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such as Adult C’s, therefore the future of this model will require close observation by TSAB to

assure itself that vulnerable people have a more effective joined up service.

8.11. With many new systems in place to support and engage Adults like Adult C, TSAB’s role will

be to receive assurance as to how effective these are and to ensure that agencies avoid
complacency that the new systems will be a whole answer. With systems in place, it is reliant
on those working within the systems to know of them and to understand their criteria and
use if they are to be effective.

9. RECOMMENDATIONS

9.1. The findings identified above have been included in learning points throughout this report
and lead to recommendations for improvement.

9.2. The improvements required from the learning in this case are already largely known to the
TSAB through previous reviews and other reports. Where recommendations have already
been made these will need monitoring.

9.3. Where agencies have made their own recommendations in their Agency Review Reports,
TSAB should seek assurance that action plans are underway, and outcomes are impact
assessed within those organisations.

9.4. The following multi agency recommendations are made to the TSAB as a result of the learning
in this case:

1. The Safeguarding System

TSAB should review the effectiveness of the Team Around the Individual approach for cases
of domestic abuse and alcohol dependence by means of audit and appreciative enquiry to
understand impacts. All relevant partners must be included in the process. Audit must assess
interface between MARAC and TATI.

2. Alcohol Dependency with combined Domestic abuse

a. TSAB must review the recommendations made in the Alcohol Change UK analysis
of SARS. TSAB must undertake a gap analysis of current practice against the
following recommendations. Analysis must include assessment against the
vulnerability model proposed to the locality but consider how this will be met for
other parts of the Teeswide area following this LLR.

 Local authorities should ensure that vulnerable adults with alcohol
problems are actively supported to engage with services and should
support services to adapt so that they can better serve these adults. In
particular, there should be support for multi-agency systems that can

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