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recurance

Charles Knapp

26 Jun 2019 · Coroner Anna Crawford · Surrey

The coroner's concerns

  1. 1. pressure sores

    “Angel Solutions (UK) Ltd omitted to maintain Mr [name redacted] personal hygiene or regularly reposition him, and thereafter omitted to seek medical attention for the pressure sores”
  2. 2. insufficient carers

    “Angel Solutions (UK) Ltd did not always provide Mr [name redacted] with two carers, despite his care plan requiring two carers to be present”
  3. 3. incomplete records

    “Angel Solutions (UK) Ltd failed to provide the court with a full set of Mr [name redacted] records”
  4. 4. missing carer details

    “Angel Solutions (UK) Ltd failed to supply the court with the full name and contact details of the main carer who was responsible for Mr [name redacted] care and as such the court did not have the benefit of hearing from her”
  5. 5. inadequate care provision

    “The Coroner understands that although Angel Solutions (UK) has now been rated as inadequate following an inspection carried out by the Care Quality Commission in March 2019, it continues to provide care to approximately 8 individuals”
  6. 6. risk of future deaths

    “The Coroner is concerned that there is a risk that the company will provide inadequate care to those individuals and keep inadequate patient records in respect of them, which gives rise to the risk of future deaths”

Responses

No published response was found on judiciary.uk.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Charles Knapp · Recurance