Tendring review

The Falls prevention service should put in place a clear procedure surrounding the case management of individuals regarding their care and support needs. Trigger points to be identified within the care plan, appropriate to the individuals needs to include liaison to take place with identified carers and family members.

The GP surgery should have a clearly documented process in place that identifies medication risk and initiate appropriate and proportionate medication reviews, in accordance to the identified risk and its complexity.

The GP surgery should recognise their role and responsibility in relation to the case management of patients with dementia and those with complex needs.

The GP surgery should have a clear role descriptor in place for the role of the practice matron. Ensuring the role is supported to work collaboratively with both internal and external agencies, is patient focused and supports holistic assessment.

Social Care staff are to be reminded that assessments of needs should be offered to those adults appearing that they may have the need for care and support, irrespective of whether they are self-funders or not.

All staff are to be reminded to make the appropriate falls referrals through the Single Point of Contact referral pathway only with the patients agreed consent.

SOVA training to be reviewed to include a module on Domestic Abuse.

Bluebird Care to develop a Domestic Abuse policy within its Policies and Procedures.

Agencies are to be trained regarding multi-agency Professional meetings and the importance of their attendance at these meetings. The importance of sharing of all relevant information especially where the adult does not fall under Safeguarding but where agencies have concerns regarding their health and care needs.

All agencies to raise awareness regarding the importance of carrying out risk assessments prior to carrying out visits within people’s homes. Agencies to look at the wider picture surrounding the escalation of concerns within agencies and the right referral process where risk has been identified.