Gloria Simon (2)

“The email sent to the GP practice with the 'Request for Care' form noted the sender's email address to be '[REDACTED] (RIVERSDALE NURSING HOME, WIRRAL) '. On the form itself, the box in which the sender was asked to identify the staff involved in the case was completed with the words 'Riversdale Nursing Home', which was its name before it changed from a nursing home to a care home in 2023.”

“On 17 September 2025 the staff at the care home were sufficiently concerned about the [the deceased]'s health that they sought assistance from her registered GP, who declined to visit because she was no longer within their area. Whilst efforts were made to register her with a practice local to the care home, staff did not make any alternative arrangements for obtaining clinical input in the meantime. The court heard that staff should have called 111. Depending upon the seriousness of their concerns, another possibility would have been to call 999. In fact, no further attempt was made to seek help until 14:52 on 19 September 2025”

“It was not clear from the evidence that the staff at the care home have been trained so that they have a sufficient understanding of when basic observations should be taken, how and where the results should be recorded or how they should be acted upon.”