Manchester pandemic reports record 2020 LIFT Manchester

Care home where 87-year-old died after a lift collapsed forced to close

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died when the care home’s lift collapsed. Serendipity was last inspected by the Care Quality Commission (CQC) on February 19 2020, and was rated inadequate in every category.The CQC report stated: “People at risk of harm were not always adequately protected.

Risk management was poor, with risks not always being assessed or reviewed.“Incidents were not always being recorded or reported appropriately.

We made an urgent referral to the Greater Manchester Fire and Rescue Service (GMFRS) as we were concerned the homes fire risk assessment highlighted a number of outstanding works.“The manager did not recognise or respond to safeguarding incidents or follow established local procedures for reporting and investigating them.

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