A Safeguarding Adult Review (SAR) is a multi-agency review required by The Care Act 2014 and conducted by a Local Safeguarding Adults Board (Keeping Adults Safe). These must take place when:
14.122. SABs must arrange a SAR when an adult in its area 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.
14.123. SABs must also arrange a SAR if the same circumstances apply where an adult is still alive but has experienced serious neglect or abuse. SABs are free to arrange for a SAR in other situations where it believes that there will be value 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.
LSABs may also arrange for a SAR in any other situations involving an adult in its area with needs for care and support. (The Care Act 2014, s14.134).
A Safeguarding Adults Review (SAR) is a multi-agency review process which seeks to determine what agencies could have done differently that could have prevented harm or a death from taking place. The purpose of a SAR is to promote effective learning and improvement, not to apportion blame.
The Keeping Bristol Safe Partnership is responsible for the commissioning of Safeguarding Adult Reviews as directed under The Care Act 2014 and conducts SARs in accordance with the KBSP SAR Protocol.
If you believe that a case meets the criteria for SAR, please complete this form and email to KBSP@bristol.gov.uk to make other arrangements. You will need to demonstrate how the criteria are fulfilled, and provide as much information as possible to support this.
Before submitting the referral do discuss with your agency representative on the KBSP SAR/DHR sub group. If you do not have a representative please discuss with the Safeguarding lead in your organisation.
Martyn was a 25 year old man with mild learning disabilities and foetal alcohol spectrum disorder. He tragically died in October 2018. Video evidence from the hours prior to his death showed that he had been the subject of abuse whilst intoxicated. The cause of death could not be definitively linked to the abuse that Martyn experienced. The themes of mental capacity, mate crime, substance misuse, social isolation and meaningful activity have been explored in this SAR.Read More
Kamil was a Kurdish asylum seeker who was murdered in 2016 by Mr X, a white British male, whilst both were residents in the same supported living accommodation for individuals with mental health needs.Read More
The Bristol Safeguarding Adults Board commissioned a Safeguarding Adults Review into the circumstances surrounding the death of Christopher. He was admitted to hospital after becoming ill and losing significant weight as a result of refusing food and medication in his supported living provider’s care.Read More
The BSAB agreed that a joint Thematic Review with the Safer Bristol Community Safety Partnership should be undertaken to ascertain whether there were practice issues in this instance and/or opportunities for development in the protection of adults in the city in this area.Read More
This Serious Case Review was commissioned by Bristol Safeguarding Adults Board (BSAB) following the death of Melissa in October 2014 after being killed by a fellow resident in a Care Home.Read More
Mr C, aged 61, died in a fire at his flat in Bristol in 2014Read More
The Bristol Safeguarding Adults Board (BSAB), commissioned a Serious Case Review (SCR) following the death of a 47 year old man called Simon.Read More
The RC Adult Serious Case Review followed the death of RC in August 2013 after being killed by a fellow resident in supported accommodation.Read More