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
Warrington review
CSP: Warrington
Published: December 2022
Year of death: 2018
Extracted: 25 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 ineffective multi-agency information sharing and coordination, particularly within MARAC processes and prison communications. It also highlights inconsistencies in identifying and responding to domestic abuse, and challenges in managing high-risk individuals.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 19.1 | Warrington Community Safety Partnership to raise the profile of domestic abuse services within the Borough with emphasis on raising awareness of where to get advice and access to help and support. | Warrington Community Safety Partnership |
| 19.10 | Ensure that staff at GP practices understand the indicators of possible domestic abuse and how to ask about domestic abuse in a sensitive way and manage any disclosures made. Consideration should be given to commissioning the IRIS model locally to raise awareness of the issues surrounding domestic abuse and how to refer women to IDVAs. | Warrington CCG |
| 19.11 | Staff should receive targeted domestic abuse training with a focus on recognising controlling and coercive behaviour. | Warrington and Halton Hospitals NHS Foundation Trust |
| 19.12 | Targeted DASH completion and assessment training should be provided with a focus on enabling staff in recognising domestic abuse situations; they should be equipped with the knowledge of how to escalate situations in which there is danger even when the victim does not know/realise danger is present, or does not consent to receiving support in high risk situations. | Warrington and Halton Hospitals NHS Foundation Trust |
| 19.13 | Staff should be made aware of their statutory and professional obligations and reminded of their professional responsibilities with regard to documentation and record keeping. | Warrington and Halton Hospitals NHS Foundation Trust |
| 19.14 | Pathways to identify two additional staff members as MARAC deputies who will receive the local induction to MARAC, including shadowing a MARAC session, and training from the lead Pathways MARAC representative on record keeping. | Pathways (Change, Grow, Live) |
| 19.15 | WBC Adult Social Care to undertake an audit of cases to confirm the effectiveness of recent strength-based approach training including the use of and clarity around service user outcomes. | Warrington Borough Council Adult Social Care |
| 19.16 | WBC Adult Social Care to ensure the integration of the Skills for Care Knowledge and Skills Statement for Practise Supervisors within its supervision policies and procedures. | Warrington Borough Council Adult Social Care |
| 19.17 | WBC Adult Social Care to ensure that supervisors review each case when there is a transfer between case managers to maintain direction and focus. | Warrington Borough Council Adult Social Care |
| 19.18 | WBC Adult Social Care to raise awareness of the use of multi-agency frameworks to escalate and share risks in relation to capacitated adults, including the lessons identified in the recent Safeguarding Adults Board audit. | Warrington Borough Council Adult Social Care |
| 19.19 | CGM CRC to improve the knowledge, understanding and effective use of Through the Gate (TTG) guidance and procedures for relevant staff. | Cheshire and Greater Manchester Community Rehabilitation Company |
| 19.2 | Warrington Community Safety Partnership should put in place processes by which it can gain assurance that. 1. MARAC actions are meaningful and contribute to the safety of the victim. 2. Agencies are held to account for the delivery of agreed actions. 3. Effective MARAC co-ordination arrangements are in place. | Warrington Community Safety Partnership |
| 19.20 | CGM CRC to deliver SARA3 training across the organisation and across all operational grades of staff. | Cheshire and Greater Manchester Community Rehabilitation Company |
| 19.21 | CGM CRC to develop and embed Quality Assurance and continuous improvement in relation to EMO arrangement. | Cheshire and Greater Manchester Community Rehabilitation Company |
| 19.22 | To review policies and procedures in relation to dealing with prisoner recall orders. | Cheshire Constabulary |
| 19.23 | Cheshire Constabulary to raise awareness amongst officers of the importance of submitting a VPA in cases of breaches of bail when the bail conditions have been imposed as a result of a domestic incident. | Cheshire Constabulary |
| 19.24 | Cheshire Constabulary to consider making use of the current legislation around the harassment and intimidation of witnesses when a remand is sought for the perpetrator of domestic abuse. | Cheshire Constabulary |
| 19.3 | Warrington Community Safety Partnership should seek assurance from it’s constituent agencies and the commissioners of Pathways that the purpose and status of a VPA is consistently understood across the partnership. | Warrington Community Safety Partnership |
| 19.4 | Warrington Community Safety Partnership should seek assurance from its constituent partners and third sector agencies that they commission that an appropriate mechanism is in place to ensure that domestic abuse and safeguarding policies are embedded in practice. | Warrington Community Safety Partnership |
| 19.5 | Warrington Community Safety Partnership should seek written assurance from HMP Altcourse that the failure in internal communications which led to the perpetrator’s restraining order not being recorded and his subsequent ability to communicate with the victim in breach of the restraining order has been effectively resolved. | Warrington Community Safety Partnership |
| 19.6 | Warrington Community Safety Partnership should seek assurance from its constituent partners that there are no inappropriate barriers to sharing information with the third sector partners. | Warrington Community Safety Partnership |
| 19.7 | Warrington Community Safety Partnership should seek assurances from all agencies and commissioned third sector agencies that they are fully engaged in local domestic abuse training. | Warrington Community Safety Partnership |
| 19.8 | Warrington Community Safety Partnership and Warrington Safeguarding Adult Board should consider the feasibility of developing a coordinated case management/information sharing approach to the care of high intensity service users, who for whatever reason engage in risky behaviours that are not captured by other safeguarding processes. The two boards are best placed to collaborate and facilitate discussion around this with a view to agreeing and implementing a multi-agency protocol. | Warrington Community Safety Partnership | Warrington Safeguarding Adult Board |
| 19.9 | When clients are being assessed for the 1-2-1 mentor scheme this assessment should include asking questions about domestic abuse as well as safeguarding issues. | Torus |
| 6 | The Home Office should seek assurance from HMPPS that in all prisons in England and Wales the guidance given in the NOMS Protecting Public Manual 2016; is complied with in relation to the restriction of communications by prisoners who have a Court restraining order in place when they enter custody. | Home Office |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||