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

Tendring review

CSP: Tendring Published: May 2023 Year of death: 2015 Extracted: 10 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 review identified failures in multi-agency communication and holistic assessment of the couple's interdependent care needs, particularly for self-funders. Gaps in medication management, carer support, and domestic abuse policies were also noted.

Extracted recommendations

10 recommendations pulled from the report

#	Recommendation	Addressed to
1	The Falls prevention service should put in place a clear procedure surrounding the case management of individuals regarding their care and support needs. Trigger points to be identified within the care plan, appropriate to the individuals needs to include liaison to take place with identified carers and family members.	Anglian Community Enterprise
10	All agencies to raise awareness regarding the importance of carrying out risk assessments prior to carrying out visits within people’s homes. Agencies to look at the wider picture surrounding the escalation of concerns within agencies and the right referral process where risk has been identified.	All agencies
2	The GP surgery should have a clearly documented process in place that identifies medication risk and initiate appropriate and proportionate medication reviews, in accordance to the identified risk and its complexity.	Anglian Community Enterprise
3	The GP surgery should recognise their role and responsibility in relation to the case management of patients with dementia and those with complex needs.	Anglian Community Enterprise
4	The GP surgery should have a clear role descriptor in place for the role of the practice matron. Ensuring the role is supported to work collaboratively with both internal and external agencies, is patient focused and supports holistic assessment.	Anglian Community Enterprise
5	Social Care staff are to be reminded that assessments of needs should be offered to those adults appearing that they may have the need for care and support, irrespective of whether they are self-funders or not.	Essex County Council Adult Social Care
6	All staff are to be reminded to make the appropriate falls referrals through the Single Point of Contact referral pathway only with the patients agreed consent.	East of England Ambulance NHS Trust
7	SOVA training to be reviewed to include a module on Domestic Abuse.	Residential Care Home
8	Bluebird Care to develop a Domestic Abuse policy within its Policies and Procedures.	Bluebird Care
9	Agencies are to be trained regarding multi-agency Professional meetings and the importance of their attendance at these meetings. The importance of sharing of all relevant information especially where the adult does not fall under Safeguarding but where agencies have concerns regarding their health and care needs.	All agencies
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗