Recurring concern
Failure to review relevant care documentation before providing care
- Reports that mention this concern
- 6
- Times this concern has been raised
- 6
- Stated actions linked to this concern
- 2
What this concern includes
Includes failures of care workers or other staff providing direct care to read, review or use available care notes, care plans and related service-user documentation when that information is needed to deliver safe care, including the anchor's failure to read care notes containing wrist-alarm information and failures to review relevant care documentation before care.
What is not included
- Excludes failures caused by records being absent, incomplete, inaccurate or inaccessible when staff review of available documentation is not itself deficient.
- Excludes failures to read policies, procedures, clinical guidance or custody logs unless the assertion specifically concerns care documentation used to provide care.
- Excludes failures by clinicians to review medical records or clinical entries where the concern is a distinct clinical-record review process rather than direct review of care documentation by care staff.
- Excludes generic communication, training, staffing or documentation deficiencies that do not directly involve failure to review relevant care documentation before providing care.
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 6 reports
See individual reports that have raised this concern, and the actions taken in response
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Concerns raised1
Failure of care workers to read care notes containing wrist-alarm information
This report raised 5 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 care staff read and familiarise themselves with care plans and residents’ needs and risks
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Humberside Independent Care Association (HICA
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
-
Humberside Independent Care Association (HICA
Introduce electronic care planning with current care plans, records and risk assessments available to staff at the point of care.
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Concerns raised1
Failure to ensure escorting staff receive and review patient-specific risk information before s.17 leave
This report raised 1 other concern. 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 of care home staff to refer to care plans and risk assessments when delivering patients’ daily needs
This report raised 1 other concern. 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
Failure to review previous care records before assessing a service user
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Linked response
- Norfolk and Suffolk 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.1
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Norfolk and Suffolk NHS Foundation Trust
Deliver a learning session on record keeping, communication and preparation before appointments.
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Concerns raised1
Failure to ensure agency nurses read patients' care plans before starting duties
This report raised 9 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Cambian Group plc
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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Cambian Group plc
The former operator no longer controls future hospital safety steps, which fall to the successor operator.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026