Source · Investigations in the NHS

Independent investigation: Carmel Charles, Catford (2011)

London Incident 19 Nov 2011 Subject Carmel Charles

Index summary

Mentally ill man fatally stabs woman. MH history

Recommendations

6 total
1 Addressed to: Trust Board No Response Published

Link to recommendation 1

Recommendation · source text
That the implementation process of actions required to ensure compliance with Recommendation One of the internal investigation (risk assessment, care planning and performance management) is kept under regular review and an audit of progress is conducted before the end of 2013 to be considered by the Board.
1 Addressed to: Trust No Response Published

Link to recommendation 1

Recommendation · source text
That the Trust review how their EIS teams monitor compliance with medication, including checking that prescriptions have been collected and taking an assertive approach to medication compliance where there is reason to believe that this may be an issue.
2 Addressed to: Trust No Response Published

Link to recommendation 2

Recommendation · source text
That when changes are made to the organisation of the EIS, a specific audit of the quality of documentation is undertaken to measure fidelity with the Trust’s policy standards and intended outcomes.
2 Addressed to: Trust No Response Published

Link to recommendation 2

Recommendation · source text
The Trust stress the importance of a comprehensive social circumstances assessment which is updated and of the carer’s needs assessment, to collect comprehensive information as one component of care planning and care provided. This is particularly relevant with a high risk, complex and sometimes transient population.
3 Addressed to: Trust Board No Response Published

Link to recommendation 3

Recommendation · source text
That the initiative being undertaken to acquire ‘fit for purpose’ accommodation for the Lewisham EIS to be subject to on-going evaluation of progress and quarterly reports be submitted to and considered by the Trust Board.
4 Addressed to: Trust Board No Response Published

Link to recommendation 4

Recommendation · source text
That the restructure of the Lewisham EIS aimed at producing a more integrated team, be subject to on-going evaluation of progress with bi-annual reports to the Trust Board.

Acceptance status

Per recommendation
No Response Published
6

Total recommendations
6
About this data

Acceptance status records the published response to each recommendation. Acceptance does not establish that an action has been completed.

Independent health investigation reports and reviews commissioned by government or NHS England.

About this investigation

Source & metadata

Independent investigation report. Recommendations and any published response are extracted below.