Safeguarding Adult Reviews
Safeguarding Adult Reviews (SARs) were previously known as Serious Case Reviews. They are held when an adult with care and support needs dies or suffers significant harm as a result of abuse or neglect.
Safeguarding Adult Reviews are not inquiries into how someone died or suffered injury, or to find out who is responsible.
- Look at any lessons we can learn from the case about the way professionals and agencies worked together
- Review the effectiveness of our safeguarding adults procedures
- Inform and improve practice
- Identify what can be done better to avoid a similar circumstance from reoccurring
The SAB aims to share learning from Safeguarding Adult Reviews widely with local organisations and through the London and National Safeguarding Network across London and nationally.
Section 44 of The Care Act 2014 requires Safeguarding Adults Boards to undertake a Safeguarding Adult Review when specific criteria are met. This is when abuse results in the death or significant and possibly life-changing harm of an adult with care and support needs.
What is a Safeguarding Adults Review? - Information for families and carers in Richmond and Wandsworth
Send your completed form by email to SAB@richmondandwandsworth.gov.uk, or by post to:
Head of Safeguarding and Professional Services
Adult Social Care
The Town Hall Extension
Wandsworth High Street
The SAR Subgroup usually makes a decision relating to any SAR referral within four weeks of receipt, and will inform the referrer of the decision made.
The following reports explaining the outcomes of recent SARs have been anonymised. Any names and initials included in these documents are fictitious.
- Evelyn - January 2022 - Moving between different boroughs, voice of the person
- Robert - July 2021 - Incident in a care home
- Michael - June 2020 - Cuckooing
- Sophie - April 2018 - Mental health transition
- Mrs AM - February 2018 - Older person / care home
- Mr X - February 2018 - Mental health services
- Mr B - February 2016 - Self neglect
- Mr T - March 2017 - House fire
- Daniel - January 2022 - Holistic view of needs, substance misuse
- Issy - May 2021 - Self-neglect
- Harvey - January 2021 - Mental health and homicide
- Jasmine - January 2021 - Medical self-neglect and working with hard-to-engage individuals
- John - January 2021 - Waiting list
- Margaret - November 2020 - Pressure ulcers
- LP - February 2019 - Mental health services
- Mrs K - April 2018 - Pressure ulcers
- Mrs WWF - July 2017 - House fire
Seven-minute briefings are based on a technique borrowed from the FBI. Learning for seven minutes is manageable in most services. Learning is more memorable as it is simple and not clouded by other issues and pressures. Their brief duration should also mean that they hold people’s attention, as well as giving managers something to share with their staff. The briefings will not have all the answers, but it is hoped that they will act as a catalyst to help teams and their managers to reflect on their practice and systems. The expectation is that team leaders will present briefings to their staff, on a regular basis.
- Paul - seven minute briefing - Trauma, mental health and suicide
- Mrs K - seven minute briefing - Pressure ulcers
- Sophie - seven minute briefing - Mental health transition
- LP - seven minute briefing - Mental health services
- Drina - seven minute briefing
- Lincolnshire SAB case on large-scale organised crime modern slavery - seven minute briefing - Large-scale modern slavery
- Andrew - seven minute briefing - Homelessness, substance misuse and terminal illness
- Yi - seven minute briefing - Homelessness
- Tyrone - seven minute briefing - Lewisham SAR touching on themes of housing, autism and safeguarding, suicide
- Margaret - seven minute briefing - Pressure ulcers
- John - seven minute briefing - Waiting list
- Jasmine - seven minute briefing - Medical self-neglect and working with hard-to-engage individuals
- Harvey - seven minute briefing - Mental health and homicide
- Michael - seven minute briefing - Cuckooing
- Issy - seven minute briefing - Self-neglect
- Robert - seven minute briefing - Incident in a care home
- Alice - seven minute briefing - Redbridge-led SAR on Wandsworth resident, with themes of transition and trauma
- Evelyn - seven minute briefing
- Daniel - seven minute briefing - Holistic view of needs, substance misuse
- Angela - seven minute briefing - Practice reflection, Think Family and holistic support