Recurring concern
Failure to provide adequate supervision of care staff
- Reports that mention this concern
- 15
- Times this concern has been raised
- 15
- Stated actions linked to this concern
- 15
What this concern includes
Includes failures of supervision, support or management specifically concerning care staff or carers responsible for delivering care, including inadequate oversight, supervision arrangements or escalation of unsafe practice.
What is not included
- Excludes generic staffing shortages, training or governance deficiencies unless they directly concern supervision or management of care staff.
- Excludes supervision of clinicians, police call handlers, prisoners, residents or other non-care staff unless the assertion specifically concerns staff delivering care.
- Excludes failures in the care delivered to a person where no deficiency in care-staff supervision or management is identified.
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 15 reports
See individual reports that have raised this concern, and the actions taken in response
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Concerns raised1
Unclear operation of supervision for mental health assistant practitioners
This report raised 8 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
- Department of Health and Social Care
- gtd healthcare
Stated actions 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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gtd healthcare
Cease employing Assistant Practitioners in Mental Health.
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gtd healthcare
Review non-registered practitioner roles, remits, responsibilities, competencies and management systems for safe practice.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
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gtd healthcare
Existing access to a GP or Advanced Clinical Practitioner provides supervision and escalation support for Assistant Practitioners in each practice.
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Department of Health and Social Care
Concerns about care and documentation should be addressed by the provider, rather than NHS England or the CQC.
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Department of Health and Social Care
Clinical responsibility and liability for the assistant practitioner's actions rests with the supervising GP.
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Concerns raised1
Failure to properly supervise and manage carers
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
- Care Quality Commission
- HomeDot Care
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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HomeDot Care
Establish structured supervision and monitoring of carers through early supervision, electronic attendance checks, care-note audits, training sign-off and response-to-concern meetings.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Care Quality Commission
No evidence was found that the concerns identified in the prevention of future death report remain.
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Concerns raised1
Failure to ensure effective supervision of nursing staff
This report raised 10 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.
-
Concerns raised1
Inadequate support and supervision of care staff
This report raised 10 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.
-
Concerns raised1
Lack of appropriate clinical supervision of nurses and support workers
This report raised 13 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.
-
Concerns raised1
Delayed staff supervision and discussion of falls prevention
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Anchor Hanover Group
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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Anchor Hanover Group
Reinforce falls procedures through staff supervision and deliver falls-awareness presentations across the care home, district and national services.
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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Anchor Hanover Group
Existing falls-risk, risk-management and governance processes are considered robust, suitable and effective across all registered locations.
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Concerns raised1
Failure of ward supervision to check compliance with the observation policy
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- North West Boroughs Healthcare 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.3
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North West Boroughs Healthcare NHS Foundation Trust
Audit electronic observation records monthly and discuss results at the local quality, safety and safeguarding group.
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North West Boroughs Healthcare NHS Foundation Trust
Support the Deputy Ward Manager’s ongoing policy-compliance reflection and quality-assurance responsibilities through ward-manager supervision.
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North West Boroughs Healthcare NHS Foundation Trust
Conduct regular ward audits of compliance with the observation policy and report findings to the Borough senior leadership team.
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Concerns raised1
Lack of robust supervision within and across care teams, particularly of care coordinator roles and caseloads
This report raised 7 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.
-
Concerns raised1
Poor ward-level leadership and supervision of nurses
This report raised 14 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 ensure support and supervision for inexperienced midwives performing episiotomy
This report raised 4 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.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026