Prevention of Future Deaths reports · 2023

Lucy Walles

Regulation 28 report to prevent future deaths, reference 2023-0206, written 22 Jun 2023. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report22 Jun 2023
Reference2023-0206
DeceasedLucy Walles
CoronerHeidi Connor
Coroner areaBerkshire
CategorySuicide (from 2015)
Organisation namedBerkshire Healthcare NHS Foundation Trust
Sourcejudiciary.uk record · original PDF
Responses published2

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

Regulation 28: REPORT TO PREVENT FUTURE DEATHS 

NOTE:  This form is to be used after an inquest. 

REGULATION 28 REPORT TO PREVENT DEATHS 

THIS REPORT IS BEING SENT TO: 

1)  The Chief Executive of Reading Borough Council 
2)  Chief Executive of Berkshire Healthcare NHS Foundation Trust 

1  CORONER 

I am HEIDI J CONNOR, Senior Coroner for Berkshire for the coroner area of Berkshire 

2  CORONER’S LEGAL POWERS 

I make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009 
and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013. 

3 

INVESTIGATION and INQUEST 

I conducted an inquest into the death of Lucy Anne Walles, which concluded on 16th  June 
2023. I recorded a conclusion of suicide. 

I concluded that her cause of death was : 

1a Traumatic brain injury 
2 Polytrauma 

4  CIRCUMSTANCES OF THE DEATH 

Lucy was born on 17th  November 1997. She was 24 at the time of her death. Her death in 
hospital on 23 February 2022 happened after she jumped f

 on 16 February 2022. 

The key facts for the purposes of this report are as follows: 

 
Lucy had mild learning disabilities but had capacity to make her own 
decisions and go out alone. She needed support with everyday tasks and 
remembering to do things. 
 
Borough Council. A support worker was provided by a care provider 
(Dimensions). 

Lucy lived in supported accommodation in Reading, funded by Wokingham 

Mental Health Support: 

Lucy had some interactions with mental health services over the years, and 

 
we focused on her most recent contacts. Lucy was under the care of the Crisis 
Home Resolution and Treatment Team (CRHTT, hereafter referred to as ‘the 
crisis team’) between 11th  January and 2nd  February 2022, after an overdose. 
She was discharged from mental health services with a recommendation to 
refer herself to a group called SUN (Service Users Network). She had been told 
at that point that she did not meet the criteria for the learning disabilities team 
and was advised to speak to her GP herself from that point. 
  She saw a mental health practitioner based at her GP surgery on 15th 
February, indicating that she had thoughts of jumping from a particular bridge 
in Reading. The crisis team was contacted. Their advice was that, Lucy had 

Regulation 28 – After Inquest 
Document Template Updated 30/07/2021 

  
 
 
 
 
 
 
 
 
 
  
 
 
 
 been discharged recently from the service, and that she did not meet the 
criteria for being taken on by them. The recommendation for Lucy to refer 
herself to the SUN group remained. They did not speak to Lucy at that point. 
They did not offer her support from other mental health teams. 

Safeguarding referrals: 

  There was at least one earlier safeguarding referral, but we focused on 
those in the last 12 months of Lucy’s life. 
  A safeguarding referral was sent to Reading Borough Council in May 2021 
following an incident where Lucy took too many sleeping tablets. This report 
referenced Lucy’s past history of deliberate self-harm. The evidence suggests 
that this was not reviewed by Reading Borough Council for almost 3 months – 
in August 2021 –  when it was deemed to be an inappropriate referral on the 
basis that it did not describe abuse or neglect. 
  Between 10th  and 20th  January 2022, 3 separate safeguarding concerns were 
raised with Reading Borough Council. These are referred to below. 
  On the 10th  January 2022, a safeguarding referral was made regarding an 
overdose of Nurofen tablets. 
  On the 18th  January, there was an update on the above referral, but this 
related to additional incidents, including ingestion of bleach. When this was 
followed up by telephone (with the person who had made the referral) RBC’s 
record of this conversation includes the following: 

Lucy has allegedly done a few more self-harm attempts…she is 
making several threats of suicide (

. Today she tried 
to 
…her mental health seems to 
be deteriorating…Dimensions believe she needs more support than 
what they can provide as they are not mental health skilled 
professionals. 

  Subsequent to the referrals on 10th  and 18th  January, a social worker 
recorded that she did not think that Section 42 [of the Care Act] criteria were 
met. She also concluded that there was “robust support from agencies involved 
and appropriate measures have been taken to address risks posed by her 
threats of self-harm. No serious harm has occurred to Miss Walles”. 
  On 20th  January, South Central Ambulance Service Centre made a 
safeguarding referral. This referral relates to a previous overdose, and mental 
health deterioration. The report said that Lucy had told them she did not want 
to be here anymore. 
  During all of these safeguarding referrals, Lucy was not contacted at all. It 
appears that the only information taken into account in reaching conclusions 
was the initial safeguarding report itself and information on Reading Borough 
Council’s computer system (Mosaic). These would have included earlier 
safeguarding reports. 
  After the third safeguarding concern was raised by the ambulance service, 
no review or action took place before the tragic events of 16th  February 2022. 

5  CORONER’S CONCERNS 

During the course of the investigation my inquiries revealed matters giving rise to concern. 
In my opinion there is a risk that future deaths could occur unless action is taken.  In the 
circumstances it is my statutory duty to report to you. 

The MATTERS OF CONCERN are as follows: 
(brief summary of matters of concern) 

The concerns arising out of this investigation and inquest relate to the following key areas, 

Regulation 28 – After Inquest 
Document Template Updated 30/07/2021 

 
 
 
  
 
 
 
 
 
 
  
 
  
 
 a) Safeguarding 
b) Mental health provision 
c) Inter-agency communication –  particularly where there is some doubt over who should 
provide additional support needed by a person. 

We heard in evidence that in the months after Lucy’s death, a Safeguarding Adults Board 
considered the case, but did not consider that a Safeguarding Adults Review (‘SAR’) should 
be undertaken. Evidence from Wokingham Borough Council was that they were not at that 
time aware of the number of safeguarding referrals that had been made. 

A decision was made (some six days before the inquest) that a SAR will now be conducted. 
The evidence of the Assistant Director of Adult Social Care was that this is likely to be 
completed within 1-3 months after the inquest. 

I have set out the issues / concerns that I have for each of the two recipients of this 
report, below. 

Reading Borough Council 

1) Time scales for review and triage of safeguarding referrals. 
2) Requirements to speak to the individual about whom safeguarding concerns have been 
raised. 
3) Training around Section 42 and when a report meets the threshold for neglect or abuse. 
This training should also consider what options are available if a concern does not meet the 
threshold for a Section 42 enquiry. 
4) Systems for making other involved agencies aware of safeguarding referrals and 
concerns. 
5) In relation to each of the above points, whether RBC should reflect the above changes in 
formal (written) policy, as well as delivering training. 
6) Improving interaction amongst agencies involved, and consideration of the threshold for 
arranging joint meetings to discuss service users, whether they meet Section 42 thresholds 
or not. The evidence we heard is that this is now being actively encouraged. Should there 
be written guidance about this somewhat subjective issue ? 
7) Whether they consider that the resourcing of this service is adequate and safe. 
8) Systems for auditing, and what will happen if the auditing reveals ongoing issues. 

Berkshire Health Care 

1) How do the changes/proposed changes to systems (including the ‘One Team’  approach) 
make a difference? Specifically: 
a) Is the trust able to say with any confidence that a patient like Lucy would not be 
discharged from the crisis team without additional support, as she was on 2nd February? 
b) Is the trust able to say with any confidence that a patient like Lucy would be offered 
some support, whether by the crisis team or otherwise, in the situation that arose on the 
15th February? 

2) Do they consider that resourcing of these services is adequate and safe? 

6  ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I believe you (and/or 
your organisation) have the power to take such action. 

7  YOUR RESPONSE 

Regulation 28 – After Inquest 
Document Template Updated 30/07/2021 

 A response to a regulation 28 report is usually required within 56 days of the date of the 
report. Given the forth coming SAR, and in order to maximise the benefit of both of these 
investigations, I indicated at the inquest that I would allow a 4 month time period for this 
response, namely by 22/10/2023. 

Your response must contain details of action taken or proposed to be taken, setting out the 
timetable for action.  Otherwise, you must explain why no action is proposed. 

8  COPIES and PUBLICATION 

I have sent a copy of my report to the Chief Coroner and to Lucy’s family. 

I have also sent this report to the following recipients, who have an interest in this matter: 

1.  Legal representative for Wokingham Borough Council. 
2.  Legal representative for Dimensions. 

who may find it useful or of interest. 

I am also under a duty to send a copy of your response to the Chief Coroner and all 
interested persons who in my opinion should receive it. 

I may also send a copy of your response to any person who I believe may find it useful or 
of interest. 

The Chief Coroner may publish either or both in a complete or redacted or summary form. 
He may send a copy of this report to any person who he believes may find it useful or of 
interest. 

You may make representations to me, the coroner, at the time of your response about the 
release or the publication of your response by the Chief Coroner. 

22/06/2023 

9  Dated: 22/06/2023 

HEIDI J CONNOR 
Senior Coroner for Berkshire for 
Berkshire 

Regulation 28 – After Inquest 
Document Template Updated 30/07/2021

Responses

2 responses published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.

Response from Berkshire Healthcare NHS Foundation Trust (PDF)
PRIVATE AND CONFIDENTIAL 

Heidi J Connor 
Senior Coroner for Berkshire for 
Berkshire 
Coronor’s Office  
Reading Town Hall 
Blagrave Street 
Reading 
RG1 1QH 

  London House 
London Road 
Bracknell 
Berkshire 
RG12 2UT 

04 October 2023 

RE: Inquest touching the death of Lucy Anne Walles 

Dear Madam 

I write in relation to the above inquest which concluded on 16th June 2023.  

On 22nd June 2023 you made a report under paragraph 7, Schedule 5, of the 
Coroners and Justice Act 2009 and Regulations 28 and 29 of the Coroners 
(Investigations) Regulations 2013. Your report was sent to Reading Borough Council 
and Berkshire Healthcare NHS Foundation Trust. I am writing to provide you with the 
Berkshire Healthcare response to your concerns.  

1) How do the changes/proposed changes to systems (including the ‘One 
Team’ approach) make a difference?  

NHS Trusts are changing and improving the way mental health services are provided 
in the community to support people with mental illness. In Berkshire Health Care we 
are calling this programme of work “One Team”. This transformation of services is 
happening across the country following the publication of the Community Mental 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Health Framework for adults and older adults by NHSE. The new ways of working 
will improve mental health services so that GPs, mental health teams, local authority 
and other support organisations in the community work better together so that 
patients can receive the care they need in a timely way without having to navigate 
confusing systems. This programme of work is ongoing and is expected to be 
implemented by September 2024. This work will make a difference by providing: 

•  Clear care and safety plans to address target problems and safety concerns. 
•  A named worker which provides an opportunity to build trust and a meaningful 

connection as well as clarity and oversight on plans.  

•  Connection with meaningful activities. 
•  An opportunity to create or fulfil personal hopes and aspirations. 
•  Feedback opportunities so that outcomes can be measured. 
•  Better support in the community through the availability of a wider system of 

support  to reduce reliance on crisis services. 

Instead of teams of mental health professionals, teams will be multi-agency teams, 
consisting of colleagues from social care and health working alongside the 
Voluntary, Community and Social Enterprise (VSCE) sector,. They will also include 
people with lived experience. This approach broadens the support available for 
people with any level of mental health need. Multi-agency and multi-disciplinary 
forums will ensure information is not lost or misunderstood and holistic, trauma 
informed care plans are collaboratively created. This mechanism will also ensure 
needs are being met by the most appropriate service and expectations are realistic 
and clear. 

Specifically: 

a)  Is the trust able to say with any confidence that a patient like Lucy 
would not be discharged from the crisis team without additional 
support, as she was on 2nd February? b) Is the trust able to say with 
any confidence that a patient like Lucy would be offered some support, 
whether by the crisis team or otherwise, in the situation that arose on 
the 15th February? 

At the time Lucy was discharged from CRHTT on the 2nd of February 2022, she had 
a 16 hours per week of community support in place provided by Adult Social Care 
(ASC) with a planned move to accommodation with support available 24/7. Lucy also 
had access to the Service User Network (SUN) which provides group support, and 
Shout (which provides support with stress, anxiety, suicidal thoughts, and links to 
many other sources of support for example autism and mental health, bullying, 
relationships). A Pharmacist review of medication was planned for 17th February 
2022. In the new model the following additional support could also be offered in 

 
 
 
 
 combination with the package from adult social care and this would avoid the need 
for a crisis team referral on 15th Feb 2022:  

•  Mental Health Integrated Community Service (MHICS)  

This team is now in place and provides specialised mental health support 
within the community, focussing on recovery and resilience. This is a 
multidisciplinary team set up to support people with significant mental illness 
via direct from services including referral from primary care (Additional Role 
Reimbursement Scheme (ARRS) worker could refer, ARRS workers are 
mental health practitioners working in the GP surgery). The aim is to provide 
early intervention to prevent escalation to services for serious mental illness.  

•  Elmore complex needs floating support service.  

This is a charity we have commissioned to provide support to people with a 
wide range of complex needs, who are at risk of falling between the gaps of 
existing services. Alongside the Trust’s existing offer Elmore provides 
innovative ways to build trust, increase patients’ engagement with relevant 
agencies and deliver support tailored to the people who need it. The target 
group is those who have multiple support needs and complexity. For example, 
homelessness and rough sleeping, substance misuse, offending, physical 
disability, self-harm, learning difficulties, domestic abuse, sex working, or 
experience of abuse and neglect. A motivated team, with wide ranging 
expertise has been identified to work as part of our personality disorder  
pathway to provide this individual support.  Patients may have very chaotic 
lives and be distrustful of statutory agencies. Elmore is essential in building 
the trust required to engage, and maintain that engagement, with other 
agencies that can provide much needed support. Elmore are now able to 
accept referrals.  

•  Managing Emotions Programme (MEP)  

This is part of the personality disorder pathway.  The Managing Emotions 
Programme is a range of courses designed to equip people with the tools and 
skills needed to manage overwhelming emotions more effectively. This 
programme is running.  

•  Outreach workers  

These workers are able to offer short term support and safety planning to 
those who do not meet threshold or who are unable to access community 
mental health teams and/or psychological therapy. Will be fully operational by 
December 2023  

 
 
 
 
 
 
 • 

Integrated Multi-Disciplinary Team  
Complex cases can be discussed to enable a clear formulation of risk and 
needs. This forum will ensure the person gets the most suitable pathway and 
care plan to enable the patient to achieve their personal and treatment goals. 
It is also a place where important information can be shared across agencies 
pathways, for example,the ARRs worker could present a case here to ensure 
the correct pathway is in place, adult social care staff can attend to share any 
concerns. This function will be operational by December 2023.  

2) Do they consider that resourcing of these services is adequate and safe? 

Resourcing remains an issue for all Mental Health Trusts due to the national 
shortage of qualified mental health practitioners, particularly nurses and 
psychiatrists. Fewer people want to work in mental health services, and this poses a 
problem in terms of recruitment and retention. In addition, demand for mental health 
services is greater than it was previously. The trust has a number of initiatives in 
place to address these issues:  

•  The reconfiguration of community mental health services as part of the One 

Team project seeks to ensure the resources we have are being utilised in the 
right place. Significant changes have already been made to bring the East 
and West services together to improve resilience and make best use of staff 
resources and expertise. The leadership of these services is currently under 
review with the aim of ensuring the right level of operational support is in 
place, and that staff can be mobilised across the whole of Berkshire, reducing 
unwanted variation and moving resource around as required making services 
safer. 

•  Case load reviews - Historically in all mental health services, patients would 

remain on CMHT caseloads for many years, which can impact significantly on 
safety as thresholds for acceptance and waits for CMHT due to capacity are 
directly linked to this. The review will increase resources available by ensuring 
people are on the correct pathway and receiving the correct evidence based 
treatment and support.  

•  A Nurse consultant network is also now in place; these are senior specialist 

roles that attract mental health nurses by providing an opportunity to practice 
in a senior clinical role, as well as having protected time to focus on education 
and research and a clear development pathway. The Nurse Consultants can 
also intervene when there is complexity, which helps with resourcing as staff 
are supported with caseload capacity and complexity. Nurse Consultants also 
have a role to play in monitoring workforce capacity to ensure safety.  

 
 
 
 
 • 

Increasing the support, skills and knowledge by offering training and 
supervision  to  the primary care workforce so they can care for people with 
mental health problems.  

•  Utilising professional nurse advocates to provide staff with restorative 

supervision through dedicated staff trained as professional nurse advocates 
on a monthly basis, to reduce staff turnover as a result of burnout.   
•  Human Resource initiatives to focus on recruitment include targeted 

recruitment, apprenticeship schemes, linking with universities, using social 
media and recruitment campaigns.  

The resourcing of mental health care remains a challenge.  However, patient safety 
is at the heart of everything that we as a Trust do, and we feel that the initiatives we 
have implemented, and which are ongoing will optimise the deployment of available 
resources to ensure we support and safeguard our patients as best we can. We are 
aware that further learning may arise from the ongoing Safeguarding Adults Review 
(‘SAR’), we are working closely with the panel and will respond to the 
recommendations.    

Yours Sincerely  

Chief Operating Officer
Response from Reading Borough Council (PDF)
Executive Director for Communities and 
Adult Social Care 

Civic Offices, 
Bridge Street, Reading, RG1 2LU 

 

 

Date:  24 November 2023 

Ms Heidi J. Connor 
Senior Coroner for Berkshire 
Reading Town Hall 
Blagrave Street 
Reading RG1 0QH 

Dear Madam, 

Re: Regulation 28 Response regarding Ms Lucy Anne Walles 

I  write  in  relation  to  the  matter  raised  in  your  Regulation  28  letter  to  Reading  Borough 
Council in respect of the above inquest which concluded on the 16th of June. I am writing 
to  provide  you  with  Reading  Borough  Council’s  response  to  your  concerns,  listed  below 
under each query. 

1.  Timescales for review and the triage of safeguarding referrals 
The  Safeguarding  team  at  Reading  Borough  Council  manages  most  of  the  safeguarding 
referrals (around 80%) which come into the Council through the Council’s Customer Contact 
Centre. If the individual referred has care and support needs and is already known to Adult 
Social Care Services, the referral is passed directly to the team involved and this accounts 
for the remaining 20% of referrals that come through this route. 

For  those  referrals  coming  into  the  Safeguarding  team,  they  are  screened,  and  a  named 
Safeguarding  worker  is  assigned  if  the  referral  requires  consideration  under  safeguarding 
procedures.  When  a  Safeguarding  contact  is  received  which  is  the  responsibility  of  a 
neighbouring  authority,  as  in  Ms  Lucy  Anne  Walles’  situation,  the  safeguarding  team  will 
contact them to inform them and pass on the details. The timescales for the management 
of the contact and referral process are  set out  as guidance  on  the Berkshire  Safeguarding 
Policy  and  Procedures  and  Reading  Borough  Council,  along  with  all  the  other  Local 
Authorities  covered  by  the  West  of  Berkshire  Safeguarding  Adults  Board,  follow  these 
procedures. 

Following  the  death  of  Ms  Lucy  Anne  Walles  and  the  lack  of  timeliness  of  an  appropriate 
safeguarding response to safeguarding contacts in this case, improvements have been made 
to the safeguarding service in Reading. Those relating to the resourcing of the service, are 
referred to below. In relation to improvements in processes, where a safeguarding contact 
contains information which may indicate the individual has suicidal ideation or is at risk of 
significant self-harm, a priority flag is added at the point of contact on the client recording 
system  for  the  Safeguarding  Team’s  attention,  or  the  responsible  adult  social  care  team 

reading.gov.uk | facebook.com/ReadingCouncil | twitter.com/ReadingCouncil 

 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
   
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
  
 
    
 
 
 
 
 
 
 who are dealing with the case. This priority flag highlights the urgency of the case for those 
allocating work and can be removed or added during further assessment of the individual. 
This  change  in  process  has  been  required  to  strengthen  the  management  of  high-risk 
safeguarding  referrals,  particularly  given  the  volume  of  safeguarding  contacts  received, 
and the resource limitations on the safeguarding team referred to below. 

The other improvement in process in the management of safeguarding contacts through the 
Customer  Contact  Centre  and  the  Safeguarding  Team  is  that,  since  the  creation  of  a 
dedicated  senior  Safeguarding  Lead  role  for  Reading  in  June  this  year,  there  are  daily 
consultations between the Safeguarding Team and the Customer Contact Centre to ensure 
appropriate  referral  processes  are  followed  and  there  is  priority  flagging  of  high-risk 
safeguarding referrals. 

The indicative timescale for a member of the safeguarding adults team to triage the referral 
of a safeguarding concern is within one working day as indicated in the guidelines.1 

2.  Requirements to speak to the individual about whom Safeguarding concerns have 
been raised. 
The  practice  standards  for  safeguarding  in  this  area  are  supported  by  the  Making 
Safeguarding Personal (MSP) initiative led by the Local Government Association and Reading 
staff are required to follow these standards. Individuals who are the subject of safeguarding 
concerns  should  always  be  made  aware  about  the  nature  of  any  safeguarding  concern,  so 
they  are  fully  appraised  of  what  information  is  being  shared  about  them  and  any  actions 
which are likely to be pursued on their behalf. They should also be given opportunities to 
express their wishes and feelings. Only in exceptional circumstances where dialogue would 
increase  the  risks  to  them  or  to  others,  or  where  the  individual  lacks  mental  capacity, 
should  this  not  be  a  requirement  and  in  the  latter  circumstance,  those  with  power  of 
attorney,  who  are  able  to  act  in  the  best  interests  of  the  individual,  should  be  fully 
consulted. In the circumstances surrounding Ms Lucy Anne Walles death, Lucy was not made 
aware  by  the  Council  when  safeguarding  concerns  were  raised  on  her  behalf  and  this  did 
not follow the requirements of best practice required in MSP. 

There  has  been  significant  tightening  up  of  practice  by  the  safeguarding  team  to  ensure 
individuals  are  personally  contacted  about  safeguarding  referrals  and  these 
that 
improvements are the subject  of  greater  monitoring  and  audit  in safeguarding  cases.  The 
Safeguarding  Lead  and  two  senior  social  workers  in the  safeguarding  team ensure  that  no 
safeguarding concern is closed without the individual being contacted. 

3.  Training around section 42 and when a report meets the threshold for neglect or 
abuse. This training should also consider what options are available if a concern 
does not meet the threshold for a section 42 enquiry. 

Reading  Borough  Council  adopts  a  comprehensive  approach  to  safeguarding  training  as 
outlined below: 

All  staff  in  Adult  Social  Care  undertake  Level  1  training  which  focusses  on  safeguarding 
awareness  and  the  identification  and  reporting  of  abuse  and  neglect.  This  includes  the 

1 https://berkshiresafeguardingadults.co.uk/p/4-adult-safeguarding-procedures/43-responsibilities 

reading.gov.uk | facebook.com/ReadingCouncil | twitter.com/ReadingCouncil 

 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 requirements  for  Section  42  enquiries.  This  is  mandatory  training  and  compliance  is 
monitored by the Council. This training is delivered throughout the year. 

Level 2 training is aimed at all Adult Social Care front-line staff and external partners such 
as  care  home  managers  and  familiarises  attendees  with  the  Berkshire  West  Safeguarding 
Procedures  including  use  of  the  procedures,  the  requirements  of  “Making  Safeguarding 
Personal”,  conducting  safeguarding  investigations  as  part  of  an  enquiry,  and  the  legal 
frameworks  including  deprivation  of  liberty  and  the  Mental  Capacity  Act.  Level  2  is 
mandatory  for  all  staff  who  undertake  any role  in safeguarding  enquiries  and  is  delivered 
throughout the year. 

Level  3 training is  aimed  at  staff  who  manage  safeguarding  enquiries,  for  example  Senior 
Social  Workers  and  Managers,  and  those  who  work  in  specialised  roles  which  involve 
safeguarding.  It  is  mandatory  for  such  staff  and  must  be  refreshed  within  3  years. 
Attendance is monitored departmentally and is reported to the West Berkshire Safeguarding 
Adults Board. 

All three levels of training are  run at regular intervals throughout each year and all three 
levels of training cover what options should be considered if a concern does not meet the 
section 42 enquiry threshold. 

There is also a “Safeguarding for  Managers” Course which  is run twice  a year  for relevant 
managers  which  looks  in  more  depth  at  best  practice  in  supervising  safeguarding  cases, 
managing risks and lessons from research and from Safeguarding Adult Reviews. 

In addition to the core training offer outlined above Assistant Directors in Adult Social Care 
and the Safeguarding Lead are now providing tailored safeguarding training for Managers to 
ensure that all senior staff have a consistent  approach to safeguarding contacts, referrals 
and  enquiries  and  are  appraised  of  best  practice  guidance.  All  Social  Care  practitioners 
have  access  to  the  training  materials  and  briefing  notes  produced  by  the  Safeguarding 
Adults  Board  following  Safeguarding  Adult  Reviews  (SAR)  reports  and  are  given 
opportunities to attend learning events for SAR recommendations.  The SAR findings for Ms 
Lucy  Anne  Walles  (under  the  title  “Bree”  SAR)  and  the  recommendations  therein  will  be 
the subject of learning events. 

4. 
Systems for making other agencies aware of safeguarding referrals and concerns. 
The  West  of  Berkshire  Safeguarding  Adults  Board  require  Pan  Berkshire  policies  and 
procedures to be followed in respect of all safeguarding cases which are either related to 
Reading  residents,  or  to  individuals  receiving  services  in  Reading.  These  policies  and 
procedures set the expectation that the outcome of a Safeguarding Concern is required to 
be  communicated  to  the  referrer,  with  the  persons  consent  wherever  possible.  Other 
appropriate action may also be considered for example if the individual is presenting with 
care and support needs this information would be passed to the appropriate team to assess. 
Where  the  Concern  is  progressed  to  a  Safeguarding  Enquiry  the  Agencies  involved  are 
consulted  as  part  of  that  Enquiry  and  over  any  care  and  protection  plan  which  is  then 
developed. 

In  the  case  of  Ms  Lucy  Anne  Walles,  there  had  been  multi  agency  discussions  led  by 
Wokingham as the responsible Local Authority for the case, but the safeguarding referrals 

reading.gov.uk | facebook.com/ReadingCouncil | twitter.com/ReadingCouncil 

 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 were  received  by  Reading  which  did  not  trigger  a  multi  -agency  meeting  to  consider  the 
collective risks. 

The West of Berkshire Safeguarding Adults Board is currently working on strengthening and 
standardising  of  the  guidance  in  the  procedures,  particularly  the  multi-agency  processes 
being used across the local authorities. 

The  SAR  author  has  identified  this  as  a  gap  and  has  already  begun  to  discuss  with 
representatives from the Safeguarding Adults Board the lack of an agreed and shared multi-
agency risk assessment in respect of Ms Lucy Anne Walles and Reading Adult Social Care is 
fully involved in the consideration of recommendations and on improving transparency and 
clarity in this regard. 

5. 

In relation to the above points, whether RBC should reflect the above changes in 
formal (written) policy, as well as delivering training. 

All policy changes in respect of processes and policies relating to safeguarding in Reading 
are  subject  to  approval  by  the  West  of  Berkshire  Safeguarding  Adults  Board,  in  which 
Reading  is  a  key  statutory  agency  partner  and  follow  the  Pan- Berkshire  policies  and 
procedures used by all agencies. 
The  tri- borough arrangements for safeguarding  agreed by the Board  require consistency 
of  processes  and  procedures  across  the  Board  footprint  and  therefore  Reading  only 
changes formal policy, when agreed through the Safeguarding Adults Board. Revisions and 
associated amendments of the pan Berkshire procedures are instigated for several reasons 
including  the  recommendations  of  Safeguarding  Adults  Reviews,  best  practice  guidance, 
and changes in national safeguarding policies. 

Training  on  Adult  safeguarding  for  Council  staff  (content  outlined  above)  is  delivered 
locally  through  the  Organisational  Development  Team,  coordinated  by  a  dedicated 
Workforce  Development  Officer  for  Adult  Social  Care,  the  Principal  Social  Worker  and 
Principal Occupational therapist and other senior staff in the Adult Social Care service. In 
addition, the  Safeguarding  Adults Board  delivers training and  learning events on  a  range 
of  matters  relevant  to  safeguarding  practice  and  the  learning  from  Safeguarding  Adults 
Reviews and thematic safeguarding reviews. The Board also has a responsibility to monitor 
the delivery of multi-agency learning on matters related to adult safeguarding. 

As part of the improvement work being undertaken this year to improve the performance 
of  safeguarding  in  Reading,  Senior  Managers  in  Adult  Social  Care  in  Reading  have 
undertaken workshops with all the managers engaged in safeguarding, to strengthen their 
understanding of the safeguarding processes and the requirements of best practice which 
we are seeking to deliver as outlined in point 3. 

6. 

Improving  the  interaction  between  agencies  involved  and  consideration  of  the 
threshold for arranging joint meetings to discuss service users, whether they meet 
Section 42 thresholds or not. The evidence we heard is that this is being actively 
encouraged.  Should  there  be  written  guidance  about  this  somewhat  subjective 
issue? 

Multi agency meetings occur as part of the safeguarding processes. However, multi-agency 
meetings  are  arranged  to  discuss  many  forms  of  risk  and  the  care  and  support  needs  of 

reading.gov.uk | facebook.com/ReadingCouncil | twitter.com/ReadingCouncil 

 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 individuals,  not  only  those  who  meet  the  section  42  threshold.  When  the  threshold  for 
Section 42 enquiry is not judged to have been met, any agency can refer for a Multi-Agency 
Risk Meeting (MARM) or the lead  authority can  call a MARM meeting, and this is  outlined 
in the procedural documentation for the West of Berkshire Adult Safeguarding Board. 

7.  Whether the resourcing of the service is adequate and safe? 
Safeguarding  services  in  Reading,  in  line  with  all  other  parts  of  the  UK  have  been 
experiencing and continue to experience increases in the number of reported safeguarding 
concerns, which have resulted in significant service pressures over the last three years. In 
20/21 for example there were 1598 concerns reported to Reading, whereas in 21/22 this 
had risen to 2969.  There have been difficulties in recruiting and retaining permanent staff 
to work in safeguarding, in part because of national workforce shortages, but also because 
of  the  high-level  demands  in  skills  and  experience  needed  to  work  with  very  vulnerable 
individuals in crisis situations. 

The Council continues to review the required organisational structure to see which is best 
able  to  meet  the  increased  demand  in  order  to  deliver  adequate  and  safe  resourcing  of 
adult safeguarding in Reading and has made changes as a result. 

Following  the  appointment  in  June  2023  of  a  Senior  Safeguarding  lead,  3  additional  full 
time safeguarding staff were appointed, and this has provided a 30% increase in dedicated 
staff  resource  for  managing  safeguarding  referrals.  The  Senior  Safeguarding  Lead  is 
accountable  to,  and  works  with,  the  Assistant  Director  for  Safeguarding,  Quality  and 
Practice.  This  has  strengthened  the  managerial  oversight  of  the  delivery  of  the 
safeguarding  service  and  continues  to  report  performance  of  safeguarding  to  the 
Departmental Management Team, led by the Executive Director. 

These  increases  in  safeguarding  resources  described  above  have  been  delivered  despite 
resource pressures effecting the Council, in recognition of the importance of safeguarding 
for the residents of Reading. However, workforce challenges in social care are being felt 
by all Local Authorities in the UK at the current time particular in respect of shortages of 
skilled  and  experienced  staff  throughout  the  adult  care  service  which  continue  to 
challenge the resourcing of safeguarding systems across health and social care. 

8.  What are the systems for auditing and what happens if auditing reveals on going 

issues? 

As noted earlier the West of Berkshire Safeguarding Adults Board provides the framework 
policies and procedures for all safeguarding in Reading and staff must adhere to those and 
operate to those, with due regard to the requirements for safeguarding set out in the Care 
Act  (2014)  and other legislation  and  guidance.  Any issues identified  with  the  procedures 
and  policies  are  picked  up  through  the  SAB  as  described  in  5 (above)  and  any  individual 
skills  deficits  with  individual  workers  are  addressed  through  managerial  oversight  and 
guidance  as  work  is  subject  to  auditing  of  cases  and  worker  supervision  which  has  been 
strengthened in Reading in the last 6 months. Themes from audits and the learning from 
them are shared with staff in “Learning Together” sessions which are led by the Principal 
Social Worker and Principal Occupational Therapist. 

Learning  from  SARs  and  other  reviews  of  Safeguarding  are  overseen  by the  Safeguarding 
Review  Panel  of  the  SAB  and  recommendations  from  that  panel  to  commission  external 

reading.gov.uk | facebook.com/ReadingCouncil | twitter.com/ReadingCouncil 

 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
  
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 reviews,  thematic  learning  reviews,  appreciative  enquiry,  training  and  other  forms  of 
learning  from  practice,  are  made  to  the  Board  and  supported  by  senior  representatives 
from the 3 Councils and partner agencies. The “Bree” SAR will form the basis of learning 
events  and  other  opportunities  for  dissemination  of  recommendations  for  improvements 
in safeguarding and support of vulnerable individuals at risk of suicide. 

In June this year the creation of a senior management post to lead safeguarding practice 
in Reading, is enabling challenges in the delivery and resourcing of effective safeguarding 
to  be  brought  to  the  attention  of  senior  managers  in  Adult  Social  Care  and  in  the  wider 
Council.  The  postholder  also  oversees  the  work  of  the  Safeguarding  Team,  undertakes 
auditing  and  reviewing  of  safeguarding  cases  and  provides  expertise  in  management  of 
complex Section 42 enquiries. 
In  July  2023  Adult  Social  Care  in  Reading  introduced  a  Quality  Assurance  Framework  for 
the  service  which  includes  an  audit  programme  which  supports  auditing  of  safeguarding 
referrals,  not  just  at  team  level  but  also  incorporating  wider  auditing  by  managers  and 
some  external  commissioned  audits  undertaken  by  specialists.  The  individual  learning 
from these audits is fed back to workers and their managers and any themes for learning 
which  emerge,  form  the  subject  of  workshops  with  appropriate  staff.  This  Quality 
Assurance  Framework  systematises  case  audit  in  a  more  thorough  form  from  previous 
auditing  activity  and  allows  for  more  rigorous  consideration  of  any  gaps  in  processes, 
policies  or  practice  skills.  The  Departmental  quality  assurance  process  is  led  by  the 
Executive  Director  under  the  title  “Striving  for  Excellence”  which  is  following  the 
framework provided for inspection of adult social services by the Care Quality Commission 
(CQC), who are in the process of inspecting all local authority adult social care services. 
This  includes  the  performance,  delivery  and  outcomes  of  safeguarding  services  as  a  key 
part of their inspection. 

The  explanation  outlined  above  under  each  point  aims  to  provide  reassurance  around 
progress in relation to the specific actions that were for the Council to address. In overall 
conclusion  the  Council  will  continue  to  work  to  improve  its  response  to  safeguarding 
concerns drawing on support from agency partners represented on the Safeguarding Adults 
Board  and  will  give  full  consideration  of  recommendations  from  the  Safeguarding  Adults 
Review  concerning  the  tragic  death  of  Ms  Lucy  Anne  Walles.  The  findings  of  the 
Safeguarding  Adults  Review  will  contribute  to  the  improvement  work  particularly  in 
respect of how we respond across health and social care services to vulnerable people at 
risk of abuse, neglect and harm and those at risk of suicide. 

Yours sincerely 

Executive Director of Communities and Adult Social Care Services 

reading.gov.uk | facebook.com/ReadingCouncil | twitter.com/ReadingCouncil

Related reports

Other reports by Heidi Connor

See all →

More reports categorised “Suicide (from 2015)”

See all →

Track Berkshire Healthcare NHS Foundation Trust

See every Prevention of Future Deaths report matching Berkshire Healthcare NHS Foundation Trust, and how often a new one appears.

What would an alert for this have sent me? Search the full text

Free to try — the preview shows the real matches and how many arrived in the last 12 months. Your first email alert is free.

These reports are published by the Chief Coroner's office at judiciary.uk and are © Crown copyright. The text here is reproduced from the published PDF so it can be searched. If something on this page is wrong, or you are a person named in it and want it reviewed, email drcjar@gmail.com and we will act promptly.