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
Windsor and Maidenhead review
CSP: Windsor and Maidenhead
Published: April 2023
Year of death: 2017
Extracted: 22 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 inconsistent multi-agency information sharing, insufficient professional curiosity, and inadequate risk assessments for domestic abuse and safeguarding. It highlights missed opportunities to assess the perpetrator's mental capacity and support the victim as a carer, alongside poor record-keeping.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | The Community Safety Partnership should assess the process of ‘Carers Assessments’ within agencies providing such a service. | Community Safety Partnership |
| 10 | All agencies report progress on their single agency IMR recommendations to the Community Safety Partnership. | All agencies |
| 2 | Front line practitioners completing DASH or DOM5 risk assessments should also provide an assessment based upon professional judgement alongside the visible high risk. TVP should complete a review of their DOM5 reports to ensure that suitable levels of professional curiosity are demonstrated when completing these records. Assurance should also be sought that staff are trained in providing such professional judgement. | Thames Valley Police |
| 3 | All Community Safety Partnership agencies should ensure that on-going training packages include the subjects of domestic abuse between parents and adult children and Professional Curiosity | Community Safety Partnership |
| 4 | The Community Safety Partnership should reassure itself that suitable audit processes are in place to ensure that all staff from Review Panel agencies should receive training on relevant areas of legislation to support them when dealing with similar circumstances. | Community Safety Partnership |
| 5 | Agencies to share all relevant information regarding anti-social behaviour and domestic abuse, on a case by case basis, through an information pathway agreed with the Community Safety Partnership. | Community Safety Partnership |
| 6 | The Community Safety Partnership should seek to confirm that record keeping within Adult Social Care is accurate and relevant and reassure itself that standards of accuracy and detail are continually maintained. | Community Safety Partnership |
| 7 | The Community Safety Partnership should seek reassurance that service users are receiving the necessary support and that front-line practitioners are suitably trained in two subject areas of sexualised behaviour: i) The need for parents and family members to understand their role in providing boundaries and guidance to support those with ASC in understanding what appropriate behaviour is and isn’t. ii) The processes to be followed when service users demonstrate acts of sexualised behaviour which involve breaches of criminal law, including the Human Rights Act. | Community Safety Partnership |
| 8 | The Strategic Adult Safeguarding Coordinator should be alerted each time an agency or service user enters the Multi-Agency Risk Management Framework process to ensure they can provide an active and reactive role. | Strategic Adult Safeguarding Coordinator |
| 8.1.1.2.1 | Assessment of both carer and service user must include consideration of the wellbeing of both people. Services are to ensure that part of the yearly carers assessment includes a discussion with the carer about their present situation and an assessment of risks posed to the carer from caring with someone known to have a history of challenging behaviours | Adult Social Care |
| 8.1.1.2.2 | For services to recognise that a safeguarding concern for the carer can be raised, if reports are received that they are experiencing intentional or unintentional harm as a result of the support they provide to a person with support needs. | Adult Social Care |
| 8.1.1.2.3 | Professional Curiosity Training to be offered to all Adult Social care staff. Professional Curiosity is a capacity and communication skill to explore and understand what is happening within a family rather than making assumptions or accepting things on face value. | Adult Social Care |
| 8.1.1.2.4 | Increase awareness of domestic abuse and coercive control amongst social care professionals outside of the usual male/female intimate relationship paradigm. | Adult Social Care |
| 8.1.1.3.1 | In-House Domestic Abuse Training to be provided to front-line staff. | Radian Housing |
| 8.1.1.3.2 | Anti-Social Behaviour Training to be provided to front-line staff to ensure all notes are recorded effectively and correspondence store appropriately. | Radian Housing |
| 8.1.1.3.3 | Customer profiling to be enhanced, ensuring that household make up is current. | Radian Housing |
| 8.1.1.4.1 | Professionals need to be aware of their responsibility to dependants when working with an adult who is a carer. This pathway is to be developed. | Berkshire Healthcare NHS Foundation Trust |
| 8.1.1.4.2 | Further support on identification of potential domestic abuse concerns for CRHTT and police triage to be explored such as reflective supervision sessions. | Berkshire Healthcare NHS Foundation Trust |
| 8.1.1.4.3 | Improve compliance with the Mental Capacity Act 2005 and best interests’ assessment. Consent to or withdrawal of treatment for CTPLD | Berkshire Healthcare NHS Foundation Trust |
| 8.1.1.4.4 | Continue to embed the ‘Think Family’ approach in safeguarding training. | Berkshire Healthcare NHS Foundation Trust |
| 8.1.1.5.1 | With the introduction of the new Domestic Abuse Risk Assessment online recording function the police strategic unit are to review: o How adults at risk are identified and risk assessed and o How their details are recorded and shared, when they live in households, where there has been domestic abuse. | Thames Valley Police |
| 9 | The Domestic Abuse Executive Group should work with MATAC to continue to raise awareness of its function amongst frontline practitioners, review panel membership and ensure that all relevant agencies are represented. | Domestic Abuse Executive Group |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||