Adults Reviews

Safeguarding Adults Reviews (SARs)

One of the Suffolk Safeguarding Partnership's core statutory duties is to conduct reviews in accordance with Section 44 of the Care Act.

SARs provide opportunities to learn lessons when abuse or neglect is suspected to be a factor in the death or serious harm of an adult with care and support needs.

It is the responsibility of all partner agencies to make a referral for a SAR where there are reasonable grounds to consider the criteria may be met. Partner agencies should not draw their own conclusions on whether the criteria are met in borderline or unclear cases, but should make a referral to the Suffolk Safeguarding Partnership's "Safeguarding Adults Review Panel" (SARP).

SARP receives all SAR referrals and consider whether the referral meets the criteria to conduct a SAR, or whether any other action should be carried out to ensure learning takes place.

When the criteria for a Safeguarding Adults Review (SAR) is not met, the Safeguarding Adults Review Panel (SARP) may still feel that significant learning can be taken from an incident. In these cases, the SARP may ask for a Partnership Review to be undertaken. 

A Partnership Review is not a statutory responsibility of the Safeguarding Adults Board in the same way a SAR is, but is good practice in terms of multi agency learning, and improving outcomes and services. See below for published Partnership Reviews.

Local Practice Review Guidance for children’s and adult’s safeguarding reviews

Criteria for a SAR

The Suffolk Safeguarding Partnership must arrange a SAR when:

  • An adult with care and support needs (whether or not those needs are met by the Local Authority) in the Safeguarding partnership's area has died as a result of abuse or neglect (whether known or suspected) and there is concern that partner agencies could have worked together more effectively to protect the adult.

  • An adult with care and support needs (whether or not those needs are met by the Local Authority) in the Safeguarding Partnership's area has not died, but it is known or suspected that the adult has experienced serious abuse or neglect, and there is concern the partner agencies could have worked together more effectively to protect the individual. 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 had reduced capacity or quality of life (whether because of physical or psychological effects) as a result of the abuse or neglect.

  • It is believed that there will be value (such as public interest) in doing so. This may be where a case can provide useful insights into the way organisations are working together to prevent and reduce abuse and neglect of adults, and can include exploring examples of good practice.

When the criteria for a Safeguarding Adults Review (SAR) is not met, the Safeguarding Adults Review Panel (SARP) may still feel that significant learning can be taken from an incident. In these cases, the SARP may ask for a Partnership Review to be undertaken. To read more about our Partnership Reviews, click here.

To make a referral for a Safeguarding Adults review please complete the form below:

SAR Referral - Suffolk Safeguarding Partnership


Documentation

 Safeguarding Adults Reviews

 

 

Partnership Reviews

Please see below published Partnership Reviews undertaken by the Suffolk Safeguarding Partnership and any associated learning materials. 

Thematic Review (January 2022)

Abbey Case Study (June 2021)

KM Case Study (March 2020)

TL Case Study (January 2020) 
Safeguarding and safe discharge - 7 minute briefing linked to TL's case

Ms W Case Study (June 2019)

Ms W - Easy Read Case Study (June 2019)

'M'- Fire Risk for Non Mobile People (2017)

'T' - Self Neglect & Hoarding Case Study (2016)

'J' - Self Neglect (2016)

 Professional Curiosity - 7 minute briefing

Role of A&E for Care Agencies - 7 minute briefing

Safeguarding Adults Reviews - Other Local Authorities

Below is the Safeguarding Adults Review commissioned by Cambridgeshire & Peterborough Safeguarding Adults Board. The SAR explores the cross-over between CYP and Adult Safeguarding and the fine line between self-neglect and carer’s neglect, where the person with care and support needs is under the influence of the carer/parent.


National Learning and Thematic Reviews

Worcestershire Safeguarding Adults Board – Thematic Safeguarding Adults Review Regarding People Who Sleep Rough