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Specific issues for individuals

There were also specific issues for individuals that our practitioners have followed up with the appropriate members. For example:

"Service-user complained about lack of activity or time to go out for walks - she is used to being a very busy/active person. Also about the content and quality of food offered - she is a vegetarian. Have written to service manager about these"

"It is not clear why the short-term detention certificate is still in place. Notes recorded by [junior doctor] state 'seems happy to stay voluntarily'. 'Review section on Monday'. Later notes state 'to allow the STDC to lapse'. When I raised this with nursing staff, the initial response was that it was too much hassle to have to get the doctor and complete the paperwork to revoke an order, hence the usual practice of allowing orders to lapse instead. When challenged, nurses then said that, in this service-user's case, the decision may have been to continue the order because a depot was subsequently introduced. Letter to responsible medical officer re: this"

"Discussed with responsible medical officer, who feels admission could have been prevented, but there was no cover for community psychiatric nurse [who is] on sick leave. To raise issue with the General Manager"