Themes | Social Care | The Accountability Index

Care home staffing levels

Insufficient numbers of suitably skilled and experienced staff deployed in care homes, impacting ability to meet resident needs.

751 items 14 sources 5 inquiries

Strongest theme matches

Mixed across source types and ranked by classifier confidence plus text match strength.

Indicative ranking
CQC action
100match
Laurel Lodge Care Home
Must Do
The provider must ensure that there are sufficient numbers of suitably qualified, competent, skilled and experienced staff to meet the needs of people using the service.
Matched on terms: care, home
CQC action
100match
Holly Court Care Home
Should Do
We recommend a dependency tool is used to help determine appropriate staffing levels, based on the number of people living in the home and their changing needs.
Matched on terms: care, home, level, staffing
CQC action
100match
Redcot Lodge Residential Care Home
Must Do
The provider must ensure sufficient numbers of suitably competent and experienced staff are deployed.
Matched on terms: care, home
CQC action
100match
Park Grange Care Home
Must Do
We concluded staffing levels and deployment of staff were not maintained to ensure people were not at risk of their care needs been met.
Matched on terms: care, home, level, staffing
CQC action
100match
Oaklands Care Home
Must Do
The provider must ensure there are sufficient numbers of suitably skilled and experienced staff deployed at all times.
Matched on terms: care, home
CQC action
99match
Karenza Care Home
Must Do
The provider had failed to ensure there were always adequate numbers of staff to meet people's needs.
Matched on terms: care, home
CQC action
99match
Attwood's Manor Care Home
Must Do
The provider must ensure that staff are effectively deployed to meet people's needs.
Matched on terms: care, home
CQC action
98match
Shenstone Hall Nursing Home
Must Do
The provider must ensure staffing levels are continuously reviewed and adapted based on people’s assessed needs to ensure they are sufficient to meet people’s needs at all times.
Matched on terms: home, level, staffing
PFD report
97match
Margaret Gleeson
Jul 2016 · Manchester (West)
The coroner noted that weekend on-call staffing levels were insufficient for the workload, potentially impacting patient care, and suggested a review. There were also inaccuracies in MEWS tool scoring, indicating a need for refresher training as its use was not clearly understood.
Matched on terms: care, level, staffing
CQC action
94match
Lincoln Lodge Residential Home for the Elderly
Should Do
staffing levels should be reviewed.
Matched on terms: home, level, staffing
Inquiry recommendation
94match
23 - Quarterly assessment of staffing levels against population needs
Brook House Inquiry
The Home Office and contractors operating immigration removal centres must ensure that there is ongoing assessment of staffing levels (at least on a quarterly basis), so that the level of staff present within each centre is appropriate for the size and needs of the detained population. The Home Office must also ensure that the detained population does not...
Matched on terms: home, level, staffing
PFD report
93match
Etheline De-Gale
Feb 2017 · Bedfordshire and Luton
The care plan was too vague to guide carers, who also lacked training on how to undertake risk assessments. Insufficient staffing levels compromised resident safety, potentially leading to paramedic recommendations being ignored.
Matched on terms: care, level, staffing
LGO / SPSO decision
93match
PSOW-202202308 - A Care Home
PSOW (Public Services Ombudsman for Wales)
Mrs A complained about the care and treatment that her late mother, Mrs B, received during the final weeks of her life while she was a resident in a care home in the area of Betsi Cadwaladr University Health Board. Mrs A complained that the Care Home failed to appropriately manage her mother’s skin integrity, leading to the...
Matched on terms: care, home, level
CQC action
91match
Holly House Residential Care Home
Must Do
The provider must ensure there are sufficient staff to support people in a way that ensures their continued safety.
Matched on terms: care, home
CQC action
90match
Palm Court Nursing Home
Should Do
We recommend that the service considers using a tool to determine suitable staffing levels and reviews staffing levels regularly to ensure people receive safe care and support at all times.
Matched on terms: care, home, level, staffing
CQC action
90match
Holmesley Nursing Home
Should Do
We recommend the provider keep staffing levels, people's dependency levels and the deployment of staff at the service under review.
Matched on terms: home, level, staffing
CQC action
90match
Precious Nursing & Residential Home
Must Do
The provider must ensure people receive safe care by deploying sufficient trained staff to meet their needs.
Matched on terms: care, home
PFD report
89match
Elsie Brown
Dec 2015 · Nottinghamshire
The coroner noted the absence of falls and bed rail risk assessments for Mrs Brown, an incomplete and unreviewed care plan, and a lack of clarity regarding assessment responsibilities. Concerns were also raised about insufficient night staffing levels, informal handovers, and inadequate auditing processes.
Matched on terms: care, level, staffing
PFD report
89match
Edwina Moses
Dec 2016 · South Wales Central
The coroner identified a poor system for requesting and securing additional nursing cover for one-to-one patient support, leading to staff confusion and frequent unavailability of help. This raised concerns about staffing levels and staff capacity to safely care for patients.
Matched on terms: care, level, staffing
PFD report
89match
Janet Muller
Jul 2017 · West Sussex
The coroner noted incomplete nursing records, handovers, and care plans, with audits failing to identify these deficiencies. Concerns were also raised about patients detained under the Mental Health Act being able to abscond due to insufficient security and inadequate staffing levels.
Matched on terms: care, level, staffing
Committee recommendation
89match
#3 - Thirty-Fifth Report - Introducing Integrated Care Systems
Public Accounts Committee
The Department has started taking some action to address workforce challenges in social care, but vacancies have increased by 50% in the last year and the number of people working in social care fell in 2021/22 for the first time in at least 10 years. The NAO report sets out a very high level of social care vacancies...
Matched on terms: care, home, level
CQC action
89match
Benthorn Lodge
Must Do
The provider must ensure that staffing levels are sufficient to meet people's care and support needs safely.
Matched on terms: care, level, staffing
Inquiry recommendation
86match
R69 - Needs-based staffing with acuity measures
Muckamore Abbey Inquiry
Staffing should be based on service user needs rather than a fixed budget, using daily acuity measures designed specifically for units caring for people with learning disabilities. These should include enhanced supervision requirements, personal care support and therapeutic activities. Service managers should receive weekly reports of data of the staff hours needed per day per ward or facility....
Matched on terms: care, staffing
PFD report
85match
Mohammed Chaudhury
Aug 2013 · London (Inner South)
The coroner identified concerns regarding the development and deterioration of pressure sores due to inadequate nursing care, including a failure to turn patients regularly, missing care plans, and inconsistent Waterlow scoring. Additionally, nursing rotas were unavailable, understaffing was reported, and the safety of current staffing levels for high-dependency patients could not be confirmed.
Matched on terms: care, level, staffing
PFD report
85match
Marjorie Evelyne Keogh
Dec 2013 · Leicester City and South Leicestershire
The coroner identified a lack of assessment for a resident's suitability for a first-floor room, concerns about staffing levels and manager absence, and conflicting falls and manual handling risk assessments. Additionally, staircase furniture did not meet strength requirements.
Matched on terms: level, staffing
CQC action
85match
Pennsylvania House
Must Do
The provider must ensure people who use services are protected against the risks of receiving unsafe or inappropriate care by basing staffing levels at night on people's assessed needs.
Matched on terms: care, level, staffing
CQC action
82match
Highfield House Residential Home
Must Do
The provider must ensure appropriate staffing.
Matched on terms: home, staffing
CQC action
82match
Elsinor Residential Home
Must Do
Comply with Regulation 18 (Staffing)
Matched on terms: home, staffing
PFD report
81match
Henry McQuoid
Nov 2013 · Worcestershire
The coroner noted insufficient staffing levels to assist residents with eating, and a high reliance on agency staff. This raised concerns that some residents requiring feeding assistance might not receive it.
Matched on terms: level, staffing
PFD report
81match
Pamela Bailey
Jan 2014 · South Yorkshire (West)
The coroner noted delays in implementing a new door security system for secure wards, insufficient staffing levels on a ward, and the unavailability of a patient's photograph for police during a disappearance.
Matched on terms: level, staffing
PFD report
81match
Edith Kirkham
Feb 2016 · Manchester (South)
The intermediate care ward had inadequate planning, unclear care standards, and insufficient staffing. There was no proper handover from the hospital regarding patient needs, and physiotherapy was significantly delayed.
Matched on terms: care, staffing
CQC action
81match
Walnut Villa
Must Do
People were at risk of their needs not being met because there were insufficient staff provided and at times staff were not present in the home. Staff did not always have the relevant skills to meet people's care needs safely. New staff were not supported in their role which, placed people at risk of inadequate care and support.
Matched on terms: care, home
Committee recommendation
81match
#60 - Publish a fully costed plan for funding Level 5 diplomas for care home managers.
Health and Social Care Committee
It is clear that some care home managers lack the training and support they need to stay in post. We welcome the Government’s commitment to fund Level 5 diplomas for those who need them, and we urge the Government to publish a fully costed plan for doing so by the end of the year.
Matched on terms: care, home, level
CQC action
80match
Chy Byghan Residential Home
Must Do
The provider must ensure people who use services are protected against the risks associated with not having sufficient numbers of suitably qualified, competent, skilled and experienced persons to meet the service requirements.
Matched on terms: home
CQC action
80match
Valewood House Nursing Home
Must Do
There were insufficient numbers of suitably qualified, skilled and experienced staff to safeguard people’s health, safety and welfare.
Matched on terms: home
CQC action
80match
Walmer Lodge Residential Home
Must Do
Sufficient numbers of suitably qualified, competent, skilled and experienced persons were not deployed. 18.1
Matched on terms: home
CQC action
80match
Slate House Residential Home
Must Do
The provider must ensure that at all times there are sufficient numbers of suitably qualified, skilled and experienced staff.
Matched on terms: home
CQC action
80match
Keb House Residential Home
Must Do
The registered provider failed to ensure sufficient numbers of suitably qualified, competent and skilled staff were deployed.
Matched on terms: home
CQC action
80match
Fremington Manor Nursing and Residential Home
Must Do
The provider had failed to ensure sufficient numbers of staff were consistently deployed to meet people's needs.
Matched on terms: home
CQC action
80match
The Homestead (Crowthorne) Limited
Must Do
The registered person failed to consistently ensure that sufficient numbers of staff are deployed to meet people's needs.
Matched on terms: home
Inquiry recommendation
78match
R31 - Staffing and skills mix review
Vale of Leven Inquiry
Health Boards should ensure that the staffing and skills mix is appropriate for each ward, and that it is reviewed in response to increases in the level of activity/patient acuity and dependency in the ward. Where the clinical profile of a group or ward of patients changes, (due to acuity and/or dependency) an agreed review framework and process...
Matched on terms: level, staffing
Committee recommendation
78match
#19 - Thirty-Fifth Report - Introducing Integrated Care Systems
Public Accounts Committee
The Department told us numbers in the social care workforce were going in the right direction and that domiciliary care and care home workforces were expanding.70 However, written evidence sent to us by the National Care Forum highlights that, as of October 2022, there were 165,000 vacancies in the sector according to Skills for Care’s most recent 2021–22...
Matched on terms: care, home
Committee recommendation
78match
#18 - Thirty-Fifth Report - Introducing Integrated Care Systems
Public Accounts Committee
The social care workforce is in a similarly precarious position, against a wider backdrop of declining local authority resources.64 Despite the Department’s assurances that “the numbers are moving in the right direction”, vacancies in social care have been on an upward trend over the last ten years at a national level, rising from 4.4% in 2012–13 to 9.2%...
Matched on terms: care, level
GIRFT recommendation
78match
Adult Critical Care
Adult Critical Care
Use learning from COVID-19 and subsequent research as a basis to develop a robust evidenced-based nursing workforce model for the future. a Support research by National Institute for Health Research (NIHR) into staffing requirement and models in light of COVID-19 experience.
Matched on terms: care, staffing
LGO / SPSO decision
78match
21-018-287 - Ideal Carehomes (Number One) Limited
LGO (Local Government & Social Care Ombudsman)
Summary: Mr F complained that the care provider failed to provide proper care to his late mother, Mrs J, prior to her death. We found the care provider’s actions caused injustice to Mrs J and her family. The care provider should waive some of the fees to redress this injustice.
Matched on terms: care, home
PFD report
77match
Barbara Cooke
Sep 2014 · Isle of Wight
Inadequate staffing at Waxham House impacted timely personal care and dignity, alongside insufficient protocols for chasing district nurses. St Mary's Hospital lacked systems for recording and reporting safeguarding alerts for inpatients.
Matched on terms: care, staffing
PFD report
77match
John Bird
Oct 2014 · London Inner (North)
The care home manager did not provide the falls risk assessment at the inquest. The coroner also noted that a carer was unfamiliar with a resident's high falls assessment and care plan, which the manager acknowledged was their responsibility to ensure staff knew.
Matched on terms: care, home
PFD report
77match
Alois Piska
Dec 2014 · Portsmouth & South East Hampshire
The coroner identified inadequate staffing levels at Harry Sotnick House, which meant residents in communal areas were not supervised at all times.
Matched on terms: level, staffing
PFD report
77match
Eliza Simpson
Aug 2015 · Birmingham and Solihull
The care home had no system for reassessing residents when Deprivation of Liberty Safeguarding orders expired, which could lead to a lack of legal authority and insufficient observation. The absence of CCTV also hampered the subsequent police investigation.
Matched on terms: care, home
PFD report
77match
Thomas Nicholls
Sep 2015 · Manchester (West)
The coroner identified a lack of care staff training regarding the mobility, handling, and care of residents on PEG feed regimes. There was also a failure to report an incident of projectile vomiting during PEG feeding to the care home manager.
Matched on terms: care, home
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