Safeguarding Adult Reviews (SARs)

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The purpose of a SAR

With the implementation of the Care Act 2014, there is a statutory requirement to undertake safeguarding adult reviews (SARs) when certain criteria are met. In this instance, a SAR was commissioned because:

there was reasonable cause for concern about how Swindon Safeguarding Adults Board (SSAB) members or other agencies providing services worked together to safeguard an adult, and
an adult died, and SSAB knew or suspected that the death resulted from abuse or neglect (whether or not this was known or suspected before the adult died)

A SAR is a multi-agency review process that seeks to determine what relevant agencies and individuals involved could have done differently to prevent harm or death from taking place.

The purpose of a SAR is not to apportion blame. Its aim is to promote effective learning and improvement to prevent future deaths or serious harm occurring again.

Accessing older reports

Reports that are more than 18 months old are removed from the website. However, you can request copies from the SSP Business Unit by emailing safeguardingpartnership@swindon.gov.uk.

Older SAR reports

Safeguarding Adults Review - Summer (November 2023)

SAR Summer practice brief (PDF)
SSP action plan proforma (Word - to be completed alongside the learning brief)

Safeguarding Adult Review - Frankie (October 2023)

SAR Frankie learning brief (PowerPoint)
SSP action plan proforma (Word - to be completed alongside the learning brief)

Safeguarding Adult Review - Brian (February 2022)

Themes include; mental health, physical health, self-neglect and drug use

SAR Brian practice learning brief (PDF)
SSP action plan proforma (Word - to be completed alongside the learning brief)

Safeguarding Adult Review - Brenda (June 2021)

Themes identified include self-neglect and physical health needs.

SAR Brenda practice learning brief (PDF)
SSP action plan proforma (Word - to be completed alongside the learning brief)

Safeguarding Adult Review - Andrew (September 2020)

Themes include; safeguarding against Intergenerational Domestic Abuse, professional curiosity and working with unwise decision making.

SAR Andrew learning brief (PDF)
SSP action plan proforma (Word - to be completed alongside the learning brief)

Safeguarding Adult Review - Alison (July 2020)

Themes include; history of trauma, chronic mental health problems, physical health with chronic liver disease and asthma and alcohol misuse.

SAR Alison learning brief (PDF)
SSP action plan proforma (Word - to be completed alongside the learning brief)

Safeguarding Adult Review - Kieran (January 2019)

Kieran experienced self–neglect, hoarding, mental illness and exploitation in the years leading up to his death.

SAR Kieran learning brief (PDF)

Safeguarding Adult Review - Terry (June 2019)

Terry experienced self-neglect, financial abuse, neglect by informal carers and alcohol misuse in the years leading up to his death

SAR Terry learning brief (PowerPoint)

Safeguarding Adult Review - Honor (January 2017)

Themes include domestic abuse (financial abuse, neglect and psychological abuse)

Swindon Safeguarding Partnership