Brent Council's 'deep and sincere regret' over Cassie's adult social care experience & commitment to learn from the case

Following on from Tuesday's story (see below) about 'Cassie' an adult on the autistic spectrum, who contracted HIV while in the care of Brent Council at a home provided by an Independent Provider, a Council spokesperson has given Wembley Matters the following statement:

“All of the partners on the Safeguarding Adults Board, including the Council, have expressed our deep and sincere regret to both Cassie and her family.   We can confirm that Cassie is now safe and happy and is having all her health and care needs met. 

“As soon as the Council became aware of the situation the Safeguarding Adults Team took immediate action to ensure that Cassie was safe and receiving the support she needed, and further steps were taken to ensure no other person was at risk.  The matter was reported to the police, who undertook a full investigation. 

“Following these immediate actions, the Council asked the Safeguarding Adult Board to consider commissioning an independent Safeguarding Adult Review (SAR).    A SAR is a nationally recognised process, under the Care Act 2014.   The Board and the Independent Chair agreed this met the criteria for a SAR because there had been serious harm in a complex case which involved a wide range of statutory and voluntary agencies.  The purpose of a SAR is to ensure the independent consideration of the facts, and to use these facts to identify and promote effective learning across all agencies.  It is a key part of improving services in order to prevent serious harm occurring again.  The function of SARs is not to apportion blame or make judgements about negligence.

“As a result of the SAR, the Safeguarding Adults Board has a multi-agency action plan.  This will be monitored by the Board and the Board’s Independent Chair, who will ensure that the lessons have been learnt across all the agencies involved.   

“The Council has fully supported this process.  We have already delivered a range of actions to improve the support we provide to vulnerable adults in Brent, including setting up a team that specifically focuses on reviewing the quality of care and support for individuals in residential placements, and integrating the health and social care learning disability teams into a single team providing holistic support to adults with a learning disability. 

“Cassie continues to do well in her new home and we continue to ensure that she is getting the support that she needs.”

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