The Bristol Safeguarding Adults Board commissioned a Safeguarding Adults Review into the circumstances surrounding the death of Christopher.
Christopher died in hospital as a result of a respiratory tract infection, short bowel syndrome and previous surgery for enterocolitis which were compounded by recent weight loss, being an in-patient with poor mobility, a poor cough reflex and recent general anaesthetic. 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.
The full Safeguarding Adult Review can be found below:
A response to the SAR has been provided by the BSAB:
Christopher's family have also released a statement on the publication of this review:
It is important that lessons are learned from Safeguarding Adults Reviews. A briefing for professionals on this case has been prepared here: