Independent investigation: Vera Croghan, Norwich (2020)
East of EnglandMan with schizophrenia starts fatal fire at his grandmother’s house. Recent inpatient – Diminished responsibility Sec 37/41
Recommendations (4)
1
Norfolk and Suffolk Mental Health NHS Foundation Trust
No Response Published
Recommendation
The trust will explore the possibility of additional scenario-based training in respect of mental capacity and application of the Mental Capacity Act (this recommendation was made in the IMR and has been included here for completion).
2
Norfolk and Suffolk Mental Health NHS Foundation Trust
No Response Published
Recommendation
The trust will ensure that mandatory domestic abuse and safety planning/risk assessment training addresses assessment of risk and is relevant to all parties living or staying within a household.
3
Norfolk and Suffolk Mental Health NHS Foundation Trust
No Response Published
Recommendation
The Trust will strengthen arrangements for assessments of safeguarding and teams (in team meetings and in supervision) should strengthen the way that they engage with families to maintain their professional curiosity about the wider impact in families. The clinical team …
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4
Norfolk and Suffolk Mental Health NHS Foundation Trust
No Response Published
Recommendation
Development and roll-out of DIALOG and DIALOG + must be maintained and reviewed and audited to ensure that social, cultural, familial, and other patient-based information can be built into care more effectively.