Independent investigation into the care and treatment of Mr R

The role of the care co-ordinator: Develop a quality improvement programme around this role to augment existing good practice. The following should be included:
An analysis of systemic factors impacting on the care co-ordinator role and address these
Addressing systemic factors should include actions to address impact of rescinding of S 75 agreement in light of its implications for safeguarding
Identification of a named individual to provide practice leadership and head the production of a development programme for the care co-ordinator role
Service user and carer input into the development programme
Outcomes to include knowledge and skills to match known service user complexity and acuity, including working proactively with psychosis and dual diagnosis and an emphasis on empowerment and self care
Multi disciplinary input to develop and implement clinical formulations for all service users
Continue with the improvement trajectory and then maintain improved attendance on RATE training

Carers: Develop a quality improvement programme around working with carers to address the day-to-day needs for support and information. The following should be included:
Co-produced carer strategy and policy, embedding best practice from the Triangle of Care
Service user and carer input
Input from Wandsworth Carers’ Centre and address partnership working requirements
Include a whole family approach to care delivery
Inform and empower front line staff to provide required support and information for carers

Inter-agency working between the CMHT, housing and Mind: Develop a quality improvement programme: The following to be included:
Produce, implement and monitor an agreed protocol for inter-agency working
Service user and carer input
Input from front line staff
Representation from all agencies
Analysis of systemic factors impeding joint working and address these
Focus on risk management and information sharing
Ongoing monitoring and reporting to ensure progress is maintained