Independent investigation: Sergio Marquez, Bournemouth (2012)
South WestParanoid schizophrenic repeatedly and fatally stabs flatmate and mutilates body. London patient, had absconded from Huntley MH unit months before
Recommendations (4)
Recommendation Four
The Trust
No Response Published
Recommendation
In order to comply with its obligation to inform the CQC of unauthorised absences relating to patients who are the subject of detention under the terms of the Mental Health Act 1983, the Independent Investigation Team recommends that the Trust …
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Recommendation One
The Trust
No Response Published
Recommendation
The Trust reviews its policies and procedures in order to ensure that clinicians and staff are aware of the occurrence of, and can act appropriately upon the return to the hospital of, an individual who had been AWOL. In particular, …
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Recommendation Three
The Trust
No Response Published
Recommendation
The Independent Investigation Team recommends that the Trust address the prescribing of Section 17 leave in Mental Health Act training. The Trust must ensure that its staff and clinicians comply with the requirements relating to “leave” as set out in …
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Recommendation Two
The Trust
No Response Published
Recommendation
The Independent Investigation Team recommends that the significance of validating records is highlighted in record-keeping policy, and in training.