Care UK

“All care plans at Chandler Court care home are being audited to ensure that there are no ambiguous instructions in relation to residents' care needs. This review includes moving and handling, and personal care needs. Currently 20 care plans have been audited and we expect to complete the remainder by close of business tomorrow; 14 February 2025”

“Since the Inquest hearing, the entire care team at Chandler Court has received supervisory training highlighting the importance of reading and understanding care plans and reiterating the relevant components of the Care UK e-learning programme”

“All Care UK employees receive Safeguarding and Protection of Vulnerable Adults eLearning training during their induction programme. This training covers the Care UK Whistleblowing policy and ensures that colleagues understand their right and duty to raise concerns”

“Care UK has reviewed our handover templates to ensure that they highlight the key aspects of each resident's care needs”

“In September 2024 Care UK introduced a revised Safety Incident Response Framework (SIRF) policy based on”

“Consequently, the training has been improved, and the manual handling training now includes a specific section on wheelchair safety guidance. This includes highlighting and working through the”

“Following this, it was identified that the training surrounding the use of wheelchairs could be strengthened. Consequently, the training has been improved, and the manual handling training now includes a specific section on wheelchair safety guidance.”

“Muriel Street has also increased staffing levels since this incident, and there is now an increased senior presence on each floor with a senior manager (Deputy Manager, Clinical Lead or Care lead) based in each nursing office and the addition of a team leader who supports to carry out regular walk arounds of their floor / unit.”

“since April 2020, in accordance with Care UK policy Muriel Street has now ensured that the welfare check sheets are completed during the day alongside the other documentation”

“Additionally, where a resident's care plan requires the use of a wheelchair, a hard copy of the guide is placed into that resident's care plan folder in their room”

“a laminated copy of this guide at every nurse's station to ensure that the guide is easily accessible.”

“Following the inquest I have reflected and reviewed healthcare processes and there have been discussions within the healthcare team. Going forward we will ensure that the Local Operating Procedures (LOPs) are embedded, with senior management undertaking audits, to ensure that where any relevant risks and triggers are identified, we will share information with the prison in the following ways:- - Update on C nomis - entry to be made by allocated healthcare staff - Update the ACCT document and”

“We agree that the system described above requires improvement. We have therefore, with immediate effect, implemented a Patient Wing Movement Assessment. This is similar system to what we have in the in-patients unit as follows. All prisoners who are deemed necessary to be admitted to the Substance Misuse Unit will remain on the unit for a period of stabilisation and until it is deemed safe for them to be moved off this unit and to be placed on normal location. By default, prisoners should not be”

“The nurse has been reminded of the process of giving evidence at an inquest and to listen carefully to the question that is being and to take time in considering her answer. Enquiries have been made by the Interim Head of Healthca re who is satisfied that the nurse in giving evidence at the inquest was confused and made a mistake in response to your question.”

“We are awaiting further dates for training sessions to be released by the Care Home Support team, and as soon as they have been made available then all shift leaders will be booked onto upcoming sessions. We expect the dates to be released in the next couple of weeks. Alongside this, and in order to augment the training, the unit leaders have been specifically tasked, in conjunction with the Care UK governance team, with cascading the principles of the Cate UK Commun,ty Pannenhops LJm,ted - Registered”

“The change that has been implemented is a control question in the first reception screen which is a mandatory field so the nurse needs to stop and answer the question. It asks if the nurse has seen the PER. All nursing staff have been instructed and are aware that they are not to screen any prisoner without a CSRA and PER as minimum requirement to aid screening.”

“consent for the obtaining of general practitioner records is now sought as part of the reception screen and it is also a mandatory field that needs to be completed by the member of healthcare prior to finishing the screen. When consent is taken, the screening tool requires a task be sent to the Administrative staff to make them aware that Care UK Clinical Services Limited - Registered in England No 03462881 Registered Office: Connaught House, 850 The Crescent, Colchester Business Park, Colchester”

“The first reception screen template contained questions that carried an inherent ambiguity, in that they related to a change in personal and family circumstances, which must always be the case when a person is incarcerated and therefore does not assist in determining which prisoners are at an increased risk.”

“The scoring system in relation to the risk of self-harm and or suicide has now gone as this was found to be too prescriptive. The focus is now placed on the member of healthcare who is screening the patient to explore the presentation and look into factors that may be relevant to suicide and or self-harm. To support this, a new risk assessment is currently in development by the national team and is based on learning from previous deaths in custody, concerns raised by the Learned Coroner,”

“We accept that the nurse could have explored the history of depression in greater detail. Our secondary reception screening process provides more time for this and we are in process of rolling out our wellbeing wheel assessment to support this assessment. The wellbeing wheel provides a structure for clinical staff to explore mental health issues in more depth alongside their physical health and substance misuse issues. Training, both online and face to face, has been developed to support the use”

“The use and meaning of Code Red and Code Blue has again been strongly reinforced to the nursing staff. Training sessions have taken place for all the staff and attendance sheets have been collected. Posters re-affirming the criteria of Code Red and Code Blue were displayed in clinical areas in December 2016. Furthermore, Safer Custody have been requested to re-order 250 of the aide-memoire cards for distribution across the establishment”

“The process now is that a Second Health Screen is undertaken within 72 hours of an inmate arriving at HMP Chelmsford and at that second health screen there would be a Care UK Cltrncal SeMces llm,ted - Registered ,n England No 3462881 Registered Office Connaught House.”

“so far as this concern relates to healthcare, in order to allow healthcare professionals to make the best possible assessment of a person's risk of serious self-harm and/or suicide, staff will be reminded to check they have had sight of the core record and carev any accompanying information including the PER, relating to history, index offence, sentence status, clinical history and possible warnings”

“prison will continue to work with the healthcare provider f ensure that all staff are aware of the steps that they are required to take when responding to an emergency call.”

“we will collaborate with them to ensure that the action plan outlined in their response is implemented and that all healthcare staff are aware of the plan.”

“The revised policy 'Observations of Residents' makes clear under section 7 of the document that the Home Manager is responsible for ensuring staff are aware of this policy document and the guidance in respect of observational practice, frequency of observation, level of interaction, record-keeping and actions in respect of any deviation from the policy guidance.”

“will explain each in turn”

“an amended arrangement has been put in place to facilitate the presence of a member of the mental health team at ACCT reviews that take place at the weekend”

“From April 2015 the health service delivery model will change from a Prime Provider model to a 7 Lot commissioning model .The National Health Service Commissioning Board has procured seven services - GP Services including Pharmacy, Dental, Optometry, Community Care, Non-Clinical Substance Misuse, Mental Health and Support Services.”

“Control Room staff have been re-briefed about their requirement to call an ambulance when a level 1 emergency is called (See Appendix 1 - Calling of an Ambulance).”