SAR ET 2023

A Discretionary SAR for ET was published in June 2023 and written by SSAB Business Manager, Jane Bowmer.

ET was living in her own home, due to a lack of capacity in the care market, she needed to go into a care home for a short stay whilst a support package was being arranged. Unfortunately, due to circumstances highlighted in the review, ET was never able to return home.

ET had an unwitnessed fall which resulted in a hospital admission. After several weeks in hospital, she was discharged back to the care home where there was a number of safeguarding incidents including ET being inappropriately touch by another male resident on different occasions.

At the time of this review, there was covid restrictions in place which prevent ET’s family visiting as often as they wanted to. Sadly, ET’s health started to deteriorate, and she required end of life care. ET sadly passed away in the care home.

Review themes include:

• Capacity in the care market
• Hospital Admission/Discharge
• Therapeutic Support/Rehabilitation
• Sexual Assault
• Safeguarding – management S42 enquiries
• Deprivation of Liberty (DOLS)
• End of Life Care

Discretionary SAR ET Overview Report