Hannah Windsor case review echoes familiar failings in Wirral care agencies since 2004

Hannah Windsor case review echoes familiar failings in Wirral care agencies since 2008

Hannah Windsor case review echoes familiar failings in Wirral care agencies since 2008

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The damning conclusions reached in the Hannah Windsor inquiry echo similar findings in other recent Serious Case Reviews of troubled Wirral youngsters.

The review published on Friday surrounding the 2012 murder of Hannah found the extent of her vulnerability "was not understood by professionals working with her.”

It says the many agencies involved had failed to communicate effectively with each other - a finding that has been reached before in at least three case reviews.

Seventeen-year-old Hannah suffered a horrific death last May after being tied to a tree and brutally tortured by her boyfriend Adam Lewis.

The 83-page report, which is anonymised - referring to Hannah as "Child G" - contains 111 separate recommendations for changes to procedures, training and issuing extra guidance to staff.

It found that although her murder could not reasonably have been foreseen, service provision by the professional agencies that were supposed to look after her was “diffuse and lacked co-ordination”

The review charts how Hannah had a difficult childhood and discloses that over the years, the youngster had contact with a large number of agencies and organisations.

Representatives of health, education, social care, police, youth offending and housing services were all involved.

Surprisingly, no multi‐agency “holistic” assessment of her needs, characteristics and behaviour ever took place.

No assessment took account of her developmental progress and the relationship she had with her family or their capacity to care for her.

Information contained in key records was not adequately appraised and no child protection plan was ever formulated.

The report concludes that the many recommendations for improvement are already being put in place.

However, in 2011 a Serious Case Review of circumstances surrounding “Children A,B,C & D” also found there were “several areas for learning” identified.

The report states: “The failings to safeguard and promote the welfare of these children were not located within just one agency.

“Lack of assessment meant that throughout the period of review, interventions were reactive with too great an emphasis on practical support.

“Apart from the initial assessment undertaken very early in this four-year time frame, no other assessments took place during this period either in relation to the needs of the children or the parenting capacities of the adults.

“Yet there was significant evidence that these children were experiencing neglect and growing up in situations of domestic violence.”

In 2009, a review involving “Child CF” found the overarching issue was that agencies "failed to recognise" the extent of parental mental health problems and to devise more appropriate interventions when it should have been clear that the family support measures being offered were not working.

“There is criticism about the quality of assessments undertaken by various agencies including the mental health assessment and the core assessment.”

In 2008, an inquiry involving “Child JLS” found early multi-agency assessments with regard to the child and his family were “not of sufficient depth and detailed analysis to determine the most appropriate and effective forms of intervention.

“There was very little indication of agencies working together on a multi-agency basis and there were some significant deficiencies with regard to information sharing between agencies.”

And an investigation following the death of "Child JC" in 2004 found there was no evidence that care planning for siblings followed agreed protocols.

This led to key parties being excluded from what became a single agency plan from the local authority’s social service department.

In what is now sounding like a very familiar phrase, the report says: "There was poor inter-agency sharing of information and key parties did not fully understand their role.

"Communication was poor as there was no bringing together of key professionals to agree the care plan."

 

 

 

Comments (7)

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11:31am Mon 4 Mar 13

MDRyUK says...

We must establish what did or what didn't happen in Hannah's case independently from all those agencies currently involved.

Furthermore the public must be completely reassured the local authority had the resources available and the professional ability too to assess cases like this otherwise it seems systemic failings may be an ingredient in Hannah's case which we cannot afford to happen again.

This is a very sad and very tragic case. Somewhere along the line there must be an element of accountability and responsibility - however complicated cases like this appear to be upon initial investigation.

Obviously this isn't the end of the story and well done to staff at the Wirral Globe for ensuring details are fully reported to the rest of us.

It is important we know children in society are protected as much as humanly possible.

No one could have predicted Hannah would have lost her life in such circumstances. How very sad it will be if her death does not eventually lead to any systemic improvements.

RIP Hannah.
We must establish what did or what didn't happen in Hannah's case independently from all those agencies currently involved. Furthermore the public must be completely reassured the local authority had the resources available and the professional ability too to assess cases like this otherwise it seems systemic failings may be an ingredient in Hannah's case which we cannot afford to happen again. This is a very sad and very tragic case. Somewhere along the line there must be an element of accountability and responsibility - however complicated cases like this appear to be upon initial investigation. Obviously this isn't the end of the story and well done to staff at the Wirral Globe for ensuring details are fully reported to the rest of us. It is important we know children in society are protected as much as humanly possible. No one could have predicted Hannah would have lost her life in such circumstances. How very sad it will be if her death does not eventually lead to any systemic improvements. RIP Hannah. MDRyUK
  • Score: 0

3:45pm Mon 4 Mar 13

swintonwolf says...

people should be sacked over this
people should be sacked over this swintonwolf
  • Score: 0

5:00pm Mon 4 Mar 13

frank h says...

Same agencies health, education, social care, police, youth offending and housing services, multi‐agencies, silo, “holistic, all words at the end of the day same agencies making the same mistakes and a young vulnerable girl has been killed. Those involved should pay for her funeral, putting the epitaph on her gravestone "let down by so many loved by so few". Then I would sack them for gross incompatibly and basically not caring. R.I.P Hannah
Same agencies health, education, social care, police, youth offending and housing services, multi‐agencies, silo, “holistic, all words at the end of the day same agencies making the same mistakes and a young vulnerable girl has been killed. Those involved should pay for her funeral, putting the epitaph on her gravestone "let down by so many loved by so few". Then I would sack them for gross incompatibly and basically not caring. R.I.P Hannah frank h
  • Score: 0

5:31pm Mon 4 Mar 13

water1lily says...

Nothing will change my disabled son was placed by DASS with a co- tenant who we found out had a record of attacking his carers and even his own mother something DASS disputed despite his own mother confirming it. For 5 years my son was continually coming home with scratches and bruises DASS refused to accept there was a problem they even tried to say he was self harming. My son's mother and sister were attacked(we were refused incident reports as they involved a third party ie the attacker!),We have seen the co-tenant attack carers, my sons Carers from another Agency were not allowed across the doorstep when they called to take him out. Eventually when DASS even ignored the Ombudsman saying the placement wasn't doing my son any good and they had to find him new accommodation and the fact he was in such a state his weight dropped to 7 1/2 stone as he could hardly eat which DASS said wasn't a problem, we finally moved him into charitable accomodation. DASS say they held Safeguarding Conferences but have refused to give us any details despite a FOI request a year ago. Although his new rent is less they won't meet it even after appeal as it is not in 'social housing' which we were unable to obtain despite Health and Welfare Urgent Needs so he now has a £2000 a year shortfall which the Finance Department says he can afford topay out of his income support despite also charging him over £80 a week towards his care package! Within 3 weeks in his new accommodation he had gained half a stone after 3 months his weight was 8 stone 5 pounds and he has not had one bruise or scatch. His Care Manager only visited when we complained to our MP who was doing a sweep of our neighbourhood, she also asked DASS why he still hadn't received a personnal budget 4 years after applying and he is finally going to receive one this month after DASS's reply to the MP lied that he had only applied a year ago. The last we heard his previous co-tenant attacked a female carer who was seen running screaming from the house.This is only a very minor snapshot of what has transpired after 12 years asking DASS to find suitable accommodation for my son, in my dealings I can only describe DASS as EVIL LIARS.
Nothing will change my disabled son was placed by DASS with a co- tenant who we found out had a record of attacking his carers and even his own mother something DASS disputed despite his own mother confirming it. For 5 years my son was continually coming home with scratches and bruises DASS refused to accept there was a problem they even tried to say he was self harming. My son's mother and sister were attacked(we were refused incident reports as they involved a third party ie the attacker!),We have seen the co-tenant attack carers, my sons Carers from another Agency were not allowed across the doorstep when they called to take him out. Eventually when DASS even ignored the Ombudsman saying the placement wasn't doing my son any good and they had to find him new accommodation and the fact he was in such a state his weight dropped to 7 1/2 stone as he could hardly eat which DASS said wasn't a problem, we finally moved him into charitable accomodation. DASS say they held Safeguarding Conferences but have refused to give us any details despite a FOI request a year ago. Although his new rent is less they won't meet it even after appeal as it is not in 'social housing' which we were unable to obtain despite Health and Welfare Urgent Needs so he now has a £2000 a year shortfall which the Finance Department says he can afford topay out of his income support despite also charging him over £80 a week towards his care package! Within 3 weeks in his new accommodation he had gained half a stone after 3 months his weight was 8 stone 5 pounds and he has not had one bruise or scatch. His Care Manager only visited when we complained to our MP who was doing a sweep of our neighbourhood, she also asked DASS why he still hadn't received a personnal budget 4 years after applying and he is finally going to receive one this month after DASS's reply to the MP lied that he had only applied a year ago. The last we heard his previous co-tenant attacked a female carer who was seen running screaming from the house.This is only a very minor snapshot of what has transpired after 12 years asking DASS to find suitable accommodation for my son, in my dealings I can only describe DASS as EVIL LIARS. water1lily
  • Score: 0

6:50pm Mon 4 Mar 13

Positive thinker says...

Here we go again,lets have ago at the powers to be,what about her parents,as I've said before what ever help you could of give the girl with a scum bag on the loose like Adam Lewis all the he in the world wouldn't have prevented such a tragedy
Here we go again,lets have ago at the powers to be,what about her parents,as I've said before what ever help you could of give the girl with a scum bag on the loose like Adam Lewis all the he in the world wouldn't have prevented such a tragedy Positive thinker
  • Score: 0

11:06pm Mon 4 Mar 13

FarooqB says...

Water11ily, thanks for sharing your experience with all of us. This is a true account of a Parent regarding his own son and grave failings of DASS.

Is DASS accountable to anyone? I wonder. After all the whistle-blowing inquiries and the investigation of the Audit Commission into financial irregularities, has Wirral Council learnt any lessons. All the public comments here suggest, they haven't.
Water11ily, thanks for sharing your experience with all of us. This is a true account of a Parent regarding his own son and grave failings of DASS. Is DASS accountable to anyone? I wonder. After all the whistle-blowing inquiries and the investigation of the Audit Commission into financial irregularities, has Wirral Council learnt any lessons. All the public comments here suggest, they haven't. FarooqB
  • Score: 0

12:19pm Tue 5 Mar 13

RL 1952 says...

FarooqB wrote:
Water11ily, thanks for sharing your experience with all of us. This is a true account of a Parent regarding his own son and grave failings of DASS.

Is DASS accountable to anyone? I wonder. After all the whistle-blowing inquiries and the investigation of the Audit Commission into financial irregularities, has Wirral Council learnt any lessons. All the public comments here suggest, they haven't.
DASS think they are a law unto themselves abley assisted by the Council leader who has seen fit to sweep the findings of the AKA report under the carpet, thereby protecting the wrong-doers from any disciplinary action - which in effect means they are able to carry on and leave the vunerable - vulnerable, quite unbelieveable.
No lessons learned sadly.
One only has to look at the recent Globe story on Martin Morton to see what is really going on.
[quote][p][bold]FarooqB[/bold] wrote: Water11ily, thanks for sharing your experience with all of us. This is a true account of a Parent regarding his own son and grave failings of DASS. Is DASS accountable to anyone? I wonder. After all the whistle-blowing inquiries and the investigation of the Audit Commission into financial irregularities, has Wirral Council learnt any lessons. All the public comments here suggest, they haven't.[/p][/quote]DASS think they are a law unto themselves abley assisted by the Council leader who has seen fit to sweep the findings of the AKA report under the carpet, thereby protecting the wrong-doers from any disciplinary action - which in effect means they are able to carry on and leave the vunerable - vulnerable, quite unbelieveable. No lessons learned sadly. One only has to look at the recent Globe story on Martin Morton to see what is really going on. RL 1952
  • Score: 0

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