Lousia Ovington independent investigation report ... - NHS North East

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112 CHAPTER 5 – INVOLVEMENT WITH POLICE AND PROBATION There appears to have been no formal referral made. The panel does not know whether Social Worker 7 was aware of the referral process, but her several attempts to raise this matter representing one of the Duty to Cooperate authorities amounted to a request of the Responsible Authority (probation) to refer her for consideration of putting MAPPA into place and this should undoubtedly have been acted upon. In relation to anger management and alcohol control, there is no written evidence in the notes for this CRO about whether, or how, the necessary work was completed. This is of particular concern in relation to alcohol use; it was correctly identified as a significant factor in the OASys assessments and in the management plan which is part of OASys in January 2005 there is reference to alcohol misuse being dealt with by ‘ongoing monitoring’ and a programme entitled ‘Addiction VI 2’ but nothing more. (It may be that the work was done but because of the structural difficulties in managing this order it was not recorded.) Sixth PSR dated 7 November 2005 On 7 November 2005 Probation Officer 5 prepared a PSR in relation to an offence of criminal damage and breach of conditional discharge. The report concluded that the likelihood of reconviction was high and the risk of serious harm was medium. The report recommended a CO with a supervision requirement consisting of completion of a compulsory citizenship module, including offence analysis and victim awareness work. Louisa Ovington would also be required to liaise with both CMHT and the ESMI programme in relation to her alcohol use. Third CO (previously CRO) At court on 22 November 2005 Louisa Ovington was made subject to a two year CO. The previous CRO was revoked. The file shows that Louisa Ovington attended regularly and there is evidence that she started to complete the work required of her. There is also evidence in the notes that the probation officer was aware of the involvement of other agencies and kept in touch with Louisa Ovington’s care coordinator. Shortly after the commencement of the order it is noted that Louisa Ovington was aggressive and abusive towards staff in the office and a decision was made not to visit her at home. There is no record of this being communicated to the care coordinator, however.
COMMENT CHAPTER 5 – INVOLVEMENT WITH POLICE AND PROBATION As Louisa Ovington was arrested for the homicide of Mr Hilton on8 January and thereafter remained in custody, the CO became dormant until revoked, although probation continued to be involved for some time. There is nothing of note in this short involvement of probation -the records although necessarily brief were clear and showed that the probation officer was aware of the wider issues in relation to health and social care. It is a little surprising that alcohol related work was not part of the planned programme, although the PSR had indicated that Louisa Ovington would be expected to be in touch with ESMI. 113
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REPORT TO THE NORTH EAST STRATEGIC
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Contents CONTENTS Page Preamble 6 I
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Introduction and terms of reference
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The panel met on 14 occasions, tota
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CHAPTER 1 - NARRATIVE OF KEY DATES
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This opinion was referred to by man
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20 May 1998 to 12 January 1999 CHAP
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60. As was common in 1998, there we
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women. Registrar 1 prepared a very
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77. One of the major components of
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visit to see him. A little later, o
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93. The final report from the psych
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surprised and told the panel that h
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• Consultant 9,in his evidence to
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129. Although Louisa Ovington conti
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there was “some latitude” in th
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61 14th offence 62 15th offence 63
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176. Social Service staff did respo
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Page 61 and 62: 78 21st offence 204. However Louisa
Page 63 and 64: hours. They did not have access to
Page 65 and 66: 210. CPN 2 also completed a risk as
Page 67 and 68: Chapter 2 - Evaluation of the healt
Page 69 and 70: CHAPTER 2 - EVALUATION OF THE HEALT
Page 71 and 72: During Louisa Ovington’s first ad
Page 73 and 74: Kneesworth House Louisa Ovington co
Page 75 and 76: The conclusion drawn by the psychol
Page 77 and 78: On 10 July 2001 Louisa Ovington att
Page 79 and 80: take part in several sessions of a
Page 81 and 82: COMMENT CHAPTER 2 - EVALUATION OF T
Page 83 and 84: CHAPTER 2 - EVALUATION OF THE HEALT
Page 85 and 86: CHAPTER 3 - OUTLINE OF MENTAL ILLNE
Page 87 and 88: CHAPTER 3 - OUTLINE OF MENTAL ILLNE
Page 89 and 90: CHAPTER 4 - THE CARE PROGRAMME APPR
Page 97 and 98: The essence of CPA is to ensure car
Page 99 and 100: Chapter 5 - Involvement with police
Page 101 and 102: 89 ibid The guidance states that th
Page 103 and 104: DS1 told the panel bluntly that, in
Page 105 and 106: and social care agencies. The panel
Page 107 and 108: CRO with a condition of psychiatric
Page 109 and 110: COMMENT The probation officer estab
Page 111: CHAPTER 5 - INVOLVEMENT WITH POLICE
Page 115 and 116: CHAPTER 6 - RISK ASSESSMENT AND MAN
Page 117 and 118: CHAPTER 6 - RISK ASSESSMENT AND MAN
Page 119 and 120: • South West Durham Mental Health
Page 121 and 122: CHAPTER 7 - PROVISION OF MENTAL HEA
Page 123 and 124: The policy changes were driven by t
Page 125 and 126: • Past psychiatric history; • S
Page 127 and 128: CHAPTER 8 - USE OF THE MENTAL HEALT
Page 133 and 134: Given the multiplicity of agencies
Page 135 and 136: CHAPTER 9 - CONCLUSIONS AND RECOMME
Page 139 and 140: Some of the risk assessments from a
Page 143 and 144: • Recommendation 16. Trusts shoul
Page 145 and 146: f) Use of “talking therapies” C
Page 147 and 148: professional who had seen her withi
Page 149 and 150: i) Joint working CHAPTER 9 - CONCLU
Page 151 and 152: their procedures for formal contact
Page 155 and 156: LIST OF RECOMMENDATIONS • Recomme
Page 157 and 158: LIST OF RECOMMENDATIONS • Recomme
Page 159 and 160: LIST OF RECOMMENDATIONS • The pol
Page 161 and 162: Bibliography 1. Effective Care Coor
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INTRODUCTION 28 North East Strategi
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