PFD report

Wycliffe Ashton Matthews · Prevention of Future Deaths report

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Issued 18 Oct 2017•Manchester West

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.

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Concerns
2

Raised in this report

Recipients
1

Named on the report

Responses found
0

Of 1 recipient

Stated actions
0

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

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Concerns raised2

  1. Inadequate staff training on hoist use
    Part of recurring concern: Unsafe operation of patient hoists
  2. Failure to keep proper records of safety events
Responses linked to these concerns

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

No linked response statements

No respondent-stated action or position is clearly linked to these concerns.

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

Inadequate staff training on hoist use

Wider context from the report

“1. During the Inquest evidence was heard that:- i. The staff at the home seemed untrained or at least inadequately trained on the use of the hoist. ii. The staff failed to keep any, or any proper, note of the events which led to the death. ”

Is this part of a recurring concern?

Yes — Unsafe operation of patient hoists.

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

Failure to keep proper records of safety events

Wider context from the report

“1. During the Inquest evidence was heard that:- i. The staff at the home seemed untrained or at least inadequately trained on the use of the hoist. ii. The staff failed to keep any, or any proper, note of the events which led to the death. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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

Data last updated 7 September 2026