A mentally-ill man was discharged from hospital with "a very flimsy safety net of care" before he went on to kill his mother and sister, an inquest has heard.
John Jenkin (25), was marked as "zero" risk to himself and others on a scale of 0 to 10 after hours earlier attempting suicide when he cut his wrists and attempted to walk into the sea.
Jenkin was also said to have taken a cocktail of whisky, painkillers, LSD and the cannabis substitute Spice.
Following his release, he axed to death student Katie Jenkin (20), and machine operator Alice McMeekin (58), at the family home in Newton Street, Millom, Cumbria, on June 8, 2013.
Jenkin had undergone a 90-minute assessment at Dane Garth mental health unit within the grounds of Furness General Hospital two days earlier.
Mental health nurse Garry Dixon yesterday told the hearing at Barrow Town Hall into the deaths that he was "very experienced" in assessing risk and "did everything that I was supposed to do".
Jenkin pleaded guilty last March to two counts of manslaughter on the grounds of diminished responsibility following evidence he was suffering from a schizo-affective disorder. He was sentenced to serve a minimum of 13 years and four months before he can be considered for parole.