Report evidence summary
Concerns raised 1 Failure to undertake health-related enquiries in response to potential mental impairment View source
Stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised. 41
HM Prison and Probation Service Deliver the blended risk, OASys and SARA learning product with mandatory completion for PQIPs and new entrant PSOs.
View source
HM Prison and Probation Service Continue working with partner agencies to enhance services that safeguard and protect domestic abuse victims.
View source
HM Prison and Probation Service Provide monthly protected regional development days for mandatory training and identified learning activities.
View source
HM Prison and Probation Service Use the implemented digital allocation tool to consolidate court notifications, risk information and workload data for defensible community-case allocations.
View source
HM Prison and Probation Service Roll out the blended safeguarding and domestic abuse training package nationally, requiring completion by all staff.
View source
HM Prison and Probation Service Consult on and publish guidance clarifying which probation grades should prepare different pre-sentence reports.
View source
HM Prison and Probation Service Deliver a rolling South West practitioner training programme covering risk assessment, risk management, professional judgement, sentence planning and quality management.
View source
HM Prison and Probation Service Consider reducing the timeframe for comprehensive risk assessments during development of the replacement OASys system.
View source
HM Prison and Probation Service Consider how to improve working relationships and information-sharing arrangements with partner agencies.
View source
Devon & Cornwall Police Introduce an auto-transfer process so the resource and incident management officer receives incidents sooner.
View source
Devon & Cornwall Police Develop a new Domestic Abuse Operational Procedure incorporating learning and guidance on key safeguarding measures.
View source
Devon & Cornwall Police Emphasize through partnership work that professionals should use 999 for emergency calls.
View source
Devon & Cornwall Police Deliver additional immediate-call and prompt-call training to all CMCU staff, with continuing refresher training.
View source
Devon & Cornwall Police Continue exploring residential detox placements for appropriate offenders through the Integrated Offender Management team.
View source
Devon & Cornwall Police Roll out DA Champion training to support the DA champion network.
View source
Devon & Cornwall Police Implement a priority-vulnerable grading and six-hour dispatch standard for qualifying domestic abuse incidents.
View source
Devon & Cornwall Police Deliver additional Domestic Abuse training for Detective Sergeants alongside College of Policing requirements.
View source
Devon & Cornwall Police Operate a Rapid Video Response pilot through a dedicated team for eligible domestic abuse calls.
View source
Devon & Cornwall Police Deliver and roll out a refresher course for all police officers on section 17 PACE powers and domestic abuse risks.
View source
Devon & Cornwall Police Produce a revised operational procedure supporting officers’ understanding and use of DVPNs and DVPOs.
View source
Devon & Cornwall Police Introduce a code 5 timer requiring progress checks and challenge during delayed immediate responses.
View source
Devon & Cornwall Police Circulate learning from the coronial process to Superintendents to support consistent safeguarding understanding with partner agencies.
View source
Devon & Cornwall Police Oversee performance data and monitor early arrests of domestic abuse perpetrators through Force Tasking.
View source
Devon & Cornwall Police Review Evidence Led Prosecution use and scrutinize outcome data to identify reasons cases do not proceed.
View source
Devon & Cornwall Police Produce enhanced Evidence Led Prosecution guidance for police officers.
View source
Devon & Cornwall Police Deliver additional DA Matters training initially to Moonstone officers.
View source
Devon & Cornwall Police Circulate relevant section 17 learning and supervisory-support information through force-wide communications.
View source
Devon & Cornwall Police Review potential improvements to Public Protection Notice quality and assess adding a secondary risk assessment.
View source
Devon & Cornwall Police Deliver communications to response officers clarifying that the CIM and response Sergeants review domestic incident logs.
View source
Cornwall Council Complete and implement the Adult Social Care Practice Framework requiring holistic, collaborative and enquiring practice.
View source
Cornwall Council Record MARAC actions in Halo for auditing and flag incomplete actions to the MARAC chair.
View source
Cornwall Council Remind Children’s Services practitioners to consider and discuss appropriate adult safeguarding and MARAC referrals.
View source
Cornwall Council Write practice guidance supporting practitioners’ understanding and awareness of coercive control.
View source
Cornwall Council Produce eligibility-recording guidance and a safeguarding decision-making template requiring written rationales.
View source
Cornwall Council Commission a Domestic Abuse outreach team with low caseloads and flexible support for people with multiple vulnerabilities.
View source
Cornwall Council Work to integrate domestic abuse, drugs and alcohol, and homelessness outreach teams into one coordinated support system.
View source
Cornwall Council Provide dedicated Adult Social Care representatives at MARAC and deliver Lunch and Learn sessions to improve MARAC awareness.
View source
Cornwall Council Fund a full-time Family Domestic Abuse Support Advisor for each of nine Family Assessment and Support teams.
View source
Cornwall Council Reinforce information-sharing expectations between Adult Social Care and Children’s Services practitioners.
View source
Cornwall Council Audit 30 Adult Social Care cases monthly to assure practice quality and assess the impact of guidance and training.
View source
Cornwall Council Remind operational managers and staff to consider all available information and prioritise safeguarding when starting work with an individual.
View source
× Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation Failure to undertake health-related enquiries in response to potential mental impairment
Wider context from the report “Be curious. There were multiple examples of potential mental impairment – a diagnosis of OCD, mentions of suicidality and depression, the Acton email, yet no health-related enquiries appear to have been undertaken .
” Is this part of a recurring concern? No recurring-concern membership is currently published.
Open source report
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Deliver the blended risk, OASys and SARA learning product with mandatory completion for PQIPs and new entrant PSOs.
Verbatim wording from the response “The completion of OASys risk assessments and SARAs contrary to relevant guidance – you may feel this reflects a training issue;” Source location Response from HM Prison and Probation Service
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Continue working with partner agencies to enhance services that safeguard and protect domestic abuse victims.
Verbatim wording from the response “It is acknowledged, however, that the development and maintenance of these close working relationships with other agencies, including information sharing arrangements, is of paramount importance and careful consideration is now being given to how this can be improved. We will continue to work to enhance the service provided, working with our partner agencies, to safeguard and protect victims of domestic abuse.” Source location Response from HM Prison and Probation Service
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Provide monthly protected regional development days for mandatory training and identified learning activities.
Verbatim wording from the response “Monthly Protected Development Days have also been introduced across the Region since January 2023. These development days provide protected time during which staff are expected and encouraged to complete mandatory training and/or other identified learning and development activities, including those detailed above.” Source location Response from HM Prison and Probation Service
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Use the implemented digital allocation tool to consolidate court notifications, risk information and workload data for defensible community-case allocations.
Verbatim wording from the response “Probation Instruction PI 05/2014 sets out the basis for Case Allocation and is now supported by supplementary Guidance on the Case Allocation Process.” Source location Response from HM Prison and Probation Service
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Roll out the blended safeguarding and domestic abuse training package nationally, requiring completion by all staff.
Verbatim wording from the response “We have also launched a new safeguarding and domestic abuse blended learning package, incorporating a live training event delivered virtually, providing reflective practice opportunities, digital tools and accessible learning resources. These are available at the point of need, to embed practice and improve performance outcomes. Every PQIP completes the new blended learning package following completion of the mandatory Safeguarding e-learning and Domestic Abuse e-learning, which is a requirement for all Probation Service staff. The Domestic Abuse e-learning has been updated to reflect the latest e-learning techniques as well as up to date evidence on domestic abuse.” Source location Response from HM Prison and Probation Service
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Consult on and publish guidance clarifying which probation grades should prepare different pre-sentence reports.
Verbatim wording from the response “To support the allocation process in the future, a new guidance document has been created which clarifies when Probation Officers (POs) or Probation Services Officers (PSOs) should be allocated to prepare a pre-sentence report and this guidance is currently out for consultation, prior to publication. This guidance will provide greater clarity on the types of pre-sentence reports” Source location Response from HM Prison and Probation Service
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Deliver a rolling South West practitioner training programme covering risk assessment, risk management, professional judgement, sentence planning and quality management.
Verbatim wording from the response “Within the South West Region specifically, a rolling package of training for practitioners is currently being delivered which includes:” Source location Response from HM Prison and Probation Service
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Consider reducing the timeframe for comprehensive risk assessments during development of the replacement OASys system.
Verbatim wording from the response “A risk assessment takes place when writing a pre-sentence report (and in the absence of a PSR an allocation risk assessment is completed). Historically, a shorter period of time for completion of a comprehensive risk assessment was not achievable and compromised the fullness of information on which it was based. In light of the concerns you have raised in your Report, this is something that will be considered as part of the development of a replacement to OASys which is currently taking place.” Source location Response from HM Prison and Probation Service
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Consider how to improve working relationships and information-sharing arrangements with partner agencies.
Verbatim wording from the response “It is acknowledged, however, that the development and maintenance of these close working relationships with other agencies, including information sharing arrangements, is of paramount importance and careful consideration is now being given to how this can be improved. We will continue to work to enhance the service provided, working with our partner agencies, to safeguard and protect victims of domestic abuse.” Source location Response from HM Prison and Probation Service
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Introduce an auto-transfer process so the resource and incident management officer receives incidents sooner.
Verbatim wording from the response “Finally, since this incident we have introduced a new auto transfer process where our resource and incident management officer (RIMO) receive within a shorter period of time. In addition, with the embedded guidance (deployment policy) that there should be deployment of resources with minimal information, the time taken for the dispatching of a unit would be reduced, should a similar incident occur now. The command and control target is 5 mins, and regularly achieve 4 mins. The control room are then reliant on the response unit getting there within the response time, where possible in all the circumstances.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Develop a new Domestic Abuse Operational Procedure incorporating learning and guidance on key safeguarding measures.
Verbatim wording from the response “Domestic Abuse Operational Procedure” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Emphasize through partnership work that professionals should use 999 for emergency calls.
Verbatim wording from the response “In relation to communications with Crimestoppers: Crimestoppers have the control room supervisor’s telephone numbers for Exeter and Plymouth. This should enable them to contact a supervisor or the sergeant on duty in the control room where required. It has also been communicated to Crimestoppers that, in an emergency; they should dial 999. In addition, to enhance working arrangements, Crimestoppers have access to the ‘partners page’ on the Single Online Home (SOH) site, and regularly send intelligence and information through to our intelligence department. The control room supervisors confirm they regularly take calls from Crimestoppers during late and night shifts which indicates that the lines of communication are operational on a day-to-day basis.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Deliver additional immediate-call and prompt-call training to all CMCU staff, with continuing refresher training.
Verbatim wording from the response “To enhance police response, we are delivering additional training to all CMCU staff on what constitutes an immediate and prompt call, including examples and defining” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Continue exploring residential detox placements for appropriate offenders through the Integrated Offender Management team.
Verbatim wording from the response “At paragraph 308 of the judgement, I note the suggestion of potential for reflection on the issue of facilitating residential placements for offenders requesting alcohol detox.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Roll out DA Champion training to support the DA champion network.
Verbatim wording from the response “• DA Champion training – to supplement the DA Matters training. Roll out scheduled for June 2024 to support the reinvigoration of the DA champion network.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Implement a priority-vulnerable grading and six-hour dispatch standard for qualifying domestic abuse incidents.
Verbatim wording from the response “Paragraph 317 raises the issue of proactively managing domestic incidents. I hope to reassure you that Devon & Cornwall Police have enhanced the proactive response in terms of domestic incidents. For example, the RVR process described under ‘New Opportunities’ above, will improve the level of service provided to a victim of DA at first point of contact.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Deliver additional Domestic Abuse training for Detective Sergeants alongside College of Policing requirements.
Verbatim wording from the response “• Additional DA training – to include input to Detective Sergeants’ training in addition to the College of Policing requirements (this is already underway).” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Operate a Rapid Video Response pilot through a dedicated team for eligible domestic abuse calls.
Verbatim wording from the response “New Opportunities” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Deliver and roll out a refresher course for all police officers on section 17 PACE powers and domestic abuse risks.
Verbatim wording from the response “To enhance the knowledge, understanding and confidence of our officers, it is proposed there will be further training input for all police officers on use of their s17 powers. This will specifically include consideration of the risks associated with DA and the importance of assessing this risk when considering the use of s17 powers, in line with national guidance and taking into account case law (such as Syed v Director of Public Prosecutions 2010).” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Produce a revised operational procedure supporting officers’ understanding and use of DVPNs and DVPOs.
Verbatim wording from the response “Operational Procedure for DVPN/DVPOs” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Introduce a code 5 timer requiring progress checks and challenge during delayed immediate responses.
Verbatim wording from the response “Following dispatch of units, the control room will monitor the response where capacity allows, tracking the unit to the incident. Where any concerns are held, these are raised with commanders who work closely with the relevant response areas. Working practices are under review to establish where further enhancements can be made.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Circulate learning from the coronial process to Superintendents to support consistent safeguarding understanding with partner agencies.
Verbatim wording from the response “• Circulation of learning arising from this coronial process to all Superintendents to ensure consistency of understanding of safeguarding processes with partner agencies.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Oversee performance data and monitor early arrests of domestic abuse perpetrators through Force Tasking.
Verbatim wording from the response “• In addition, already implemented as a priority within Force Tasking is the oversight of performance data and monitoring of the early arrest of perpetrators of DA.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Review Evidence Led Prosecution use and scrutinize outcome data to identify reasons cases do not proceed.
Verbatim wording from the response “A review of the use of and process for Evidence Led Prosecutions (ELP) is underway.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Produce enhanced Evidence Led Prosecution guidance for police officers.
Verbatim wording from the response “As a result of this work, further guidance will be produced for all police officers to supplement their training and understanding of seeking ELPs. It is intended that this enhanced data and guidance will assist the force in understanding and further supporting those victims who feel unable to support a prosecution.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Deliver additional DA Matters training initially to Moonstone officers.
Verbatim wording from the response “• Additional DA Matters training with Safelives – initially for Moonstone officers (the Domestic Abuse Investigation & Safeguarding Team) with the intention for this to be rolled out further.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Circulate relevant section 17 learning and supervisory-support information through force-wide communications.
Verbatim wording from the response “• Force-wide communications to circulate appropriate learning to all relevant officers and staff. To include reiterating the availability of supervisory support for response officers.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Review potential improvements to Public Protection Notice quality and assess adding a secondary risk assessment.
Verbatim wording from the response “• Vulnerability Risk Assessment Review – a review of potential improvements to the quality of PPNs which could be made and potential addition of a secondary risk assessment.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Deliver communications to response officers clarifying that the CIM and response Sergeants review domestic incident logs.
Verbatim wording from the response “Paragraph 319 explores the concern that a belief is held by response officers that logs are actively reviewed by control room supervisors, which is not the case. I can confirm that further communications to all response officer is being delivered to confirm that this responsibility rests with the CIM and response Sergeants.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Complete and implement the Adult Social Care Practice Framework requiring holistic, collaborative and enquiring practice.
Verbatim wording from the response “We have recently completed our Practice Framework within Adult Social Care. It instructs workers to be holistic, collaborative and enquiring in their practice to ensure that they are responsible for drawing out the information they require rather than passive receivers of information. This would include making enquiries with other agencies it was believed to have been in touch with individuals.” Source location Response from Cornwall Council
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Record MARAC actions in Halo for auditing and flag incomplete actions to the MARAC chair.
Verbatim wording from the response “Equally, MARAC actions are now recorded on Halo for auditing and flagged to the MARAC chair when not competed.” Source location Response from Cornwall Council
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Remind Children’s Services practitioners to consider and discuss appropriate adult safeguarding and MARAC referrals.
Verbatim wording from the response “In Cornwall, we encourage our practitioners to use the whole family approach, supported and underpinned by our Strengths Based and Person-Centred approaches and training offers. We also have a specific commissioned support for both Adult Carers and Young Carers. In addition, all of our practitioners receive regular safeguarding training which supports them to identify and raise any issues or concerns which may relate to both children and adults appropriately. Following the inquest and the Senior Coroner’s findings, we have taken the opportunity to remind and reinforce with all Children’s Services managers and practitioners about existing arrangements in place to seek” Source location Response from Cornwall Council
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Write practice guidance supporting practitioners’ understanding and awareness of coercive control.
Verbatim wording from the response “abuse may also affect the victim’s usual decision-making processes, for example they may make decisions to pacify the perpetrator to avoid further abuse. These decisions may appear confusing and irrational to family members and professionals. Professionals should consider the impact of coercive and controlling behaviours on a victim in terms of their decision-making processes and any potential impact on their capacity to make safe decisions for themselves. This should be recorded in case notes and any rationale for undertaking (or not undertaking) an assessment. A practice guidance note has been written to support practitioners with their understanding and awareness of coercive control.” Source location Response from Cornwall Council
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Produce eligibility-recording guidance and a safeguarding decision-making template requiring written rationales.
Verbatim wording from the response “We have produced practice guidance for managers and assessing staff as to the level of information around an individual’s needs to make a decision on eligibility under the Care Act and” Source location Response from Cornwall Council
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Commission a Domestic Abuse outreach team with low caseloads and flexible support for people with multiple vulnerabilities.
Verbatim wording from the response “Since Michaela’s death a Domestic Abuse outreach team has been commissioned. This team works intensively with people who traditional service provision often struggles to engage. This includes those with multiple vulnerabilities. The outreach team have deliberately low caseloads so they can offer flexible support in a way that meets the needs of the individuals. We are working to bring together the domestic abuse, drugs and alcohol, and homelessness outreach teams as one system, to enable one trusted professional to progress the relationship with the individual (such as Family Domestic Abuse Support Advisor and Independent Domestic Violence Advocates). This is part of an ongoing culture shift to ensure that organisations feel confident to work together as one team and is a focus of commissioned services in Cornwall.” Source location Response from Cornwall Council
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work to integrate domestic abuse, drugs and alcohol, and homelessness outreach teams into one coordinated support system.
Verbatim wording from the response “Since Michaela’s death a Domestic Abuse outreach team has been commissioned. This team works intensively with people who traditional service provision often struggles to engage. This includes those with multiple vulnerabilities. The outreach team have deliberately low caseloads so they can offer flexible support in a way that meets the needs of the individuals. We are working to bring together the domestic abuse, drugs and alcohol, and homelessness outreach teams as one system, to enable one trusted professional to progress the relationship with the individual (such as Family Domestic Abuse Support Advisor and Independent Domestic Violence Advocates). This is part of an ongoing culture shift to ensure that organisations feel confident to work together as one team and is a focus of commissioned services in Cornwall.” Source location Response from Cornwall Council
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Provide dedicated Adult Social Care representatives at MARAC and deliver Lunch and Learn sessions to improve MARAC awareness.
Verbatim wording from the response “We now ensure that we have dedicated representatives from Adult Social Care at MARAC. Lunch and Learn events have been held to increase the awareness and knowledge of MARAC within the directorate.” Source location Response from Cornwall Council
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Fund a full-time Family Domestic Abuse Support Advisor for each of nine Family Assessment and Support teams.
Verbatim wording from the response “As part of our commitment to increasing the confidence and capabilities of Children’s Services practitioners to take a whole family approach and recognise and respond effectively to domestic abuse and its impact upon children, we have invested in a full time Family Domestic Abuse Support Advisor (Family DASA) for each of our nine Family Assessment and Support teams, in partnership with First Light, a specialist domestic abuse provider. Family DASAs provide specialist advice, consultation and direct interventions with families where a risk of domestic abuse is identified in children’s social care referrals and/or social work assessments. In addition to the main Safer Futures advice line, this means that children’s services practitioners have the option of talking through any worries or concerns with our Family DASAs.” Source location Response from Cornwall Council
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Reinforce information-sharing expectations between Adult Social Care and Children’s Services practitioners.
Verbatim wording from the response “The purpose of the MASH is to discuss with wider agency partners referrals which Adult Social Care receive. This enables swift multi agency information sharing. The MARU is the Multi Agency Referral Unit. This is the referral for mechanism for concerns in respect of children. Following the inquest and the Senior Coroner’s findings we have taken the opportunity to reinforce to team managers and practitioners within ASC, the need to share concerns and information with colleagues in TFF. The ASC practice framework references the whole family approach as a key tenet of our practice in Cornwall, identifying our awareness of the importance of considering individuals in the context of their families.” Source location Response from Cornwall Council
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Audit 30 Adult Social Care cases monthly to assure practice quality and assess the impact of guidance and training.
Verbatim wording from the response “We now audit 30 cases a month within ASC as an additional assurance in respect of the quality of our practice to ensure that the guidance and training we produce is producing anticipated improvements in practice.” Source location Response from Cornwall Council
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Remind operational managers and staff to consider all available information and prioritise safeguarding when starting work with an individual.
Verbatim wording from the response “We have taken this opportunity to remind operational managers and staff of the need to consider all the information available when commencing work with an individual and that safeguarding takes precedence over information sharing concerns.” Source location Response from Cornwall Council
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation MARAC and probation use different assessment tools and risk definitions, so their risk outcomes may legitimately differ in some circumstances.
Verbatim wording from the response “engage with Multi Agency Risk Assessment Conference (‘MARAC’) panels, whose focus is upon the perspective and protection of the victim. Because of this, the assessment tools and risk definitions used to calculate risk differs from those used by the Probation Service, so on occasion the risk level outcomes may vary, particularly if risk reducing restrictions to limit the perpetrator re-offending are in place. That said, it would be reasonable to expect that where risk to a victim is identified as high this would be mirrored in the OASys and SARA or clarity provided as to the relevant difference.” Source location Response from HM Prison and Probation Service
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Risk management action can continue before comprehensive OASys assessment completion, so the assessment timeframe does not itself prevent responsive action.
Verbatim wording from the response “Risk assessment and management is an ongoing process reliant on gaining information from multiple sources and agencies. There are points where assessment is made using both dynamic and actuarial tools. OASys includes a sentence plan that can only be finalised once particular elements are in place or referrals completed, for example securing accommodation or receiving fuller information from partner agencies. The OASys assessment is a point of time record of that fuller information and does not prevent risk management action from being taken.” Source location Response from HM Prison and Probation Service
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation A shorter period for completing comprehensive risk assessments was historically not achievable without compromising the completeness of underlying information.
Verbatim wording from the response “A risk assessment takes place when writing a pre-sentence report (and in the absence of a PSR an allocation risk assessment is completed). Historically, a shorter period of time for completion of a comprehensive risk assessment was not achievable and compromised the fullness of information on which it was based. In light of the concerns you have raised in your Report, this is something that will be considered as part of the development of a replacement to OASys which is currently taking place.” Source location Response from HM Prison and Probation Service
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation A different statutory threshold for domestic abuse-related use of section 17 powers cannot be applied without a national review of legislation and guidance.
Verbatim wording from the response “To seek to apply a different threshold to cases where there are associated DA concerns to the threshold provided for in law, would require a national conversation where the parameters of the legislation under s17 PACE and associated national guidance can be fully considered by all agencies provided to all Police forces.” Source location Response from Devon and Cornwall Police
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Residential detox placements are limited and outside police control, restricting the ability to facilitate placements for appropriate offenders.
Verbatim wording from the response “As expressed in evidence and recorded in the judgement, there are specific considerations associated with the appropriate allocation of residential placements for detox and there are limited resources in Cornwall and outside of the control of Devon & Cornwall Police. However, our officers and staff within the Integrated Offender Management team will continue to explore these options for appropriate individuals.” Source location Response from Devon and Cornwall Police
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PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation The limited scope and resource demands of additional domestic abuse needs assessments may divert resources without notable improvement for those affected.
Verbatim wording from the response “We accept the threshold to assess a person’s needs is a low one and there is a further duty under S.11 to assess those at risk of abuse or neglect regardless of consent for those who are unable to safeguard themselves. However, the areas of assessment are clearly set out within Regulations¹ and are around general social care needs including nutrition, personal care, home environment and access to the community.” Source location Response from Cornwall Council
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