Safeguarding Adults Reviews (SAR)
The Surrey Safeguarding Adults Board will undertake a Safeguarding Adults Review (SAR) when the circumstance set out in the Care Act 2014 (S44) guidance are met:
A Safeguarding Adults Board (SAB) must arrange for there to be a review of a case involving an adult in its area with care and support needs (whether or not the local authority has been meeting any of those needs) if:
- There is reasonable cause for concern about how the SAB, members of it or persons with relevant functions worked together to safeguard the adult, and
- either of the following conditions are met:
Condition 1 is met if:
- the adult has died, and
- the SAB knows or suspects that the death resulted from abuse or neglect (whether of not it is know about or suspected there was abuse or neglect before the adult died).
Condition 2 is met if:
- the adult is still alive, and
- the SAB knows or suspects that the adult has experienced serious abuse or neglect.
A SAR for any other reason (Discretionary)
- The circumstances do not meet either Condition 1 or Condition 2 (above)
- The SAB should consider arranging for a SAR regarding an adult in Surrey with care and support needs.
The overall purpose of a Safeguarding Adult 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.
Anyone is able to submit a SAR Referral to the SAB (please note this is not a safeguarding concern referral to the local authority. To report a safeguarding concern to the local authority Concerned about an Adult; Surrey Safeguarding Adults Board (surreysab.org.uk)
Peter (September 2022) – In relation to an unexpected death
Mary (July 2021) – In relation to an unexpected death
Person 1 (November 2020) – In relation to a patient on patient attack at a nursing home
Sasha (Hampshire SAR) May 2020 – In relation to multi-agency working
Mr J and Mr Y (2016) – In relation to concerns of an incident of patient on patient attack at a nursing home
Mr D (July 2014) – In relation to an incident at home
Mrs A (March 2014) – In relation to suicide
Mrs S (March 2014) – In relation to a choking incident
Pre-Care Act 2014 – Serious Case Reviews (SCRs)
Gloria Foster – In relation to reablement services
SCR 0001 – In relation to a ‘near miss event’
SCR 0002 – In relation to a house fire
SCR CC – In relation to a car park fall
SCR HL (September 2008) – In relation of care
Other SAB Lessons Learnt Briefings
National lessons learnt
The Care and Health Improvement Programme (CHIP) safeguarding work-stream commissioned Suzy Braye, Michael Preston-Shoot and Research in Practice to undertake a review of SARs published in 2018/18 and 2018/19 to inform future priorities for sector led improvement in safeguarding adults’ practice.
The full report, Analysis of Safeguarding Adult Reviews: April 2017 – March 2019, is lengthy and academic, reflecting the considerable work that has been undertaken, the range and depth of analysis. Six shorter targeted briefings have been developed to enable easier access to the wealth of information and guidance arising from this work, links to which can be found below;
- Briefing for individuals and their families – Analysis of Safeguarding Adults Reviews
- Briefing for practitioners – Analysis of Safeguarding Adults Reviews
- Briefing for Safeguarding Adults Reviews authors – Analysis of Safeguarding Adults Reviews
- Briefing for senior leaders – Analysis of Safeguarding Adults Reviews
- Briefing for Safeguarding Adult Board chairs and business managers – Analysis of Safeguarding Adults Reviews
- Briefing for elected members – Analysis of Safeguarding Adults Reviews