Safeguarding Adults - PowerPoint Presentation

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Safeguarding Adults Lead Network28th July 2016 Slide2

Workshop OutlineCare Act 2014 – key messagesLocal multi-agency safeguarding adults arrangements Local developments Safeguarding Adult Lead RoleTools and guidance available HSAB Website Engaging Hampshire Communities resourcesNetworking with other SALs

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Programme9.00 am Arrival and registration9.15 am Care Act (2014) and safeguarding 10.10 am SAL role and responsibilities 10.40 am Break and networking

11.00

am Guidance and tools available

11.30

am Engaging Hampshire Communities

12.30

am Q & A

12.45

pm Finish

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Key messages from the Care Act 2014 Slide5

TerminologyIntroduces new definitions and terminology to describe adult safeguarding:Focus on a person’s well-being, safety and their right to live a life free from abuse or neglect. ‘Adult with needs of care and support’ replaces ‘vulnerable adult’ ‘Abuse and neglect’ placed in the context of harm caused and its impact on wellbeing, quality of life

and

safety

Focus on actions needed to mitigate or manage risks to protect from further harm.

Positive

concepts replace

negative attitudes e.g.

human rights, autonomy, choice, control,

empowerment instead of “susceptible, weak, dependent, defenceless, helpless, in danger, exposed, powerlessness, etc.” Slide6

Safeguarding in the Care ActCreates a new legal framework for how local authorities and other parts of the system need to work together to safeguard adults at risk of abuse or neglect. Chapter 14 of the Care Act statutory guidance replaces ‘No Secrets’

(2000

).

Establishes

safeguarding as one of the core functions of

care and support - helping

people

achieve

the outcomes that matter to them in their

life.

The

local authority

must focus on the needs and goals of the person concerned and promote their

wellbeing

when

exercising any of its care and support

functions

.

Statutory guidance published in October 2014 – revised March 2016Slide7

Statutory Safeguarding Framework Have a multi-agency adult safeguarding system aimed at preventing abuse and neglect and stopping it quickly when it happensMake enquiries, or request others to make them

when

an

adult with care and support needs may be at risk of abuse or neglect

to

find out what action may be

needed

Arrange for an independent advocate

to represent and support a person who is the subject of a safeguarding

enquiry,

if required.

Set up a Safeguarding

Adults Board and publish a safeguarding strategy and annual reportsCarry out Safeguarding Adults Reviews when someone with needs dies as a result of neglect or abuse and there is a concern that local services could have done more to protect themShare information arising from safeguarding enquiries and SARs

7Slide8

When the local authority believes that an adult in its area:has needs for care and support (whether or not the authority is actually meeting any of those needs),is experiencing, or is at risk of, abuse or neglect, andas a result of those needs is unable to protect himself or herself against the abuse or neglect

it must make (or cause to be made) whatever enquiries

are necessary to

enable it to decide whether any action should be taken in the

case

and, if so, what and by whom

N

ew

definition

for safeguardingSlide9

. The definition of care and support needs is based on a person’s ability to achieve key outcomes in their daily life: Personal dignity including

respect

Physical and mental

health

and emotional

wellbeing

Protection from abuse

and

neglect

Control by the person

over

day-to-day

life and care and support provided Participation in work, education, training or recreation Social and economic wellbeingDomestic

, family and personal relationships

Suitability of living accommodation

.

N

ational eligibility thresholds for adults with care and support needs consists of 3 criteria, all of which must be met for a person’s needs to be ‘eligible’

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Safeguarding enquiries (s42)Purpose is to establish with the individual what (if any) action is needed re the situation and to establish who should take such action.Option

to cause enquiries to be made – e.g. where the adult already has a relationship with another professional or the enquiry relates to a particular area of

expertise.

Local authority retains responsibility and accountability where it has ‘caused enquiries to be made

’ - duty

remains until all necessary action has been taken to resolve the

risks.

The local authority MUST arrange for an independent advocate to represent and support a person

if the person would

have ‘substantial difficulty’ to understand and take

part

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Wrap around themesSlide12

Prevention and wellbeingThe care and support system must actively promote wellbeing and independence, and not just wait to respond when people reach a crisis point. The ‘system’ needs to intervene early to support the individual.Help to retain or regain skills and confidence in order to prevent or delay

deterioration

in needs wherever

possible.

This

approach applies

equally to adult safeguarding

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Safeguarding is everyone’s responsibilityAll organisations have key roles and responsibilities in carrying out the work to safeguard adults at risk as part of ‘business as usual’.Support based on empowerment – reinforcing principles of choice, self-determination and

autonomy.

A balanced approach supporting a person’s

right to make choices and be

independent – information

and advice to help people to consider and weigh up

options.

The most proportionate and least intrusive

safeguarding responses based on wishes of the adult and level of presenting risk Slide14

Making Safeguarding Personal Response focuses on improving the person’s wellbeing, quality of life and safety. Approach enhances involvement, choice and control. Asking about and working towards, the outcomes the person wants – response defined by the wishes and views of the adult.

Recognising people

as experts in their own lives and working alongside them

to enable them

to resolve

issues and support

their recovery.

Information

and advice to enable the person to make informed decisions

Providing access to independent

advocacy

Decisions

relating to people assessed as lacking capacity are in their best interests.Slide15

Safeguarding process – underpinning principlesOUTCOME FOCUSED rather than procedurally driven - service user’s wishes an outcomes sought discussed at the beginning, middle and end of the processINCLUSIVE approach with MSP and user participation built into each stage. PROPORTIONATE response with concerns dealt with at the lowest level possible by the most appropriate organisation appropriate to the level of risk

and

wishes of the service user

STRUCTURED

with meetings at

the beginning, middle and end but re-designed to enable service

users

to take

part. Flexible and can adapt to the service user’s needs and wishes.

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Safeguarding process – underpinning principlesTIMELY operating to defined timescales – important to prevent drift and to provide accountability. Variations may be needed to provide a more flexible approach for the adult but these must be recorded. FLEXIBILITY with ‘Pause and Review and Exit Points at key stages to enable the process to stop before ‘the end’ to ensure proportionality.EFFECTIVE

risk management

process which engages the adult and relevant partners in the response.

FORMATIVE

process in which the safeguarding support plan starts to be developed within 24 hours and is reviewed and revised at each stage

.

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‘Safeguarding System’Commissioning for better outcomes, contract and quality monitoring, improvement, regulatory action, enforcement Criminal justice (criminal investigation, prosecution, probation, MAPPA)

Local Multi-Agency Safeguarding

policy, s42 safeguarding enquiries and allegations management

Prevention and early

intervention, information

and

advice,

shared risk management

Support based on capacity, consent, self determination, person centred approach,

MSP, advocacy

Care Act 2014 Chapter 14 (replaces ‘No Secrets

’).

L

egal

framework adult safeguarding. Responsibilities apply to

LAs,

Police and

NHS.

Six statutory

safeguarding principles

Community safety

(trading

standards, ASB, hate crime, fire safety, domestic abuse, trafficking, HBV

) and civil remedies Slide18

Adult abuse and neglect – the extent of the problem?Slide19

Annual findings from the national safeguarding adults monitoring report published in Oct 2015. In 2014/15 103,900 safeguarding referrals were opened and of these:60% were female 63% per cent were aged 65

or over.

52% of

the individuals required physical or mental health support.

Most

common type was neglect and acts of omission

, (32%) followed

by physical abuse

(27%)

Source

of risk was most commonly someone known to the adult at risk but not in a social care

capacity (50%)

Social Care support was the source of risk in 36% of referrals In the remaining 14% of cases the source was someone unknown to the individual. Location

of risk was most frequently the home of the adult

(43%) or

in a care home (

36%)

Prevalence of adult abuse Slide20

Serious CasesUnder the Care Act 2014, the SAB is required to undertake a SCR (now SAR) when an adult has died or suffered serious harm. There were a total of 65 serious case reviews (SCRs) compared to 60 in 2013-14. These involved a total of 190 adults at risk, of which 30% suffered serious harm and died and 70% suffered serious harm but survived.Slide21

Hampshire picture 2015/16Overall safeguarding enquiries were 3324 ( an increase of 101 on the previous year) – involving 2,847 individualsOlder people accounted for 60% of the total referrals made. Clients aged 65 and under with a Physical Disability where the second most referred group accounting for 15%. No. of enquiries relating

to people with a learning disability dropped for the second consecutive year from 570 to 463 representing 14% of safeguarding

enquiries .

Concerns

about neglect and physical abuse were the most common reason for safeguarding referrals

(

41% and 23% respectively

).

Most

common location for the abuse or neglect was the adult’s own home followed by residential care

.

Only one case met the

criteria for a SAR – now been completed. A no. of other cases, fell short of criteria for a statutory review but these were subject to a multi agency review to gain learning Slide22

Any comments or questions?Slide23

HSAB guidance and tools Work undertaken by the Hampshire SAB with the other local SABs in Hampshire and IOW: Local multi agency safeguarding policy and guidance 2015Safeguarding enquiry process Practice guidance on:

- Information sharing

-

Prevention and

early intervention

Safeguarding in commissioned

services

Multi agency risk management

Allegations management

HSAB website

SAL resources Slide24

For more information visit www.hampshiresab.org.ukSlide25

Safeguarding Adult Lead RoleSlide26

Safeguarding Adult Lead RoleLeads on safeguarding for their organisation.First point of contact for staff for advice if they have concerns.Assesses information relating to concerns about adults at risk.

Decides if concerns

should be notified to adult

services

Make safeguarding

referrals.

Liaises

with the relevant DASM and LADO for their

sector.

Ensures

concerns are logged and stored securelyKnows the contact details of relevant statutory agencies e.g. adult services, Police, CCG, CQC, etc. Ensures the organisation’s safeguarding policy and related policies are kept up to date.Completes the Organisational Safeguarding Self Audit Slide27

Creating the right culture Clear stated values and ethos within the organisation Personal centre approach Safe recruitment practiceResponsibility to prevent abuse and to report

concerns in JDs

C

ode

of

conduct reflects zero

tolerance stance

Internal safeguarding policy

Raising

awareness about

personal

rights  

Open culture about whistleblowing and complaints Allegations management and DBS/fitness to practice referrals Slide28

PreventionStaff, service user and family awareness of abuse and how to raise concerns. Raising awareness about personal rights  ‘Keeping Safe’ information Recognising and responding to a person’s ‘vulnerability factors’ Support to reduce loneliness or isolationFocus on building or strengthening family

or social

networks

Raising

awareness of the signs

of abuse

or neglect

Information about sources of independent advice

and

advocacy

.

Effective risk management and early intervention Slide29

Internal adult safeguarding policyAll organisations must have an up-to-date clear internal adult safeguarding policy consistent with the Multi-Agency Safeguarding Adults PolicyEnsure all staff are aware of and can act upon concerns and allegations in accordance with this

policy

.

Review of current internal policies to ensure fit with the new local multi agency safeguarding policy:

Prevention of abuse and neglect

New definition

o

f abuse

Addition of other forms of abuse

Safeguarding enquiries

Information sharing

Making safeguarding personal Slide30

Safeguarding EnquiriesReport concerns promptly to the local authority. Cooperate with safeguarding enquiries being undertaken.Undertake safeguarding enquiries – e.g. when the concern relates to the conduct or actions of staff and written report of the actions taken Share information and supporting documentation arising from the enquiry with the local authority (and advocate). Involve the service user in the enquiry (MSP) providing any additional support the adult may need. Provide

information, advice and support is provided to the adult harmedSlide31

Tools to assist the SALSAL Role Profile Safeguarding Adult Leads Network Care Act Implementation ChecklistSafeguarding Self Audit Tool Safeguarding Learning and Development StrategyGuidance on producing an internal safeguarding policy Alerter ChecklistPrevention and Early Intervention Practice Guide Publicity material on abuse and neglect HSAB WebsiteEngaging Hampshire Communities resourcesSlide32

Useful Links www.hampshiresab.org.ukwww.skillsforcare.org.uk http://www.scie.org.uk/adults/safeguardinghttps://khub.net Slide33

Any comments or questions?