Independent investigation: Carmel Charles, Catford (2011)

London
Incident 19 Nov 2011
Subject Carmel Charles

Mentally ill man fatally stabs woman. MH history

Acceptance Status
No Response Published 6

Total Recommendations 6
About this data

Acceptance Status tracks whether the trust accepted or responded to each recommendation.

Independent health investigation reports and reviews commissioned by government or NHS England.

Recommendations (6)

1 Trust Board
No Response Published
Recommendation
That the implementation process of actions required to ensure compliance with Recommendation One of the internal investigation (risk assessment, care planning and performance management) is kept under regular review and an audit of progress is conducted before the end of … Read more
1 Trust
No Response Published
Recommendation
That the Trust review how their EIS teams monitor compliance with medication, including checking that prescriptions have been collected and taking an assertive approach to medication compliance where there is reason to believe that this may be an issue. Read more
2 Trust
No Response Published
Recommendation
That when changes are made to the organisation of the EIS, a specific audit of the quality of documentation is undertaken to measure fidelity with the Trust’s policy standards and intended outcomes.
2 Trust
No Response Published
Recommendation
The Trust stress the importance of a comprehensive social circumstances assessment which is updated and of the carer’s needs assessment, to collect comprehensive information as one component of care planning and care provided. This is particularly relevant with a high … Read more
3 Trust Board
No Response Published
Recommendation
That the initiative being undertaken to acquire ‘fit for purpose’ accommodation for the Lewisham EIS to be subject to on-going evaluation of progress and quarterly reports be submitted to and considered by the Trust Board.
4 Trust Board
No Response Published
Recommendation
That the restructure of the Lewisham EIS aimed at producing a more integrated team, be subject to on-going evaluation of progress with bi-annual reports to the Trust Board.