Page 31 - TSAB Adult B FINAL (1)

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Analyse effectiveness of responses and suggest learning from this.

6.4. Safeguarding and Risk Management

How were risk management and safeguarding processes applied? Provide evidence and discuss this
against expected risk management processes.

6.5. Referrals

Were appropriate referrals made to, and information shared with, other agencies and services when
required? Where referrals were made, please analyse timeliness and quality of referrals and
responses received. If necessary, where referrals were not made, please provide a reason. Please
identify and analyse any actions taken if referrals did not receive the expected response.

6.6. Mental Health Act, Mental Capacity Act and Human Rights

Analyse how the balance between use of these Acts were demonstrated within your agency. How did
this support risk management? Was there any evidence of professional challenge? How effective
were these Acts in keeping Josh safe?

6.7. Cross Border working

Please identify any issues raised by Local Authority or organisational borders. How well was
information shared across border systems e.g. Health, Adult Social Care, etc.

6.8. Family Involvement

How did your agency engage with Josh’s family and girlfriend? What did you understand of the
relationship between Josh and family? How were they included in plans and assessments? Were there
any issues of consent and confidentiality?

6.9. Documentation

Please identify if documentation was in line with agency requirements. If not, please analyse why this
might be.

6.10. Good Practice

Please identify examples of good practice from your agency and others.

7. Independent Reviewer and Chair

The named independent reviewer commissioned for this Lessons Learned Review is Karen Rees.

8. Organisations to be involved with the review:

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