Recurance · prevention of future deaths reports
Pre-inquest brief
Delayed resolution of outstanding safety issues
The earlier warning
Martyn Watkins · 14 Nov 2016 · Dr Peter Harrowing, Avon
“The CQC should satisfy themselves that an appropriate timetable and action plan are in place to ensure any outstanding issues on Aspen Ward relating to the safe care and treatment of service users are addressed at the earliest opportunity.”
judiciary.uk/prevention-of-future-death-reports/martyn-watkins
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 13 Dec 2017 · Rebecca Romero · Maria Voisin · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Martyn Watkins · 14 Nov 2016
“The CQC should satisfy themselves that an appropriate timetable and action plan are in place to ensure any outstanding issues on Aspen Ward relating to the safe care and treatment of service users are addressed at the earliest opportunity.”
Later · Rebecca Romero · 13 Dec 2017
“Consideration should be given to ensuring that all care plans are time specific so that dates of meetings or dates for tasks to be completed are set at the time of the meeting so again expectations are managed and everyone knows exactly what the plan is and when actions will occur.”
What happened next
No web check of the stated actions has been published for this chain.