Page 352 - tmp

Progress Notes Page 50 of 53

Enfield AMHP Service

Attempted MHA Assessment
Dr Keyhani (S12) Dr Albazaz (S12), Anthony Manning (AMHP) Larry Ryan (Trainee AMHP), Soobah Appadoo (Care
Coordinator), Kingsley and Michelle (CRHTT).
11:15am Communal door to flat had been broken and closed with tape which opened easily. Simon's flat, 109 is on
ground floor and door was closed and had a strap fastened to bottom of door as well. After knocking Simon asked who
it was and when told " A social worker from Enfield Mental Health services" he said that he did not wish to see me and
to go away, he talked rapidly about being subjected to 75 assaults at the hands of mental health services and that he
has documented evidence and is taking action. Claimed he would make us all redundant. He warned us to leave. A dog
could be heard barking behind the door.
We left the block and gathered outside on the footpath to discuss plan. Shortly after Simon came out and approached
as talking with pressured speech about his long battle with the police and legal system, how he is even now subject to
a Curfew which keeps him from leaving his flat after 10.30 and this is in force until 2020 he claims.
It was difficult to follow his story but appeared to all relate to the organisation of raves and club nights. He recognised
Dr Albazaz from a previous assessment and said that he was there and he did not like him. Gradually a level of rapport
was established and it was suggested to Simon that it might be a good idea to continue the discussion in his flat rather
than in a public place. He agreed to this and I asked him to lock the dog away he said he will lock it in the back garden.
Prior to entering the flat I informed Simon that I am a trainee AMHP and myself and the 2 doctors with me will be
conducting a Mental Health Act assessment. We then entered the flat which was very cluttered with musical equipment
and stacks of books and records. On the coffee table was a modern Apple PC. There was no obvious smell of drugs only
cigarette smoke. Upon entering the living room and the mention of the 2 doctors he pointed to Dr Albazaz and said that
he will not talk to him and does not want him in the flat. I explained that we could not conduct the assessment with out
2 doctors and that we would need to leave. He was very keen to show me things on his computer relating to
conspiracies and torments that he perceives he is suffering but we left explain the assessment would need to happen
at another time.
Plan: Apply for S135 (1) warrant in view of his unwillingness to be assessed. Would require removal to a place of safety
for assessment.

Plans to be made for care of dog if Service user is removed to POS.
Originatot Details: 19 Oct 2018 12:57 Mohammad Fohim Nursing Originally Entered By Details:
19 Oct 2018 12:57 Mohammad Fohim Last Amended By Details: 19 Oct 2018 12:57 Mohammad Fohim
Validated By Details: 19 Oct 2018 12:57 Mohammad Fohim Significant: No Added to Risk History:
No
Contains Third Party Info: No Conceal From Client: Not Concealed BED COORDINATOR
Notified by Enfield AMHP office that SC MHAA will be re-scheduled - date 6 time TBC

Name removed from our board
Originator Details: 19 Oct 2018 12:53 Laurence Ryan Social Worker Originally Entered By
Details: 19 Oct 2018 13:00 Laurence Ryan Last Amended By Details: 19 Oct 2018 13:01 Laurence
Ryan Validated By Details: (UNVALIDATED)
Significant: No Added to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed Retrospective Entry
9:45 am T/C :o Simon's mother and nearest relative Lorraine Cordell (07807333545) she informed me that she had
talked to Simon last night n the phone and sounded "like his normal self” she took fish and chips over to him 2 days
previously and he was bright and cheerful she reported. I explained that we are today going to assess him under the
MHA and that I wanted to consult with her. She said that he rarely leaves the flat and she visits with shopping and takes
the dog for a walk. His dog currently has an abscess and the vet has prescribed anti-biotics. It was a difficult
conversation as the mobile reception was poor. I agreed to call her after the assessment. _______________________

Originator Details: 19 Oct 2018 09:39 Laurence Ryan Social Worker Originally Entered By
Details: 19 Oct 2018 09:41 Laurence Ryan Last Amended By Details: 19 Oct 2018 09:41 Laurence
Ryan Validated By Details: 19 Oct 2018 09:41 Laurence Ryan Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal From Client: Not Concealed Enfield AMHfj Office
09:18 hrs T/t to Care Coordinator Soobah Appadoo requesting attendance at 11am MHA assessment. Message left on
voice mail

https ://rio .beh-mht. cse .thirdparty. nhs.uk/rio/Reports/RiOReports. asp 08/01/2019
50