First reported 26 Sep 2014•Latest report 24 Feb 2026
Definition
What this concern includes
Includes deficiencies in the end-to-end provision of food to care residents, including shortages, unsuitable or limited dietary options, preparation or presentation failures, and failure to provide required mealtime assistance.
Not included
Excludes generic staff shortages unless they are specifically tied to inadequate food provision.
Excludes shortages of general equipment unless the evidence specifically ties the equipment failure to food provision.
Excludes unrelated shortages of placements, beds, clinical staff, interpreting services or other resources.
Excludes fluid-intake monitoring or documentation failures unless they are part of a directly evidenced food-provision deficiency.
Reports
14
Distinct published reports
Individual concerns
15
A report can raise multiple concerns
Date range
2014–2026
First to latest report issue date
Stated actions
25
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.
Care Quality Commission3
Department of Health and Social Care2
Adelaide Medical Centre, London1
Bolton Borough Council1
Bramling Cross Registrations Limited1
Bupa Care Homes (GL) Limited1
Cardinal HC Limited1
Care First Homes1
Caring UK Limited1
Greater Manchester Health and Social Care Partnership1
Greater Manchester Mental Health NHS Foundation Trust1
Harbour Healthcare Ltd.1
Hill Care Group1
Hilltop Court Nursing Home1
Leeds Teaching Hospitals NHS Trust1
Healthcare site4
NHS trust4
Health and social care service regulator3
Nursing home3
Private limited company3
Care-home operator2
Ministerial department2
Company1
English metropolitan district council1
Health-system partnership1
Limited liability partnership1
Nursing-home operator1
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
Failure to provide adequate dietary and fluid intake support
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.4
Action
Train all care staff and nurses in communication, documentation, reporting, nutrition, malnutrition and dehydration.
Stated by Caring Moss Cottage LtdStated completedThe respondent said that this action was complete when they made their response on 3 March 2026.
Action
Disseminate relevant record-keeping, care, nutrition, hydration, bowel-care, accountability, delegation and leadership policies through the quality compliance software reading list.
Stated by Caring Moss Cottage LtdStated completedThe respondent said that this action was complete when they made their response on 3 March 2026.
Action
Revise daily handovers to record dietary intake, fluid consumption and elimination for earlier intervention.
Stated by Caring Moss Cottage LtdStated completedThe respondent said that this action was complete when they made their response on 3 March 2026.
Action
Add fluid-balance charts and bowel activity to the manager’s daily walk-round checks.
Stated by Caring Moss Cottage LtdStated completedThe respondent said that this action was complete when they made their response on 3 March 2026.
Northamptonshire
Concerns raised1
Limited food options for patients requiring gluten- and dairy-free, bite-sized diets
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.
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
Analyse modified menus and operate a multidisciplinary Menu Planning Group to improve inclusive options for complex dietary requirements.
Stated by University Hospitals of Northamptonshire NHS GroupStated completedThe respondent said that this action was complete when they made their response on 24 February 2026.
Action
Procure a meal provider offering a broader range of allergen-free meals and implement interim allergy-safe menu measures.
Stated by University Hospitals of Northamptonshire NHS GroupStated in progressThe respondent said that this action was in progress when they made their response on 24 February 2026.
Action
Introduce dedicated snack and expanded dessert options for patients with swallowing difficulties or food allergies.
Stated by University Hospitals of Northamptonshire NHS GroupStated completedThe respondent said that this action was complete when they made their response on 24 February 2026.
Northumberland
Concerns raised1
Failure to ensure food provided conforms to residents' identified diet 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 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.6
Action
Deliver an IDDSI diet competency assessment to all staff and require completion by 30 September 2025.
Stated by Hill Care GroupStated in progressThe respondent said that this action was in progress when they made their response on 30 July 2025.
Action
Use revised agency induction forms to verify first aid, mandatory training, modified-diet awareness and daily nutritional-report awareness.
Stated by Hill Care GroupStated completedThe respondent said that this action was complete when they made their response on 30 July 2025.
Action
Deliver face-to-face modified-food preparation training to Hill Care cooks and chefs, including practical preparation of different consistencies.
Stated by Hill Care GroupStated in progressThe respondent said that this action was in progress when they made their response on 30 July 2025.
Action
Implement a competency assessment for all catering team members.
Stated by Hill Care GroupStated completedThe respondent said that this action was complete when they made their response on 30 July 2025.
Action
Provide serving-trolley reference sheets showing each resident’s IDDSI level and nutritional needs, with daily review at flash meetings.
Stated by Hill Care GroupStated completedThe respondent said that this action was complete when they made their response on 30 July 2025.
Action
Conduct a pre-meal safety pause to confirm dining-room awareness of special diets and correct meal provision, with Regional Manager observation during visits.
Stated by Hill Care GroupStated completedThe respondent said that this action was complete when they made their response on 30 July 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The measures described are considered sufficient to satisfy the concerns, so no further safety work is proposed.
Stated by Hill Care GroupNo action considered necessaryThe respondent said that no further action was needed.
Worcestershire
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 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
The resident retained some ability to feed himself, so full mealtime assistance was not always necessary.
Stated by Cardinal HC LimitedDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Manchester South
Concerns raised1
Failure to routinely alter care home residents' diets to reflect reduced chewing capacity
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 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.2
Position
The existing policy considers food-only swallowing difficulties manageable through food texture changes without specialist SALT assessment.
Stated by NHS Greater Manchester Integrated Care BoardExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Responsibility for modifying residents’ diets lies with the care home under person-centred care requirements.
Stated by NHS Greater Manchester Integrated Care BoardRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Inner North London
Concerns raised1
Failure to prepare food safely for people at risk of choking
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 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.9
Action
Strengthen and embed the Highgate Mealtime Champion role to oversee mealtime support and compliance with dietary requirements.
Stated by BupaStated completedThe respondent said that this action was complete when they made their response on 12 May 2022.
Action
Reinforce and strengthen the Mealtime Champion role across the care-home portfolio.
Stated by BupaStated plannedThe respondent said that this action was planned when they made their response on 12 May 2022.
Action
Implement UK-wide kitchen quality assurance checks for food temperature, thorough cooking and required consistency before food leaves the kitchen.
Stated by BupaStated plannedThe respondent said that this action was planned when they made their response on 12 May 2022.
Action
Review HACCP, nutrition, mealtime, IDDSI and induction materials to align policies and training with safe dietary assistance.
Stated by BupaStated in progressThe respondent said that this action was in progress when they made their response on 12 May 2022.
Action
Develop and roll out role-specific IDDSI descriptor videos across the organisation, updating the Mealtime Experience document afterwards.
Stated by BupaStated plannedThe respondent said that this action was planned when they made their response on 12 May 2022.
Action
Enforce the Resident Mealtime Form process and maintain its monthly or needs-based review for resident-specific dietary information.
Stated by BupaStated plannedThe respondent said that this action was planned when they made their response on 12 May 2022.
Action
Communicate lessons learned and changed catering processes to Chef Managers and catering teams across the business.
Stated by BupaStated plannedThe respondent said that this action was planned when they made their response on 12 May 2022.
Action
Make frozen IDDSI-accredited meals available from suppliers as a contingency for appropriately modified meals.
Stated by BupaStated in progressThe respondent said that this action was in progress when they made their response on 12 May 2022.
Action
Add safe-feeding materials and a competency check to the Nutrition and Hydration training module.
Stated by BupaStated plannedThe respondent said that this action was planned when they made their response on 12 May 2022.
Manchester South
Concerns raised1
Failure to ensure food is served at a safe temperature
This report raised 9 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.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Trafford Council was responsible for a safeguarding investigation if the hospital referred the burn incident under section 42.
Stated by Bolton Borough Council and Bolton NHS Foundation Trust and Greater Manchester Mental Health NHS Foundation TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Local authorities, service providers and the Care Quality Commission are responsible for acting on allegations of poor care, neglect or abuse.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
West Yorkshire Eastern
Concerns raised1
Failure to ensure patients can access food in an appropriate position
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 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.1
Action
Complete Healthcheck auditing of ward J83 nutrition and hydration documentation and care standards.
Stated by Leeds Teaching Hospitals NHS TrustStated completedThe respondent said that this action was complete when they made their response on 1 March 2019.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Records show regular hoisting and eating encouragement; missed hoisting often followed the patient’s refusal.
Stated by Leeds Teaching Hospitals NHS TrustDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Inner North London
Concerns raised1
Failure to provide appropriately pureed food and eating assistance
This report raised 9 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.2
Action
Undertake two independent unannounced spot checks of food, eating assistance, fluid access and required hydration support within the next month.
Stated by Royal Free HospitalStated plannedThe respondent said that this action was planned when they made their response on 24 January 2019.
Action
Deliver a rolling HCA education programme covering nutrition, safe swallowing, continence care, toileting assistance and learning from the case.
Stated by Royal Free HospitalStated in progressThe respondent said that this action was in progress when they made their response on 24 January 2019.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Records indicated adequate hydration, appropriate dietary provision and no evidence of dehydration apart from one slightly raised sodium level.
Stated by Royal Free HospitalDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Manchester South
Concerns raised2
Failure of the diet preparation system to provide food in the correct format before serving
Lack of regular kitchen sorting and marking of food for residents with specific dietary requirements
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.
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Includes deficiencies in the end-to-end provision of food to care residents, including shortages, unsuitable or limited dietary options, preparation or presentation failures, and failure to provide required mealtime assistance.
