Page 27 - Adult C Overview Report CONFIDENTIAL - Version 5 FINAL

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Appendix One Terms of Reference (REDACTED)

Learning Lessons Review
Case 6/18
Adult C
Terms of Reference and Scope

1. Introduction

A SAB must undertake reviews of serious cases in specified circumstances. Section 44 of the Care
Act 2014 sets out the criteria for a Safeguarding Adults Review (SAR):

A SAB must arrange for there to be a review of a case involving an adult in its area with needs for
care and support (whether or not the local authority has been meeting any of those needs) if—

(a) there is reasonable cause for concern about how the SAB, members of it or other persons
with relevant functions worked together to safeguard the adult, and

(b) condition 1 or 2 is met.
Condition 1 is met if—
(a) the adult has died, and

(b) the SAB knows or suspects that the death resulted from abuse or neglect (whether or not it
knew about or suspected the abuse or neglect before the adult died).

Condition 2 is met if—
(a) the adult is still alive, and

(b) the SAB knows or suspects that the adult has experienced serious abuse or neglect.

A SAB may arrange for there to be a review of any other case involving an adult in its area with
needs for care and support (whether or not the local authority has been meeting any of those
needs).

Each member of the SAB must co-operate in and contribute to the carrying out of a review under
this section with a view to—

(a) identifying the lessons to be learnt from the adult’s case, and
(b) applying those lessons to future cases.

The Care Act Statutory Guidance 2014 states that in the context of SAR’s “something can be
considered serious abuse or neglect where, for example the individual would have been likely to
have died but for an intervention, or has suffered permanent harm or has reduced capacity or
quality of life (whether because of physical or psychological effects) as a result of the abuse or
neglect”.

All Safeguarding Adults Reviews will reflect the 6 safeguarding principles as set out in the Care
Act and TSAB multi-agency procedures. In addition, SARs will:

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