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SAR Steven 2025

A Mandatory SAR for 'Steven' was published in September 2025 and written by external independent author Allison Sandiford. The published briefing was written by the Business Manager of the Salford Safeguarding Adults Board, Jane Bowmer. 

Steven was a resident of Salford who has been described by his wife as very loving, caring and extremely funny. Steven had a traumatic and chaotic childhood during which Steven was introduced to drugs.  Steven had a history of drug use and mental ill health and, following the breakdown of his relationship, he experienced homelessness. On a day in February 2024, Steven fell approximately six metres onto a concrete floor. Despite advanced life support attempts, resuscitation was stopped due to an unsurvivable brain injury.

Review themes include:

  • Adult who experience homelessness
  • Adult who experience co-occurring conditions
  • Power of Addiction
  • Voice of the Adult and their family
  • Time restraints when completing assessments
  • Trauma Informed Practice
  • Missed opportunity to Safeguard
  • Escalating Risks when considering safeguarding
  • Unconscious Bias

SSAB SAR Overview Report for Steven

SSAB Briefing Document for Steven

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