PFD report

Patrick Griffin · Prevention of Future Deaths report

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Issued 24 Feb 2026•Manchester South

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

View original report
Concerns
2

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
6

Described in responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Report evidence summary

Concerns raised2

  1. Failure to provide adequate dietary and fluid intake support
    Part of recurring concern: Inadequate management of patients' nutrition and hydration needsPart of recurring concern: Inadequate provision of food for care residents
  2. Bowel inactivity for 7 days
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.4

  1. Action

    Revise daily handovers to record dietary intake, fluid consumption and elimination for earlier intervention.

    Stated by Caring Moss Cottage LtdStated completedThe respondent said that this action was complete when they made their response on 3 March 2026.
  2. Action

    Train all care staff and nurses in communication, documentation, reporting, nutrition, malnutrition and dehydration.

    Stated by Caring Moss Cottage LtdStated completedThe respondent said that this action was complete when they made their response on 3 March 2026.
  3. Action

    Add fluid-balance charts and bowel activity to the manager’s daily walk-round checks.

    Stated by Caring Moss Cottage LtdStated completedThe respondent said that this action was complete when they made their response on 3 March 2026.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to provide adequate dietary and fluid intake support

Wider context from the report

“Mr Griffin lived with advanced dementia and moved into Moss Cottage on temporary basis on 18 July 2025 to afford his wife and main carer a period of respite. I am concerned that, despite it being recognised that Mr Griffin needed support with dietary and fluid intake, and full assistance with hygiene and personal care, when admitted to hospital on 6 August 2025, he was noted: 1) To be dehydrated; and 2) Not to have opened his bowels for 7 days. ”

Is this part of a recurring concern?

Yes — Inadequate management of patients' nutrition and hydration needs; Inadequate provision of food for care residents.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Bowel inactivity for 7 days

Wider context from the report

“Mr Griffin lived with advanced dementia and moved into Moss Cottage on temporary basis on 18 July 2025 to afford his wife and main carer a period of respite. I am concerned that, despite it being recognised that Mr Griffin needed support with dietary and fluid intake, and full assistance with hygiene and personal care, when admitted to hospital on 6 August 2025, he was noted: 1) To be dehydrated; and 2) Not to have opened his bowels for 7 days. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Revise daily handovers to record dietary intake, fluid consumption and elimination for earlier intervention.

Verbatim wording from the response

“The daily handover has been reviewed, and we have added additional sections, which include dietary intake, fluid consumption and elimination, to aide early intervention.”

Source location

2026-0114 - Response from Caring UK
Page 2 · response
Published 3 March 2026

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Train all care staff and nurses in communication, documentation, reporting, nutrition, malnutrition and dehydration.

Verbatim wording from the response

“The leadership team at Moss Cottage were placed on a performance plan and provided with additional training and mentoring to strengthen their skillset and address the issues identified. All Care Staff and Nurses have been allocated and completed the following training:”

Source location

2026-0114 - Response from Caring UK
Page 2 · response
Published 3 March 2026

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Add fluid-balance charts and bowel activity to the manager’s daily walk-round checks.

Verbatim wording from the response

“Additionally, a new Management Team is now in place at Moss Cottage, and the Manager is spot checking and auditing that documentation is robust throughout the week and the Senior Governance Manager is auditing monthly. Fluid balance charts and bowel activity have been added to the Managers daily walk round.”

Source location

2026-0114 - Response from Caring UK
Page 2 · response
Published 3 March 2026

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Disseminate relevant record-keeping, care, nutrition, hydration, bowel-care, accountability, delegation and leadership policies through the quality compliance software reading list.

Verbatim wording from the response

“All Care Staff and Nurses have received the following policies and procedures via a reading list on the quality compliance software programme that is in use:”

Source location

2026-0114 - Response from Caring UK
Page 2 · response
Published 3 March 2026

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.2

  1. 1

    Place the Moss Cottage leadership team on a performance plan and provide additional training and mentoring.

    Stated by Caring Moss Cottage LtdStated completedThe respondent said that this action was complete when they made their response on 3 March 2026.
  2. 2

    Establish a new Moss Cottage management team with managerial documentation checks and monthly senior governance audits.

    Stated by Caring Moss Cottage LtdStated completedThe respondent said that this action was complete when they made their response on 3 March 2026.

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Place the Moss Cottage leadership team on a performance plan and provide additional training and mentoring.

Verbatim wording from the response

“The leadership team at Moss Cottage were placed on a performance plan and provided with additional training and mentoring to strengthen their skillset and address the issues identified. All Care Staff and Nurses have been allocated and completed the following training:”

Source location

2026-0114 - Response from Caring UK
Page 2 · response
Published 3 March 2026

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Establish a new Moss Cottage management team with managerial documentation checks and monthly senior governance audits.

Verbatim wording from the response

“Additionally, a new Management Team is now in place at Moss Cottage, and the Manager is spot checking and auditing that documentation is robust throughout the week and the Senior Governance Manager is auditing monthly. Fluid balance charts and bowel activity have been added to the Managers daily walk round.”

Source location

2026-0114 - Response from Caring UK
Page 2 · response
Published 3 March 2026

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
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Data last updated 7 September 2026