Source · Prevention of Future Deaths

Ricky Barcock

Ref: 2019-0462 Date: 21 Sep 2019 Coroner: Martin Fleming Area: West Yorkshire (West) Responses identified: 1 / 2 View PDF

The client wellbeing check protocol during sleep needs review to ensure effective physical checks and rousing clients, especially drug users, to properly monitor their wellbeing.

Date 21 Sep 2019
56-day deadline 12 Mar 2020 est.
Responses identified 1 of 2
Alcohol, drug and medication related deaths

Coroner's concerns

AI summary
The client wellbeing check protocol during sleep needs review to ensure effective physical checks and rousing clients, especially drug users, to properly monitor their wellbeing.
View full coroner's concerns
The MATTER OF CONCERN is as follows: To further review the client wellbeing checks protocol of September 2018 in order to consider the appropriateness of RT3589 during sleep, drug part used making physical checks and rousing client' s when necessary in order to check on their wellbeing ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe that Oasis Recovery Communities and Treatment Direct; has the power to take such action. _ YOUR RESPONSE You are under a to respond to this report within 56 of its date; [ may extend that on request_ Your response must contain details of action taken Or proposed to be taken, out the timetable for such action. Otherwise you must explain why no action is proposed.

Responses

1 respondent
Oasis Recovery Communities Other
24 Oct 2019 PDF
Action Taken

Oasis Bradford has reviewed and updated its Observation and Client Wellbeing Checks Policy December 2019 and plans to provide staff training to ensure working practice is safe and effective and in line with the policy changes. (AI summary)

View full response
Dear Mr Fleming RE: Rick Barcock; deceased Report to Prevent Future Deaths: Paragraph 7, Schedule 5 ofthe Coroners and Justice Act 2009 and Regulation 28and 29 ofthe Coroners (Investigations) Regulations 2013 Oasis Bradford is an independent mental health service that provides residential care for persons with substance misuse problems This includes medically managed withdrawal from problematic substances and a programme of therapeutic interventions It is staffed with a nurse and support staff 24 hours a and a therapy team during the day: Following receiving your letter and report dated 24th October 2019,Oasis Bradford has reviewed and updated the Observation and Client Wellbeing Checks Policy December 2019 (previously the Client Wellbeing Checks Protocol Sept 2018). Please find a copy of this policy enclosed. The policy has been expanded in explanation and explicit instruction on working practice. In addition the related risk assessments, policy and procedures have also been visited to ensure they work collectively together: A list of the related risk assessments, policy and procedures can be seen at the end of the Observation and Client Wellbeing Checks Policy December 2019. All staffs have been trained in the Client Wellbeing Checks Protocol Sept 2018. Following the review and update of the Observation and Client Wellbeing Checks Policy December 2019 all staffs are now to receive further training to ensure working practice is safe and effective and in line with the policy changes This will be complete in January
2020. Treatment Direct Ltd, C/O Uk Addiction Treatment Group Ltd Unit 1, 1st Floor, Imperial Place, Maxwell Road, Borehamwood, England, WD6 LJN Tel, 0203 553 1709. Company Number 10237960. City day

Gasls RECOVERY COMMUNITIES The ongoing monitoring and management of safe and effective working practice will be conducted by the registered manager at Oasis Bradford through working practice observation, supervision, handovers and team meetings This is already in place and will be adapted to reflect the reviewed and updated the Observation and Client Wellbeing Checks Policy December 2019. If you require any further detail Oasis Bradford will respond promptly.

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Report details

Reference
2019-0462
Date of report
21 September 2019
Coroner
Martin Fleming
Coroner area
West Yorkshire (West)

Responses identified

Responses identified 1 of 2
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 12 Mar 2020 (estimated).

Sent to

Oasis Recovery Communites
Treatment Direct Limited

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