Recurring concern
Inadequate management of patients' nutrition and hydration needs
- Reports that mention this concern
- 39
- Times this concern has been raised
- 44
- Stated actions linked to this concern
- 80
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.
What is 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.
Trends
Reports over time
Reports mentioning this concern, 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.
Reports and published responses 39 reports
See individual reports that have raised this concern, and the actions taken in response
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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.
Linked responses
- Care Quality Commission
- Department of Health and Social Care
- The Lakes Care Centre Limited
Stated actions 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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The Lakes Care Centre Limited
Implement changes to recording and care-monitoring systems for earlier welfare and health escalation.
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The Lakes Care Centre Limited
Use digital care records and daily hydration tracking to identify, escalate and remedy residents’ fluid-intake concerns.
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Care Quality Commission
Assess The Lakes Care Centre against safety, effectiveness and leadership requirements, identifying required improvements and regulatory breaches.
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Care Quality Commission
Take enforcement action in response to identified safety, risk-management and governance shortcomings at The Lakes Care Centre.
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Care Quality Commission
Continue monitoring The Lakes Care Centre to identify whether concerns escalate and require further regulatory action.
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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Department of Health and Social Care
No Safeguarding Adults Review was considered necessary because learning was identified for the care home, but not for wider partners.
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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.
Linked response
- Cardinal HC Limited
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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Cardinal HC Limited
The resident retained some ability to feed himself, so full mealtime assistance was not always necessary.
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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.
Linked response
- East Sussex Healthcare NHS Trust
Stated actions 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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East Sussex Healthcare NHS Trust
Conduct regular senior nurse-led audits of compliance with MUST treatment plans.
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East Sussex Healthcare NHS Trust
Undertake a Trust-wide audit of MUST assessment quality and treatment evidence.
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East Sussex Healthcare NHS Trust
Update Dietetic Assistant competencies and provide training and support on accurate referral coding.
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East Sussex Healthcare NHS Trust
Remind ward staff to offer suitable nourishing drinks before dietitian review and promote high-calorie, high-protein ward options.
-
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.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
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.
Linked response
- Essex Partnership University NHS Foundation Trust
Stated actions 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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Essex Partnership University NHS Foundation Trust
Provide Food and Fluid Refresher training to inpatient nursing staff.
-
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.
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.
Linked response
- Royal Cornwall Hospital
Stated actions 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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Royal Cornwall Hospital
Cascade a safety briefing to relevant AMU staff on using food and fluid charts for vulnerable patients.
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Royal Cornwall Hospital
Monitor Trustwide compliance with MUST scoring and food and hydration charts through AMaT and address hotspots.
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Royal Cornwall Hospital
Implement a band 6 AMU link nurse role for nutrition and hydration quality improvement.
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Royal Cornwall Hospital
Deliver the scheduled AMU study session covering nutrition and hydration.
-
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.
Linked response
- East London NHS Foundation Trust
Stated actions 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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East London NHS Foundation Trust
Implement a nutrition policy emphasizing food and fluid monitoring for in-patients.
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East London NHS Foundation Trust
Include food and fluid charts in the monthly physical health training programme.
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East London NHS Foundation Trust
Conduct daily senior-nurse checks of food and fluid charts for completion.
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East London NHS Foundation Trust
Conduct weekly matron night checks including review of food and fluid charts.
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East London NHS Foundation Trust
Use a new decision-making template for commencing or terminating food and fluid chart monitoring.
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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.
Linked response
- Runwood Homes PLC
Stated actions 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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Runwood Homes PLC
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.
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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.
Linked response
- Tanglewood
Stated actions 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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Tanglewood
Implement a two-stage admissions process requiring key documentation within 24 hours and a live care plan within seven days.
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Tanglewood
Embed admission safeguards requiring risk assessments, daily charts, documented communications, timely referrals, and updates to residents and representatives.
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Tanglewood
Review and amend the Nutrition and Hydration policy to cover intake recording, refusals, fluid targets, and discussions with clinicians and families.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026