Sefton review

Ensure that Patrols attending at the scene of ‘domestic abuse’ incidents are fully aware of the dangers of speaking with a potential victim in the presence of the alleged perpetrator.

A more investigative approach to be taken (by offender managers) in terms of Offenders with Domestic violence backgrounds. Regular FCIU checks to be undertaken regardless of whether an offender reports to being in a current relationship.

Lifeline Sefton workers should always use the same file when an individual starts a new treatment episode, rather than closing one file and re-opening another, to ensure continuity and a full treatment history within a single file.

The adults at risk team will provide concise training to all areas on the subject of domestic abuse. The E Reader will be given to all staff and followed up with face to face training Training Log will be provided Training materials will also be provided

That the Ministry of Justice considers how the courts can avoid issuing electronic surveillance orders in support of bail curfews for known domestic abuse offenders, to addresses where victims of domestic abuse live.

Ensure that Patrols attending at the scene of ‘domestic abuse’ incidents are aware of the content of the Storm log, in particular the comments of the informant. There should be evidence that such comments have been considered during the closure of a log.

Checks to be made to Prison establishment regarding visits/contact with unknown females when those with a DV history are in custody.

The service should lead a reflective practice session with the team, focussing on working with couples when both are known to the service. Key questions for practitioners to consider should include: In what circumstances is it appropriate to follow-up independently something that one partner has told the service about the other? How should we best record risks relating to the clients in each other’s files when both are known to us? – How do we manage this for newly established couples?

Policy will be fit for purpose – to include MARAC processes/ staffs duties/ Threats to kill/ knife crime –MARAC to be included within Safeguarding Training A protocol will be devised for the AAR team and A&E as to what steps should be taken following a patient being discussed at MARAC. This will include actions by the AAR team and the emergency care staff, both medics and nurses

When family members report concerns for the safety of a close relative that involve alleged ‘domestic abuse’, then positive action must be taken. This should include a full de brief of the evidence / information held by the relative and effective evidence gathering while at the scene, including house to house enquiries.

Increased Management oversight and discussion of Level 1 MAPPA cases with a view to increasing the level of MAPPA management if required.

MARAC alerts amended so they are clear to staff

When a ‘domestic abuse’ incident is reported, control room supervision must ensure that the communication officer handling the call has made all necessary checks of the relevant IT systems, not just the PROtect history, and informed the attending patrol of the full history of all parties concerned.

Domestic Violence training to be delivered via the Safeguarding Training; When Domestic Violence is reported Staff must always believe what the woman is telling them patient most risk when they leaving their partners Staff must interview the woman on her own in a quite private and safe area Inform the Domestic Violence lead The adults at risk team will provide concise training to all areas on the subject of domestic abuse. The E Reader will be given to all staff and followed up with face to face training

When a ‘domestic abuse’ incident is reported which is the first recorded between particular parties, this alone should not be judged as a factor to consider the incident as low risk. Cognisance must be taken of the ‘domestic abuse’ history of the parties with previous partners, particularly when they may have been risk assessed as ‘Gold’ or been a perpetrator of a ‘Gold’ victim and subject of the MARAC process.

Safeguarding Adults Policy CORP 77 staff awareness and education Safeguarding Training to include referrals process

All calls for service that initiate as domestic incidents, should be monitored and subject to scrutiny by control room supervision. The relevant Storm log must be endorsed by the supervisor to ensure compliance.

Safeguarding Training to include responsibilities / capacity/ consent / body mapping of injuries

A patrol supervisor should be informed when a ‘domestic abuse’ incident is reported and his or her details recorded on the Storm log. The supervisor should ensure that a VPRF 1 is submitted prior to the end of the tour of duty, having quality assured it and having appended his or her name and signature.

Trust supports patients; we try and reduce the need for patients to go off the Ward for Cigarettes.

Flow Chart to be reviewed so it is fit for purpose – include capacity / consent when a crime had been committed / how to send: check receipt of referrals/ referral document to be included within the Policy. Safeguarding Training to include the appropriateness of capacity / consent when a crime has been committed / hoe to make a referral and the audit trail

Staff must follow and implement the Protocol for the Missing Patient (CLIN CORP 76) Risk Assessments must be completed The Protocol for the Missing Patient (CLIN CORP 76) is implemented and followed / reviewed and includes the suggested Contract and Risk Assessments

Lead to be highlighted during Safeguarding Training Electronic Communication to staff The profile of the AAR team will be raised through a media campaign across the trust

To include when capacity and consent is not relevant on the Flow Chart – e.g. when a crime has been committed Policy due for review August 2016- this incident to inform the review

Clinical Record Keeping must be adhered too – clinical records must reflect the episode of care

Letters must reflect the risks and the actions taken to mitigate the risk/ highlight further actions needed

Clinical Record Keeping must be adhered too – clinical records must reflect the episode of care- RM 06 Policy for the Reporting and Management of Incidents-

The Trust has no Policy/ Pathway for Alcohol Use Disorders – Quality standards need to be adopted