A coroner raises multiple concerns with mental health trust two years after Eliot Harris's death.
A coroner has raised concerns about a mental heath trustEliot Harris, 48, died in the Northgate Hospital in Great Yarmouth, run by the Norfolk and Suffolk Foundation Trust , in April 2020.NSFT said "significant changes were made" following Mr Harris's death.
In April an inquest jury found the practices at Northgate Hospital in Great Yarmouth were "encouraged" by managers, but could not determine a conclusive cause of death., Ms Lake said: "Quality audits undertaken following Eliot Harris's death, show that observations are still not being carried out and recorded in accordance with NSFT's most recent policy - more than two years following Eliot's death.
Not all staff had been trained in recording observations, there was a lack of evidence about procedures for entering a patient's room over concerns for their welfare, and there was "still some way to go to make sure care plans are completed", Ms Lake said.
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