First reported 24 Sep 2014•Latest report 22 Jul 2024
Definition
What this concern includes
Includes failures in the bounded delivery of fundamental personal care and general welfare to people receiving care, including meeting basic needs for warmth, hygiene, grooming, clean and adequate clothing, safe assistance with meals, comfort and comparable essential daily care needs.
Not included
Excludes failures confined to a specific named care process, such as continence care, nutrition and hydration management, pressure-ulcer care or moving and handling, when that process supplies the more specific supported concern.
Excludes generic staffing, training, documentation or management deficiencies unless they directly result in failure to provide fundamental personal care or welfare.
Excludes clinical assessment, diagnosis, treatment, referral or escalation failures where basic personal care and welfare are not the unsafe condition.
Excludes ordinary dissatisfaction or preferences about care where no failure to meet an essential personal-care or welfare need is identified.
Reports
15
Distinct published reports
Individual concerns
15
A report can raise multiple concerns
Date range
2014–2024
First to latest report issue date
Stated actions
21
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
University Hospitals Sussex NHS Foundation Trust3
East London NHS Foundation Trust2
NHS England2
Barts Health NHS Trust1
Berrycroft Manor1
Betsi Cadwaladr University LHB1
Care Quality Commission1
Care UK1
Care UK Community Partnerships Ltd1
CSC Computer Sciences Limited1
Department of Health and Social Care1
East Sussex Healthcare NHS Trust1
Essex Partnership University NHS Foundation Trust1
Guy'S and St Thomas' NHS Foundation Trust1
HM Prison and Probation Service1
NHS trust13
Executive non-departmental public body2
Multi-service care provider2
Private limited company2
English metropolitan district council1
Executive agency1
Health and social care service regulator1
Healthcare site1
Local health board1
London borough council1
Ministerial department1
Residential care home1
Social-care provider1
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
East London
Concerns raised1
Failure of domiciliary care to provide essential cleaning, personal care and meal support
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.11
Action
Meet with Sunlight Care to address and mitigate risks to residents receiving its care and support.
Stated by London Borough of NewhamStated completedThe respondent said that this action was complete when they made their response on 31 July 2024.
Action
Implement and continue the quality improvement plan for Sunlight Care.
Stated by London Borough of NewhamStated in progressThe respondent said that this action was in progress when they made their response on 31 July 2024.
Action
Provide enhanced monitoring of all residents receiving care and support from Sunlight Care.
Stated by London Borough of NewhamStated completedThe respondent said that this action was complete when they made their response on 31 July 2024.
Action
Conduct welfare checks for Sunlight Care residents who live alone.
Stated by London Borough of NewhamStated completedThe respondent said that this action was complete when they made their response on 31 July 2024.
Action
Develop an escalation procedure for partners to flag high unmitigated risk or differing risk assessments, including reviews of no-reply and refusal-of-care protocols.
Stated by London Borough of NewhamStated plannedThe respondent said that this action was planned when they made their response on 31 July 2024.
Action
Update safeguarding, notification, response and monitoring policies, including 24-hour reporting, 48-hour response expectations and proactive follow-up.
Stated by Sunlight CareStated completedThe respondent said that this action was complete when they made their response on 31 July 2024.
Action
Implement an eight-week programme of revised-policy communication and staff training covering self-neglect, safety, nutrition, risk, capacity, safeguarding and multidisciplinary collaboration.
Stated by Sunlight CareStated in progressThe respondent said that this action was in progress when they made their response on 31 July 2024.
Action
Implement new inter-agency communication and escalation strategies for timely safeguarding escalation across teams.
Stated by Sunlight CareStated plannedThe respondent said that this action was planned when they made their response on 31 July 2024.
Action
Introduce regular multidisciplinary reviews for cases involving self-neglect, incorporating physical, mental and social wellbeing in decision-making.
Stated by Sunlight CareStated in progressThe respondent said that this action was in progress when they made their response on 31 July 2024.
Action
Publish the first part of the Care Workforce Pathway for adult social care.
Stated by Department of Health and Social CareStated completedThe respondent said that this action was complete when they made their response on 31 July 2024.
Action
Develop the Care Workforce Pathway to work alongside existing standards and competency frameworks.
Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 31 July 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.5
Position
Formal interventions for capacitous clients depend on statutory agencies rather than the care provider.
Stated by Sunlight CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Existing DoLS safeguards do not apply to people living at home, and the proposed LPS framework will not be implemented.
Stated by Sunlight CareUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
The Trust cannot comment on behalf of the local authority or domiciliary care company regarding their communication and care arrangements.
Stated by East London NHS Foundation TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
The commissioner and General Practitioner are expected to manage concerns about domiciliary care and the service user’s poor decision-making.
Stated by East London NHS Foundation TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Employers have ultimate responsibility for ensuring health and care staff possess the necessary skills and competence.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
East Sussex
Concerns raised1
Failure to provide basic nursing oral care
This report raised 8 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
Action
Maintain electronic MUST and mouthcare assessments to record and monitor patient care.
Stated by East Sussex Healthcare NHS TrustStated completedThe respondent said that this action was complete when they made their response on 15 May 2024.
Action
Provide risk-based scheduled mouthcare reviews with electronic prompts and escalation of missed reviews.
Stated by East Sussex Healthcare NHS TrustStated completedThe respondent said that this action was complete when they made their response on 15 May 2024.
Action
Establish a dedicated Mouth Care Matters Lead role and deliver targeted mouthcare training.
Stated by East Sussex Healthcare NHS TrustStated completedThe respondent said that this action was complete when they made their response on 15 May 2024.
East Riding and Hull
Concerns raised1
Paucity of personal care on the ward
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Essex
Concerns raised1
Failure to provide basic personal hygiene care to physically dependent patients
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
Action
Launch a ward manager supervisory role with linked performance indicators to strengthen supervision and audit of nursing care.
Stated by Mid and South Essex NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 21 July 2023.
Action
Maintain systems and processes to monitor compliance with patients’ personal care standards.
Stated by Mid and South Essex NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 21 July 2023.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Existing systems and processes are considered sufficient to monitor compliance with patients’ personal care needs.
Stated by Mid and South Essex NHS Foundation TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
North Wales (East and Central)
Concerns raised1
Insufficient space for nursing care and pressure-area assessment
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Inner North London
Concerns raised1
Failure to provide bedtime arrangements based on patients’ needs rather than nursing routine
This report raised 8 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Inner South London
Concerns raised1
Failure to deliver the fundamentals of care on a general gastrointestinal ward
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
Action
Embed Fundamentals of Care standards through staff training, induction education and competency assessments covering core care, hygiene, infection prevention, fluids and nutrition.
Stated by Guy'S and St Thomas' NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 5 November 2019.
Action
Conduct weekly quality rounds across Gastro Medicine and Surgical Directorate wards to review patient safety and experience and escalate staff concerns.
Stated by Guy'S and St Thomas' NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 5 November 2019.
Action
Increase Page Ward staffing by one whole-time-equivalent senior nursing assistant on both day and night shifts.
Stated by Guy'S and St Thomas' NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 5 November 2019.
Essex
Concerns raised1
Lack of stimulating and suitable physical surroundings in patient rooms
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Brighton and Hove
Concerns raised1
Failure to provide appropriate positioning and personal care
This report raised 17 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Brighton and Hove
Concerns raised1
Failure to provide adequate personal hygiene care
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
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Includes failures in the bounded delivery of fundamental personal care and general welfare to people receiving care, including meeting basic needs for warmth, hygiene, grooming, clean and adequate clothing, safe assistance with meals, comfort and comparable essential daily care needs.
