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| Version 2 | Version 3 |
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| Devon carer who murdered woman had violent crime history | Devon carer who murdered woman had violent crime history |
| (10 days later) | |
| The man had no previous experience of working in care when he was employed to look after the woman | The man had no previous experience of working in care when he was employed to look after the woman |
| A carer who murdered the elderly woman he was employed to look after had a history of violent crime including actual bodily harm, a report found. | A carer who murdered the elderly woman he was employed to look after had a history of violent crime including actual bodily harm, a report found. |
| A safeguarding adults review over the death of a 77-year-old Devon woman in 2021 criticised working practices among organisations involved in her care. | A safeguarding adults review over the death of a 77-year-old Devon woman in 2021 criticised working practices among organisations involved in her care. |
| Devon and Cornwall Police did not disclose information about domestic abuse callouts involving the killer in a DBS check by the care provider. | Devon and Cornwall Police did not disclose information about domestic abuse callouts involving the killer in a DBS check by the care provider. |
| He was jailed for life in July 2022. | He was jailed for life in July 2022. |
| The woman, who is not identified in the Torbay and South Devon Adults Partnership report, had seen her killer as "a grandson" figure, it said. | The woman, who is not identified in the Torbay and South Devon Adults Partnership report, had seen her killer as "a grandson" figure, it said. |
| The killer, only referred to as "Mr M" in the review, attacked his victim, referred to as "Ella", after she discovered he had stolen several thousand pounds from her. | The killer, only referred to as "Mr M" in the review, attacked his victim, referred to as "Ella", after she discovered he had stolen several thousand pounds from her. |
| The 35-year-old had no previous employment experience of care before being taken on as her sole carer by Complete Quality Care Ltd, an independent care provider. | The 35-year-old had no previous employment experience of care before being taken on as her sole carer by Complete Quality Care Ltd, an independent care provider. |
| 'Vulnerable victim' | 'Vulnerable victim' |
| The report said he was convicted of a number of criminal offences between 2003 and 2007, including Actual Bodily Harm (ABH), and was involved with police over disorder and drug possession between 2014 and 2018. | The report said he was convicted of a number of criminal offences between 2003 and 2007, including Actual Bodily Harm (ABH), and was involved with police over disorder and drug possession between 2014 and 2018. |
| He was also reported for domestic assault on several occasions during those years, but no formal action was taken. | He was also reported for domestic assault on several occasions during those years, but no formal action was taken. |
| The report said the police did not disclose the domestic abuse callouts because there had not been "significant violence", it was not committed against a vulnerable person and the activity relating to the DBS check was not in the individual's own home. | The report said the police did not disclose the domestic abuse callouts because there had not been "significant violence", it was not committed against a vulnerable person and the activity relating to the DBS check was not in the individual's own home. |
| The review found information withheld by the police "would have allowed the provider to make a more comprehensive assessment of the risk Mr M may have posed as a care worker". | The review found information withheld by the police "would have allowed the provider to make a more comprehensive assessment of the risk Mr M may have posed as a care worker". |
| His victim, who had previously suffered domestic abuse herself, was considered "a vulnerable victim" by police after she reported the theft. | His victim, who had previously suffered domestic abuse herself, was considered "a vulnerable victim" by police after she reported the theft. |
| The review made several recommendations to some of the seven health and social care agencies and charities who were involved in her care. | The review made several recommendations to some of the seven health and social care agencies and charities who were involved in her care. |
| This included that Torbay and Devon Safeguarding Adults Partnership use the findings of the review to remind adult social care providers about safe recruitment practices. | This included that Torbay and Devon Safeguarding Adults Partnership use the findings of the review to remind adult social care providers about safe recruitment practices. |
| "Good practice" was noted as all agencies moved quickly to inform the police when Mr M was suspected of financial abuse and Complete Quality Care immediately suspended him from duty. | "Good practice" was noted as all agencies moved quickly to inform the police when Mr M was suspected of financial abuse and Complete Quality Care immediately suspended him from duty. |
| Paul Northcott, the independent chair of the Torbay and Devon Safeguarding Adults Partnership, said the report "highlighted a number of areas of learning that we as a partnership will need to implement to prevent such tragic circumstances from happening again". | Paul Northcott, the independent chair of the Torbay and Devon Safeguarding Adults Partnership, said the report "highlighted a number of areas of learning that we as a partnership will need to implement to prevent such tragic circumstances from happening again". |
| "Those lessons that are contained in the report are wide ranging and not confined to one agency, but point to a number of improvements that can be made nationally and locally," he said. | "Those lessons that are contained in the report are wide ranging and not confined to one agency, but point to a number of improvements that can be made nationally and locally," he said. |
| He said the partnership would ensure that the recommendations were "acted upon in a timely manner". | He said the partnership would ensure that the recommendations were "acted upon in a timely manner". |
| Kelly Cameron, registered manager at Complete Quality Care, said the service accepted the findings of the review. | Kelly Cameron, registered manager at Complete Quality Care, said the service accepted the findings of the review. |
| "We fully accept the findings and have worked with all partnership agencies to put into practice the recommendations as the safety of our service users is paramount." | "We fully accept the findings and have worked with all partnership agencies to put into practice the recommendations as the safety of our service users is paramount." |
| Ms Cameron said the service "acted immediately" to share information with authorities. | Ms Cameron said the service "acted immediately" to share information with authorities. |
| She added: "The act of one individual has caused deep sadness and distress for all involved but our sincere condolences are with the family of Ella at this difficult time." | She added: "The act of one individual has caused deep sadness and distress for all involved but our sincere condolences are with the family of Ella at this difficult time." |
| The BBC has contacted Devon and Cornwall Police for comment. | The BBC has contacted Devon and Cornwall Police for comment. |
| Follow BBC News South West on Twitter, Facebook and Instagram. Send your story ideas to spotlight@bbc.co.uk. | Follow BBC News South West on Twitter, Facebook and Instagram. Send your story ideas to spotlight@bbc.co.uk. |