Recommendation
The COAST service managers must undertake a case note audit to assure themselves that service user records are being completed in line with trust policy. This audit should assess risk assessment, and care planning.
Recommendation
Service managers must ensure that service user records are completed in line with the trust discharge policy.
Recommendation
The trust should assure itself that the correct systems are in place to enable staff to readily access advice from trust forensic services.
Recommendation
The trust should assure itself that guidance and information is available to frontline staff in relation to engaging with the police and probationary services.
Recommendation
The trust should assure itself that it has appropriate support and guidance in place for staff to explore treatment and management options for high risk service users.
Recommendation
The trust should assure itself that members of the COAST understand and can effectively implement the trust safeguarding policy as part of their assessment of patients, their families and/or carers.