Summary AI-generated
Verify against the full report at the source link
The review highlights challenges in assessing and managing the perpetrator's declining mental health, drug addiction, and history of domestic abuse, which included coercive control. Agencies struggled with information sharing and fully recognising the escalating risk posed to the victim, despite her increasing fear and inability to cope with his behaviour.
Extracted recommendations
24 recommendations pulled from the report · 4 matched to organisations in the index
Addressed to
Safer Plymouth
Safer Plymouth to provide opportunities for the workforce to improve understanding around DA perpetration. This should include identifying pathways to access to appropriate perpetrator programmes.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Plymouth GP Practices
Staff within Plymouth GP Practices should receive updated training with regards to Domestic Abuse. This should include understanding DA perpetration.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Housing providers in Plymouth
Housing providers in the Plymouth should review and amend policy and practice to ensure best practice around domestic abuse is adhered to across the City. This will include promotion of DAHA accreditation and working towards a ‘Whole Housing Approach’.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
PATH
PATH to implement a domestic abuse policy within the organisation.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
PATH
PATH to review their referral forms and include a section requiring referrers to declare that they have provided all relevant Needs and Safety Assessments and the copy of the homeless application.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
PATH
PATH to review the information that promotes the service that they deliver and implement a communications strategy.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Devon and Cornwall Police
Devon and Cornwall Police to review the current mobile data technology to ensure frontline officers access to research subjects on their devices and to ensure a timely upload of DASH information onto force systems.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Devon and Cornwall Police
Devon and Cornwall Police to remind all officers and appropriate staff of the need to inform victims of the purpose of the DASH risk assessment and its relevance in terms of risk to their situation at each recorded incident.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
School 2 | School 3
School 2 and School 3 must review their domestic violence policy to ensure that it includes advice a guidance regarding staff making disclosures of domestic abuse.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
School 2 | School 3
School 2 and School 3 must ensure that there is an effective risk assessment process in place where there are perceived or actual risks to staff, pupils or parents.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
School 2 | School 3
School 2 and School 3 must ensure that their DSL’s receive child abuse/ safeguarding update training.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
School 2 | School 3
Staff in School 2 and School 3 must be reminded of the LSCB escalation policy.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
School 2 | School 3
School 2 and 3 should review supervisory policies and practice in relation to DSL management.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Education
Education to undertake a review to establish the feasibility and implementation of live chronologies across the school’s network in Plymouth.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Schools
Schools to ensure they review existing data collection systems to ensure that they detail the nationality and religious beliefs of parents and children.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Safer Plymouth
Safer Plymouth must review the current domestic abuse communications strategy to ensure that it reaches all victims.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Safer Plymouth
Safer Plymouth to arrange domestic abuse training to appropriate people within the church attended by the perpetrator and his wife.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Health
Health to review the existing communications strategy in relation to informing members of the public regarding mental health service access and gateways.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Children’s social services
Children’s social services to ensure staff are trained in risk assessment in relation to domestic abuse in the home and the management of situations where high risk offenders refuse to leave premises.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Children’s Social Care
Children’s Social Care to review their information exchange policy with GP’s in line with multi-agency safeguarding procedures.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
The perpetrator’s GP
The perpetrator’s GP to review its prescription policy to ensure it meets national recommendations.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Safer Plymouth partner agencies
Safer Plymouth partner agencies should implement a quality assurance practice to ensure that information sharing processes between agencies are being adhered too.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Police | Education | Local Authority
Police, Education and the Local Authority must review the current CARA training strategy in the City and provide update training where appropriate.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Police | Education | Local Authority
Police, Education and the Local Authority must review exiting policy in relation to CARA, to ensure that there is clarity regarding who the information is shared with; whether victims and children are spoken with; how risk is managed; and that there are effective monitoring and escalation procedures in place.
Verified wording from the published review · Original review (PDF) ↗