Recommendation
It is recommended that a practice development group be set up for all practitioners working at the mental health/child protection/child care interface using action learning principles, to identify common blocks in practice, and promote and implement successful strategies to support …
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It is recommended that a practice development group be set up for all practitioners working at the mental health/child protection/child care interface using action learning principles, to identify common blocks in practice, and promote and implement successful strategies to support parents with mental illness and protect and support their children.
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Recommendation
It is further recommended that an audit process of the implementation of such steps arising from the practice development group’s recommendations be established and be the subject of regular review.
Recommendation
It is recommended that a process for auditing the accessibility of the Community Advice Team/Children’s Duty & Assessment Team (CAT/CDAT) and of a dedicated child protection line be devised and carried out three monthly with reports going to the senior …
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It is recommended that a process for auditing the accessibility of the Community Advice Team/Children’s Duty & Assessment Team (CAT/CDAT) and of a dedicated child protection line be devised and carried out three monthly with reports going to the senior manager and the Local Safeguarding Children’s Board (LSCB).
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Recommendation
It is recommended that the functionality of the CDAT/dedicated child protection lines is tested each day.
Recommendation
It is recommended that a review of the telephone lines into the CDAT team be carried out with particular reference to a provision of a dedicated line with a queuing system which other employees of Trafford Metropolitan Borough Council can use.
Recommendation
It is recommended that all social workers in CMHT or social services teams must be reminded that: • They must not advise anyone to change or stop taking medication • They must not request a particular medication for a patient …
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It is recommended that all social workers in CMHT or social services teams must be reminded that: • They must not advise anyone to change or stop taking medication • They must not request a particular medication for a patient without that patient being seen by a registered medical practitioner.
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Recommendation
It is recommended that when a referral is received by CMHT from a medical practitioner, a report should be made to them within 28 days of the initial contact with the patient. The report should outline the CMHT assessment plan, …
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It is recommended that when a referral is received by CMHT from a medical practitioner, a report should be made to them within 28 days of the initial contact with the patient. The report should outline the CMHT assessment plan, any actions required by the GP/medical practitioner and indicate arrangements for liaison and patient contact.
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Recommendation
It is recommended that, where specific medical advice is sought, the report back to the referrer must be checked by the Consultant Psychiatrist or by another medical practitioner to whom they delegate the task.
Recommendation
It is recommended that information about working hours/availability of care co-ordinators should be made available to patients and carers and include contact arrangements both in, and out of, working hours in the event of the co-ordinator being unavailable.
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It is recommended that information about working hours/availability of care co-ordinators should be made available to patients and carers and include contact arrangements both in, and out of, working hours in the event of the co-ordinator being unavailable.
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Recommendation
It is recommended that practice guidance be developed and made available to first line social managers on how to use supervision effectively to assess and enhance the quality of practice, explore and manage risk or support or develop workers.
Recommendation
It is recommended that practice guidance be developed and implemented in relation to care planning to ensure that care planning is evidenced by all social work interventions which should be linked to the plan objectives, and that case records demonstrate …
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It is recommended that practice guidance be developed and implemented in relation to care planning to ensure that care planning is evidenced by all social work interventions which should be linked to the plan objectives, and that case records demonstrate how the plan is being implemented and what it is achieving.
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Recommendation
It is recommended that protocols are put in place to: i. Clarify when medical personnel must be contacted or medical reviews requested by social workers for CMHT patients for whom they are key worker/care co-ordinator. ii. Emphasise the rights of …
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It is recommended that protocols are put in place to: i. Clarify when medical personnel must be contacted or medical reviews requested by social workers for CMHT patients for whom they are key worker/care co-ordinator. ii. Emphasise the rights of nearest relatives to request Mental Health Act (MHA) assessments iii. Ensure that there are no artificial barriers to MHA assessments being undertaken; iv. Ensure social workers in CMHTs are able to request directly of colleague consultant medical staff that they undertake domiciliary visits.
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Recommendation
It is recommended that consideration should be given to enhanced CPA reviews being chaired independently (as many child protection case conferences are).
Recommendation
It is recommended that the Trust establish minimum information requirements for CMHT CPA reviews, including the requirement for attendance by a medical practitioner and the requirement that professionals who cannot attend reviews are issued with a standard letter requesting reports/information …
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It is recommended that the Trust establish minimum information requirements for CMHT CPA reviews, including the requirement for attendance by a medical practitioner and the requirement that professionals who cannot attend reviews are issued with a standard letter requesting reports/information in advance of the review.
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Recommendation
It is recommended that each CPA review consider whether the current care coordinator/care manager is still best placed to service the client and whether any additional professionals need to be brought in.
Recommendation
It is recommended that, where required, job share arrangements with shared responsibility for cases, rather than part time arrangements, are used for employment of workers managing people on enhanced CPA.
Recommendation
It is recommended that, where cases are closed, or contact is suspended for a period of time, the referrer is made aware of the change and that the patient’s GP and other professionals involved are also advised.
Recommendation
It is recommended that artificial distinctions between “referral” and “non-referral” are reviewed across all social services.
Recommendation
It is recommended that minimum standards be devised for social work case records and that these are subject to audit within the existing case file system.
Recommendation
It is recommended that file entries in supervision records should contain as a minimum: • The date of the meeting • Details of who was present • Follow up to matters arising from the previous session • A list of …
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It is recommended that file entries in supervision records should contain as a minimum: • The date of the meeting • Details of who was present • Follow up to matters arising from the previous session • A list of cases considered – and whether this is routine or requested consideration and if the latter, the reasons detailing for each case • Particular concerns • Questions of risks • Actions to be taken by the supervisor and person supervised, and • The date by which the actions are to be followed up/checked.
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Recommendation
It is also recommended that in supervision files there should be: • A note in the record of any specific advice or instructions given • CPA and other reviews due and outstanding • Any concerns the supervisor has expressed to …
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It is also recommended that in supervision files there should be: • A note in the record of any specific advice or instructions given • CPA and other reviews due and outstanding • Any concerns the supervisor has expressed to the worker ( for example about frequency of contact with a patient); and • Concerns the team member has expressed about anything which affects their capacity to do their work (e.g. workload)
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Recommendation
It is recommended that standards for casework recording are established and require as a minimum that social work case records: • Are legible • Are accurate • Are dated, in terms of event and of recording • Are signed • …
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It is recommended that standards for casework recording are established and require as a minimum that social work case records: • Are legible • Are accurate • Are dated, in terms of event and of recording • Are signed • Are sequential and continuous • Clearly distinguish opinion and fact • Are analytical and interpretative not simply descriptive • Provide quarterly summaries of progress on care plan goals and outcomes • Detail needs not met • State for each contact/intervention: the initiator, persons involved, date of contact, type of contact, purpose of contact, action taken.
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Recommendation
It is recommended that the archiving of records of vulnerable young people, no longer in receipt of services, should be managed in a way which makes them readily accessible to staff who subsequently undertake assessments of their needs or management …
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It is recommended that the archiving of records of vulnerable young people, no longer in receipt of services, should be managed in a way which makes them readily accessible to staff who subsequently undertake assessments of their needs or management of their care.
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Recommendation
It is recommended that training in implementing the CPA effectively, care planning and care co-ordination be made available to every CMHT member at least every two years.
Recommendation
It is recommended that basic and enhanced training in undertaking social histories should be made available on a rolling programme basis, to social work staff working with vulnerable adults.
Recommendation
It is recommended that training should be made available to all CMHT staff every two years, on building effective partnerships with carers. Such training should emphasise that family carers are the backbone of support systems for people with mental illness …
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It is recommended that training should be made available to all CMHT staff every two years, on building effective partnerships with carers. Such training should emphasise that family carers are the backbone of support systems for people with mental illness and address interviewing carers and responding to the needs and concerns of carers.
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Recommendation
It is recommended that all main carers of people on enhanced CPA should be seen on their own at least once a year for an assessment of their needs to be undertaken or updated. This assessment should include plans for …
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It is recommended that all main carers of people on enhanced CPA should be seen on their own at least once a year for an assessment of their needs to be undertaken or updated. This assessment should include plans for meeting needs and details of unmet need. Such a system should be flexible and responsive to the carer’s needs and an assessment may be triggered by a significant event during the year.
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Recommendation
It is recommended that carers’ assessments be audited and analysed at least every 12 months and a report prepared for the Trust on how far carers’ needs are being met, what is working, where gaps and problems are and how …
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It is recommended that carers’ assessments be audited and analysed at least every 12 months and a report prepared for the Trust on how far carers’ needs are being met, what is working, where gaps and problems are and how economies of scale can be achieved in addressing unmet need.
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Recommendation
It is recommended that a sub group of the Local Safeguarding Children’s Board in conjunction with the Primary Care Trust develop an action plan for the implementation of these recommendations within four months of the report being received and that …
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It is recommended that a sub group of the Local Safeguarding Children’s Board in conjunction with the Primary Care Trust develop an action plan for the implementation of these recommendations within four months of the report being received and that the implementation and outcomes be reviewed one year after.
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Recommendation
It is recommended that at every admission to hospital as an inpatient, a doctor must record in writing a full Maudsley model history and mental state examination as soon as possible and present it to the responsible medical officer (RMO) .
Recommendation
It is recommended that there should be a registered medical practitioner present at the weekly Community Health Team meetings.
Recommendation
As a matter of good practice the carer should be involved in all significant decisions, such as discharge from hospital or rescission of a section 2 detention, wherever possible and practicable to do so, relating to the service user.
Recommendation
It is recommended that a patient on a Mental Health Act Section 2 admission should be considered for leave outside the hospital as soon as it is risk assessed that it is safe to do so. If no leave is …
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It is recommended that a patient on a Mental Health Act Section 2 admission should be considered for leave outside the hospital as soon as it is risk assessed that it is safe to do so. If no leave is granted the reason for that must be recorded on the file.
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Recommendation
It is recommended that on every instance of overnight leave, risk assessments should be done before and after it takes place and recorded.
Recommendation
It is recommended that all patients who are discharged from hospital should be given an outpatients appointment before they leave the ward.
Recommendation
It is recommended that after each outpatient appointment, matters to be addressed should be set out and recorded for the next appointment for which a date should be set.
Recommendation
It is recommended that all discharge summaries must be reviewed and signed off by the Consultant Psychiatrist.
Recommendation
It is recommended that psychiatrists and mental health nurses should, as part of continuing professional development, do training on the core concepts in mental health of “illness” “personality” and “behaviour.”
Recommendation
It is recommended that training in mental health for medical practitioners should include training on note taking to ensure that all material considerations are recorded and that the note taking is of an appropriate standard.
Recommendation
It is recommended that patients on enhanced CPA should see their RMO at least once a year.
Recommendation
It is recommended that all police officers receive some basic training in mental health issues both as part of their induction training and as part of their continuing professional development
Recommendation
It is recommended that all persons in custody transferred to hospital be accompanied by a written report from the police (Detained Persons Medical Form), which is to be handed over to the receiving hospital with a receipted copy handed to the police
Recommendation
It is recommended that all Custody Officers transferring a person in custody to hospital, carry out, and record, a Risk Assessment for the continued detention, so that the accompanying officers know what is expected of them in all circumstances of …
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It is recommended that all Custody Officers transferring a person in custody to hospital, carry out, and record, a Risk Assessment for the continued detention, so that the accompanying officers know what is expected of them in all circumstances of the continued detention of the detained person in custody. At all material times, instructions should be given that at least one officer should accompany the detained person until his/her release
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Recommendation
It is recommended that should there be a visit to the family of the detained person, that the officers should exercise due sensitivity and thoroughness in their dealings with the family, such that the family views are elicited and recorded …
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It is recommended that should there be a visit to the family of the detained person, that the officers should exercise due sensitivity and thoroughness in their dealings with the family, such that the family views are elicited and recorded as to the potential return home of the detained person and any potential views on laying of criminal charges or the institution of a caution against the detained person;
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Recommendation
It is recommended that a template fax be devised for use after domestic violence incidents adapted from the Domestic Abuse Information Sharing Form (or similar) to ensure that key information is not omitted from any onward transfer such as the …
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It is recommended that a template fax be devised for use after domestic violence incidents adapted from the Domestic Abuse Information Sharing Form (or similar) to ensure that key information is not omitted from any onward transfer such as the time of the incident, whether children were present in the home and whether they witnessed any part of the incident;
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Recommendation
It is recommended that all Station Sergeants have, readily accessible, the telephone number of the Emergency Duty Team from Social Services for them to give out in appropriate circumstances to members of the public.
Recommendation
It is recommended that the policy of recording information on FWINS is reviewed to ensure that • there is a proper policy for the grading of incoming calls; • there are proper quality control and assurance procedures in the use …
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It is recommended that the policy of recording information on FWINS is reviewed to ensure that • there is a proper policy for the grading of incoming calls; • there are proper quality control and assurance procedures in the use of FWINS with an objective of minimising inaccuracies within them.
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Recommendation
A policy be devised and adopted of communicating with the family and/or carer of the detained person, wherever possible to do so, where the detained person’s presentation and/or detention may relate to mental health issues to elicit as much information …
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A policy be devised and adopted of communicating with the family and/or carer of the detained person, wherever possible to do so, where the detained person’s presentation and/or detention may relate to mental health issues to elicit as much information as possible about the detainee before the GMP decide what course to follow.
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