Serious case reviews are not designed to re-investigate a case, nor are they to apportion blame. They are voluntarily commissioned by the Surrey Safeguarding Adults Board to establish whether there are any lessons to be learnt about the way in which staff and agencies work together to safeguard vulnerable people.
The review should also establish whether the safeguarding adults procedures are effective or whether they need to be amended. The board regularly reviews the recommendations of the serious case reviews to ensure that the outcomes inform good practice across all agencies.
Please see below for a brief summary of each review, which can be downloaded in full at the bottom the page.
If you would like to comment on these documents please contact the Surrey safeguarding adults team via our contact centre on 0300 200 1005.
On 16 September 2013 the Board published the Serious Case Review into the circumstances surrounding the death of Mrs Foster. Mrs Foster did not receive care after her care agency, CareFirst24, had been shut down following a raid by UK Borders Agency. She was found several days later in a very poor state during a routine visit by a nurse. Mrs Foster was taken to hospital but died a few days later. The purpose of the Serious Case Review included the following objectives:
Download the Serious Case Review Report and Executive Summary published 16 September 2013, below.
Download the Statement from the Independent Chair of the Surrey Safeguarding Adults Board, below.
Serious case review relating to the circumstances of a 'near miss' event in March 2008 within a supported living environment, when 'A' was stabbed by 0001 in what appeared to be an unprovoked attack. Download Serious case review executive summary relating to 0001 published June 2010, below.
Serious case review relating to the circumstances surrounding the death of 0002 who died aged 81 years in a house fire at her home in Surrey in November 2008. Download Serious case review executive summary relating to 0002 published Oct 2010, below.
Serious case review relating to the circumstances surrounding the death of CC who died in 2009 when he fell from a car park. Download Serious case review executive summary relating to CC published Oct 2010, below.
The summary report of the serious case review which was undertaken with regard to HL and the recommendations and actions resulting from that case review. Download Summary report and recommendations of serious case review in respect of HL published in May 2009, below.
Serious Case Review relating to the circumstances surrounding the death in December 2004 of AT who was a patient in a private mental health hospital. Download Serious case review public document January 2006 published April 2006, below.