First reported 16 Oct 2015•Latest report 2 Jun 2026
Definition
What this concern includes
Includes failures of staff training, competence assurance or demonstrated understanding specifically concerning preparation, interpretation or use of care plans, including care-plan requirements and their relationship to identified risks.
Not included
Excludes deficiencies in the care-planning process itself where staff competence is not identified as the unsafe condition.
Excludes training or competence failures concerning risk assessment, nutritional assessment or other processes unless care planning is also a material part of the asserted concern.
Excludes failures to communicate, audit, review or implement care plans where staff competence is not the shared condition.
Excludes generic staff training deficiencies not specifically tied to care planning.
Reports
11
Distinct published reports
Individual concerns
11
A report can raise multiple concerns
Date range
2015–2026
First to latest report issue date
Stated actions
18
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 Commission2
Adept Care Homes1
Ashley Gardens Care Centre1
Bow School1
Bromley by Bow Health Centre1
Capital Care Group Limited1
Care UK Limited1
Clifton Court Nursing Home1
Compass Wellbeing Tower Hamlets1
Crosscrown Limited1
Department of Health and Social Care1
Family of Dorothy Seekings1
Globe Court Care Home1
Happy at Home Community Care Services Ltd.1
Hawthorn Green Residential and Nursing Home1
Private limited company3
Health and social care service regulator2
NHS trust2
Nursing home2
Residential care home2
Type not available2
Care-home operator1
Company limited by guarantee1
Coronial office1
Domiciliary care provider1
Healthcare site1
Maintained school1
Ministerial department1
Multi-service care provider1
Registered charity1
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.
Worcestershire
Concerns raised1
Lack of staff understanding of the importance of updating care and behavioural support plans
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.
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
Issue management instruction reaffirming plan reviews, amendments and supporting risk assessments.
Stated by Adept Care Homes LimitedStated completedThe respondent said that this action was complete when they made their response on 21 August 2026.
Worcestershire
Concerns raised1
Lack of proper staff training in risk assessment and care planning
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.
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
Train staff in PCS and mandatory care-documentation subjects, with refresher or repeat training where standards are not met.
Stated by Capital Care Group LimitedStated completedThe respondent said that this action was complete when they made their response on 4 August 2025.
Action
Complete organisation-wide audits of care documentation to establish baselines and identify lessons for training, tools, governance and further audit scheduling.
Stated by Capital Care Group LimitedStated in progressThe respondent said that this action was in progress when they made their response on 4 August 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Existing electronic systems, training, audits and governance are considered sufficient to support robust risk assessments and care documentation.
Stated by Capital Care Group LimitedExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Northumberland
Concerns raised1
Lack of staff training and competence in care plans, MUST, BMI calculation and nutritional risk assessment
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.1
Action
Develop and deliver refresher training on assessments for nurses and senior care assistants, repeat it on a three-year cycle, and monitor completion electronically.
Stated by Hill Care GroupStated in progressThe respondent said that this action was in progress 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 of care staff to read and understand key care-plan requirements
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.3
Action
Provide supervisory training to the entire care team on reading and understanding care plans and relevant Care UK e-learning requirements.
Stated by Care UKStated completedThe respondent said that this action was complete when they made their response on 27 December 2024.
Action
Introduce key workers, alongside shift leads, to maintain knowledge of residents’ care needs and disseminate key information to teams.
Stated by Care UKStated completedThe respondent said that this action was complete when they made their response on 27 December 2024.
Action
Complete individual moving-and-handling supervision in which senior staff observe junior colleagues’ compliance with care plans and policies.
Stated by Care UKStated completedThe respondent said that this action was complete when they made their response on 27 December 2024.
Berkshire
Concerns raised1
Inadequate training in the use of 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 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.
Inner North London
Concerns raised1
Staff unfamiliarity with risk assessments and 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 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.
Mid Kent and Medway
Concerns raised1
Failure of care staff to know the care-plan dietary recommendations for residents with swallowing difficulties
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.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Warwickshire
Concerns raised1
Failure of staff to be aware of care plan contents
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.2
Action
Implement and maintain the CareDocs digital care-planning and recording system across all homes, supported by upgraded Wi-Fi and staff access devices.
Stated by Crosscrown LimitedStated completedThe respondent said that this action was complete when they made their response on 9 July 2021.
Action
Provide new staff with supernumerary induction, CareDocs training and a role-dependent buddying period.
Stated by Crosscrown LimitedStated completedThe respondent said that this action was complete when they made their response on 9 July 2021.
Inner North London
Concerns raised1
Failure of school staff to familiarise themselves with pupils’ care plans
This report raised 12 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
Review school-nurse training requirements and deliver competency-framework retraining and IHCP training to staff.
Stated by Compass Wellbeing CICStated completedThe respondent said that this action was complete when they made their response on 3 May 2023.
Action
Continue delivering specific IHCP training on a biannual basis.
Stated by Compass Wellbeing CICStated in progressThe respondent said that this action was in progress when they made their response on 3 May 2023.
Action
Prepare a Partnership Agreement defining school and School Health Service responsibilities, including school liaison arrangements for IHCPs and review meetings.
Stated by Compass Wellbeing CICStated completedThe respondent said that this action was complete when they made their response on 3 May 2023.
Action
Work with Tower Hamlets partners and head-teacher representatives to finalise and roll out the Partnership Agreement across schools.
Stated by Compass Wellbeing CICStated in progressThe respondent said that this action was in progress when they made their response on 3 May 2023.
Action
Revise the asthma plan template and commence secure electronic sharing of individual asthma plans with schools and the School Health Service, supported by staff training.
Stated by Compass Wellbeing CICStated in progressThe respondent said that this action was in progress when they made their response on 3 May 2023.
Action
Provide all staff access to pupils’ medical-needs information through electronic registers and require confirmation that key medical-needs and safeguarding policies are understood.
Stated by Bow SchoolStated completedThe respondent said that this action was complete when they made their response on 3 May 2023.
Action
Attach Individual Health Care Plans and medical alerts to electronic pupil records and add allergy alerts to the cashless catering system.
Stated by Bow SchoolStated in progressThe respondent said that this action was in progress when they made their response on 3 May 2023.
Action
Brief staff on pupils’ medical needs, provide recurring reminders and conduct Safeguarding Committee compliance spot checks.
Stated by Bow SchoolStated in progressThe respondent said that this action was in progress when they made their response on 3 May 2023.
Action
Maintain and half-termly update prominently displayed registers of pupils with medical needs, including symptoms and key actions.
Stated by Bow SchoolStated completedThe respondent said that this action was complete when they made their response on 3 May 2023.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Schools share responsibility for preparing and updating IHCPs and ensuring an appropriate school representative attends review meetings.
Stated by Compass Wellbeing CICRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Manchester West
Concerns raised1
Failure of staff training to establish clear understanding of resident-observation risks
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.
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 of staff training, competence assurance or demonstrated understanding specifically concerning preparation, interpretation or use of care plans, including care-plan requirements and their relationship to identified risks.
