Nursing and Midwifery Council

“we have passed this information on to our Employer Link Service (ELS) and to the New Referrals team to make enquiries in relation to these concerns.”

“We are grateful for the details provided in your report and confirmation of the outcome following inquest. With regards your query in relation to CQC making further enquiries, we have taken action as outlined below. CQC were informed of the outcome of the local authority safeguarding investigation into the use of CPR on 1 December 2021 including actions to be taken to prevent further incidents. Actions included internal investigation by the provider, audit of the incident, a refresher of basic”

“Introducing library conditions within the dispensary. Commencing with immediate effect.”

“the exit route (after 5pm) from the 31st January department which is currently located next to the 2020 accuracy checking area. Staff will exit the department via the pharmacy reception exit, preventing staff using the dispensary as a thoroughfare”

“Reviewing the layout of the dispensary with the aim 29th February of separating the areas used for different parts of 2020 the dispensing process and improving the flow of work.”

“closed loop dispensing" (linking the 30th June 2020 electronic prescribing system to the pharmacy dispensing system and robot) with the aim of reducing dispensing errors and improving efficiency and therefore reducing the number of staff needed in the dispensary”

“Updating the accuracy checking procedure which 31st December will incorporate a second check for all intravenous 2019 fluids.”

“| have passed your report regarding the two registered nurses to our Fitness to Practise team for further investigation; we have now also received a formal referral from NHS Professionals in respect of these two nurses. The case of the two nurses is now with our screening team and they will use the information we have received from your office and NHS Professionals to consider the matter further.”

“we are doing everything we can through our new standards and assurance processes to ensure that nurses entering our register and maintaining their registered practice are properly trained in managing falls and conducting observations, no matter what their area of specialism, the age or background of the person they are caring for, or the context in which they are providing care”