Darren Linfoot

1. 1. unaccounted potent medication in possession of patients

   “Only controlled drugs are audited and their whereabouts monitored. Among others, Opiate drugs are classed as non-controlled and are therefore not audited. There is a real risk that potent medication could go unaccounted for and could end up in the possession of patients.”

2. 2. inconsistent four hourly observations of patients

   “methods of performing regular four hourly observations of patients by nursing staff was not fully understood and nurses have contrasting methods of how they conducted these observations. It is suggested that a consistent method is identified and appropriate training is provided.”

3. 3. inconsistent duties of radio nurse on admissions ward

   “Nursing staff also gave inconsistent evidence about the duties of the radio nurse on the admissions ward. There appeared to be a need for consistency and appropriate 1 training”

No published response was found on judiciary.uk.