Recommendation 1
Addressed to: The Trust
Action Plan Published
Link to recommendation Recommendation 1
Recommendation · source text
The Trust does not have sufficiently sensitive quality oversight and monitoring processes to provide assurance that standards for risk assessment and care planning are being met. The Trust should review its current controls and develop a range of measures that can provide oversight of risk assessment and care planning, through the use of supervision and quality monitoring. Including: • The involvement of families and carers in risk assessment and care planning. • A single risk assessment completed using the Five Ps, reflecting the full range of risk information in the records and leading to a risk management plan.
Recommendation 2
Addressed to: The Trust
Action Plan Published
Link to recommendation Recommendation 2
Recommendation · source text
There was a lack of clarity regarding the assessment of domestic abuse and children at risk. Assessment questions about domestic abuse should include the possibility that the service user is a potential perpetrator. The wording in the child safeguarding tool should be clear on how and when the tool should be used where there are issues of parental responsibility and/or domestic abuse.
Recommendation 3
Addressed to: The Trust
Action Plan Published
Link to recommendation Recommendation 3
Recommendation · source text
An autism diagnostic assessment was instigated without the expected supporting clinical opinion. The assessment is a scarce resource, and allocation to a waiting list should only follow if clinical opinion supports the referral. The Trust should provide assurance that the criteria for processing a referral for an autism diagnostic assessment are always met.