Recurring concern
Inadequate management of patients' nutrition and hydration needs
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Request correctionFirst reported 2 Jul 2014•Latest report 24 Feb 2026
What this concern includes
Includes failures of controls specifically dedicated to assessing, monitoring, recording, providing or reviewing patients' food and fluid intake and nutritional or hydration needs, including risk assessments, nutrition or fluid charts, prompting, prescribed nutritional support and escalation of inadequate intake.
Not included
- Excludes medication, electrolyte or disease-specific treatment concerns unless the asserted deficiency directly concerns nutrition or hydration needs.
- Excludes generic clinical record-keeping, staffing or care-planning deficiencies unless they directly impair the nutrition and hydration process.
- Excludes food-service or dietary provision failures where no patient-specific nutrition or hydration safety need is identified.
- Excludes malnutrition-only concerns that do not materially involve the broader nutrition and hydration management process.
- Excludes isolated fluid-balance recording failures where the concern is limited to fluid records and does not support the wider nutrition and hydration condition.
- Reports
- 39
- Individual concerns
- 44
- Date range
- 2014–2026
- Stated actions
- 80
Distinct published reports
A report can raise multiple concerns
First to latest report issue date
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.
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.
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Concerns raised1
Lack of robust monitoring of care-home residents' nutritional status and fluid intake
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 concernsEach 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.5
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Action
Implement changes to recording and care-monitoring systems for earlier welfare and health escalation.
Stated by The Lakes Care Centre Limited -
Action
Use digital care records and daily hydration tracking to identify, escalate and remedy residents’ fluid-intake concerns.
Stated by The Lakes Care Centre Limited -
Action
Assess The Lakes Care Centre against safety, effectiveness and leadership requirements, identifying required improvements and regulatory breaches.
Stated by Care Quality Commission
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Action
Take enforcement action in response to identified safety, risk-management and governance shortcomings at The Lakes Care Centre.
Stated by Care Quality Commission -
Action
Continue monitoring The Lakes Care Centre to identify whether concerns escalate and require further regulatory action.
Stated by Care Quality Commission
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
No Safeguarding Adults Review was considered necessary because learning was identified for the care home, but not for wider partners.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to provide required assistance with food and fluid intake
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 concernsEach statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
The resident retained some ability to feed himself, so full mealtime assistance was not always necessary.
Stated by Cardinal HC Limited
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Concerns raised1
Delays in providing nutritional supplementation
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 concernsEach 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.4
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Action
Conduct regular senior nurse-led audits of compliance with MUST treatment plans.
Stated by East Sussex Healthcare NHS Trust -
Action
Undertake a Trust-wide audit of MUST assessment quality and treatment evidence.
Stated by East Sussex Healthcare NHS Trust -
Action
Update Dietetic Assistant competencies and provide training and support on accurate referral coding.
Stated by East Sussex Healthcare NHS Trust
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Action
Remind ward staff to offer suitable nourishing drinks before dietitian review and promote high-calorie, high-protein ward options.
Stated by East Sussex Healthcare NHS Trust
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Concerns raised1
Failure to maintain nutrition after feeding-tube dislodgement
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 concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Omissions in required food and fluid chart recording
This report raised 10 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach 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.1
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Action
Provide Food and Fluid Refresher training to inpatient nursing staff.
Stated by Essex Partnership University NHS Foundation Trust
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Concerns raised2
Incomplete food and fluid charting
Insufficient food and fluid intake
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 concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to use food and fluid charts to monitor hydration and calorific intake
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 concernsEach 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.4
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Action
Cascade a safety briefing to relevant AMU staff on using food and fluid charts for vulnerable patients.
Stated by Royal Cornwall Hospital -
Action
Monitor Trustwide compliance with MUST scoring and food and hydration charts through AMaT and address hotspots.
Stated by Royal Cornwall Hospital -
Action
Implement a band 6 AMU link nurse role for nutrition and hydration quality improvement.
Stated by Royal Cornwall Hospital
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Action
Deliver the scheduled AMU study session covering nutrition and hydration.
Stated by Royal Cornwall Hospital
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Concerns raised1
Failure to adequately monitor and record patients’ food and fluid intake
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 concernsEach 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.5
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Action
Implement a nutrition policy emphasizing food and fluid monitoring for in-patients.
Stated by East London NHS Foundation Trust -
Action
Include food and fluid charts in the monthly physical health training programme.
Stated by East London NHS Foundation Trust -
Action
Conduct daily senior-nurse checks of food and fluid charts for completion.
Stated by East London NHS Foundation Trust
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Action
Conduct weekly matron night checks including review of food and fluid charts.
Stated by East London NHS Foundation Trust -
Action
Use a new decision-making template for commencing or terminating food and fluid chart monitoring.
Stated by East London NHS Foundation Trust
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Concerns raised1
Inaccurate recording of food intake
This report raised 12 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach 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.1
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Action
Operate a hydration-monitoring system using first-four-week fluid charts, shift-based hydration trolleys, millilitre recording and daily senior review of charts and electronic records.
Stated by Runwood Homes PLC
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Concerns raised2
Failure to undertake risk assessments for poor fluid and nutritional intake
Lack of policies governing risks from poor fluid and nutritional intake
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 concernsEach 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
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Action
Implement a two-stage admissions process requiring key documentation within 24 hours and a live care plan within seven days.
Stated by Tanglewood -
Action
Embed admission safeguards requiring risk assessments, daily charts, documented communications, timely referrals, and updates to residents and representatives.
Stated by Tanglewood -
Action
Review and amend the Nutrition and Hydration policy to cover intake recording, refusals, fluid targets, and discussions with clinicians and families.
Stated by Tanglewood
Data last updated 7 September 2026