition deteriorated. There is a concern that this create a risk of further deaths as risk assessments are not up to date. ”
    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 Willow Grange Care Home; that does not assign responsibility.

    PFD Monitor interpretation

    Inadequate investigation of post-fall incidents

    Wider context from the report

    “3. The post falls investigation did not adequately investigate the circumstances of the fall. There is a concern that this creates a risk of future deaths as lessons are not learnt from incidents. ”
    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