Inaccurate and inconsistent care plan entries and record keeping

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.

• 2017 → 2019Sidney Baker1 year 11 months after Ronald Farrington · different coronerClosely relatedConfidence 0.85 · high

  Closely relatedConfidence 0.85 · high

  Both reports highlight failures in maintaining accurate patient records within care settings.

  Ronald Farrington · 22 Dec 2017

  “Failed to keep accurate records.”

  Check it in the source

  Sidney Baker · 2 Dec 2019

  “Furthermore, the general quality of record keeping was poor.”

  Check it in the source

  Stated action in the response to the earlier report

  “We have improved our systems to identify long running adult safeguarding enquiries and take actions to bring them to a satisfactory conclusion. In December 2016 15% of our adult safeguarding enquiries had been in progress for over 12 months. By December 2017 we had reduced this to 4%, despite the number of adult safeguarding enquiries we are undertaking having more than doubled over that period.”

  Earlier report in the app · Later report in the app

• 2017 → 2021John Dickinson3 years 7 months after Ronald Farrington · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight problems with the accuracy and completeness of patient records.

  Ronald Farrington · 22 Dec 2017

  “Failed to keep accurate records.”

  Check it in the source

  John Dickinson · 22 Jul 2021

  “The record keeping was inconsistent and lacked detail on general wellbeing.”

  Check it in the source

  Stated action in the response to the earlier report

  “We have improved our systems to identify long running adult safeguarding enquiries and take actions to bring them to a satisfactory conclusion. In December 2016 15% of our adult safeguarding enquiries had been in progress for over 12 months. By December 2017 we had reduced this to 4%, despite the number of adult safeguarding enquiries we are undertaking having more than doubled over that period.”

  Earlier report in the app · Later report in the app

• 2019 → 2021John Dickinson1 year 8 months after Sidney Baker · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight problems with the quality and completeness of resident record keeping. The earlier report cites incorrect entries and missing referrals, while the later report notes inconsistent and insufficient detail in records.

  Sidney Baker · 2 Dec 2019

  “There were concerns that entries contained in Mr [name redacted] care plan were incorrect, including vital information contained on his weight monitoring sheet. Furthermore, the general quality of record keeping was poor.”

  Check it in the source

  John Dickinson · 22 Jul 2021

  “The record keeping was inconsistent and lacked detail on general wellbeing.”

  Check it in the source

  Stated action in the response to the earlier report

  “We will carry out a further comprehensive inspection within 12 months, to ensure action has been taken and the provider is no longer in breach.”

  Earlier report in the app · Later report in the app

• 2017 → 2021John Dickinson4 years 2 months after David Sheppard · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports identify problems with record keeping that hinder proper assessment and reconstruction of care. The earlier report focuses on missing timely notes of events, while the later report highlights inconsistent records lacking detail on general wellbeing.

  David Sheppard · 8 May 2017

  “Staff failed to keep an acute and contemporaneous note of the events that occurred with timings.”

  Check it in the source

  John Dickinson · 22 Jul 2021

  “(1) The record keeping was inconsistent and lacked detail on general wellbeing.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2021 → 2022Frederick King1 year 4 months after John Dickinson · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight problems with record keeping that omitted key details about food, fluid intake and general wellbeing. The later report describes the same kind of incomplete records affecting fluid provision and other observations.

  John Dickinson · 22 Jul 2021

  “The record keeping was inconsistent and lacked detail on general wellbeing.”

  Check it in the source

  Frederick King · 15 Nov 2022

  “Inadequate record keeping in the Birchwood Care made it difficult to obtain the relevant records for the Inquest and the records obtained were incomplete”

  Check it in the source

  Stated action in the response to the earlier report

  “The provider has indicated they have also reviewed the quality of their own documentation and care records. In relation to food records, in addition to improved documentation, staff have also received additional training.”

  Earlier report in the app · Later report in the app

• 2017 → 2022Frederick King5 years 4 months after James Harris · different coronerClosely relatedConfidence 0.85 · high

  Closely relatedConfidence 0.85 · high

  Both reports identify shortcomings in the documentation of care activities, pointing to inadequate record‑keeping practices. The earlier report notes missing routine‑check logs, while the later report highlights incomplete fluid and pad records that hindered the investigation.

  James Harris · 21 Jul 2017

  “Records of routine checks on residents are not made. Therefore whilst it was asserted that Mr [name redacted] was checked hourly throughout following the fall there is no evidence that the checks were carried out”

  Check it in the source

  Frederick King · 15 Nov 2022

  “Inadequate record keeping in the Birchwood Care made it difficult to obtain the relevant records for the Inquest and the records obtained were incomplete”

  Check it in the source

  Stated action in the response to the earlier report

  “Read and sign sheets have been implemented so that staff read and sign care plans individually when residents are admitted to the home. The aim is that these are completed in a timely manner within 72 hours of a service user arriving, and staff will read and sign them the expectation being within one week. On point of admittance information is given at handover three times a day so that staff are aware of needs of a new resident.”

  Earlier report in the app · Later report in the app

• 2020 → 2024James Astley3 years 9 months after Anthony Slack · same coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight that the care home's documentation was limited and lacked detail, making it hard to assess care provided. The core issue is inadequate record‑keeping.

  Anthony Slack · 1 Dec 2020

  “The documentation available at the inquest from the home was limited in detail. As a result, it was difficult to understand what observations had been undertaken by care home staff who were monitoring him.”

  Check it in the source

  James Astley · 10 Sept 2024

  “Overall documentation at the home was limited and lacked detail”

  Check it in the source

  Stated action in the response to the earlier report

  “The Care Home confirmed that; 1. The Provider/Registered Manager is speaking to staff individually to reiterate the need for thorough record keeping in relation to falls but also generally. A documentation awareness training offer has been made to the Provider/Registered Manager by Tameside and Glossop CCG Quality Improvement Team. This has been accepted and sessions will take place in February via Microsoft Teams. The Local Authority require all providers to comply with good record keeping”

  Earlier report in the app · Later report in the app

• 2021 → 2024James Astley3 years 2 months after John Dickinson · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight inadequate documentation that fails to capture residents' wellbeing and nutrition needs. This shortcoming delays recognition of deterioration and risks to health.

  John Dickinson · 22 Jul 2021

  “(1) The record keeping was inconsistent and lacked detail on general wellbeing.”

  Check it in the source

  James Astley · 10 Sept 2024

  “Overall documentation at the home was limited and lacked detail”

  Check it in the source

  Stated action in the response to the earlier report

  “The provider has indicated they have also reviewed the quality of their own documentation and care records. In relation to food records, in addition to improved documentation, staff have also received additional training.”

  Earlier report in the app · Later report in the app

• 2021 → 2026Ronald Nelson4 years 6 months after John Dickinson · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight problems with record keeping, specifically inconsistency and lack of detail in documenting residents' wellbeing and care.

  John Dickinson · 22 Jul 2021

  “(1) The record keeping was inconsistent and lacked detail on general wellbeing.”

  Check it in the source

  Ronald Nelson · 15 Jan 2026

  “That there remain potential issues of poor record keeping. ii) There are concerns over the level of compliance of care plans”

  Check it in the source

  Stated action in the response to the earlier report

  “The provider has indicated they have also reviewed the quality of their own documentation and care records. In relation to food records, in addition to improved documentation, staff have also received additional training.”

  Earlier report in the app · Later report in the app

• 2019 → 2026Ronald Nelson6 years 1 month after Sidney Baker · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight problems with inaccurate or incomplete care‑plan records and overall poor record‑keeping practices.

  Sidney Baker · 2 Dec 2019

  “There were concerns that entries contained in Mr [name redacted] care plan were incorrect, including vital information contained on his weight monitoring sheet. Furthermore, the general quality of record keeping was poor.”

  Check it in the source

  Ronald Nelson · 15 Jan 2026

  “That there remain potential issues of poor record keeping.”

  Check it in the source

  Stated action in the response to the earlier report

  “We will carry out a further comprehensive inspection within 12 months, to ensure action has been taken and the provider is no longer in breach.”

  Earlier report in the app · Later report in the app

• 2019 → 2026Susan Dale6 years 7 months after Sidney Baker · different coronerIdentical hazardConfidence 0.95 · high

  Identical hazardConfidence 0.95 · high

  Both reports highlight problems with inaccurate and inconsistent record‑keeping in care homes.

  Sidney Baker · 2 Dec 2019

  “There were concerns that entries contained in Mr [name redacted] care plan were incorrect, including vital information contained on his weight monitoring sheet. Furthermore, the general quality of record keeping was poor.”

  Check it in the source

  Susan Dale · 26 Jun 2026

  “(1) The record keeping in the home appeasers to be inaccurate and inconsistent”

  Check it in the source

  Stated action in the response to the earlier report

  “We will carry out a further comprehensive inspection within 12 months, to ensure action has been taken and the provider is no longer in breach.”

  Earlier report in the app · Later report in the app

• 2021 → 2026Susan Dale4 years 11 months after John Dickinson · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight problems with record keeping being inconsistent and lacking detail. The earlier report focuses on general wellbeing records, while the later report concerns inaccuracies in incident and handover records.

  John Dickinson · 22 Jul 2021

  “The record keeping was inconsistent and lacked detail on general wellbeing.”

  Check it in the source

  Susan Dale · 26 Jun 2026

  “The record keeping in the home appeasers to be inaccurate and inconsistent”

  Check it in the source

  Stated action in the response to the earlier report

  “The provider has indicated they have also reviewed the quality of their own documentation and care records. In relation to food records, in addition to improved documentation, staff have also received additional training.”

  Earlier report in the app · Later report in the app