Independent Quality Assurance Review of Mr L Independent Investigation Oxleas NHS Foundation Trust action plan implementation

The Trust must ensure that where a violent patient has been admitted to its services following concerns by other agencies; or complaints by neighbours about anti-social behaviour and noise and that they have been made aware of:
• The risks are assessed appropriately.
• There are care plans developed to address anti-social behaviours towards members of the public (who may have been victims), and these may involve other agencies.
• There is a robust discharge planning process that fully involves these agencies prior to discharge.
• The Trust should also work in partnership with other key agencies involved (local authority, housing agency, police and CCG) to ensure that there are processes in place to support the routine sharing of information regarding any potential anti-social behaviour of suspected/known service users.

The Trust should ensure that consideration about referral to MAPPA takes place for patients with violent histories and convictions for serious violent offences. Such referrals should consider safeguarding issues and risks of domestic violence for wider family members.
NB: This recommendation is made to improve practice in general, and is not specifically related to his care and treatment.

The Trust must assure itself that all practices of seclusion and ‘de facto’ seclusion on the PICU, including where patients have been segregated from others after rapid tranquilisation, are fully compliant with the requirements of the Mental Health Act 1983 (amended 2007), the MHA Code of Practice and the MHA Reference Guide.
NB: This recommendation is made to improve practice in general, and is not specifically related to his care and treatment.