Leicester, Leicestershire and Rutland Safeguarding Children Board
Executive Summary Serious Case ReviewChild W
1.1 A Serious Case Review was undertaken after Child W, who was 2 years old,was killed by his father. Mr W immediately admitted causing his son’s death and acriminal investigation followed. This resulted in Mr W being charged with murder,to which he eventually pleaded guilty. Mr W was sentenced to life imprisonment.The judge ordered that he serve a minimum term in prison of just over 16 years.The Serious Case Review could not be completed until after Mr W’s trial.1.2 This Executive Summary reflects the findings of the Serious Case Reviewwhich was carried out in line with government guidance. Local SafeguardingChildren Boards (LSCBs) must consider whether to carry out a review when achild is killed by a parent. The focus of this review was the history of mentalhealth problems of Child W’s parents, the domestic violence in their relationshipand the impact of their difficulties on the care of their son.1.3 Leicester, Leicestershire and Rutland Safeguarding Children Board iscommitted to learning lessons from reviews in order to develop and improve howchildren are safeguarded through the work of professionals and agencies and theway in which they work together. It is equally important to learn from good practiceand to build on this. The review has tried to identify any changes which need to bemade for the future.
2 . The Serious Case Review
2.1 Each agency that had worked with Child W and his family was asked to do areview, called an Individual Management Review. The reviewer had to besomeone who had not worked directly with the family or been the line manager ofany worker who had been involved. The reviewers read all the records relating tothe family and spoke to some of the workers and their managers. The reviewer’sresponsibility was to be thorough, objective and critical in order to identify practicewhich did not meet the required standards as well as good practice. It was alsoimportant to understand why certain actions were taken and decisions made. Thereviewer then produced a chronology, (what happened and when), of theagency’s involvement and wrote a report of their findings.2.2 The Serious Case Review Group, made up of representatives of theSafeguarding Children Board and the Individual Management Reviewers,considered all the reviews and analysed the professional practice and the way inwhich the agencies worked together. The group was joined by an independentperson, the Overview Author, who was not employed by any of the agencies.Their responsibility was to look critically at the reviews and work with the group todraw conclusions from the information and analysis and then to write an OverviewReport. The Children and Young People’s Service, Housing Services, the Policeand the Health Services were represented on the Serious Case Review Group.