Quick Exit

How to get help and support

Adult Social Care

Use the online contact form or call 0300 1234 131

Can the Portal QR code

01872 326433 - for use by professionals / practitioners only
(Adult Safeguarding Triage Team)

To raise a safeguarding concern:

  • Use the link here to access the Portal Form
  • Or scan this QR code with any smart device

What if I have safeguarding concerns about an adult on the Isles of Scilly?

Council of the Isles of Scilly Logo

Contact the Council of the Isles of Scilly Adult Social Care department on 0300 1234 105 or if out of hours, on 01720 422699.

Safeguarding Children

Telephone: 0300 1231 116

Out of hours telephone: 0300 1234 100

The out of hour’s service runs from Monday to Thursday 5.15pm (4.45pm on Fridays) until 8.45am weekdays and for 24 hours on Saturday and Sunday.

Website: Safeguarding Children website

Published SAR's

The page provides information about process and findings of our published Safeguarding Adults Reviews (SARs).

Please note: This is not the same as raising a concern about an adult currently experiencing abuse or neglect. This needs to be referred to the local authority safeguarding team - you can find contact details here.

Cornwall and Isles of Scilly Safeguarding Adults Board has a locally agreed SAR framework that provides more detail about SAR criteria and process. There is also a leaflet to support families understanding of what a Safeguarding Adult Review is and what to expect. 

The Care Act 2014 places a statutory duty on Safeguarding Adults Boards (SABs) to arrange for there to be a review of a case involving an adult in its area with needs for care and support (whether or not the local authority has been meeting any of those needs) if there is reasonable cause for concern about how the SAB, members of it or other persons with relevant functions worked together to safeguard the adult, and condition 1 or 2 is met

Condition 1 is met if the adult has died and the SAB knows or suspects that the death resulted from abuse or neglect (whether or not it knew about or suspected the abuse or neglect before the adult died).
Condition 2 is met if the adult is still alive and the SAB knows or suspects that the adult has experienced serious abuse or neglect.

The purpose of a SAR process it not to apportion blame but to promote effective learning and improve how agencies work together to safeguard adults at risk. SABs look to review a case to identify what is helping and what is hindering safeguarding work, in order to remove barriers, promote good practice and protect adults from harm. 

Michael Preston-Shoot presentation of the 2nd National Analysis of SAR's here and recording of high level findings here

SAR's Local Themes and Trends 2024 here

Referral process:

Anyone can make a Safeguarding Adult Review referral by submitting a completed SAR referral form to safeguardingadultsboard@cornwall.gov.uk.  Please contact the team at safeguardingadultsboard@cornwall.gov.uk if you need any further support.

The team will acknowledge receipt of the referral and be in touch to advise on next steps. 

Learning from SARs:

A national database of SAR reports published from 1st April 2019 has been compiled to maximise learning nationally. This is accessible to professionals and the public and has a search feature for key words to find reports relevant to location, types of abuse, care and support need and themes. The Local Government Association (LGA) also commissioned an Analysis of Safeguarding Adult Reviews April 2017-March 2019 to identify common themes. 

Professor Michael Preston-Shoot has recorded this short film and PowerPoint presentation of the findings. The full report is available at https://www.local.gov.uk/publications/analysis-safeguarding-adult-reviews-april-2017-march-2019 

Below are the details of SARs undertaken by Cornwall and the Isles of Scilly Safeguarding Adults Board.

SARs

2026-27

SAR Learning from Experience Review for Callum
published 19 October 2026
  1. SAR19 Callum Learning from Experience Review
  2. Statement from Fiona Field, Independent chair, Cornwall & Isles of Scilly Safeguarding Adults Board

Stockport, Safeguarding Adults Board (SAB)
Thematic Safeguarding Adult Review (SAR)
published 14 October 2026

Link to Stockport SAB publication: Safeguarding Adult Reviews - Stockport Council
  1. CIOS SAB independent chair statement (paper 1)
  2. Stockport SAB independent chair statement (paper 2)
  3. Stockport Thematic SAR report (paper 3)
  4. Easy read version (paper 4)
  5. 7-minute briefing (paper 5)
Joint SAR/DARDR-S7 for “Liv”
published 10 August 2026
  1. Joint SAR/DARDR-S7, "Liv" report
  2. Statement from Cornwall & Isles of Scilly Safeguarding Adults Board and Safer Cornwall Partners Board.
SAR14 Arvor care home, learning report
published 30 July 2026

 
  1. SAR14 Arvor care home - learning report.
  2. Statement from Fiona Field, Independent chair, Cornwall & Isles of Scilly Safeguarding Adults Board.

SAR20, recommendations
published 22nd July 2026
  1. SAR20 – Recommendations Briefing.
  2. Statement from Fiona Field, Independent chair, Cornwall & Isles of Scilly Safeguarding Adults Board.

SAR12 “Peter” Executive summary report
published 8th June 2026

 
  1. SAR12 – “Peter“ Executive summary report (final).
  2. Statement from Fiona Field, Independent chair, Cornwall & Isles of Scilly Safeguarding Adults Board.
  3. SAR12 “Peter “, Learning Briefing (final).

2025-26

SAR8, Andrew, Michael & Norma,  Executive summary report published 4th February 2026
  1. SAR8, Andrew, Michael & Norma, Executive summary report.
  2. Statement from the Independent chair, Cornwall & Isles of Scilly Safeguarding Adults Board.

Taylor SAR Learning briefing 
published 15th October 2025
  1. Taylor SAR-Learning briefing.
  2. Statement from the Independent chair, Cornwall & Isles of Scilly Safeguarding Adults Board.

RAF SAR
published 17th September 2025.
  1. RAF, SAR - Executive summary report.
  2. RAF SAR-7-minute learning briefing.
  3. RAF SAR - Family statement.
  4. Statement from the Independent chair, Cornwall & Isles of Scilly Safeguarding Adults Board.

2024-25

Joint SAR/DHR12 - Michelle
published 28th November 2024.

Joint SAR/DHRS5 - Jayne
published 10th October 2024.

Gerry SAR -
published 16th May 2024.

2023-24

SAR briefing -
published 8th February 2024.

Joint SAR/DHRS4 for Maria –
published 23rd January 2024.

SAR for CT - 
published 27th June 2023.

SAR for Anthony and Mary -
published 19th June 2023.

2022-23

SAR for KEN -
published 20th February 2023.
  • SAR for KEN Executive summary.
  • Statement from the CIOS SAB Independent chair.
  • Seven minute briefing: SAR Ken

  • Ken Safeguarding Adult Review (SAR) practitioner learning event, 22nd November 2024:

    The Cornwall & Isles of Scilly (CIOS) Safeguarding Adults Board (SAB) has a Statutory duty to undertake Safeguarding Adult Reviews (SAR)s for any cases referred to it that meet the Care act 2014 section 44 criteria https://www.legislation.gov.uk/ukpga/2014/23/section/44

    Following a SAR referral made to the SAB, it was agreed by the SAR subgroup and SAB independent chair that Kens case met the criteria for a SAR. The CIOS SAB then conducted a Safeguarding Adult Review (SAR) to look into the circumstances and multiagency input relating to Kens death. Ken SAR executive summary 

    A SAR is a Multi-agency learning review that is conducted in line with the principles below; 

    • Statutory duty for cases that meet the Care act 2014 Section 44 criteria
    • A learning review.
    • Will have a multi-agency focus.
    • Has a clear pathway to learning and not blaming.
    • Prompts critical reflection.
    • Identifies good practice.
    • Proportionate, Flexible methodologies.
    • Enables transparency and a safe place to openly share experiences.
    • Strategic focus, systems findings lens to effect positive change.
    • Makes recommendations on the learning from these circumstances to stop them happening again.

       The case:

      Ken had a severe learning disability, diabetes and was morbidly obese when he died in 2016. He was 60. He had lived in a cluttered bedroom in a home he shared with a sibling who also had support needs. Ken’s hospitalization which resulted from a fall and a delay in securing assistance instigated a safeguarding alert. before Ken’s death it was known by services that his “situation could easily become a crisis.”

      The learning event recording is here: https://youtu.be/6OkDsx-VR4k

      A reflective tool has been devised for the session here 

      To share the systems learning and listen to your reflections on Kens case that can lead to improved practice and better outcomes for individuals.

       The purpose of this event was to host an interactive multi-agency learning event for staff/practitioners  who work for the organisations that were involved in supporting Ken, to consider the implications of this review for future improved practice.

      The structure for this event was to:

      • Give an overview of the case, the background, circumstances and systems learning
      • Look at “what went well” and “what could have been done differently”
      • Review the recommendations and consider what they mean to you as a practitioner
      • Listen to your reflections/thoughts and identify the key messages for you to take away in to your organisations to embed into improved practice.

    2021-22

    Thematic Carers SAR -
    published 20/06/2022.

    2020-21

    Joint Domestic Homicide Review (DHR)/SAR for Margaret -
    published 26/01/2021.

    2020

    SAR for Jack -
    published 27/11/2020.
    Morleigh Group SAR -
    published 02/11/2020.

    2018-19

    Adult male, Paul, who died 2016, aged 70

    2014-15

    John Daniel's Centre -
    Serious Case Review

    2013

    Adult male who died 2013 -
    Serious Case Review

    2008-09

    Adult female who died 2008

    2007-2008

    Adult female who died 2007

    2007

    Steven Hoskin