Independent investigation: Elizabeth Cook, Langley, Berks (2006)

Standard CPA cases should be reviewed to identify any cases where the service user lives with a family member and has a history including psychotic episodes and risky behaviour; where this applies, consideration should be given to reviewing whether the … Read more Standard CPA cases should be reviewed to identify any cases where the service user lives with a family member and has a history including psychotic episodes and risky behaviour; where this applies, consideration should be given to reviewing whether the CPA level is appropriate and whether there has been adequate communication with family members. Show less

Steps should be taken to ensure that family members in close contact with a service user on standard CPA are made aware of the existence of the Crisis Resolution Service, and how to access it.

Recording practice in the Access Team should be checked.

The deficiencies apparent during Mark’s second admission to Wexham Park Hospital should be brought to the attention of the hospital clinical team so that the risk of recurrence of can be evaluated and addressed if appropriate.