Inadequate documentation of care and risk

Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals. ?Every quote shown was checked by code to appear word for word in the original report.

• 2024 → 2025Ronald Perry1 year 6 months after Frederick Boyd · same coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight inadequate documentation systems that hinder proper monitoring of resident care and risk. The later report adds specifics about falls assessments and policy adherence while sharing the core issue of poor documentation.

  Frederick Boyd · 2 May 2024

  “there was no clear system or expectation regarding the quality of checks on a resident who exhibited signs of being unwell.”

  Check it in the source

  Ronald Perry · 14 Nov 2025

  “During the course of the inquest it was difficult to be clear at times as to what care had been delivered or what steps had been taken because the documentation relating to care and risk was poor.”

  Check it in the source

  Stated action in the response to the earlier report

  “we will require the registered provider to provide an action plan with clear timescales for completion of each action identified and will review progress against this action plan in line with our processes.”

  Earlier report in the app · Later report in the app