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DSA

Safeguarding - Reviews pre 2018

When Dave Sheppard retired in 2020 he kindly gave me permission to publish the contents of his website (originally named after his firm, "Dave Sheppard Associates", then called "MHAandMCA"). It is a treasure trove. I've not had time to prepare everything for publication but have put the main headings online: let me know if you would like a copy of anything listed.


AA, Manchester Safeguarding Adults Board, December 2017

Mr C, Hampshire Safeguarding Adults Board, December 2017

Mrs P, Isle of Wight Safeguarding Adults Board, December 2017

A Thematic Review of Financial Exploitation, Lincolnshire Safeguarding Adults Board, December 2017

Adult A, Wolverhampton Safeguarding Adults Board, November 2017

Mr EF, Bracknell Forest and Windsor & Maidenhead Safeguarding Adults Board, November 2017

Unnamed, Cwm Taf Safeguarding Adults Board, November 2017

B and A, NHS England, Niche, November 2017

Adult H, Southampton Safeguarding Adults Board, November 2017

John, Solihull Safeguarding Adults Board, November 2017

Adult A, Milton Keynes Safeguarding Adults Board, November 2017

Ruth Mitchell, Plymouth Safeguarding Adults Board, November 2017

Mrs Joyce Taylor, Calderdale Safeguarding Adults Board, October 2017

Mr YY, Camden Safeguarding Adults Partnership Board, October 2017

Mr A, East Sussex Safeguarding Adults Board, October 2017

S1 and S2, Western Bay Safeguarding Adults Board, September 2017

Andrew, Waltham Forest Safeguarding Adults Board, September 2017

Mr G, Kirklees Adult Safeguarding Board, September 2017

John, Waltham Forest Safeguarding Adults Board, September 2017

Damien, Somerset Safeguarding Adults Board, September 2017

Violet Hughes, Kent and Medway Safeguarding Adults Board, September 2017

Child L, Rochdale Borough Safeguarding Childrens Board, September 2017

Mrs Hanson, Rochdale Borough Safeguarding Adults Board, September 2017

Melissa Mathieson, Bristol Safeguarding Adults Board, September 2017

'Pip', Death of a child whilst detained under the Mental Health Act 1983, Stockport Safeguarding Children Board, August 2017

Mr A, North Wales Safeguarding Adults Board, July 2017

Robert, Haringey Safeguarding Adults Board, July 2017

Mrs WWF, Wandsworth Safeguarding Adults Board, July 2017

Mrs Q, Tower Hamlets Safeguarding Adults Board, July 2017

Mr C, Nottinghamshire Safeguarding Adults Board, July 2017

Ms D, Nottinghamshire Safeguarding Adults Board, July 2017

Miss T, Buckinghamshire Safeguarding Adults Board, July 2017

Mr Q, Buckinghamshire Safeguarding Adults Board, July 2017

Peter, Wigan Safeguarding Adults Board, July 2017

MALR16A, Derbyshire Safeguarding Adults Board, June 2017

Mr K, Bexley Safeguarding Adults Board, June 2017

Adult A, Lancashire Safeguarding Adults Board, June 2017

Mark, Waltham Forest Safeguarding Adults Board, June 2017

Mrs D, Kent and Medway Safeguarding Adults Board, June 2017

Ms A, Havering Safeguarding Adults Board, June 2017

Mrs C, Kent and Medway Safeguarding Adults Board, June 2017

Daniel Tozer, City of York Council, June 2017

Claire, Northamptonshire Safeguarding Adults Board, June 2017

Lee Irving, Newcastle Safeguarding Adults Board, June 2017

V, Plymouth Safeguarding Adults Board, June 2017

Tom, Somerset Safeguarding Adults Board, June 2017

Carol, Teeswide Safeguarding Adults Board, June 2017

Adult D, South Tyneside Safeguarding Adults Board, May 2017

Mrs Rogers, Stockport Safeguarding Adults Board, May 2017

Lawrence Beasley, Barking and Dagenham Safeguarding Adults Board, May 2017

Mary, Barking and Dagenham Safeguarding Adults Board, May 2017

Patient A, North Wales Safeguarding Adults Board, May 2017

Hannah, Gloucestershire Safeguarding Adults Board, May 2017

Review of the closures of Merok Park, Grantley Court and Faygate, Sutton Safeguarding Adults Board, April 2017

Karen, Worcestershire Safeguarding Adults Board, April 2017

Neil, Worcestershire Safeguarding Adults Board, April 2017

Mr X, Brighton and Hove Safeguarding Adults Board, April 2017

Charlotte Bevan and Zaani Bevan-Malbrouck, Bristol Safeguarding Children Board, April 2017

Gladys, Darlington Safeguarding Adults Partnership Board, April 2017

Edward Nowell, Liverpool Safeguarding Adults Board, April 2017

Tom, Rochdale Borough Safeguarding Adult Board, March 2017

Highcliffe Nursing Home, Dorset Safeguarding Adult Board, March 2017

Adult D, Hampshire Safeguarding Adults Board, March 2017

Mr T, Richmond Safeguarding Adults Board, March 2017

Miss H, Nottinghamshire Safeguarding Adults Board, February 2017

Mr Fisher, Jersey Safeguarding Adults Partnership Board, February 2017

Mr RN, Worcestershire Safeguarding Adults Board, January 2017

Bill, Trafford Safeguarding Adults Board, January 2017

Adult D, Wolverhampton Safeguarding Adults Board, Undated

Mr E, Keeping Adults Safe in Shropshire Board, Undated

Robert and Stuart, Coventry Safeguarding Adults Board, Undated

Adult A, North Wales Safeguarding Adults Board, 2016

Ms BB and Ms CC, Islington Safeguarding Adults Board, 2016

Mr D, Lambeth Safeguarding Adults Board, 2016

Mrs V, Keeping Adults Safe in Shropshire Board, 2016

Adult A, Southwark Safeguarding Adults Board, 2016

Adult A, Gateshead Safeguarding Adults Board, 2016

Mr A1, Croydon Safeguarding Adults Board, 2016

Ms K, Enfield Safeguarding Adults Board, 2016

Mr GH, City and Hackney Safeguarding Adults Board, 2016

Mrs A and Mr B, City and Hackney Safeguarding Adults Board, 2016

Mrs Y, City and Hackney Safeguarding Adults Board, 2016

'Betty' and 'William', Sandwell Safeguarding Adults Board, 2016

Autumn Grange Care Home, Nottingham City Safeguarding Adults Board, 2016

T, Devon Safeguarding Adults Board, 2016

'Tracy', Sunderland Safeguarding Adults Board, 2016

Mr KH. Gloucestershire Safeguarding Adults Board, 2016

'Ted', Gloucestershire Safeguarding Adults Board, 2016

Death of Simon Reynolds, Bristol Safeguarding Adults Board, 2016

Mrs BB, Norfolk Safeguarding Adults Board, 2016

Ms A, Bedford Borough and Central Bedfordshire Safeguarding Adults Board, 2016

Adult A, Warrington Safeguarding Adults Board, 2016

Adult A, Pembrokeshire Safeguarding Adults Board, 2016

Mr I, West of Berkshire Safeguarding Adults Board, 2016

Western Rise Care Home, Torbay Safeguarding Adults Board, 2016

Alison, Wolverhampton Safeguarding Adults Board, 2016

'Alan', West Sussex Safeguarding Adults Board, 2016

Mr C, Bristol Safeguarding Adults Board, 2016

Miss T, Isle of Wight Safeguarding Adults Board, 2016

'Anne', Southend Safeguarding Adults Board, 2016

Mr S, Solihull Safeguarding Adults Board, 2016

Lucy, Waltham Forest Safeguarding Adults Board, 2016

Mrs H, Berkshire West Safeguarding Adults Partnership Board, 2016

Andrew Strazdins, Dudley Safeguarding Adults Board, 2016

Margaret, Rotherham Safeguarding Adults Board, 2016

Phyllis, Rotherham Safeguarding Adults Board, 2016

Gary Aston, Dudley Safeguarding Adults Board, 2016

Mr Benjamin, Jersey Safeguarding Partnership Board Adults, 2016

Mr Z, Bedfordshire Safeguarding Adults Board, 2016

Mr BC, Hackney Safeguarding Adults Board, 2016

Mr AT, Gloucestershire Safeguarding Adults Board, 2016

Ms SJ, Gloucestershire Safeguarding Adults Board, 2016

Mr TT, Worcestershire Safeguarding Adults Board, 2016

Care Home A, Peterborough Safeguarding Adults Board, 2016

Mrs X, Enfield Safeguarding Adults Board, 2016

Mr J and Mr Y, Surrey Safeguarding Adults Board, 2016

Adult D, Newcastle Safeguarding Adults Board, 2016

Mr and Mrs G, Nottinghamshire Safeguarding Adults Board, 2016

Mrs A1, Walsall Safeguarding Adults Board, 2016

Mr B, Richmond Safeguarding Adults Board, 2016

Alexander Court Care Home, North Yorkshire Safeguarding Adults Board, 2016

Adult B, Nottingham City Safeguarding Adults Board, 2016

Mr K, Tower Hamlets Safeguarding Adults Board, 2016

Mr RC, Bristol Safeguarding Adults Board, 2016

Ms PY, Worcestershire Safeguarding Adults Board, 2016

Mr MU, Worcestershire Safeguarding Adults Board, 2016

Young Person B, Hertfordshire Safeguarding Children Board, 2015

Child O, Haringey Local Safeguarding Children Board, 2015

Mr A, Western Bay Safeguarding Adults Board, 2015

Ms B, Hampshire Safeguarding Adults Board, 2015

'Grace', Knowsley Adult Safeguarding Board, 2015

Ms A, Hounslow Safeguarding Adults Board, 2015

Mrs BC, Teeswide Safeguarding Adults Board, 2015

Mr AA, Islington Safeguarding Adults Board, 2015

RC, Barking and Dagenham Safeguarding Adults Board, 2015

Adult G, Luton Safeguarding Adults Board, 2015

Mr AA, Norfolk Safeguarding Adults Board and Suffolk Safeguarding Adults Board, 2015

Adult C, South Tyneside Safeguarding Adults Board, 2015

Mr V, Isle of Wight Safeguarding Adults Board, 2015

Seven deaths related to the use of Alcohol or other Drugs, Sutton Safeguarding Adults Board, October 2015

'Angela, Barry, Claire', Sunderland Safeguarding Adults Board, 2015

Mrs MX, Peterborough Safeguarding Adults Board, 2015

Ms ZZ , Camden Safeguarding Adults Partnership Board, 2015

'James' and 'Amy', Suffolk Safeguarding Adults Board, 2015

Connor Sparrowhawk, Oxfordshire Safeguarding Adults Board, 2015

Miss G, Coventry Safeguarding Adults Board, 2015

Closure of Oxford Grange Care Home, Kirklees Council, 2015

Mary Smith, Kent and Medway Safeguarding Adults Board, 2015

Mrs F, Coventry Safeguarding Adults Board, 2015

Mrs X, Isle of Wight Safeguarding Adults Board, 2015

A3, Birmingham Safeguarding Adults Board, 2015

Adult Y, Cumbria Safeguarding Adults Board, 2015

Young Person C, Suffolk Safeguarding Childrens Board, 2015

Mrs EE, Slough Safeguarding Adult Board, 2015

Operation Jasmine, Margaret Flynn, 2015

Mr R, Gloucestershire Safeguarding Adults Board, 2015

Adult B, South Tyneside Safeguarding Adults Board, 2015

Lee Graham, Worcestershire Safeguarding Adults Board, 2015

Mrs B, Portsmouth Safeguarding Adults Board, 2015

Ms A, Rochdale Borough Safeguarding Adults Board, 2015

External investigation into concerns re patients at Tawel Fan ward, Betsi Cadwaladr UHB, 2015

George, Devon Safeguarding Children Board, 2015

Mr M1, Walsall Safeguarding Adults Board, 2015

Peggy, Gloucestershire Safeguarding Adults Board, 2015

Mr AF and Mr AS, Devon Safeguarding Adults Board, 2015

Supported Living Home X, Gloucester Safeguarding Adults Board, 2015

Purbeck Care Ltd, Dorset, Bournemouth and Poole Safeguarding Adults Board, 2015

Mr H, Jersey Safeguarding Adults Partnership Board, 2015

The John Daniel day centre, Cornwall and Isles of Scilly Safeguarding Adults Board, 2015

Self Neglect: Thematic Review, Buckinghamshire Safeguarding Adults Board, 2015

Mental Health Crisis: Thematic Review, Devon Safeguarding Adults Board, 2015

Mrs E, Coventry Safeguarding Adults Board. 2015

Mrs A, Tower Hamlets Safeguarding Adults Board, 2015

Mr W, Isle of Wight, Safeguarding Adults Board, 2015

Mr M, Rochdale Safeguarding Adults Board, 2015

Care offered to residents of a small residential service in Wiltshire, Wiltshire Safeguarding Adults Board, 2014

AA, Sutton Safeguarding Adults Board, 2014


Mrs G, Kent Safeguarding Adults Board, 2014

Ms F, West of Berkshire Safeguarding Adults Board, 2014

Mr A, Portsmouth Safeguarding Adults Board, 2014

The death of Mr F, Kirklees Safeguarding Adults Board, 2014

J - Lessons Learnt Report, Sunderland Safeguarding Adults Board, 2014

Adult F, Nottinghamshire Safeguarding Adults Board, 2014

Mr and Mrs H, Buckinghamshire Safeguarding Adults Board, 2014

Adult A, Knowsley Safeguarding Adults Board, 2014

Mr L, Cornwall and Isles of Scilly Safeguarding Adults Board, 2014

Elm View Nursing Home, Calderdale Safeguarding Adults Board, 2014

Learning Review of Incidents of Significant Harm at Hillcroft Slyne with Hest Care (Nursing) Home, 2014

Closure of a Care Home on the Isle of Anglesey, Older people's commissioner for Wales, 2014

Mr D, Bedford Borough and Central Bedfordshire Safeguarding Adults Board, 2014

Solar Centre, Doncaster Safeguarding Adults Board, 2014

Orchid View, West Sussex Adults Safeguarding Board, 2014

Mr D, Surrey Safeguarding Adults Board, 2014

Trusted to care - An Independent Review of the Princess of Wales Hospital and Neath Port Talbot Hospital, 2014

The death of Mrs A, Surrey Safeguarding Adults Board, 2014

Mrs S, Surrey Safeguarding Adults Board, 2014

Mr O.O, Gloucestershire Safeguarding Adults Board, 2014

Mr W, Rochdale Borough Safeguarding Adults Board, 2014

X, Y and Z, Bournemouth and Poole Adult Safeguarding Board and Dorset Health Care NHS Foundation Trust, 2013

Adult D, Doncaster Safeguarding Adults Board, 2013

St Michael's View Care Home, South Tyneside Safeguarding Adults Board, 2013

Mrs D, Coventry Safeguarding Adults Board, 2013

Services for people with learning disabilities at Q Residential Home, Devon Safeguarding Adults Board, 2013

Wyton Abbey Care Home, East Riding Safeguarding Adults Board, 2013

Alleged abuse in a nursing home, Torbay Safeguarding Adults Board, 2013

The death of Mrs Gloria Foster, Surrey Safeguarding Adults Board, 2013

The Reliable Tradesman / Mr C, Cornwall Foundation Trust and Cornwall and Isles of Scilly Safeguarding Adults Board, 2013

PQ, Bath and North East Somerset Safeguarding Adults Board, 2013

Mr A, Hampshire County Council Safeguarding Adults Board, 2013

Mr J, Kent and Medway Safeguarding Adults Board, 2013

Analysis of Serious Case Reviews 2008-2013, Worcestershire Safeguarding Adults Board, 2013

Msaada Care Services, Northamptonshire Safeguarding Adults Board, 2013

JT, Dorset Adult Safeguarding Board, 2013

Ms DD, Slough Safeguarding Adults Partnership Board, 2013

The response to the risk of domestic violence and abuse, and the suicide of D, Devon Safeguarding Adults Board, 2013

Adult E, Nottinghamshire Safeguarding Adults Board, 2013

Mr A, Lambeth Safeguarding Adult Partnership Board, 2012

MM, Essex Safeguarding Adults Board, 2012

Mr and Mrs X, Cumbria Safeguarding Adults Board, 2012

Ward 17 at Luton and Dunstable Hospital, The Adult Safeguarding Boards of Luton, Bedford and Central Bedfordshire, 2012

William Lawrence, Northamptonshire Safeguarding Adults, 2012

'Robert', North Yorkshire Safeguarding Adults Board, 2012

Mr Z, Gwent Wide Adult Safeguarding Board, 2012

Mrs C, Coventry Safeguarding Adults Board, 2012

Mr X & Mr Y, Tower Hamlets Adult Safeguarding Board, 2012

Winterbourne View Hospital, South Gloucestershire's multi-agency Safeguarding Adults Board, 2012

A2, Birmingham Safeguarding Adults Board, 2012

Mrs AM, Sunderland Safeguarding Adults Board, 2012

Mr A, Southampton Safeguarding Adults Board, 2012

Mr H, Northumberland Safeguarding Adults Board, 2012

Miss A, Royal Borough of Windsor and Maidenhead Safeguarding Adults Partnership Board, 2012

Mrs B, Bedford Borough and Central Bedfordshire Safeguarding Adults Board, 2012

Mrs B, Blackpool Safeguarding Adults Board, 2012

Mr X, Gloucestershire Safeguarding Adults Board, 2012

Jesse Moores, Barnet and Enfield Safeguarding Adults Board, 2011

A1, Birmingham Safeguarding Adults Board, 2011

The murder of adult A, Stockport Safeguarding Adults Board, 2011

Mr BB, Westminster Safeguarding Adults Board, 2011

LW, Dorset Adult Safeguarding Board, 2011

'04', Worcestershire Safeguarding Adults Board, 2011

Mrs F, Wiltshire Safeguarding Adults Board, 2011

Ms A, Bath and North East Somerset Safeguarding Adults, 2011

MC, Northamptonshire Safeguarding Adults Board, 2011

Mr and Mrs A, Southend Safeguarding Adults Board, 2011

A number of deaths of residents in a residential home for the elderly, Devon Safeguarding Adults Board, 2011

Care and safety standards in a care home and two fatal incidents, Devon Safeguarding Adults Board, 2011

Mrs A, Devon Safeguarding Adults Board, 2011

Mr CC, Slough Safeguarding Adults Board, 2011

Mrs A, Bedford Borough & Central Bedfordshire Safeguarding Adults Board, 2011

Michael Gilbert, Luton Safeguarding Adults Board, 2011

Samantha Hancox, Sandwell Safeguarding Adults Board, 2011

'Alice Porter', Northamptonshire Safeguarding Adults, 2011

Ms Y, Torbay Safeguarding Adults Board, 2011

Parkfields Care Home, Somerset Safeguarding Adults Board, 2011

The murder of Mr C, Buckinghamshire Safeguarding Vulnerable Adults Board, 2011

VA 1, Leeds Safeguarding Adults Partnership, 2011

Adult A, Tameside Adult Safeguarding Partnership, 2011

Summer Vale Care Centre, Leicester City Safeguarding Adults Board, 2011

Mr B, Coventry Safeguarding Adults Board, 2011

YZ, Suffolk Adult Safeguarding Board, 2011

Care home A, Halton Safeguarding Adults Board, 2011

Adult B, Nottinghamshire Safeguarding Adults Board, 2011

'Ann', Sheffield Adult Safeguarding Partnership, 2011

Adult C, Nottinghamshire Safeguarding Adults Board, 2011

The death of Adult A, North Tyneside Safeguarding Adults Board, 2011

Mrs W and Mr H, Cumbria Safeguarding Adults Board, 2011 Gemma Hayter, Warwickshire Safeguarding Adults Partnership, 2010

Mr A, Lincolnshire Safeguarding and Dignity Adults Board, 2010

Mrs A, Bournemouth and Poole Safeguarding Adults Board, 2010

Adult D, Nottinghamshire Safeguarding Adults Board, 2010

Mr CC, Surrey Safeguarding Adults Board, 2010

Miss A, Bournemouth and Poole Safeguarding Adults Board, 2010

Mrs A, Coventry Safeguarding Adults Board, 2010

Ms X, Barnsley Safeguarding Adults Board, 2010

HT, Calderdale Safeguarding Adults Board, 2010

Mr and Mrs Randall, Northamptonshire Safeguarding Adults Board, 2010

0001, Surrey Safeguarding Adults Board, 2010

Parkside House Nursing Home, Northamptonshire Safeguarding Adults Board, 2010

HX Care Home, Essex Safeguarding Adults Board, 2010

Mr A1, Worcestershire Safeguarding Adults Board, 2010

Mr B, Buckinghamshire Safeguarding Adults Board, 2010

AC, Dudley Safeguarding Adults Board, 2010

Mr A, Buckinghamshire Safeguarding Adults Board, 2010

Mrs D N, Solihull Safeguarding Adults Board, 2010

Ms NG, Royal Borough of Kensington and Chelsea Safeguarding Adults Partnership Board, 2010

0002, Surrey Safeguarding Adults Board, 2010

Mr BD, Dudley Safeguarding Adults Board, 2010

Adult A, Bury Safeguarding Adults Board, 2010

Mrs Y, South Tyneside Safeguarding Adults Board, 2009

Mr S, Bedford Borough and Central Bedfordshire Safeguarding Adults Board, 2009

Mr R, Bedford Borough and Central Bedfordshire Safeguarding Adults Board, 2009

VA1, Manchester Safeguarding Adults Board, 2009

Adult X, Lincolnshire Safeguarding Adults Board, 2009

Mrs P, Leeds Safeguarding Adults Board, 2009

Mrs A, Worcestershire Safeguarding Adults Board, 2009

Mr A and Mrs B, Kent and Medway Safeguarding Adults Board, 2009

Mr A, Leeds Safeguarding Adults Board, 2009

JK, Cornwall Safeguarding Adults Board, 2009

'Bill', Cumbria Safeguarding Adults Board, 2009

Mr A, Nottinghamshire Safeguarding Adults Board, 2009

Adult X, Nottingham City Safeguarding Adult Partnership Board, 2009

Mr JB, Rochdale Adult Protection Committee, 2008

Mr X, Worcestershire Safeguarding Adults Board, 2008

Medina Road, Islington Safeguarding Adults Partnership Board, 2008

Mr HL, Surrey Safeguarding Adults Board, 2008

A and B, Leicester, Leicestershire and Rutland Safeguarding Adults Board, 2008

Mr XX, Barnsley Safeguarding Adults Board, 2008

Ms TS, Cornwall Safeguarding Adults Board, 2008

The Murder of Steven Hoskin, Cornwall Safeguarding Adults Board, 2007

AB, Kent Safeguarding Adults Board, 2007

Learning Disabilities at Cornwall Partnership NHS Trust, Cornwall Safeguarding Adults Board, 2006

Ms AT, Surrey Safeguarding Adults Board, 2006

Taywood House, Norfolk County Council, 2006

May Thrower, North Tyneside and Northumberland Mental Health Trust, 2005

Daniel Heard, Devon Partnership NHS Trust, 2005

Ms S, Kent Safeguarding Adults Board, 2005

MP, Sheffield Adult Protection Committee, 2004

Mr D, Kent Safeguarding Adults Board, 2003

Zoe Fairley, National Development Team, 1996

Freda Latham, West Midlands Regional Health Authority, 1992


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