Cariss Stone

“The Trust's current policy for level two observations requires staff to observe a patient not less than five times an hour at random intervals which shall not be more than 15 minutes apart”

“In a ward where self-harm including use of a ligature was not uncommon there was concern that members of staff and in particular those involved in carrying out observations on patients were not routinely supplied with ligature cutters”

“Some members of staff who gave evidence at the hearing and in particular one senior member of staff did not appear to have a clear understanding of the policy”