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

Plymouth review

CSP: Plymouth Published: December 2022 Year of death: 2017 Extracted: 23 recs

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

View full report (PDF) ↗ Source: Home Office DHR Library

Summary

The report identifies concerns regarding the perpetrator's declining mental health, drug addiction, and history of domestic abuse towards his wife and children. Agencies lacked a holistic overview of the escalating risk, and there were challenges in assessing his fluctuating capacity and ensuring consistent engagement with support services.

Extracted recommendations

23 recommendations pulled from the report
# Recommendation Addressed to
1 Safer Plymouth to provide opportunities for the workforce to improve understanding around DA perpetration. This should include identifying pathways to access to appropriate perpetrator programmes. Safer Plymouth
10 School 2 and School 3 must ensure that there is an effective risk assessment process in place where there are perceived or actual risks to staff, pupils or parents. School 2 | School 3
11 School 2 and School 3 must ensure that their DSL’s receive child abuse/ safeguarding update training. School 2 | School 3
12 Staff in School 2 and School 3 must be reminded of the LSCB escalation policy. School 2 | School 3
13 School 2 and 3 should review supervisory policies and practice in relation to DSL management. School 2 | School 3
14 Education to undertake a review to establish the feasibility and implementation of live chronologies across the school’s network in Plymouth. Education
15 Schools to ensure they review existing data collection systems to ensure that they detail the nationality and religious beliefs of parents and children. Schools
16 Safer Plymouth must review the current domestic abuse communications strategy to ensure that it reaches all victims. Safer Plymouth
18 Health to review the existing communications strategy in relation to informing members of the public regarding mental health service access and gateways. Health
19 Children’s social services to ensure staff are trained in risk assessment in relation to domestic abuse in the home and the management of situations where high risk offenders refuse to leave premises. Children’s social services
2 Staff within Plymouth GP Practices should receive updated training with regards to Domestic Abuse. This should include understanding DA perpetration. Plymouth GP Practices
20 Children’s Social Care to review their information exchange policy with GP’s in line with multi-agency safeguarding procedures. Children’s Social Care
21 The perpetrator’s GP to review its prescription policy to ensure it meets national recommendations. The perpetrator’s GP
22 Safer Plymouth partner agencies should implement a quality assurance practice to ensure that information sharing processes between agencies are being adhered too. Safer Plymouth partner agencies
23 Police, Education and the Local Authority must review the current CARA training strategy in the City and provide update training where appropriate. Police | Education | Local Authority
24 Police, Education and the Local Authority must review exiting policy in relation to CARA, to ensure that there is clarity regarding who the information is shared with; whether victims and children are spoken with; how risk is managed; and that there are effective monitoring and escalation procedures in place. Police | Education | Local Authority
3 Housing providers in the Plymouth should review and amend policy and practice to ensure best practice around domestic abuse is adhered to across the City. This will include promotion of DAHA accreditation and working towards a ‘Whole Housing Approach’. Housing providers in Plymouth
4 PATH to implement a domestic abuse policy within the organisation. PATH
5 PATH to review their referral forms and include a section requiring referrers to declare that they have provided all relevant Needs and Safety Assessments and the copy of the homeless application. PATH
6 PATH to review the information that promotes the service that they deliver and implement a communications strategy. PATH
7 Devon and Cornwall Police to review the current mobile data technology to ensure frontline officers access to research subjects on their devices and to ensure a timely upload of DASH information onto force systems. Devon and Cornwall Police
8 Devon and Cornwall Police to remind all officers and appropriate staff of the need to inform victims of the purpose of the DASH risk assessment and its relevance in terms of risk to their situation at each recorded incident. Devon and Cornwall Police
9 School 2 and School 3 must review their domestic violence policy to ensure that it includes advice a guidance regarding staff making disclosures of domestic abuse. School 2 | School 3
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗