Recurring concern
Failure to reliably assure compliance with care plans
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Request correctionFirst reported 18 Feb 2020•Latest report 30 Aug 2024
What this concern includes
Includes dedicated processes for checking whether care plans are followed in practice, including monitoring care provision against the plan, auditing compliance, investigating whether non-compliance is isolated or common practice, and escalating or addressing identified non-compliance.
Not included
- Excludes failures to create, review, update or coordinate a care plan where compliance with an existing plan is not the unsafe condition.
- Excludes generic care-record, staffing, training or management deficiencies unless they directly concern assurance of compliance with a care plan.
- Excludes the quality or appropriateness of the care plan itself where the reported failure is not whether it was followed.
- Excludes isolated care omissions where no continuing or systemic failure to assure care-plan compliance is asserted.
- Reports
- 7
- Individual concerns
- 7
- Date range
- 2020–2024
- Stated actions
- 13
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
Failure to audit records and compliance with care plans
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 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
Lack of investigation into whether care-plan non-compliance is condoned or common practice
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.2
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Action
Commence an accident and incident tracker requiring high-level analysis to identify patterns or concerns.
Stated by Sequoia CH Group Ltd -
Action
Require service-wide practice review after incidents indicating poor staff practice, with follow-up actions determined by the assessment.
Stated by Sequoia CH Group Ltd
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Concerns raised1
Lack of mechanisms to monitor whether care plans are being met
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.1
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Action
Implement an automated system to continuously monitor client care and wellbeing and trigger documented reviews of risk, capacity or care-plan changes.
Stated by TLC Nursing and Homecare Plus Ltd.
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Concerns raised1
Failure of protocols to ensure compliance with care plans
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 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
Train nurses and shift leaders on documentation, care plans, wound management, assessments, body maps, consent forms and hospital-return documentation.
Stated by Hill Care Group -
Action
Audit care plans and documentation regularly, provide feedback, and arrange additional training where non-compliance is identified.
Stated by Hill Care Group -
Action
Implement electronic care plans with review prompts and improved documentation auditing.
Stated by Hill Care Group
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
Existing protocols for wound management and required care documentation are considered sufficient, with compliance monitored through regular audits.
Stated by Hill Care Group
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Concerns raised1
Failure to monitor compliance with care plans
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.
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.6
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Action
Review governance and quality-assurance procedures to audit incident reporting, review quality, care plans, and resulting changes.
Stated by Heathcotes Group -
Action
Implement individualised observation care plans defining observation levels, responsibilities, methods, escalation, reduction decisions, and supporting documentation.
Stated by Heathcotes Group -
Action
Discuss care plans through staff supervision, staff meetings, and protected care-plan workshops for necessary amendments.
Stated by Heathcotes Group
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Action
Introduce extended induction, competency sign-off, recurring knowledge checks, and practice observations covering care plans, needs, and high-risk areas.
Stated by Heathcotes Group -
Action
Provide designated handover periods for staff to read or reread care plans and address identified knowledge gaps.
Stated by Heathcotes Group -
Action
Provide night-shift oversight through Registered Manager practice checks and Team Leaders present on every night shift.
Stated by Heathcotes Group
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Concerns raised1
Lack of robust systems ensuring compliance with care plans, policies and protocols
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 audit compliance with care plans
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 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
Complete the 2020 formal audit of patient care plans and analyse its results.
Stated by Priory Group
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
Existing monthly quality walk rounds and annual audits provide regular auditing of patient care plans.
Stated by Priory Group
Data last updated 7 September 2026