Safeguarding Adults Reviews
Safeguarding Adult Reviews (SARs) are about learning lessons for the future. They will make sure that Safeguarding Adults Boards get the full picture of what went wrong, so that all organisations involved can improve their practice. Under the Care Act each member of the SAB must co-operate in and contribute to the carrying out of a review.
West of Berkshire Safeguarding Adults Board SAR Process
The SAR Panel have an agreed process for its SARs.
- We have processes for learning and reviewing that are flexible and proportionate and open to professional and public challenge.
- We can determine locally what type of review is appropriate dependent on the nature of the case and the agencies involved.
- A culture of transparency is created that provides for a positive shared learning culture.
This document sets out the Boards’ expectations for a Safeguarding Adult Review of a serious case, within which there is room for professional judgement and flexibility.
Under the Care Act each member of the SAB must co-operate in and contribute to the carrying out of a review. The Board has set out a process for Board members, managers and practitioners, in order to clarify the different roles and responsibilities of individual agencies, the Safeguarding Adults Board and its Subgroups. This includes a notification of case for consideration template to be completed by anyone wishing to present a case for consideration by the SAR Panel.
Please contact the Boards Business Manager if you have any queries in regards to published SARs or the SAR process on lynne.mason@reading.gov.uk
Safeguarding Adults Reviews
Safeguarding Adults Reviews commissioned by this Board are published below, either as an executive summary or a full report. This section will be added to as more documents become available.
Full report on the Case of Bree and Practice Note
Full report on the Fire Safety SAR and Practice Note those that support vulnerable adults are strongly encouraged to attend the Royal Berkshire Fire and Rescue Services Adult at Risk Programme Training, as well as seeking out training opportunities around fire risk within their organisations.
Full report on the Case of Tina and Practice Note
Full report on the Case of Sandra, Practice Note and Podcast– Rebecca Berry, Head of Adult Safeguarding & Quality Assurance, Wokingham Borough Council and Sue Brain, Service Manager – Safeguarding Adults, West Berkshire Council. Have recorded their reflections on the learning from the Sandra SAR and how this can be used in ongoing practice.
Full report on the Case of Pauline, Practice Note, Webinar detailing the learning from Pauline, Presentation from webinar.
Practice note on the Case of Louise and a Podcast detailing the learning from the SAR author
Full report on the Case of Adam and Practice Note
Practice note on Case of Steven. In June 2022 the SAB held a bitesize learning session in regards to learning from this case, the recording can be found here.
Full report on the Case of Ken, Practice Note and Statement from the Board
Practice note on Case of John
Full report on the Case of P 2020 and Practice Note
Practice note on Case of Margaret
Full report on the Case of Graham 2020 and Practice Note
Practice note on Case of Henry 2020
Full report on the Case of Carol 2020,Practice Note
Full report on the Case of Ben 2020, Practice Note
Full report on the Case of Michelle 2020, Learning Brief
Full report on the Case of Paul 2019,Practice Note
Full report on the Case of Daniel 2019, Summary Presentation, Practice Note and Statement from the Board
Practice Note on the Case of Gemma 2019
Full report on the Case of Aubrey 2018 and Practice Note Aubrey
Full report on the Case of Mrs H 2016 and Briefing Note Mrs H
Full report on the Case of Mr I 2016 and Briefing Note Mr I
Slough Safeguarding Adults Board – Mrs EE
Findings from the Case of Ms F 2014
Other reviews
- Case X (2017): a SAR was not undertaken for the Case of X (2017) but the Board considered learning that was already available from local and national cases so as not to duplicate efforts. In particular, the case of Mr I completed in 2016 was noted as containing similar themes.
- Domestic Homicide Reviews(DHR): both West Berkshire Council and Wokingham Borough Council have published Domestic Homicide Reviews on their websites
West Berkshire DHRs
Wokingham DHRs
Safeguarding Adults Reviews library
The Safeguarding Adults Reviews library commissioned by the Department of Health is being developed jointly by Research in Practice for Adults (RiPfA) and Social Care Institute for Excellence (SCIE), working closely with colleagues from the sector.
The Safeguarding Adults Review (SAR) library will contain reports and associated resources to support those involved in commissioning, conducting and quality assuring SARs.