Mohammed Hussain

“The Trust had carried out a Serious Incident Investigation (SI!) into the circumstances of the Mr [name redacted] death which was critical of both the mental health assessments of Mr [name redacted] carried out by staff on 30 April and 1 May 2018. This meant that 3 individual staff members had misunderstood or misapplied their risk assessment training.”

“It was also apparent at the Inquest that important information required for the risk assessment process had not necessarily been passed and/or sufficiently highlighted in communications both between individual Trust staff members and with other care providers”

“was informed by the Trust that further risk assessment training was carried out by the Trust following Mr [name redacted] death and yet, at the Inquest, both members of staff (although, one has now moved to another Trust) showed little insight into their actions despite the SII 's findings and the further training.”