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| Version 3 | Version 4 |
|---|---|
| Southern Health criticised for putting 'patients at risk' | Southern Health criticised for putting 'patients at risk' |
| (about 1 hour later) | |
| The NHS mental health trust which ran a care unit where a teenager drowned in a bath is "continuing to put patients at risk", inspectors have said. | The NHS mental health trust which ran a care unit where a teenager drowned in a bath is "continuing to put patients at risk", inspectors have said. |
| Southern Health failed to adopt safe bathing guidelines for two-and-a-half years after Connor Sparrowhawk died following an epileptic seizure in 2013. | Southern Health failed to adopt safe bathing guidelines for two-and-a-half years after Connor Sparrowhawk died following an epileptic seizure in 2013. |
| His unsupervised death led to a report into hundreds of unexplained deaths. | His unsupervised death led to a report into hundreds of unexplained deaths. |
| Trust chairman Mike Petter resigned on Thursday ahead of the publication of the Care Quality Commission's report. | Trust chairman Mike Petter resigned on Thursday ahead of the publication of the Care Quality Commission's report. |
| He said he was stepping down "to allow new board leadership to take forward the improvements". | He said he was stepping down "to allow new board leadership to take forward the improvements". |
| Patients jumped off hospital roof | Patients jumped off hospital roof |
| The CQC's inspection in January was ordered after an investigation looked at all deaths at the trust between April 2011 and March 2015 and found hundreds had not been investigated properly. | The CQC's inspection in January was ordered after an investigation looked at all deaths at the trust between April 2011 and March 2015 and found hundreds had not been investigated properly. |
| Now the watchdog has said the trust has still not done enough to reduce "environmental risks" and condemned a low roof at a Winchester site that patients could climb onto and ligature points across its sites. | Now the watchdog has said the trust has still not done enough to reduce "environmental risks" and condemned a low roof at a Winchester site that patients could climb onto and ligature points across its sites. |
| 'Missed opportunities' | 'Missed opportunities' |
| The report revealed there had been eight occasions where patients had climbed onto the roof between 2010 and 2015, as well as two in February - one of which involved a patient leaving the ward and then leaving the country. | The report revealed there had been eight occasions where patients had climbed onto the roof between 2010 and 2015, as well as two in February - one of which involved a patient leaving the ward and then leaving the country. |
| Health service regulator NHS Improvement has said it would impose management changes at the trust if progress was not made to address the CQC's concerns. | Health service regulator NHS Improvement has said it would impose management changes at the trust if progress was not made to address the CQC's concerns. |
| Dr Paul Lelliott, deputy chief inspector of hospitals, said that, despite staff efforts, risks to patients were "not driving the senior leadership or board agenda". | Dr Paul Lelliott, deputy chief inspector of hospitals, said that, despite staff efforts, risks to patients were "not driving the senior leadership or board agenda". |
| He said: "It is clear that the trust had still missed opportunities to learn from adverse incidents and to take action to reduce the chance of similar events happening in the future. | He said: "It is clear that the trust had still missed opportunities to learn from adverse incidents and to take action to reduce the chance of similar events happening in the future. |
| 'National scandal' | |
| "I am concerned that the leadership of this trust shows little evidence of being proactive in identifying risk to the people it cares or of taking action to address that risk." | "I am concerned that the leadership of this trust shows little evidence of being proactive in identifying risk to the people it cares or of taking action to address that risk." |
| He added that a new process to monitor serious incidents and deaths had been introduced by the trust in December, but it was too early to gauge its impact. | He added that a new process to monitor serious incidents and deaths had been introduced by the trust in December, but it was too early to gauge its impact. |
| A leaked 2012 review found staff did not feel Slade House, an in-patient unit for people with learning difficulties in Oxford, was safe and that it was dirty and difficult to track the care of patients at the unit. | A leaked 2012 review found staff did not feel Slade House, an in-patient unit for people with learning difficulties in Oxford, was safe and that it was dirty and difficult to track the care of patients at the unit. |
| An inquest jury found in October that neglect contributed to Connor's death at the unit. | An inquest jury found in October that neglect contributed to Connor's death at the unit. |
| Dr Sara Ryan, his mother, described seeing the 2012 report as "shocking and harrowing" and said she would be asking police to open an investigation. | Dr Sara Ryan, his mother, described seeing the 2012 report as "shocking and harrowing" and said she would be asking police to open an investigation. |
| She said: "It is a national scandal. It shows that certain people in our society aren't given the same healthcare treatment as other people. | She said: "It is a national scandal. It shows that certain people in our society aren't given the same healthcare treatment as other people. |
| "How much more failing do we have to have evidence for before the chief executive and the rest of the board are removed." | "How much more failing do we have to have evidence for before the chief executive and the rest of the board are removed." |
| Trust Chief Executive Katrina Percy said the CQC's findings sent "a clear message to the leadership... that more improvements must be delivered and as rapidly as possible". | Trust Chief Executive Katrina Percy said the CQC's findings sent "a clear message to the leadership... that more improvements must be delivered and as rapidly as possible". |
| She added: "We will continue to share regular updates on progress publicly to demonstrate improvement and help re-build trust in our services." | She added: "We will continue to share regular updates on progress publicly to demonstrate improvement and help re-build trust in our services." |
| Southern Health provides services in Hampshire, Dorset, Wiltshire, Oxfordshire and Buckinghamshire. | Southern Health provides services in Hampshire, Dorset, Wiltshire, Oxfordshire and Buckinghamshire. |