96 This allows for a basic information spreadsheet to be developed. 11. Role of the Enquiry Manager (EM) 11.1 The EM has a critical role. Agencies involved need to be clear that they have accountability to the EM for actions and feedback or reports to be provided, within the timescales specified or in response to reasonable requests. 12. Large Scale Enquiry planning checklist 12.1 The checklist approach is important because it will inform the first steps of the EPM to ensure comprehensive planning of the intervention. It is not exhaustive and will not be relevant for every enquiry. Many actions will have to be reviewed and revised during the progress of the enquiry. 12.2 The following points are important for the checklist approach: Has an initial individual adult at risk and/ or collective risk assessment of the service provider been completed? If not are agencies confident that there is already sufficient information without one? Is this confidence based on sound evidence that everyone is safe? Clarification and confirmation of which concerns are known to each agency. Gather an understanding of what that agency’s involvement with the service provider and adult at risk has been to date. Discuss timescales for any Police investigation so it will not be compromised but neither is the safety of an adult during the time it may take. Agree what does not need to be considered within the S.42 LSE. Agree the themes and specifics to be examined, actioned and reported on by each agency (e.g. Police, CQC, Health, Local Authority or the service provider themselves) including the allocation of the NE roles. Each agency also to consider whether there are any actual or potential conflicts of interest e.g. NHS Trusts who are investigating the actions of other NHS staff. Agree the timescales for these actions (including complaints and disciplinary action concerning staff) and ensure each agency representative is aware of their responsibilities to adhere to these. Make sure the Action Plan is complete and contains realistic timescales with enough details to identify who is doing what. Consider whether concerns about the behaviours and actions of staff justify recommending their suspension, and/ or suspension or limits/ controls on local authority placements or service contracts. Decide who will take this up with the service provider, whose responsibility it is to make a referral to the registration body. Identify what evidence is required and the arrangements for procuring and preserving it, including records and, if necessary, a medical examination. Note: only the Police and CQC may obtain or seize original documentation. Other agencies are only entitled to have copies. Obtain documentary evidence about failings. This could include policies, protocols, care plans, or plans of the building and maps of the local area. Using the initial and any subsequent risk assessments, consider whether there should be a review of services provided to some or all the adults receiving it because of potential or actual risk of harm if it continues or without significant changes to reduce risk. Use the spreadsheet to keep a chronology of all incidents related to the enquiry and keep a clear and agreed record of all activity and concerns and updates, as necessary. Ensure there are accurate and agreed records of all EPM and Review meetings. Consider need to consult or inform other agencies if not already directly involved. It may be appropriate to ask for views and/ or a written report. Be aware of the possible need for legal advice about, for example, enforcement actions or suspension or withdrawal of contracts.
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