Unrecognised acute illness in resident
Care Quality Commission received 2 coroners' reports about this hazard between 10 Jan 2014 and 2 May 2024.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
No published response from Care Quality Commission was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“(1) failure of the nursing home staff to recognise an acutely unwell resident;”
Original on judiciary.uk ↗ No published response from Care Quality Commission was found for this report.
- 10 years 4 months laterClosely relatedConfidence 0.90 · higha different coroner
“The inquest heard evidence that there was no clear system or expectation regarding the quality of checks on a resident who exhibited signs of being unwell.”
Original on judiciary.uk ↗ Repeated from the earlier report:residentunwell
Care Quality Commission responded.Response (PDF) ↗
- All reports to Care Quality Commission
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.
2014 → 2024Frederick Boyd10 years 4 months after Mary Waldron · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight problems with identifying and responding to residents who show signs of being unwell. The earlier report focuses on staff failing to recognise and act on acute illness, while the later report notes the absence of a clear system or expectation for checking such residents.
Mary Waldron · 10 Jan 2014
“(1) failure of the nursing home staff to recognise an acutely unwell resident;”
Original on judiciary.uk ↗ Frederick Boyd · 2 May 2024
“The inquest heard evidence that there was no clear system or expectation regarding the quality of checks on a resident who exhibited signs of being unwell.”
Original on judiciary.uk ↗
No published response from Care Quality Commission was found for this report.
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Care Quality Commission at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2014 → 2024 | 0.82 | 0.21 | Closely related · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
Next
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This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.