R1
Addressed to: The trust
Accepted
Link to recommendation R1
Recommendation · source text
The trust should ensure that NICE clinical guidance (42) for dementia is fully adhered to, and if necessary negotiate a contract with their commissioners to help achieve this.
View response
The Trust has appropriate policies/ guidelines in place to support working to standards contained in NICE clinical guidance 42. A dementia memory assessment clinical pathway was implemented via the Trust’s clinical systems on 14 February 2014 to further strengthen adherence in order to consistently deliver optimal outcomes. There are mechanisms in place to discuss with commissioners, through contract negotiations, to review contracts with a view to ensuring adequate commissioning of dementia services.
R2
Addressed to: All clinical staff including consultant psychiatrists‟, specialist registrars and GP‟s
Accepted
Link to recommendation R2
Recommendation · source text
All clinical staff including consultant psychiatrists‟, specialist registrars and GP‟s should recognise trigger points for safeguarding referrals and ensure that appropriate referrals are made.
View response
Compliance with safeguarding adults policy (including safeguarding and domestic abuse) and processes is routinely monitored as part of the Trust’s unannounced visit process to all areas. There is monthly completion and return of an assurance framework in relation to safeguarding, which is monitored through contract monitoring processes with the Trust’s commissioners. This includes a regular plan of audit.
R3
Addressed to: Cheshire East Independent Living Team
Action Plan Published
Link to recommendation R3
Recommendation · source text
Cheshire East Independent Living Team should ensure that service-users are seen in person on their first referral to reduce any limitations in assessment.