Independent investigation: Kathleen Bainbridge, Dunstable, Beds (2007)

The Trust should complete its review of Rehabilitation Services within 3 months of the publication of this report, and be able to demonstrate a clear plan, agreed by commissioners, for providing increased local capacity based upon current needs assessment. Read more The Trust should complete its review of Rehabilitation Services within 3 months of the publication of this report, and be able to demonstrate a clear plan, agreed by commissioners, for providing increased local capacity based upon current needs assessment. Show less

The Trust should assure itself that all staff are aware of what constitutes abuse, including unlawful detention, and are able to take appropriate actions to take to protect all vulnerable adults.

The Trust should review the risk register thoroughly to assure itself that the identified risks, risk scores and therefore the mitigation are correct, with particular attention to risks where staffing and recruitment are the underlying factors.

The Trust should assure itself that Care Coordinators have the necessary skills and qualities to deliver the requirements of the role.

The Trust needs to demonstrate that quality also drives the requirement to review placements, and should consider alternative quality based criteria for review of some placements, such as reviewing a suitable number of the placements furthest away, or the patients … Read more The Trust needs to demonstrate that quality also drives the requirement to review placements, and should consider alternative quality based criteria for review of some placements, such as reviewing a suitable number of the placements furthest away, or the patients who have spent the longest time in a placement, or other criteria linked to quality. Show less

The Trust should rapidly develop a robust and routine performance management system and Board report for the secondary care placement budget and Bed Management & Placement Team.