Learning from SARs: a report for the London Safeguarding Adults Board

London Safeguarding Adults Board
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An analysis of 27 safeguarding adults reviews (SARs) commissioned and completed by London Safeguarding Adults Boards since the implementation of the Care Act 2014 on 1st April 2015 and 30 April 2017. The report examines the contents and recommendations of the SARs in four area: direct practice with individuals; the influence of organisational features; interprofessional and interagency collaboration; and the governance role of the SAB. The report found significant learning was identified in the area of direct practice, including poor mental capacity assessment, inadequate risk assessment and lack of personalised care. Organisational factors identified included record keeping and case recording practices, inadequate resources and inadequate supervision. The analysis also found that almost all of the SARs identified concerns of how agencies worked together. The report concludes that each SAR in the sample 'demonstrated a unique and complex pattern of shortcomings' and that similar systemic structural, legal, financial and policy challenges affected all practitioner and managers across all boroughs and agencies. It makes a number of recommendations to the London SAB, including to review and update of London Multi-Agency Safeguarding Adults Policy and Procedures in relation to SARs. (Edited publisher abstract)

Subject terms:
organisational learning, local authorities, social work, risk assessment, Safeguarding Adult Reviews, interagency cooperation, interpersonal relationships, organisational culture, safeguarding adults, governance;
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