Last updated:
9 January 2018

Safeguarding Adults Reviews

Details of the Safeguarding Adults Reviews.

The West Sussex Safeguarding Adults Board (SAB) must conduct Safeguarding Adults Reviews (SAR) in situations where an adult in its area dies as a result of, or has experienced, serious abuse or neglect. This allows lessons to be learnt to help prevent anything similar happening in the future.

The Board must publish the findings of any reviews it holds in its annual report. Before the Care Act 2014 became law the reviews were known as Serious Case Reviews.

Orchid View

A Coroner’s inquest into the deaths of 19 people who were residents at the care home, Orchid View in Copthorne, Crawley – run by the now defunct Southern Cross between 2009 and 2011 - found that five of the deaths were from natural causes attributed to by neglect.

Serious Case Review 2014

In June 2014, West Sussex SAB published the findings of the Serious Case Review regarding Orchid View care home in Copthorne. The Review made 34 recommendations which were unequivocally accepted by West Sussex County Council and the SAB.

The Review includes a statement by the author, Nick Georgiou, who was the independent chair of the Serious Case Review. Responses from West Sussex County Council and the SAB to the Review can be found below.

Final report one year on


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