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Self-neglect & Hoarding

The Care Act statutory guidance 2014 defines self-neglect as; “a wide range of behaviour neglecting to care for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding”.

Representatives from Herefordshire Safeguarding Adults Boards partners have worked with Worcestershire Safeguarding Adults Board to update our local policy that includes a toolkit to aid professionals in identifying and responding to cases of self-neglect and / or hoarding.

For more information, view the Self Neglect and Hoarding Policy and Practice Guidance

Also see information and guidance from SCIE: SCIE self-neglect at a glance

For households where hoarding has been identified it is recommended that a referral to Hereford and Worcester Fire and Rescue Service is made for a Home Fire Safety Visit.

Clutter Image Ratings are used to identify the level of any possible hoarding allowing all practitioners to have a common understanding of the level of risk for the household. View Clutter rating images here.

Home Fire Safety Visits maximise the opportunity to help individuals stay safe and independent.  The qualified technician will also identify any health and care needs that require signposting to local services to help ensure safety and wellbeing.

To refer a client for a Home Fire Safety Visit please complete an online referral or download the referral form

Home Fire Safety Visit leaflet


Sandwell Safeguarding Adults Board has produced a short film to help people identify self-neglect in themselves and others – and know what to do about it.

Presentation slides on Self-Neglect, delivered at the Practitioner Forum in March 2023 – HSAB Self-Neglect Presentation_March 2023

A recording of the presentation above (28 minutes) can be viewed here