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
Kent review
CSP: KentPublished: December 2022Year of death: 2015Extracted: 13 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review identifies systemic failures in agencies' recognition of the victim's vulnerability and 'mate crime', alongside a lack of professional curiosity and multi-agency information sharing. This led to incidents being treated in isolation, hindering effective risk assessment and safeguarding.
Home Office classifications
35 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - alcohol misuse
Victim - substance misuse
Victim - housing issues
Victim - mental ill health
Victim - anxiety
Victim - depression
Victim - suicide attempts
Victim - had been a victim of an abuser before
Perpetrator - case heard in court
Perpetrator - issued life sentence
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - housing issues
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
Perpetrator - known to probation services as a domestic abuse perpetrator
Perpetrator - known to school 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 - supervised by probation services
Aggravating factors - physical abuse
Aggravating factors - economic abuse
DHR process - family contributed to dhr
DHR process - family consulted about terms of reference
DHR process - police recommendations
DHR process - social services recommendations
DHR process - health services recommendations
DHR process - probation services recommendations
DHR process - housing services recommendations
DHR process - identification of risk 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
13 recommendations pulled from the report · 9 matched to organisations in the index
Addressed to
Police | EKH | Thanet Council | Kent and Medway Social Services | KMPT | SECAmb | NPS | CRC | Kent YOS
Front line officers or staff who, as part of their job description, visit premises or interact with members of the public, have the opportunity to identify potential victims of ‘Mate Crime’ or Domestic Abuse. Officers and staff should be encouraged to exercise ‘professional curiosity’ and follow up on indications of an abusive relationship or safeguarding issues that relate to a person who may not be the primary focus of their work.
Addressed to
Kent Police | East Kent Housing | Thanet District Council
Where there are complaints of Anti-Social Behaviour, it is important to establish who is the victim, who is the perpetrator and whether they are vulnerable and in need of assessment.
Addressed to
Police | EKH | Thanet Council | Kent and Medway Social Services | KMPT
The concept of ‘Mate Crime’ or the harming of vulnerable persons in abusive relationships by offenders who set out or take the opportunity to abuse a victim, should be incorporated into agencies policies and working practice, and staff should be trained accordingly. This type of offending should be treated in a similar way to Domestic Abuse e.g. structured risk assessment, information sharing protocols, victim safeguarding plans etc.
Addressed to
East Kent Housing | Thanet District Council | Thanet CSU
To facilitate information exchange, East Kent Housing to attend formal and minuted Tasking and Coordinating Meetings held by the Thanet Community Safety Unit.
To provide each GP practice with an up to date adult safeguarding policy that reflects national and local guidance and best practice to guide and support staff in responding to victim and perpetrators of domestic abuse and self-neglect.
In exercising their responsibility in assisting young adults leaving care, Social Services should endeavour to ensure such individuals are registered with a GP, (none of the Rose Brothers were registered with a GP at the time they attacked Joyce).
Agencies should recognise that an individual’s safety and wellbeing may be, in whole or in part, compromised by self-neglect rather than abuse inflicted by a third person. Agencies should ensure that published guidance on self-neglect is both delivered in training and conformed to as outlined in the Kent and Medway Adult Safeguarding Board Policy.
Addressed to
Kent Social Services | Medway Social Services
Social Services have a responsibility to assist young adults leaving care, which will include helping them find suitable accommodation in which to live. In addition to establishing the accommodation is suitable for the care leaver, a risk assessment should also take place intended to identify safeguarding issues in relation to the existing occupants.
Addressed to
Social Services | NPS | YOS | Housing Providers
In considering the appropriateness of accommodation for persons leaving prison or detention centres, agencies involved should use their own risk assessment processes to determine the suitability of the premises in respect of the vulnerability of existing occupants. Information from risk assessments should be shared with other agencies.
When adult offenders have been previously subject to youth offending supervision, liaison must take place with the previous allocated YOT worker/s in order to gather information to inform risk assessment and risk management.
When offenders subject to statutory supervision are related, professionals with offender management responsibility must work collaboratively in order to build a holistic view of the family to inform the assessment and management of risk.
Addressed to
Kent and Medway Adult Safeguarding Board
This review and its recommendations should be brought to the attention of the Kent and Medway Adult Safeguarding Board. In so doing the Board and its member organisations may be able to provide guidance and a degree of consistency to those charged with implementing recommendations particularly relating to the use of professional curiosity, mate crime and self neglect.