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

Gloucestershire review

CSP: Gloucestershire Published: August 2023 Year of death: 2014 Extracted: 5 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 identified concerns regarding care home staff procedures for responding to assistance bells when visitors are present. It also highlighted the challenges in early diagnosis of paranoid schizophrenia and the need for increased public awareness and research into the condition.

Home Office classifications

25 tags

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

  • Victim - physical disability
  • Victim - mental ill health
  • Victim - cognitive disorder (dementia or alzheimer's disease)
  • Victim - serious or life limiting illness
  • Children - present at homicide (including adult children)
  • Perpetrator - case heard in court
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - psychosis
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to health services as a domestic abuse perpetrator
  • Perpetrator - known to mental health services as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • DHR process - family contributed to dhr
  • DHR process - family supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - family attended dhr panel
  • DHR process - health services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

5 recommendations pulled from the report · 1 matched to organisations in the index

Recommendation 17.1.1

Addressed to Care and nursing home providers

Care and nursing home providers should introduce a procedural policy that when a resident presses their assistance bell the responding member of staff should check their needs with them personally, rather than accepting the word of a visitor. Management teams should ensure that all staff are aware of this policy and that it is included in all staff induction and refresher training.

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

Recommendation 17.1.2

Addressed to Department of Health

That the Department of Health be notified about the circumstances of this case so that: • Consideration can be given to the need for further research to find the causes and effective treatments for schizophrenia; had a test been available to make the diagnosis at an earlier presentation, some intervention might have been possible. • That there be a public awareness campaign to de-stigmatise mental health and to provide the general public with information which may enable them to identify the early signs of schizophrenia.

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

Recommendation 17.2.1

Addressed to Care and nursing home providers

Care and nursing home providers should introduce a procedural policy that when a resident presses their assistance bell the responding member of staff should check their needs with them personally, rather than accepting the word of a visitor. Management teams should ensure that all staff are aware of this policy and that it is included in all staff induction and refresher training.

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

Recommendation 17.3.1

Addressed to Health Care Company

The group will introduce a policy that when a resident presses their assistance bell the responding member of staff will check with them personally other than accepting the word of a visitor. This will be included in all staff training.

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

Recommendation 17.3.2

Addressed to Health Care Company

The home has changed their protocols so that all visitors have to ring the bell and sign the visitor’s book, which now includes their relationship with the resident they are visiting. This will be kept under review.

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