HC-One
8
reports received
2
with a published response found
0
recurrence chains
0
reports in those chains
- Robert Rostron11 Jul 2019
Coroner Rachel Galloway · Manchester (West)
No published response from this organisation found.
- Margaret Melia18 Apr 2019
Coroner Zafar Siddique · Black Country
No published response from this organisation found.
- Frederick Brooker18 Mar 2019
Coroner Nadia Persaud · London (East)
No published response from this organisation found.
- Doris Douthwaite3 Sept 2018
Coroner Chris Morris · Manchester (South)
No published response from this organisation found.
- Patricia Heslop12 Apr 2018
Coroner Derek Winter · Sunderland
Response · 1 stated action
2018-0102-Response-by-HC-One.pdf ↗“1.2 Evidence was provided in the statement (iii Head of Standards and Compliance with HC-One, as to the existing procedures in place at HC-One for incident reporting. HC-One recognises the importance of e - HC-One if @ 701325 351100 F 01325 351144 = Correspondence & Registered Office: Southgate House, Archer Street, Darlington, County Durham, DL3 6AH Registered in England and Wales: HC-One Limited, registration no. 07712656; Meridian Healthcare Limited, registration no. 01952719; | AA. HC-One”
- George Goldby11 Apr 2018
Coroner Jane Gillespie · Nottinghamshire
Response · 6 stated actions
2018-0104-Response-by-HC-One.pdf ↗“Allocation of staff to and practical supervision of Residents whilst eating and drinking to assess any issues.”
“Completion of the swallowing risk assessment with independent validation from another senior colleague to ensure accurate scoring and corresponding actions to mitigate risk are adhered to. This system remains in place with the Care Manager reviewing and signing off any updates.”
“All Residents whose assessment indicated having reached the appropriate threshold of need have been referred to the Speech and Language team (SALT) service via the GP for review- New referrals have also been actioned and follow-ups reviews have been planned by SALT- 2 existing Residents are due a review, which have been scheduled.”
“The Care Manager has taken responsibility for oversight of communication between SALT and colleagues at the home to ensure optimum communication and appropriate escalation for support.”
“Once this initial work was completed at Stoneyford, we sought advice from senior clinicians within the company for governance and oversight, which resulted in the care plans being rewritten to specify the detailed plan of care for each Resident.”
“Additional advice was sought from the company Hospitality specialist to establish if there were any further processes or mechanisms to help support the safe and effective management of people who require a specialist diet. As a result we have introduced a new system of dining registers with quick reference guides, which were put into place and help colleagues or any agency workers to reflect the handover documentation.”
- Marie Quinn2 Nov 2015
Coroner Rachael Griffin · Manchester (West)
No published response from this organisation found.
- Albert Flynn2 Jul 2014
Coroner John Pollard · Manchester (South)
No published response from this organisation found.