First reported 17 Nov 2014•Latest report 6 Sep 2024
Definition
What this concern includes
Includes failures in explicitly dementia-specific care and management arrangements, including proactive assessment and review of changing needs and risks, care policies, therapeutic interventions, person-centred support, family involvement, competent multidisciplinary provision and implementation of dementia-care requirements.
Not included
Excludes generic care-quality, staffing, training, documentation or communication deficiencies unless they directly concern dementia care and management.
Excludes failures limited to recognising or diagnosing dementia where no deficiency in ongoing dementia care or management is identified.
Excludes condition-specific processes such as mouth care, nutrition, falls prevention or capacity assessment when dementia is incidental or the named process supplies the more specific supported concern.
Excludes care for people without a material dementia context.
Reports
6
Distinct published reports
Individual concerns
8
A report can raise multiple concerns
Date range
2014–2024
First to latest report issue date
Stated actions
11
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.
Department of Health and Social Care2
Care Quality Commission1
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust1
Heron Court Care Home1
Leeds City Council1
Leeds Community Healthcare NHS Trust1
Mid and South Essex NHS Foundation Trust1
Moorfield House Surgery1
National Institute for Health and Care Excellence1
Recipient name withheld1
Rossendale Nursing Home1
Rushcliffe Care Limited1
St Armands Court1
NHS trust3
Healthcare site2
Ministerial department2
Nursing home2
English metropolitan district council1
Executive non-departmental public body1
Health and social care service regulator1
Independent healthcare provider1
Type not available1
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.
Manchester South
Concerns raised1
Lack of suitable community-based dementia support for family carers
Responses linked to these concerns
Each 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
Position
Local authorities are responsible for assessing and meeting eligible carers’ support needs under the Care Act 2014.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Sunderland
Concerns raised3
Failure to provide a social environment supporting psychological and physical needs
Failure to use a proactive dementia care model based on detailed assessment, intervention and evaluation of changing needs and risks
Lack of a multidisciplinary dementia care team with suitable skills, qualifications and competencies
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.
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.8
Action
Review patient-care information regularly and adapt care plans using environmental, medication, health, engagement, incident, observation and risk data.
Stated by Cumbria, Northumberland, Tyne and Wear NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 24 May 2021.
Action
Apply a preventative, person-centred dementia-care model using assessment tools, tailored activities and proactive behavioural support plans.
Stated by Cumbria, Northumberland, Tyne and Wear NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 24 May 2021.
Action
Conduct detailed multidisciplinary medication reviews with pharmacist input to assess use, effectiveness, prescriptions and changes.
Stated by Cumbria, Northumberland, Tyne and Wear NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 24 May 2021.
Action
Continue commissioning and funding training and programmes to recruit, develop and progress the social care workforce.
Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 24 May 2021.
Action
Implement the national Care Certificate training for newly appointed health and social care support workers.
Stated by Department of Health and Social CareStated completedThe respondent said that this action was complete when they made their response on 24 May 2021.
Action
Explore options to increase uptake of Tier 2 dementia training among staff who require it.
Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 24 May 2021.
Action
Provide dementia care, care-planning formulation, observation and engagement training to relevant staff.
Stated by Cumbria, Northumberland, Tyne and Wear NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 24 May 2021.
Action
Train 10 staff members to provide dementia care mapping across relevant wards.
Stated by Cumbria, Northumberland, Tyne and Wear NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 24 May 2021.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.4
Position
Existing person-centred models, life stories and tailored activities are considered sufficient to address individuals’ psychological, physical and social needs.
Stated by Cumbria, Northumberland, Tyne and Wear NHS Foundation TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
The NHS Foundation Trust is responsible for reflecting on the investigation findings and taking appropriate action to improve services.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Existing preventative, person-centred care processes, reviews and medication safeguards are considered sufficient to manage dementia-related needs, risks and medication use.
Stated by Cumbria, Northumberland, Tyne and Wear NHS Foundation TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Existing staffing, specialist expertise and dementia training are considered sufficient to provide staff with appropriate skills and competencies.
Stated by Cumbria, Northumberland, Tyne and Wear NHS Foundation TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Blackpool and the Fylde
Concerns raised1
Insufficient staff response to patients with dementia who cannot reliably communicate symptoms
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
Implement electronic care documentation with handset updates, cloud storage, daily review, care-plan access and recorded night checks.
Stated by Blackpool & Fylde CoronersStated completedThe respondent said that this action was complete when they made their response on 26 October 2020.
Action
Provide walk-around, written and verbal handovers at each shift change to share, organise and delegate care.
Stated by Blackpool & Fylde CoronersStated completedThe respondent said that this action was complete when they made their response on 26 October 2020.
Action
Follow the post-fall protocol and complete post-fall observations and investigations after falls.
Stated by Blackpool & Fylde CoronersStated completedThe respondent said that this action was complete when they made their response on 26 October 2020.
Derby and Derbyshire
Concerns raised1
Lack of formal policies for residents with dementia
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 arrange carer attendance for patients with dementia
This report raised 2 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.
West Yorkshire (East)
Concerns raised1
Lack of Care Home staff knowledge of dementia care
This report raised 15 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 explicitly dementia-specific care and management arrangements, including proactive assessment and review of changing needs and risks, care policies, therapeutic interventions, person-centred support, family involvement, competent multidisciplinary provision and implementation of dementia-care requirements.
