Report evidence summary
Concerns raised 3 Lack of policing of homeless encampments in wooded areas View source Lack of monitoring of homeless encampments in wooded areas View source Failure to adequately supervise vulnerable persons View source
Stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised. 37
Outlook Care Brief all staff and discuss safeguarding and missing-person learning in staff meetings.
View source
Outlook Care Share team learning on evidencing engagement, learning and safeguarding practice for customers receiving community one-to-one support.
View source
Outlook Care Recirculate local safeguarding information and display it on service noticeboards.
View source
Outlook Care Review induction and probation management for greater effectiveness.
View source
Outlook Care Complete and annually repeat an unannounced business-continuity test for a missing-person incident.
View source
Outlook Care Add missing-person and community-support risk-management audits to the annual schedule, conducting them twice yearly and reporting outcomes to the Board.
View source
Outlook Care Create and monitor Missing Person risk profiles for current and future customers receiving individual support.
View source
Outlook Care Conduct spot checks of community one-to-one support and provide further training or performance management where competency standards are unmet.
View source
Outlook Care Introduce revised induction and handover formats addressing missing-person risk and mitigation.
View source
Outlook Care Issue video, written, poster and key-card guidance on one-to-one support and maintaining line of sight.
View source
Outlook Care Monitor GDPR policy implementation during service closure, decommissioning and archival transport to secure storage.
View source
Outlook Care Train all staff to mitigate missing-person risk and manage incidents, including preventative daily assessment and golden-hour response.
View source
Outlook Care Provide Board of Trustees scrutiny, oversight and real-time reporting on action-plan progress.
View source
Outlook Care Review updated risk assessments covering Herbert Protocol, missing-person processes and community one-to-one support.
View source
Outlook Care Apply and relaunch the Missing Persons Policy, incorporating it into risk assessments, support guidance and Missing Person Information.
View source
Outlook Care Use stakeholder and partner feedback in service reviews, management decisions and support-quality improvement.
View source
Outlook Care Refresh managers’ Level 3 safeguarding training and support attendance at local-authority safeguarding training.
View source
Outlook Care Strengthen staff duty-of-care learning and care-and-support policy focus on one-to-one support.
View source
Outlook Care Use app-based daily risk assessments for every community support session and review results monthly for trends and concerns.
View source
Outlook Care Improve the detail of customer feedback gathered during service-closure consultations.
View source
Outlook Care Host a stakeholder learning event to share learning and revised procedures arising from the incident.
View source
Outlook Care Increase emphasis on Positive Behaviour Support in delivery and staff training for customers receiving individual support.
View source
London Borough of Waltham Forest Liaise with third-party landowners to ensure appropriate action is taken on land outside Local Authority ownership.
View source
London Borough of Waltham Forest Issue Community Protection Notices where appropriate and collaborate with police to enforce them when necessary.
View source
London Borough of Waltham Forest Triage safeguarding concerns the same day and allocate qualifying cases to the relevant care and support team for enquiry.
View source
London Borough of Waltham Forest Make repeated outreach attempts to identified rough sleepers, offer support, and refer them to StreetLink and connected agencies.
View source
London Borough of Waltham Forest Monitor parks and open spaces through weekly contractor inspections, Park Officer inspections and Sports and Leisure referrals of rough-sleeping indicators.
View source
London Borough of Waltham Forest Apply commissioning safeguards, including CQC rating checks, consultation and provider policy, financial and quality-assurance reviews.
View source
London Borough of Waltham Forest Provide safeguarding referral routes through MASH, the Adult Front Door, telephone contacts, online forms and urgent telephone reporting.
View source
London Borough of Waltham Forest Review residents’ Care and Support plans at least annually, including placement suitability.
View source
London Borough of Waltham Forest Maintain a vegetation-cutting contract targeting overgrown areas that may attract rough sleepers.
View source
London Borough of Waltham Forest Monitor commissioned supported-living provisions through annual quality-assurance visits, increased visits where improvement plans apply, and required-action reports.
View source
Care Quality Commission Seek further evidence from Outlook Care that its safety changes are embedded in operational practice.
View source
Care Quality Commission Request and review evidence that Outlook Care completed its stated safety changes across remaining locations.
View source
Metropolitan Police Service Continue joint police-partnership work with local authorities to focus on rough sleeping and support the local authority strategy.
View source
Metropolitan Police Service Work with local authorities and Epping Forest Park Rangers to ensure early identification of rough sleeping is addressed through partnership working.
View source
Metropolitan Police Service Increase engagement with forest and surrounding-area residents to encourage direct reporting of rough sleeping to local authorities.
View source
× Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation Lack of policing of homeless encampments in wooded areas
Wider context from the report “2. Mr Piper’s death was the latest in a series of deaths investigated by this court in which homeless persons have died in tents and encampments in wooded areas along the A406 and the periphery of Epping Forest due to high risk behaviours including, but not limited to, crush injuries, fire, third party assaults and drug misuse. The monitoring and policing of such encampments is, in the view of the court, lacking which increases the risk of fatal harm.
” Is this part of a recurring concern? No recurring-concern membership is currently published.
Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation Lack of monitoring of homeless encampments in wooded areas
Wider context from the report “2. Mr Piper’s death was the latest in a series of deaths investigated by this court in which homeless persons have died in tents and encampments in wooded areas along the A406 and the periphery of Epping Forest due to high risk behaviours including, but not limited to, crush injuries, fire, third party assaults and drug misuse. The monitoring and policing of such encampments is, in the view of the court, lacking which increases the risk of fatal harm.
” Is this part of a recurring concern? No recurring-concern membership is currently published.
Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation Failure to adequately supervise vulnerable persons
Wider context from the report “1. The support worker who accompanied Mr Piper on the day of his disappearance claimed that she did not constantly supervise Mr Piper as alternatively; she did not wish to crowd him, she was allergic to cigarette smoke, and finally that she needed to rest her legs. The witness accepted that she had neither read Mr Piper’s support plan, nor the relevant policies and procedures relevant to her duties that day.
I am concerned that there is no clear evidence before me that the risk of a similar incident of inadequate supervision of a vulnerable person has been effectively mitigated.
” Is this part of a recurring concern? No recurring-concern membership is currently published.
Open source report
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Brief all staff and discuss safeguarding and missing-person learning in staff meetings.
Verbatim wording from the response “4. In response to the Regulation 28 Notice issued by the Coroner and the matters of concern noted, the following actions have also been implemented:” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Share team learning on evidencing engagement, learning and safeguarding practice for customers receiving community one-to-one support.
Verbatim wording from the response “• Shared learning in teams to review how we evidence engagement and learning for customers using 1:1 support in the community and safeguarding best practice.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Recirculate local safeguarding information and display it on service noticeboards.
Verbatim wording from the response “• Raising awareness of LBWF Safeguarding Team and their role in ensuring customer safety from Abuse or Neglect. Local Safeguarding Information to be recirculated to raise awareness. All noticeboards reviewed and local Safeguarding information clearly displayed.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Review induction and probation management for greater effectiveness.
Verbatim wording from the response “• Induction and Probation management reviewed to see what areas can be more effective.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Complete and annually repeat an unannounced business-continuity test for a missing-person incident.
Verbatim wording from the response “• Completion of an unannounced Business Continuity Management test in relation to a Missing Person incident, to be repeated annually.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Add missing-person and community-support risk-management audits to the annual schedule, conducting them twice yearly and reporting outcomes to the Board.
Verbatim wording from the response “• Including audits of risk management process in relation to Missing Person and delivery of community support to mitigate risk of service users going missing into our annual audit schedule, to be completed twice per year on an ongoing basis. Outcomes will be reported to Board of Trustees for scrutiny and oversight.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Create and monitor Missing Person risk profiles for current and future customers receiving individual support.
Verbatim wording from the response “• Review potential risk for individual support and MISPER for all customers by identifying Risk Profiles for current customers and ensuring future customers are identified when they start to use our services. This will be subject to ongoing monitoring of customer’s changing needs.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Conduct spot checks of community one-to-one support and provide further training or performance management where competency standards are unmet.
Verbatim wording from the response “• Spot checks on 1:1 support being delivered to service users in the community to check for both safety and quality as well as validating that our action plan is being implemented in practice, appendix 6. To date 21 spot checks have been completed and reported on to the Executive Management Team. Where performance of staff has fallen below our standards, staff are undergoing further training/performance management and cease to deliver community-based support until they reach the required competency level.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Introduce revised induction and handover formats addressing missing-person risk and mitigation.
Verbatim wording from the response “• Revised induction and handover formats that include specific reference to Missing Person risk and mitigation of such risk, see appendix 8.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Issue video, written, poster and key-card guidance on one-to-one support and maintaining line of sight.
Verbatim wording from the response “• Guidance on the delivery of 1:1 support and the importance of maintaining a ‘line of sight’ has been issued, in form of video briefing, written guidance, posters, key facts cards issued to staff name badges, see appendix 7.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Monitor GDPR policy implementation during service closure, decommissioning and archival transport to secure storage.
Verbatim wording from the response “• GDPR Policy implementation is monitored at all stages of service closure to ensure there is secure storage available during decommissioning of service and transport of archiving to secure archive.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Train all staff to mitigate missing-person risk and manage incidents, including preventative daily assessment and golden-hour response.
Verbatim wording from the response “• Training for all staff in mitigation service user risk of going missing and managing the process should a service user go missing, emphasising:
◦ the role of day-to-day risk assessment as a preventative measure for service users at risk of going missing.
◦ the critical nature of the golden hour should a missing person incident occur.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Provide Board of Trustees scrutiny, oversight and real-time reporting on action-plan progress.
Verbatim wording from the response “2. A full briefing was issued to our Board of Trustees who continue to provide scrutiny and oversight of our progress. The action plan implementation is led by the Chief Executive and real time reporting to the Board of Trustees continues alongside regular briefings issued to all of the workforce.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Review updated risk assessments covering Herbert Protocol, missing-person processes and community one-to-one support.
Verbatim wording from the response “• Further review of updated risk assessments for all service users supported in relation to Herbert Protocol, missing persons process and delivery of 1:1 support in the community.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Apply and relaunch the Missing Persons Policy, incorporating it into risk assessments, support guidance and Missing Person Information.
Verbatim wording from the response “• Application of Missing Person’s Policy to strengthen how it is reflected in individual’s risk assessments, support guidelines and Missing Person Information. Any recommendations to be made to Director of Care and Support with Chief Executive.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Use stakeholder and partner feedback in service reviews, management decisions and support-quality improvement.
Verbatim wording from the response “• External feedback continuing to contribute to our reviews and improvement plans for services.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Refresh managers’ Level 3 safeguarding training and support attendance at local-authority safeguarding training.
Verbatim wording from the response “• Safeguarding Training for Managers with all Managers refreshing their Level 3 Safeguarding Training for Managers. Managers to supplement by attending their Local Authority Safeguarding for Managers training when it becomes available.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Strengthen staff duty-of-care learning and care-and-support policy focus on one-to-one support.
Verbatim wording from the response “• Supporting staff learning regarding their ‘Duty of Care’ including review of policy on Care and Support with a view to strengthen the focus on 1:1 support.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Use app-based daily risk assessments for every community support session and review results monthly for trends and concerns.
Verbatim wording from the response “• The use of a day to day, app based, risk assessment completed every time a service user is supported in the community, appendix 5. This process was implemented on 22 March 2024 and to date 1098 risk assessments have been completed and records stored securely, reviewed monthly by the Director of Care and Support to identify trends or areas of concern. To date the risk assessments have been completed by 458 staff.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Improve the detail of customer feedback gathered during service-closure consultations.
Verbatim wording from the response “• Feedback from Customers on consultation during service closures will be more detailed.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Host a stakeholder learning event to share learning and revised procedures arising from the incident.
Verbatim wording from the response “Finally, in October 2024, we will be hosting a learning event for all stakeholders, partners and other providers, to share our learning and revised procedures, stemming from this tragic incident.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Increase emphasis on Positive Behaviour Support in delivery and staff training for customers receiving individual support.
Verbatim wording from the response “• Increase emphasis on Positive Behaviour Support principles evident in delivery and review of staff training and development to strengthen duty of care for customers using individual support.” Source location Response from Outlook Care
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Liaise with third-party landowners to ensure appropriate action is taken on land outside Local Authority ownership.
Verbatim wording from the response “StreetLink, a platform that connects people sleeping rough to other agencies and charities, including St Mungo’s.
3.3. Where appropriate, Neighbourhood Officers can issue Community Protection Notices instructing individuals to move on. If necessary, they collaborate with local police to enforce these notices.
3.4. The Local Authority has a contract in place to cut back overgrown vegetation, particularly that which may attract rough sleepers.
3.5. Where land is owned by other parties, Neighbourhood Officers liaise with those landowners to ensure that appropriate action is taken.” Source location Response from London Borough of Waltham Forest
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Issue Community Protection Notices where appropriate and collaborate with police to enforce them when necessary.
Verbatim wording from the response “StreetLink, a platform that connects people sleeping rough to other agencies and charities, including St Mungo’s.
3.3. Where appropriate, Neighbourhood Officers can issue Community Protection Notices instructing individuals to move on. If necessary, they collaborate with local police to enforce these notices.
3.4. The Local Authority has a contract in place to cut back overgrown vegetation, particularly that which may attract rough sleepers.
3.5. Where land is owned by other parties, Neighbourhood Officers liaise with those landowners to ensure that appropriate action is taken.” Source location Response from London Borough of Waltham Forest
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Triage safeguarding concerns the same day and allocate qualifying cases to the relevant care and support team for enquiry.
Verbatim wording from the response “2.3.1. Where a concern relates to an individual that is open to a Local Authority team, the concern will be recorded and progressed to that team for them to establish whether the section 42 criteria are met. That is on the basis that they are likely to have some direct knowledge of the person concerned.” Source location Response from London Borough of Waltham Forest
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Make repeated outreach attempts to identified rough sleepers, offer support, and refer them to StreetLink and connected agencies.
Verbatim wording from the response “3.2. The Council’s Rough Sleeper team makes three attempts to engage with individuals identified during the inspections. They offer support and assistance to connect them with appropriate services. They also make a referral to” Source location Response from London Borough of Waltham Forest
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Monitor parks and open spaces through weekly contractor inspections, Park Officer inspections and Sports and Leisure referrals of rough-sleeping indicators.
Verbatim wording from the response “3. ROUGH SLEEPING
3.1. All parks and open spaces within the Local Authority’s remit are monitored as follows:” Source location Response from London Borough of Waltham Forest
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Apply commissioning safeguards, including CQC rating checks, consultation and provider policy, financial and quality-assurance reviews.
Verbatim wording from the response “1.3. Where a placement was to be commissioned by the Local Authority, its Brokerage team would source a placement that could effectively meet the individual’s needs. That team has a number of safeguards in place to ensure that placements are suitable and appropriate:” Source location Response from London Borough of Waltham Forest
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Provide safeguarding referral routes through MASH, the Adult Front Door, telephone contacts, online forms and urgent telephone reporting.
Verbatim wording from the response “2.2.1. The majority of Safeguarding concerns are raised via the Multi Agency Safeguarding Hub (“MASH”) or the Adult Front Door service and generally come from direct concerns of professionals from various disciplines.” Source location Response from London Borough of Waltham Forest
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Review residents’ Care and Support plans at least annually, including placement suitability.
Verbatim wording from the response “1.5. An individual in such a placement would also have the benefit of a review of their Care and Support plan on at least an annual basis that would include considering the appropriateness of the particular placement.” Source location Response from London Borough of Waltham Forest
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Maintain a vegetation-cutting contract targeting overgrown areas that may attract rough sleepers.
Verbatim wording from the response “StreetLink, a platform that connects people sleeping rough to other agencies and charities, including St Mungo’s.
3.3. Where appropriate, Neighbourhood Officers can issue Community Protection Notices instructing individuals to move on. If necessary, they collaborate with local police to enforce these notices.
3.4. The Local Authority has a contract in place to cut back overgrown vegetation, particularly that which may attract rough sleepers.
3.5. Where land is owned by other parties, Neighbourhood Officers liaise with those landowners to ensure that appropriate action is taken.” Source location Response from London Borough of Waltham Forest
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Monitor commissioned supported-living provisions through annual quality-assurance visits, increased visits where improvement plans apply, and required-action reports.
Verbatim wording from the response “1.4. In terms of ongoing monitoring, the Quality Assurance monitoring team undertake at least one visit annually to all provisions in the Borough. Where concerns are identified and a service improvement plan has been implemented, the team will visit with greater frequency to support the improvement process. The provisions are monitored on a number of key areas: Staffing, Support/Care, Health and Safety, Policy and Procedure, Governance, Quality Assurance, Resident feedback, staff feedback, Medication Safeguarding and MCA/DoLs. A report is sent to the provider detailing actions required within a given timeframe.” Source location Response from London Borough of Waltham Forest
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Seek further evidence from Outlook Care that its safety changes are embedded in operational practice.
Verbatim wording from the response “As part of CQC’s ongoing monitoring of registered providers, we will seek further evidence from Outlook Care to assure ourselves that all the changes made have been embedded into their ways of working.” Source location Response from CQC
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Request and review evidence that Outlook Care completed its stated safety changes across remaining locations.
Verbatim wording from the response “We have reviewed the information we hold regarding Waterside Lodge Recovery Centre and asked Outlook Care to provide us with a copy of their response to H.M Senior Coroner. We note that although Outlook Care are not able to take action at Waterside Lodge due to its closure, they have committed to changes across their remaining nine locations to prevent such a sad event as this happening again. The changes include review of missing person policy, training for staff, additional risk assessments for supporting people using the service in the community and spot checks on one to one community visit support. We further note that the majority of these changes are due to be completed by the end of June 2024. Working with the CQC team covering the area where Outlook Care’s head office is located, we will request and review evidence of completion of these actions to ensure this has taken place.” Source location Response from CQC
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Continue joint police-partnership work with local authorities to focus on rough sleeping and support the local authority strategy.
Verbatim wording from the response “I can confirm that ongoing work is being undertaken with the respective local authorities and there is strategic police/partnership joint working to focus on rough sleeping. The police neighbourhood teams are supporting the local authority strategy for rough sleeping, which includes community safety, housing and enforcement.” Source location Response from Metropolitan Police
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work with local authorities and Epping Forest Park Rangers to ensure early identification of rough sleeping is addressed through partnership working.
Verbatim wording from the response “We have increased engagement with local residents who use the forest and surrounding environs to encourage reporting of rough sleeping they become aware of directly to the Local Authority. The MPS is working closely with the Local Authorities and the Epping Forest Park Rangers to ensure any early identification of rough sleeping is addressed as a partnership.” Source location Response from Metropolitan Police
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Increase engagement with forest and surrounding-area residents to encourage direct reporting of rough sleeping to local authorities.
Verbatim wording from the response “We have increased engagement with local residents who use the forest and surrounding environs to encourage reporting of rough sleeping they become aware of directly to the Local Authority. The MPS is working closely with the Local Authorities and the Epping Forest Park Rangers to ensure any early identification of rough sleeping is addressed as a partnership.” Source location Response from Metropolitan Police
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Management and monitoring of the relevant Epping Forest land fell outside the Local Authority’s remit because the Corporation of London owned and managed it.
Verbatim wording from the response “The Local Authority does not own or manage the relevant part of Epping Forest or the surrounding land in this case. It is understood that the relevant land is owned and managed by the Corporation of London. However, we set out below how parks and open spaces within Local Authority remit are managed, as well as the safeguards in place for land owned and managed by third parties.” Source location Response from London Borough of Waltham Forest
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Responsibility for commissioning and supervising the supported-living service rested with the NHS Trust, not the Local Authority.
Verbatim wording from the response “The Local Authority did not employ the support worker or commission the service that employed them in this case. We set out below the processes by which such services are monitored when commissioned by the Local Authority.” Source location Response from London Borough of Waltham Forest
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation The Metropolitan Police Service is best placed to address monitoring and policing of high-risk homeless encampments.
Verbatim wording from the response “With reference to the report’s second area of concern, while CQC shares this concern, I note that the Metropolitan Police Service are also a named respondent and trust that they will be best placed to address this.” Source location Response from CQC
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Enforcement against non-registered individuals is outside CQC’s legal powers, and the applicable exceptions do not arise here.
Verbatim wording from the response “We have reviewed whether there has been a failure by Outlook Care or the Registered Manager for Waterside Lodge (Registered Persons), to provide Mr Piper with safe care and treatment causing Mr Piper avoidable harm. CQC does not have the power to take enforcement action against individuals who are not Registered Persons, except in circumstances where individual directors or members may be held individually liable for the commission of the offence by a registered provider that is a body corporate or unincorporated association, under sections 91 or 92 of the Health and Social Care Act 2008. Those circumstances do not arise in this case. On reviewing the available evidence, we do not find that there are grounds to proceed with a criminal investigation against a Registered Person.” Source location Response from CQC
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation No other deaths identified in the area suggest a specific or ongoing public safety risk or significant criminal activity.
Verbatim wording from the response “The MPS have liaised with the Coroner and have been unable to identify any other deaths in this area which would suggest any specific or ongoing risk to public safety, or significant criminal activity.” Source location Response from Metropolitan Police
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Unauthorised encampments posing safety risks are addressed through a multi-agency approach led by the local authority, while police investigate reported crimes.
Verbatim wording from the response “In accordance with statutory guidance, any unauthorised encampment which poses a risk of safety to occupants and others will be addressed as a public safety/public health issue through a multi-agency approach led by the local authority. Further, where individual crimes are reported there will be a duty for police to investigate.” Source location Response from Metropolitan Police
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