Care Quality Commission
172
reports received
51
with a published response found
20
recurrence chains
56
reports in those chains
- Inaccurate and inconsistent care plan entries and record keeping
Care Quality Commission · National body
10 reports · 9 coroners · 2017–2026Closely relatedConfidence 0.85 · high - 3 reports · 2 coroners · 2015–2026Identical hazardConfidence 0.92 · high
- Non‑compliance with care plans and insufficient incident review
Care Quality Commission · National body
5 reports · 5 coroners · 2016–2026Closely relatedConfidence 0.80 · moderateNo published response to an earlier report - 2 reports · 2 coroners · 2013–2025Identical hazardConfidence 0.90 · highNo published response to an earlier report
- 2 reports · 2 coroners · 2018–2025Identical hazardConfidence 0.90 · highNo published response to an earlier report
- Inadequate english proficiency hindering communication and safety
Care Quality Commission · National body
2 reports · 2 coroners · 2017–2025Closely relatedConfidence 0.90 · high - Lack of mental capacity assessment and risk assessment in emergency settings
Care Quality Commission · National body
2 reports · 2 coroners · 2017–2025Closely relatedConfidence 0.80 · moderateNo published response to an earlier report - 2 reports · 2 coroners · 2021–2024Closely relatedConfidence 0.80 · moderate
- Unrecognised acute illness in resident
Care Quality Commission · National body
2 reports · 2 coroners · 2014–2024Closely relatedConfidence 0.90 · highNo published response to an earlier report - 3 reports · 3 coroners · 2018–2024Closely relatedConfidence 0.90 · highNo published response to an earlier report
- 2 reports · 2 coroners · 2014–2023Closely relatedConfidence 0.90 · highNo published response to an earlier report
- 2 reports · 2 coroners · 2014–2022Closely relatedConfidence 0.80 · moderate
- 2 reports · 2 coroners · 2013–2020Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
- 3 reports · 3 coroners · 2014–2020Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Petrol based emollient cream fire risk
Care Quality Commission · National body
2 reports · 2 coroners · 2017–2019Closely relatedConfidence 0.90 · high - Lack of clear guidance on ligature incidents and self-harm risk
Care Quality Commission · National body
2 reports · 2 coroners · 2017–2019Closely relatedConfidence 0.90 · highNo published response to an earlier report - Lack of care plan coordination
Care Quality Commission · National body
2 reports · 2 coroners · 2016–2019Closely relatedConfidence 0.80 · moderateNo published response to an earlier report - 2 reports · 2 coroners · 2016–2019Closely relatedConfidence 0.85 · high
- Inadequate face to face medical handover of patient information
Care Quality Commission · National body
4 reports · 4 coroners · 2013–2018Closely relatedConfidence 0.90 · highNo published response to an earlier report - Delayed mental health bed allocation leading to patient deterioration
Care Quality Commission · National body
2 reports · 2 coroners · 2013–2016Identical hazardConfidence 0.90 · highNo published response to an earlier report