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

Poole review

CSP: Poole Published: April 2023 Year of death: 2015 Extracted: 6 recs

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

Original review (PDF) ↗ Source: Home Office DHR Library

Summary AI-generated

Verify against the full report at the source link
The review identifies concerns regarding the management of transition from children's to adult services, challenges in assessing mental capacity in coercive relationships, and inadequate multi-agency risk assessment and information sharing, particularly between MARAC and adult safeguarding processes.

Home Office classifications

49 tags

Source-supplied classifications used by the Home Office to catalogue this review.

  • Victim - mental ill health
  • Victim - neurodiverse condition diagnosis
  • Victim - anxiety
  • Victim - suicidal thoughts
  • Victim - had been a victim of an abuser before
  • Victim - referred to marac at any time
  • Victim - case heard at marac before homicide
  • Children - subject to child protection or domestic abuse prior to homicide
  • Children - removed into care
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - housing issues
  • Perpetrator - mental ill health
  • Perpetrator - neurodiverse condition diagnosis
  • Perpetrator - self harm
  • Perpetrator - suicidal thoughts
  • Perpetrator - suicide attempts
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to social services as a domestic abuse perpetrator
  • Perpetrator - known to idva or other domestic abuse support service as a domestic abuse perpetrator
  • Perpetrator - known to probation services as a domestic abuse perpetrator
  • Perpetrator - known to housing services as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to friends as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - supervised by probation services
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - stalking
  • Aggravating factors - physical stalking
  • Aggravating factors - digital stalking
  • Aggravating factors - sexual abuse
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - family contributed to dhr
  • DHR process - family supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - awareness raising recommendation themes

Extracted recommendations

6 recommendations pulled from the report · 2 matched to organisations in the index

Recommendation 1

Addressed to Dorset’s Local Safeguarding Children Board | Dorset’s Safeguarding Adults Board

That this report is shared with Dorset’s Local Safeguarding Children Board and their Safeguarding Adults Board so that the Boards can make use of the learning from this review to seek assurance about the effectiveness of arrangements by which looked after children and other children with care and support needs are supported in their transition to adulthood.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 2

Addressed to Bournemouth and Poole Local Safeguarding Children Board | Bournemouth and Poole Safeguarding Adults Board

That this report is shared with Bournemouth and Poole Local Safeguarding Children Board so that that Board and the Bournemouth and Poole Safeguarding Adults Board can make use of the learning from this review to seek assurance about the effectiveness of arrangements by which looked after children and other children with care and support needs are supported in their transition to adulthood.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 3

Addressed to Bournemouth and Poole Safeguarding Adults Board | Poole Community Safety Partnership

That Bournemouth and Poole Safeguarding Adults Board and Poole Community Safety Partnership establish a joint task and finish group to make use of the learning from this review to ensure that the safeguarding adults and MARAC agendas are more closely aligned and that professional practice in respect of safeguarding adults and tackling domestic abuse is as integrated as possible.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 4

Addressed to Bournemouth and Poole Safeguarding Adults Board | Poole Community Safety Partnership

That the joint task and finish group referred to above, should also conduct a review of the IDVA service in order to identify what changes need to be made to ensure that: the IDVA service is effectively integrated with the MARAC process; case closure is accompanied by an appropriate level of risk assessment; the service is accessible and sensitive to the needs of disabled people including people with learning disabilities.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 9.19

Addressed to Dorset Healthcare Trust

It is recommended that the review of Mental Capacity Act policies and procedures to be undertaken by Dorset Healthcare Trust should encompass the difficulty in undertaking capacity assessments of people who give conflicting answers to questions. It may be possible to develop new, or bring together existing, good practice in this area.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 9.21

Addressed to Dorset Healthcare Trust

Additionally, it is recommended that the review examine the provision of assistance, including advocacy, to people about whom there are capacity concerns, so that they have access to every practicable support to assist them in making

Verified wording from the published review · Original review (PDF) ↗