Adult Safeguarding - PowerPoint Presentation

Adult Safeguarding

Introductions Name and work role What does safeguarding mean to you ? Health warning

Learning outcomes for today To deliver a basic awareness session To discuss safeguarding adults Identify signs and symptoms of abuse Take part in group activities Understand mental capacity and decision making How to report abuse

The safeguarding duties apply to an adult who: Has needs for care and support (Whether or not the local authority is meeting any of those needs) and Is experiencing, or at risk of, abuse or neglect and As a result of those care and support needs is unable to protect themselves from either the risk of, or the experience of abuse or neglect. All 3 conditions must apply From Care and Support Statutory Guidance Nov 2014 Who does Safeguarding apply to?

Definition of Care and Support Care and support includes assessment of people’s needs, provision of services and the allocation of funds to enable a person to purchase their own care and support. It could include care home, home care, personal assistants, day services, or the provision of aids and adaptations.

In the news …….. Winterbourne View care home staff jailed for abusing residents Six staff are jailed and five given suspended sentences after abuse of disabled patients was secretly filmed by reporter   Oxfam scandal deepens with allegations of 'sex for aid' and abuse in charity shops  Council staff suspended over death of 81 year old woman left to starve

Gloria Foster 2013

Categories and indicators of abuse

Physical Abuse Examples: Hitting, slapping, pushing, kicking, hair pulling Misuse of medication Restraint, or inappropriate sanctions Indicators: Clusters of bruising forming patterns, reflecting the shape of an article or finger marks Burns (electrical/cigarette) Signs of medication misuse (over or under medication) Covering up with clothing

Sexual Abuse Examples: Rape and sexual assault Sexual harassment, inappropriate looking or touching Subjection to pornography or witnessing sexual acts to which the adult has not consented, could not consent, or was pressured into consenting Indicators: Difficulty in trusting other adults or members of their peer group Sexually transmitted infections (STIs) Disclosure of abuse past or present Self harm

Psychological Abuse Examples: Threats of harm or abandonment, Deprivation of contact, Humiliation, blaming, controlling, intimidation , coercion, harassment, verbal abuse, Isolation or withdrawal from services or support networks Indicators: Someone who is resigned and withdrawn Unexplained fear or defensiveness Avoiding looking at care giver and flinching on approach Incontinence Weight loss/gain

Neglect and Acts of Omission Examples: Ignoring medical emotional or physical care needs Failure to provide access to health, care or educational services Withholding necessities or life such as food and sanitation Indicators: Poor physical condition of the person – unclean, soiled, being kept in nightclothes during the day Distress resulting from unmet need such as evident thirst, hunger discomfort and despair

Domestic Abuse Examples: Between intimate partners or family members regardless of gender or sexuality: physical, sexual, financial, emotional abuse so called ‘honour’ based violence Forced Marriage Indicators: Previous physical assault or abuse (including of animals) Previous sexual assault Possessiveness, controlling or stalking behaviour Verbal abuse Curtailing of social interaction

The impact of Domestic Violence Abuse of women and child abuse occur together in 40-60% of cases In 90% of incidents involving domestic violence, the children are in the same or next room Children of all ages most often take some form of passive or active support to protect the victim when witnessing domestic violence Children may feel guilty if they are not able to come to the aid of the victim – self-blame and feeling it is their fault Increased levels of anxiety in children

Financial or Material Abuse Examples: Theft, fraud, internet scamming Coercion in relation to financial affairs such as in connection with wills, property or inheritance Misuse or misappropriation of property, possessions or benefits Indicators: Lack of belongings or services which person can afford Insufficient food in the house and bills not being paid Family, friends or acquaintances expressing sudden or disproportionate affection for a person with money or property

Organisational Abuse Neglect and poor care practice: i n an institution such as a hospital or care home i n relation to care in one’s own homeIt occurs where someone’s wishes or dignity are consistently or repeatedly compromised to ensure the “smooth running” of an institution or organisation. Indicators: Lack of transparency and openness Lack of choice and control Rigid routines Poor record keeping inadequate procedures

Modern Day Slavery Encompasses slavery, human trafficking, forced labour and domestic servitude. Traffickers and slave masters use whatever means they have at their disposal to coerce, deceive and force individuals into a life of abuse, servitude and inhumane treatment Indicators Physical appearance: Unkempt, malnourished, Isolation Poor living conditions Few or no personal effects Restricted freedom of movement Unusual travel times Reluctance to seek help

Self Neglect Examples: Personal hygiene Health SurroundingsHoarding Indicators: Grossly inadequate housing/homelessness Hazardous or unsanitary living conditions Dehydration, malnutrition, poor personal hygiene Untreated medical conditions Inadequate clothing, lack of necessary medical aids

Mental Capacity Act 2005 The Mental Capacity Act provides a statutory framework for decision making for those over the age of 16 who are incapable of making certain decisions for themselves due to injury, impairment or illness. Mental c apacity issues potentially affect everyone at some time in their lives .

How do we decide if some one has capacity? Are they able to understand the information relevant to the decision? Are they able to retain that information? Are they able to use or weigh up that information as a means of making the decision? Are they able to communicate their decision (by whatever means)? Video

Case study Graham –discuss the case Any questions

Why does it matter to me? Safeguarding is everybodys responsibility This includes staff and volunteers working in health agencies, police, social care, voluntary sector and charities as well as people who might be concerned about neighbours, friends and family members.

We ALL have a duty to act on a concern/allegation of harm/abuse when an individual Has needs for care and support (Whether or not the local authority is meeting any of those needs) and Is experiencing, or at risk of, abuse or neglect and As a result of those care and support needs is unable to protect themselves from either the risk of, or the experience of abuse or neglect .

It is always best practice to speak to the adult involved at as early a stage as possible to get their views and wishes on the concerns. This should help to guide what next steps should be taken and whether the concern should be reported as an adult safeguarding concern or should be dealt with by another means .

We ALL have a duty to act on a concern / allegation of harm or abuse Consider the immediate safety of the adult at risk and others who may also be at risk as a result of the concerns Where a criminal act is suspected this should be reported to the Police Ensure immediate risks are addressed Follow your agencies safeguarding procedure

HSAB Web Site

Thank you for attending