Recurring concern
Failure to review relevant care documentation before providing care
First reported 13 Mar 2017•Latest report 6 Jun 2024
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.
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.
- Reports
- 6
- Individual concerns
- 6
- Date range
- 2017–2024
- Stated actions
- 2
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 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.
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 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.
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
Introduce electronic care planning with current care plans, records and risk assessments available to staff at the point of care.
Stated by Humberside Independent Care Association (HICA
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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.
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 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.
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 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.
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
Deliver a learning session on record keeping, communication and preparation before appointments.
Stated by Norfolk and Suffolk NHS Foundation Trust
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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.
Responses linked to these concernsEach 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
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Position
The former operator no longer controls future hospital safety steps, which fall to the successor operator.
Stated by Cambian Group plc
Data last updated 7 September 2026