About this page. This page summarises a Domestic Homicide Review published in the Home Office DHR Library. The full report is available at the source link below. Victim and perpetrator names are not included in extracted summaries on this page.
Source · Domestic Homicide Review

Cheshire West and Chester review

CSP: Cheshire West and Chester Published: December 2022 Year of death: 2018 Extracted: 9 recs

Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.

Original review (PDF) ↗ Source: Home Office DHR Library

Summary AI-generated

Verify against the full report at the source link
Agencies failed to recognise domestic abuse when the victim was a parent, leading to missed risk assessments. Health professionals did not adequately triangulate information with family, impacting holistic assessments. Families supporting individuals with substance misuse were not signposted to appropriate support.

Home Office classifications

37 tags

Source-supplied classifications used by the Home Office to catalogue this review.

  • Victim - had been a victim of an abuser before
  • Children - living with victim (including adult children)
  • Children - living with perpetrator (including adult children)
  • Children - present at homicide (including adult children)
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - psychosis
  • Perpetrator - suicidal thoughts
  • Perpetrator - suicide attempts
  • Perpetrator - serious or life limiting illness
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - attended drug and alcohol services
  • Perpetrator - managed by mappa
  • Perpetrator - supervised by mental health services
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • DHR process - family consulted about terms of reference
  • DHR process - family supported by expert specialist advocate
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - technology systems recommendation themes
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes

Extracted recommendations

9 recommendations pulled from the report · 4 matched to organisations in the index

Recommendation 1

Addressed to Cheshire West and Chester Community Safety Partnership

The Domestic Abuse Partnership to reassure the CSP that learning from this review has been disseminated and that domestic abuse training recognises that parents can be victims. The Home Office information on Adult to Parent Violence should be referenced.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 2

Addressed to Cheshire West and Chester Community Safety Partnership

Statutory partners to provide reassurance to the CSP that Professionals seek to triangulate information which may help them to inform a more holistic assessment of a patient/client which is inclusive of information available from family and partner agencies.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 3

Addressed to Cheshire West and Chester Community Safety Partnership

Statutory partners to provide reassurance to the CSP that where appropriate and possible agencies should signpost relatives of those who misuse drugs and or alcohol to appropriate support, for example Alanon.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 4

Addressed to Countess of Chester Hospital

Update Countess of Chester Hospital (COCH)Domestic Abuse Policy to reflect learning from this case

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6

Addressed to Cheshire Constabulary | National Probation Service

Cheshire Police and National Probation Service to work together to ensure the provision of call out information (VPA) to inform Court reports

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7

Addressed to Cheshire and Wirral Partnership NHS Foundation Trust

Training regarding risk assessment and management to be reviewed to ensure the learning is embedded into practice.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 8

Addressed to Cheshire and Wirral Partnership NHS Foundation Trust

Managers to inform staff of the importance of including information of significant others details within the patient record.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 9

Addressed to Cheshire and Wirral Partnership NHS Foundation Trust

To review the non-engagement processes for the service to ensure that a proactive approach to include significant others is taken.

Verified wording from the published review · Original review (PDF) ↗