Preston review

The organisation will insist that any referral made to Day Support must be supported by an overview assessment prior to commencement. The overview assessment will/should inform appropriate staff of an individual’s needs, wishes and concerns which will provide a baseline for an individual’s personal/support plan

Use of the “abuse” question

Change in procedure around reporting of bruises, marks etc. Amend current policy and procedure surrounding the reporting of any concerns.

A review of governance of personal data

The CMHT & MAS should include both ‘main carer’ and ‘other significant carers’ for signposting to local authority for carer’s assessments.

All contacts to the centre in relation to service user non-attendance must be recorded in the individuals Personal/Support Plan, with the named communicator.

Provide assurance of the use of Clinical Assessment of Risk to Self and Others in IAPT

Develop short code/key words to alert office/staff member of an incident. Universal key words to be agreed upon.

The podiatrists should ensure care plans are in their clinical records

Raise awareness of domestic abuse, recognition and signposting

Further training on Domestic Violence.

The MAS complete a risk assessment for patients during assessment.

Improved documentation. Introduce a new standard of working with regard to documentation. Best practice guidelines for documenting.

The waiting times for MAS should decrease as a result of reviewed care pathways and efficient working practices.

The CMHT should be given clearer guidance about rating referral information and working to agreed timescales to action a referral to assessment completion.

The CMHT clinicians should be more aware of how and where to carry out the most accurate and informative assessments

Explore both the risk to the patient and the risk presented to others by the patient thoroughly.

The CMHT should be given clearer guidance about rating referral information and working to agreed timescales to action a referral to assessment completion.

If a case is discussed in supervision a note should be made in the patients clinical record to record the supervision outcomes and agreed action if any.

All home care workers are required to undertake basic training in recognition and referral of concerns.

All home care workers are offered regular opportunities for reflective supervision

The home care agency institutes a means of monitoring the effectiveness of training and supervision

That the LASB be asked to assure itself that all organisations in Lancashire providing personal care to adults at risk have in place arrangements for training and supervision of workers.

That commissioners of health and home care services are asked to ensure that their contract monitoring arrangements include the monitoring of training, supervision and compliance with safeguarding procedures.