Mental health nurse admits errors in killer's records

On patient summary records shown to the inquiry, it had been documented that Calocane - who is being referred to throughout the inquiry as VC - arrived with multiple police officers and was "angry and agitated".

Ajewole told the inquiry she would have been made aware of that assault during a handover, but in Calocane's risk assessment form, recorded no mention of it.

Instead, the nurse recorded details of an earlier incident involving one of Calocane's neighbours in May.

"I can't recall why that was not recorded in this assessment, it should have been," she said.

The inquiry heard the form also included reference to "no further incidents of violence aggression", despite multiple incidents by that point.

That information was collated in a letter about Calocane's risk to others, which was sent to his GP replicating the "same mistakes", the inquiry heard.

Blake said: "Can you see how that's a significant problem?"

Ajewole said: "Yes I can. Upon review, the information contained under [risk] summary and formulation is accurate but not complete.

"I am aware that VC had in fact seriously assaulted a police officer while detaining under [section] 136."

Blake said: "It's quite fundamentally wrong the information that I've just showed you."

"Yes," Ajewole replied.

Asked if inaccurate filling out of forms was a problem across the trust, Ajewole said she believed it was an "individual" issue, and was "not entirely sure if it's an error that reoccurs a lot with other nurses".

She added she since changed her "usual practice" to ensure she checked her documentation and created new risk assessment forms in the system, instead of updating existing forms.

Dr Omar Manzar, who was involved with four of Calocane's assessments, also gave evidence to the inquiry - which is examining the events leading up to the killings and the aftermath - on Monday.

He agreed it was "astonishing" the University of Nottingham - where Calocane studied between 2017 and 2022 - was not made aware of his assault on PC Pritchard and incidents involving neighbours.

The inquiry heard Calocane was due to return to studies in September 2021 after taking a break due to his mental health.

Manzar, alongside other mental health practitioners, was responsible for assessing Calocane's risk to others.

The inquiry was previously shown a series of text messages Calocane had sent to his brother Elias, expressing thoughts of violence, which were given to his inpatient consultant Dr Faizal Seedat.

Seedat summarised and reviewed those messages, but did not show them to any other mental health workers or agencies.

Manzar told the inquiry that had he seen those messages, they would have factored into his assessment of Calocane. He agreed seeing the messages would have "significantly escalated" his assessment of Calocane's risk to others.

In a written statement to the inquiry, Manzar said "with the benefit of hindsight", detaining Calocane under section 3 of the Mental Health Act - which would have allowed the trust to detain him for a longer period and led to supervised treatment in the community upon discharge - might have been more appropriate.

However, he told the inquiry "the benefit of hindsight should not conflate" what his assessment was of Calocane at the time.

Calocane, now 34, is currently serving an indefinite hospital order at a high-security facility after pleading guilty to three counts of manslaughter on the grounds of diminished responsibility and three counts of attempted murder.

The inquiry continues.

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