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
Blackburn With Darwen review
CSP: Blackburn With DarwenPublished: April 2023Year of death: 2015Extracted: 7 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The report highlights failures in safeguarding procedures, risk assessment, and inter-agency information sharing, particularly in underestimating the risk posed by an elderly perpetrator with declining health and potential dementia. It notes a lack of timely action and police referral, and insufficient consideration of the victim's safety.
Home Office classifications
15 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - was a carer
Victim - carer for perpetrator
Victim - serious or life limiting illness
Perpetrator - physical disability
Perpetrator - mental ill health
Perpetrator - cognitive disorder (dementia or alzheimer's disease)
Perpetrator - serious or life limiting illness
DHR process - family contributed to dhr
DHR process - family consulted about terms of reference
DHR process - family supported by expert specialist advocate
DHR process - social services recommendations
DHR process - technology systems recommendation themes
DHR process - identification of risk recommendation themes
DHR process - multi agency working recommendation themes
DHR process - record keeping recommendation themes
Addressed to
Blackburn with Darwen Safeguarding Adult Board
Blackburn with Darwen Safeguarding Adult Board satisfies itself that its constituent agencies understand the adult safeguarding alert procedures and when to apply them, including cases involving threats to kill;
Addressed to
Blackburn with Darwen Community Safety Partnership
Blackburn with Darwen Community Safety Partnership satisfies itself, that its constituent agencies, know that it is necessary to search all of its databases and paper records, to produce a full picture of the domestic abuse risk factor they hold;
Addressed to
Blackburn with Darwen Community Safety Partnership
Blackburn with Darwen Community Safety Partnership satisfies itself, that its constituent agencies know; That threats to kill can be domestic abuse; When it is necessary to refer people for mental health assessments, including the application of the Mental Health Act 1983; When to undertake carer’s assessments; How to assess risk of serious harm; How to produce good risk management plans; and Review their domestic abuse policies to ensure that they address the need to refer older people with mental health problems to appropriate service
Addressed to
Blackburn with Darwen Safeguarding Adult Board | Blackburn with Darwen Community Safety Partnership
Blackburn with Darwen Safeguarding Adult Board and Blackburn with Darwen Community Safety Partnership determines whether its present training and single agency training on domestic abuse specifically includes abuse between elderly people, including coercive and controlling behaviour {and the new legislation13} and factors in recognition of dementia and what that might mean for risk, and if not consider how the lessons from this case can be incorporated into domestic abuse training;
Addressed to
Blackburn with Darwen Community Safety Partnership
Any future domestic homicide reviews within the Blackburn with Darwen Community Safety Partnership area include training for agencies on the DHR process and completion of IMR’s.
Addressed to
Blackburn with Darwen Adult Social Care
Blackburn with Darwen Adult Social Care ensure that staff responsible for securing the welfare of individuals recognise the importance of not creating perceptions with victims and their families that financial considerations have a higher priority than reducing the risk of harm.