Recommendation
A proportion of all West Sussex MAS teams eCPA records to undergo compliance audit in three months to ensure practice standards are being met.
Recommendation
Patients / carers in MAS that have heightened levels of risk individuals should be brought to an MDT discussion in order to share with MDT and gain support with management.
Recommendation
Carers should be offered a range of support / guidance including ‘practical’ advice on managing the difficult behaviours at times exhibited by individuals referred for MAS assessment / diagnosis / therapy.
Recommendation
When working with a person who is suspected of having committed an offence but who also has mental health problems, all operational staff should know how to access mental health assessments and should have clear routes for referral and escalation …
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When working with a person who is suspected of having committed an offence but who also has mental health problems, all operational staff should know how to access mental health assessments and should have clear routes for referral and escalation of requests for urgent psychiatric evaluation, including during out of hours. CCG and provider agencies should ensure that sufficient services are available to meet needs including out of hours.
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Recommendation
West Sussex Adult Social Care should take steps to strengthen the links between their social work service and the local teams and services working with people with dementia.