No person-centred care
Failure to ensure the provision of truly person-centred care that meets individual needs, preferences, and promotes dignity.
1,232 items
14 sources
9 inquiries
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Committee recommendation
100match
#3 - Current mental health services fail to provide person-centred, holistic care
Service users, their families, carers and loved ones have been clear: high- quality care must be person-centred, responsive to the full range of needs individuals experience, and ensure involvement of their wider networks. Current services too often fall short—focusing narrowly on diagnosis, overlooking physical health, and failing to support people with housing, employment, and social connection. People are...
Matched on
terms: care, centred, person
CQC action
98match
Moorview Care (Derby)
The provider did not ensure people received person centred care which met their needs and preferences.
Matched on
terms: care, centred, person
CQC action
94match
Victoriana Care Home
The provider must ensure people receive person-centred care tailored to their preferences, likes and dislikes and are supported to take part in social past times relevant to them.
Matched on
terms: care, centred, person
CQC action
93match
Chy Byghan Residential Home
The provider must ensure people are provided with person-centred care that meets their needs and reflects their preferences.
Matched on
terms: care, centred, person
CQC action
93match
Etherley Lodge
The provider must ensure that care is person-centred, that staff have sufficient information to respond to people’s changing health needs, and that people’s individual needs and preferences are incorporated into their care plans and acted upon.
Matched on
terms: care, centred, person
PHSO recommendation
90match
Discharge from mental health care: making it safe and patient-centred
NHS England and Integrated Care Boards should make sure that people who are being discharged from mental health settings can choose a nominated person to be involved in discussions and decision-making around transitions of care.
Matched on
terms: care, centred, person
CQC action
90match
Woodland Care Home
The registered provider had not provided person-centred, goal-orientated care that reflected the preferences of people who used the service.
Matched on
terms: care, centred, person
CQC action
90match
Bio Luminuex Health Care
The provider must ensure person-centred care.
Matched on
terms: care, centred, person
CQC action
90match
TOB Care services Ltd
People's needs and choices were not delivered in line with standards, guidance and the law. People were not supported to access appropriate healthcare services. People did not receive person-centred care and support.
Matched on
terms: care, centred, person
CQC action
89match
Southwinds
The provider did not ensure that people received person centred care that met their needs and reflected their preferences.
Matched on
terms: care, centred, person
CQC action
89match
Reside at Southwood
Proper steps had not been taken to ensure that people receive appropriate person-centred care and treatment that is based on an assessment of their needs and preferences.
Matched on
terms: care, centred, person
CQC action
89match
Nower House
The failure to ensure person-centred care was a continued breach of regulation 9 (Need for consent) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Matched on
terms: care, centred, person
CQC action
89match
Benedict House Nursing Home
The provider must ensure people using the service receive person-centred care that reflects their needs or their personal preferences.
Matched on
terms: care, centred, person
CQC action
89match
Homesaints Limited
The provider must ensure people's preferences are fully explored, care is person-centred, concerns are responded to with a view to improving care, and people's care needs in relation to meals, care visit times and choice of staff are upheld.
Matched on
terms: care, centred, person
CQC action
89match
Woodlands
The provider failed to ensure they had done everything reasonably practicable to make sure people who used the service received person-centred care and support that was appropriate, met their needs and reflected their personal preferences.
Matched on
terms: care, centred, person
CQC action
89match
The Cottage Residential Home
The provider must ensure people receive person-centred care which has been agreed and meets their assessed needs.
Matched on
terms: care, centred, person
CQC action
89match
Melville House
The provider must ensure that people's individual needs are fully understood and met through person-centred care.
Matched on
terms: care, centred, person
CQC action
89match
Floron Residential Home for the Elderly
The provider was not making sure people who use the service received person-centred care to meet their needs and reflected their personal preferences. This was a breach of Regulation 9 (Person-Centred Care) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Matched on
terms: care, centred, person
CQC action
86match
New Dawn Healthcare - Unit 18 Blackheath Business Centre
The registered person did not always ensure that care was delivered to people with a view to achieving their preferences and ensuring their needs were met.
Matched on
terms: care, person
CQC action
82match
Oaklands Care Home
The provider must ensure people receive personalised care that is responsive to their needs.
Matched on
terms: care, person
CQC action
81match
Newland House
People were not receiving care which was person-centred or reflected personal preferences.
Matched on
terms: care, centred, person
CQC action
77match
Benthorn Lodge
The registered person failed to ensure that the care and treatment provided to people was appropriate and met their needs and preferences. In addition the registered persons person had not made suitable arrangements to ensure that people were enabled to participate in activities that met their specific diverse needs and reflected their interests.
Matched on
terms: care, person
CQC action
77match
The Old Rectory
The provider did not ensure that people who used the service received individualised care that reflected their personal preferences. Regulation 9 (1).
Matched on
terms: care, person
CQC action
77match
Prospects for People with Learning Disabilities - 3 Norwich Road
People's care plans were not always written in a person centred way. In one care plan the person's name was incorrect on a number of occasions in their care plan. Some of the information in people's care records was duplicated across all three people's care plans we looked at.
Matched on
terms: care, centred, person
CQC action
77match
Copper Beeches Lodge
The provider must comply with Regulation 9 (Person-centred care) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Matched on
terms: care, centred, person
CQC action
77match
Ashington Gardens
Regulation 9 HSCA RA Regulations 2014 Person-centred care
Matched on
terms: care, centred, person
CQC action
77match
The Croft
Regulation 9 (Person-centred care)
Matched on
terms: care, centred, person
Committee recommendation
76match
#12 - Fifth Report - The treatment of autistic people and people with learning disabilities
We recommend that, in addition to the implementation of the Mental Health Units (Use of Force Act) (i.e. ‘Seni’s Law’), all Assessment and Treatment Units (ATUs) are closed within two years and replaced with person-centred services that are: i) designed for easy discharge as well as easy admission; ii) physically designed and maintained to meet the needs of...
Matched on
terms: care, centred, person
LGO / SPSO decision
76match
21-016-787 - Kent County Council
Summary: Mr X complains the Council’s care provider, Expertise Homecare (Ashford), failed to meet his late mother’s needs, putting her at risk of harm. His mother did not always receive person centred care and was put at risk of harm by some of her care workers. This caused avoidable distress to her and Mr X. The Council needs...
Matched on
terms: care, centred, person
CQC action
74match
Spindrift Care Home Limited
The provider was not working within the principles of the Mental Capacity Act 2005. The provider had not undertaken any assessment of people's capacity to make decisions. Decisions had been made on people's behalf without ensuring they were in the best interests of the person. People were restricted regardless of their capacity.
Matched on
terms: care, person
Committee recommendation
73match
#4 - Stigma and discrimination undermine equitable and culturally appropriate mental health services
Experiences of stigma, discrimination, and lack of culturally appropriate or personalised support were frequently reported, particularly by racialised communities, neurodivergent individuals, and those with disabilities. 74 Where care was described as high-quality, it was inclusive, responsive, and tailored to individual needs. Equity must be integral to the delivery of high- quality community mental health services. (Conclusion, Paragraph 55)
Matched on
terms: care, person
CQC action
73match
Havilah Office
The provider did not carry out collaboratively with the person an assessment of their needs and preferences for their care or design care with a view to achieving service user's preferences and ensuring their needs were met. Regulation 9(3)(a)(b)
Matched on
terms: care, person
Committee recommendation
70match
#16 - Publish clear guidance on key worker roles to ensure care coordination for service users.
In some areas, the emphasis on care coordination may have been lost through the rollout of the CMHF. We recommend that NHS England publish clear guidance on the role of key workers to ensure all service users have access to a named individual responsible for coordinating their care. (Recommendation, Paragraph 110)
Matched on
terms: care
Committee recommendation
70match
#6 - Co-design new mental health care models with experts by experience
Our conclusions in this Chapter try to reflect what service users told us they wanted. This must be reflected in service design. As new models of care are commissioned and implemented, these must be co-designed with experts by experience to ensure services deliver the high quality care such users need and deserve. (Recommendation, Paragraph 60) Recent reforms to...
Matched on
terms: care
PFD report
69match
Christopher Watson
Social care failed to ensure a vulnerable individual received, understood, or could read a letter offering help, and did not make direct contact to assess their capacity or needs.
Matched on
terms: care
Committee recommendation
69match
#17 - Ensure active parental involvement in all SEND processes with independent advocacy and resources
Parents and carers must be actively and meaningfully involved in all processes that affect their child’s education, support, and overall wellbeing. This includes being fully informed and invited to participate in all relevant meetings where decisions about their child’s needs or provision are being discussed at the school and local authority level. Families should have access to independent...
Matched on
terms: care
CQC action
69match
St.Theresa's Nursing Home
The provider must ensure that the care and treatment of service users is appropriate and meets their needs, including ensuring the range of activities available to people is meaningful and arranged to meet individual needs, especially for those with memory issues or dementia conditions.
Matched on
terms: care
Inquiry recommendation
69match
BRIS-1 - Ensure patient involvement in all treatment and care decisions
In a patient-centred healthcare service patients must be involved, wherever possible, in decisions about their treatment and care.
Matched on
terms: care, centred
Committee recommendation
66match
#1 - FGM survivors often lack awareness of long-term health complications and care needs
Survivors of female genital mutilation (FGM) experience profound physical, emotional and psychosexual consequences and require specialised care and support to manage these impacts. Despite this, survivors may not be aware that the health complications they experience are a consequence of FGM, meaning awareness among survivors of the long-term health implications of FGM is vital. (Conclusion, Paragraph 18)
Matched on
terms: care
Committee recommendation
66match
#2 - Lack of continuity of care fragments support for people with severe mental illness
Continuity of care is a necessity for people with severe mental illness. It is essential to the delivery of high-quality care. When it is present, it prevents crisis, builds trust, and supports recovery. When it is absent, it fragments support, burdens families, and puts lives at risk. This continuity must be built into the design of mental health...
Matched on
terms: care
CQC action
66match
Assured Care Formby
Care plans did not detail people's likes. dislikes and preferences. People had not always been involved in planning their care.
Matched on
terms: care
CQC action
66match
Heritage Healthcare-Middlesbrough
The provider must ensure valid consent is obtained and recorded, and best interests decisions are made and documented where capacity is lacking.
Matched on
terms: care
Committee recommendation
65match
#44 - Ensure women's health hubs meet specific demographic needs, accounting for religious and cultural considerations.
Integrated care boards must ensure that their hubs meet the specific demographic needs of their populations, particularly accounting for religious and cultural considerations.
Matched on
terms: care
CQC action
65match
Winterton House
Care did not always meet need or reflect people's preferences. Care or treatment was not always designed with a view to achieving service users' preferences and ensuring their needs were met.
Matched on
terms: care
CQC action
65match
St. David's Home
The provider had failed to ensure that service users' care and treatment was managed in a way that ensured it was always appropriate, met their needs or reflected their preferences.
Matched on
terms: care
CQC action
65match
Fairglen Residential Home
The provider must ensure people receive care and support in line with their needs and preferences.
Matched on
terms: care
Inquiry recommendation
65match
BRIS-125 - Formulate national clinical standards from patient-centred perspective, based on best evidence.
National standards of clinical care should reflect the commitment to patient-centred care and thus in future be formulated from the perspective of the patient. The standards should address the quality of care that a patient with a given illness or condition is entitled to expect to receive from the NHS. The standards should take account of the best...
Matched on
terms: care, centred
Committee recommendation
65match
#6 - Seventh Report - Supporting people with dementia and their carers
As emphasised by Alzheimer’s Society and other key stakeholders, social care reform must be “rooted in the recognition of what good quality care looks like” and 20 Supporting people with dementia and their carers create a system where people with dementia are able to receive personalised care. We support this and believe that an essential foundation to this...
Matched on
terms: care, person
PPO recommendation
64match
The Head of Healthcare
The Head of Healthcare should review the process for managing and monitoring long-term conditions to ensure the development of meaningful patient-centred care plans.
Matched on
terms: care, centred
Committee recommendation
62match
#16 - NHS fails patients during routine reproductive procedures, neglecting duty of care and pain management.
The NHS is failing many patients who undergo routine reproductive healthcare procedures such as hysteroscopy, IUD fitting and cervical screening. In too many cases, we find that a duty of care from gynaecologists and other medical practitioners is absent. Women are being pressured into enduring severe pain and find that they are ignored or belittled by those charged...
Matched on
terms: care