Shona Campbell

1. 1. inadequate clinical record keeping

   “The lack of appropriate contemporaneous clinical record keeping by the nurse in charge as well as other nurses.”

2. 2. inadequate clinical record keeping

   “The lack of appropriate contemporaneous clinical record keeping by the Support Workers.”

3. 3. incomplete patient observations

   “Patient observations were not being completed as directed and accurate records were not being kept.”

4. 4. inadequate communication

   “There was inadequate communication between the Nurse in Charge and Support Workers about important clinical information relating to self-harm as well as completion of observations and the records.”

5. 5. access to self-harm objects

   “That patients could obtain ligatures and other objects that could be used for self- harm/suicide and/or used against other patients and staff members”

6. 6. inadequate training

   “Regular training on all the applicable policies/procedures and use of an Automated Electronic Defibrillator.”

No published response was found on judiciary.uk.