Richard Shannon

“We have enhanced lines of communication between out teams, by setting up a specific phone number and time when the nurses will be able to discuss hospital discharges.”

“All communications including care plans are now being shared with all providers involved in care at discharge to ensure consistency in care provision.”

“The District Nurses are now invited to meetings with University College Hospital NHS Trust for any complex discharges.”

“We have updated the care plans template for care skin integrity every day.”

“The Central London Community Healthcare NHS a number of concerns but did not specifically instruct Trust District Nursing Team has worked with that carers should check skin integrity every day.”

“We have shared learning from this with staff involved and across the organization to ensure that such an incident will automatically trigger an internal escalation to our safeguarding team in the Trust who will follow this up with the local authority.”

“We have enhanced lines of communication between out teams, by setting up a specific phone number and time when the nurses will be able to discuss hospital discharges.”

“All communications including care plans are now being shared with all providers involved in care at discharge to ensure consistency in care provision.”

“The District Nurses are now invited to meetings with University College Hospital NHS Trust for any complex discharges.”

“We have updated the care plans template for care skin integrity every day.”

“The Central London Community Healthcare NHS a number of concerns but did not specifically instruct Trust District Nursing Team has worked with that carers should check skin integrity every day.”

“we have shared our pressure ulcer care training proforma from the Central London Community Healthcare NHS Trust Academy with Westminster adult social care to assist in ensuring that there is a clear standard of training delivered by the different care organisations which will support carers to deliver effective care.”

“Concern 3 - Kapital care coordinators will contact district nurses in all cases when it is identified they are involved in the adult's care arrangements. This will ensure any care and support needs relating to pressure ulcer management and other relevant care needs can be implemented as part of our care plans.”

“Concern 5 - All relevant information including hospital discharge notes for the client is reviewed to ensure a better understanding of a person's care needs. - Kapital care reviews the discharge letter sent home with the adult to identify any additional needs relevant to the care delivery.”

“Concern 6 - Review of all policies and procedure has been completed/in progress since the safeguarding enquiry/Coroner report which include the actions set out. - Review of all training needs for all care staff employed by Kapital care to identify training needs across the organization and improve standards of care”

“concern. - Any concerns identified which impact on our ability to complete the care tasks are reported immediately to adult social care, ensuring an immediate solution is found.”

“is found. - Review the care plan when any concerns are raised/identified.”

“Concern 7 - Kapital care maintains full cooperation with the local authority in all safeguarding enquiries. Since the Coroner's report Kapital care has identified any potential conflict of interest when interviewing our own care staff. This is to be discussed with the local authority to identify who is the most appropriate person/agency to lead the interview.”

“Concern 3 - Kapital care coordinators will contact district nurses in all cases when it is identified they are involved in the adult's care arrangements. This will ensure any care and support needs relating to pressure ulcer management and other relevant care needs can be implemented as part of our care plans.”

“Concern 5 - All relevant information including hospital discharge notes for the client is reviewed to ensure a better understanding of a person's care needs. - Kapital care reviews the discharge letter sent home with the adult to identify any additional needs relevant to the care delivery.”

“Concern 6 - Review of all policies and procedure has been completed/in progress since the safeguarding enquiry/Coroner report which include the actions set out. - Review of all training needs for all care staff employed by Kapital care to identify training needs across the organization and improve standards of care”

“concern. - Any concerns identified which impact on our ability to complete the care tasks are reported immediately to adult social care, ensuring an immediate solution is found.”

“is found. - Review the care plan when any concerns are raised/identified.”

“Concern 7 - Kapital care maintains full cooperation with the local authority in all safeguarding enquiries. Since the Coroner's report Kapital care has identified any potential conflict of interest when interviewing our own care staff. This is to be discussed with the local authority to identify who is the most appropriate person/agency to lead the interview.”