Martyn Watkins
14 Nov 2016 · Coroner Dr Peter Harrowing · Avon
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. inadequate review of care and treatment
“The care and treatment provided by the Trust to Mr. [name redacted] should be reviewed at the earliest opportunity in the light of the findings of the jury at the Inquest and the Trust's own internal management report and root cause analysis report.”
2. unidentified deficiencies in care on Aspen Ward
“The CQC should satisfy themselves that any and all deficiencies in the care provided to Mr. [name redacted] and generally on Aspen Ward have been identified and addressed.”
3. delayed resolution of outstanding safety issues
“The CQC should satisfy themselves that an appropriate timetable and action plan are in place to ensure any outstanding issues on Aspen Ward relating to the safe care and treatment of service users are addressed at the earliest opportunity.”
4. inadequate arrangements and facilities for safe care
“The CQC should satisfy themselves that the arrangements and facilities for the provision of care and treatment of service users on Aspen Ward, now and in the future, are such as to ensure those service users can be provided with safe care and treatment.”
Linked reports
Closely relatedConfidence 0.85 · high
This report
“The CQC should satisfy themselves that an appropriate timetable and action plan are in place to ensure any outstanding issues on Aspen Ward relating to the safe care and treatment of service users are addressed at the earliest opportunity.”
Later report
“Consideration should be given to ensuring that all care plans are time specific so that dates of meetings or dates for tasks to be completed are set at the time of the meeting so again expectations are managed and everyone knows exactly what the plan is and when actions will occur.”
Responses
2016-0409-Response-by-Care-Quality-Commission.pdf ↗· Care Quality Commission