Home » Safeguarding Adults Board » Safeguarding Adults Reviews

Safeguarding Adults Reviews

The Care Act 2014 (Section 44) requires SABs to carry out Safeguarding Adults Reviews (SARs) when there is reasonable cause for concern about partner organisations worked together to safeguard the adult and a) the adult died, and the SAB knows or suspects, that the death resulted from abuse or neglect, or if b) the adult is still alive and the SAB knows or suspects that the adult has experienced serious abuse or neglect.

X Safeguarding Adult Review published April 2017

 

What is a Safeguarding Adults Review?
The overall purpose of a Safeguarding Adults Review is to promote learning and improve practice, not to re-investigate or to apportion blame.
The objectives include establishing:

• lessons that can be learnt from how professionals and their agencies work together
• how effective the safeguarding procedures are
• learning and good practice issues
• how to improve local inter-agency practice
• service improvement or development needs for one or more service or agency

Safeguarding Adults Reviews provide an opportunity to improve inter-agency working, for onward dissemination of lessons learnt to partner agencies, the sharing of best practice and ultimately better safeguarding of adults at risk of abuse or neglect.

A Safeguarding Adults Review is a multi-agency process that considers whether or not serious harm experienced by an adult, or group of adults at risk of abuse or neglect, could have been predicted or prevented and uses that consideration to develop learning that enables the safeguarding adults partnership in Brighton & Hove to improve its services and prevent abuse and neglect in the future.
The criteria for a Safeguarding Adult Review are:

  • an adult dies as a result of abuse or neglect, whether known or suspected, and there is concern that partner agencies could have worked more effectively to protect the adult.
  • an adult has not died, but the professional knows or suspects that the adult has experienced serious abuse or neglect and there is concern that partner agencies could have worked more effectively to protect the adult.

In the context of SARs, something can be considered serious abuse or neglect where, for example the individual would have been likely to have died but for an intervention, or has suffered permanent harm or has reduced capacity or quality of life (whether because of physical or psychological effects) as a result of the abuse or neglect.

If you would like to refer a case for consideration for a Safeguarding Adult Review, please contact the SAB Business Manager at SafeguardingReviews@Brighon-Hove.gcsx.gov.uk 

 

Alternatives to Safeguarding Adult Reviews
There may be alternative responses where a death has not occurred or where the SAB membership agrees that a situation does not meet the criteria but agencies will benefit from a review of actions. These include:

  • Single Agency Review: Organisations should use their own serious incident procedures if this is deemed suitable and special consideration should be given to the involvement of relevant partner organisations.
  • Multi-Agency Learning Review: A SAB commissioned review, with the same principals but less intensive than a SAR. These can be conducted in the same way as SARs.
  • Reflective Practice Session: The original participants in the case may review identified aspects of the case as part a reflective practice session chaired by the Head of Adult Safeguarding or other such suitable person, including an independent facilitator.

The findings and lessons to be learnt from such process will be presented to the SAB Sub Group, action points monitored by Case Review Sub Group, presented to the SAB and recorded in the Board’s Annual Report, as per arrangements for SARs

The Local Safeguarding Children Board will carry out Serious Case Reviews, or Learning Reviews, when a child under 18 dies or is seriously harmed. You can find out more about these here.

The Brighton & Hove Community Safety Partnership will conduct a Domestic Homicide Review in cases where a death is due to, or suspected to have been caused by, domestic violence. You can find out more about these here

 

Safeguarding Adult Reviews (SAR) Protocol

Formerly known as Serious Case Reviews, Safeguarding Adults Reviews (SARs) are now a statutory duty under the Care Act for SABs to undertake. This is when:

  • an adult dies as a result of abuse or neglect, whether known or suspected, and there is concern that partner agencies could have worked more effectively to protect the adult.
  • an adult is still alive but has experienced serious neglect or abuse and there is concern that partner agencies could have worked more effectively to protect the adult.

This protocol will assist professionals to decide when to refer a case for consideration as a Safeguarding Adult Review, as well as providing guidance on the Safeguarding Adult Review process itself.

Any professional can make a referral. The SAR referral form is included as an appendix.

Sussex SAR Protocol