Kingston Safeguarding Adults Board
Safeguarding Adult Reviews (SARs)
Safeguarding Adult Reviews (SARs) are conducted to learn lessons and improve how organisations work together to protect adults at risk of abuse or neglect.
Purpose of a review
The primary focus of a SAR is to:
- look at any lessons the partnership can learn from the case about the way professionals and agencies worked together
- review the effectiveness of safeguarding systems
- inform and improve practice
- identify what can be done better to avoid a similar circumstance from reoccurring
They are not inquiries into how someone died or suffered injury, or to find out who is responsible. They are about learning and not about blame.
When a review is needed
A Safeguarding Adults Board must arrange a SAR when:
- An adult in its area dies as a result of abuse or neglect (suspected or known), and there are concerns that partner agencies could have worked more effectively.
- An adult in its area has experienced serious abuse or neglect, but has not died. Serious abuse or neglect is defined as when:
- The adult would likely have died without an intervention.
- The adult has suffered permanent harm.
- The adult has experienced a reduced capacity or quality of life due to physical or psychological effects of the abuse or neglect.
The Board can also arrange a SAR in any other situation involving an adult with care and support needs in their area.
Make a referral
Anyone can make a referral for a SAR.
It is recommended that you refer to the SAR criteria in the Updated Kingston SAR Policy.
Download the SAR referral form
Send it to:
- Email: sar.referral@kingston.gov.uk
- Post: Corporate Head of Safeguarding, Adult Social Care, 2nd Floor, Guildhall 2, High Street, Kingston, KT1 1EU
The SAR Sub Group will review referrals and inform the referrer of the decision.
Published completed SAR Reports
Available SAR reports:
- "Sylvia" Final Report and KSAB “Sylvia” SAR Response
- "Minnie" Final Report and KSAB “Minnie” SAR Response
- "David" Learning Report and KSAB SAR Response
Kingston Safeguarding Adults Board publishes agreed SARs for a minimum of 12 months. After this period, reports may be removed from the website.
To request a copy of an older SAR that has been removed from the website, email ksab@kingston.gov.uk.
SARs that were not agreed for publication are not available.
7 Minute Briefings
KSAB's 7 Minute Briefings (7MB) allow managers to deliver short briefings to staff on key topics. They are based on research that suggests 7 minutes is an ideal time span for concentration.
Briefings are issued regularly, including after each SAR.