Graeme Morris mother's killing 'not preventable or predictable'
The killing of a mother by her mentally disturbed son could not have been prevented, a report has said.
Anne Morris, 63, was killed and her husband Fred, 64, seriously injured by their son Graeme at their home in Troon, South Ayrshire, in 2012.
At the time, Graeme Morris was living in Brighton and a patient of the Sussex NHS Partnership Foundation Trust.
A report into 10 deaths linked to patients at the trust has been severely critical of the care they received.
It said the mental health trust underestimated the risk posed by some of its patients and sometimes did not act on "threats to kill".
It followed 10 killings between 2007 and 2015.
Graeme Morris travelled to Troon after mistakenly becoming convinced that he had been abused by his father as a child.
His mother, who suffered from an underlying heart condition, died as a result of Morris' attack, while his father survived after being treated for a week in hospital.
At his trial at the High Court in Edinburgh, Morris - who suffered from paranoid schizophrenia - admitted culpable homicide and assault.
He is currently detained at the State Hospital in Carstairs and will only be released with the approval of Scottish ministers.
At the time of the attack he was on a waiting list to see a psychiatrist.
The report found that while there was some good care provided to Morris, significant parts of forms to assess him were either incomplete or had "erroneous" information.
It also found that there was a reliance on self-reporting and a failure to involve Morris' family or those close to him when assessing the risk he posed.
The review said: "For various reasons neither family nor former partners were contacted: in the independent panel's view this was a missed opportunity to gain a much more comprehensive picture of his presentation, social circumstances and behaviours."
However, the report concluded that the incident that led to the death of his mother was neither predicable or preventable.
It stated: "The independent panel concluded that the incident could not have been predicted or prevented - there is no guarantee that if an experienced consultant had seen him, the full subtleties of his presentation would have been identified."
It also acknowledged that the Morris family disagreed with the assessment.
In conclusion, the review said that the trust should develop a "reliable method for systematically and comprehensively obtaining the views of family members" where appropriate when screening patients.
It also called for medical staff to be given proper support at the trust and trainees to be sufficiently supervised. The review also said a culture change was needed to engage service users and carers.
The investigation of what is one of England's largest mental health trusts was launched by the trust and NHS England following the stabbing to death of Donald Lock, 79, by Matthew Daley in 2015.
Daley, who had been under the care of the trust at the time, was convicted of manslaughter on the grounds of diminished responsibility after stabbing Mr Lock 39 times following a collision between two cars on the A24 in Findon, West Sussex.
During the trial, jurors were told Daley's mother had pleaded with mental health experts to have her son sectioned.
The review looked at nine killings by patients of the trust and the case of one patient who was killed while under the care of the trust.
It found that while the trust had said lessons would be learned after each death, little had changed and mistakes continued to be made.
The trust has apologised to the families involved.
Ten cases reviewed
- Graeme Morris travelled from Brighton to Troon and killed his mother in 2012
- Kayden Smith killed Danish tourist Jan Jansen at his flat in Hassocks in 2012
- Christopher Jeffrey-Shaw was convicted of manslaughter after Janet Muller was burned to death in the boot of a car near Horsham in 2015
- David Sole was jailed for life for the "motiveless and brutal" murder of Jonathan Ellison in his Brighton flat in 2011
- Sean Iran was jailed for life for killing a friend then burning his body on a Brighton golf course in 2010
- Steven Dunne killed Gordon Stalker in Brighton in 2010, claiming he was a witch who had captured his soul
- Roger Goswell killed his wife Susan in West Chiltington in 2007 after she had told him she had not been a virgin before they married
- Shane Noble punched and kicked Chris Poole to death outside a convenience store in Eastbourne in 2012
- Oliver Parsons murdered Joe Lewis on Christmas Day morning at a flat in Brighton in 2014
- Matthew Daley killed motorist Donald Lock by stabbing him 39 times on the A24 in Findon, West Sussex, in 2015