[2025] EWHC 2684 (KB)

DS Brownsell stated that in August 2006 enquiries with the Healthcare Commission were also discussed and pursued and also that the purpose of the HCC inspection was the need to be sure about patient safety (if the patients needed to be moved as a result of the “day of action” it would cause a critical incident). He was taken to the entry in his rough book;

“HCC inspection of Cawston Park; late September. Showed low staffing levels but no patients at risk. None of the managers knew what “special care” was. Served with statutory notice (1) Cleanliness (2)…(3) Fire no patient complaints. Dominic Wilson present.”

When it was suggested to DS Brownsell that if there were other areas of concern such as the lack of an audit trail that this would have been highlighted, his response was that he believed the primary concern was the safety of patients and he did not know if they were looking for audit trails.

I have already covered DS Brownsell’s failure to ensure a statement was obtained from Mr Graham.