Transcript Case Conference stage - Leeds Safeguarding Adults Board

West Yorkshire
Safeguarding Adult
Multi-Agency Policy and
Procedures
March 2013
1
Background
• Introduced from the 1st April 2013
• Initially requested by statutory organisations working
across West Yorkshire
• National trend towards regional approaches
• SCIE – supporting many of these projects (West
Midlands and Pan-London procedures)
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What is new for us in Leeds:
Similarities and Differences?
• For all organisations & practitioners in Bradford,
Calderdale, Kirklees, Leeds and Wakefield there will
be some things that are new and some things which
are the same.
• In general terms… for Leeds the West Yorkshire
procedures are very similar to those we currently
have. The main difference is the language used to
describe certain stages and actions. This may make
them feel different initially, but the process behind the
terms is essentially the same.
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Key Roles
Most of these are unchanged for us in Leeds:
• Safeguarding Investigating Officer
• Safeguarding Coordinator
• Case Conference Chair
• Adult at risk
• Person or organisation alleged to have caused harm.
New:
• Alerter (or Alerting Manager) now instead of Referrer.
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Leeds stages
West Yorkshire stages
Prevention
Included within the policy and
throughout all stages of the procedures
(Not a separate stage in the West Yorkshire multiagency procedure)
Alert
Raising a concern
(Not a separate stage in the West Yorkshire multiagency procedure)
Referral
Alert
Decision to investigate
Referral
Strategy
Strategy
Investigation
Investigation
Protection plan
Case Conference
March 2013
Review
Review
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Policy
• The West Yorkshire Policy adopts much of Leeds
policy; it is therefore very similar.
• Provides more information, particularly about the
roles of organisations involved in safeguarding
adults.
• It highlights the importance of prevention.
• It follows Leeds in using the term ‘harm’ rather than
‘significant harm’ as the threshold for safeguarding
adults.
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The policy adopts the same values, principles and
considerations; including the 6 Department of Health
safeguarding principles:
•
•
•
•
•
•
Empowerment
Protection
Prevention
Proportionality
Partnership
Accountability
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Alert Stage
The language here is different:
• All employees and volunteers have a responsibility to
‘Raise A Concern’ with their manager.
• If there is a need to report the concern to the
safeguarding contact point, this is called an Alert.
• Within an organisation, the alert will usually be made
by the Alerting Manager
We are used to describing this differently. We are used
to saying, employees and volunteers must Alert their
manager, and if there is a need to report the concern to
the safeguarding contact point, this used was a Referral.
This change of terms will take some getting used to, but
the responsibilities are the same, the written guidance
2013
is March
based
on that already used in Leeds.
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Responsibilities though are the same…
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•
•
•
•
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Gather information
Take action to ensure immediate safety
Does a crime need to be reported
Preserve evidence
Record the incident and actions taken
Decide whether an alert is required
Ensure key people are informed e.g. CQC
Support the person raising the concern
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Alert Stage (…continued)
• The West Yorkshire
procedures do not include the
Leeds ‘safeguarding referral
decision tool’ (an Alert tool in
the terminology of West
Yorkshire).
• This will be retained as
separate local guidance in
Leeds.
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Provisional changes to the forms:
• No change to the safeguarding reporting
process, ring the contact centre as before…
• Current proposal: SA1 form – renamed
‘Safeguarding Adults Concern Supporting
Information’ form
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Referral Stage
The language here is different too.
We are used to calling this stage ‘Decision to
Investigate’. It is now called Referral.
Referral is now the process of receiving an Alert, and
deciding whether to investigate this within the
safeguarding procedures.
If so, it is Referred into the safeguarding process for a
strategy discussion/meeting.
The guidance comes from the Leeds procedures. It is
doing the same thing, just with a different name.
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Responsibilities though are the same…
•
•
•
•
•
gather information
establishing the wishes of the person at risk
evaluating the risk
consider the need for a protection plan
deciding whether an investigation is required
(or another response is more appropriate)
• notifying the alerter of the decision
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ESCR Recording: Key Points
Description detailing
presenting information
Decision point
Name of Safeguarding
Co-ordinator
SA1 attached to ESCR
Referral
Decision notes
Referrer informed notes
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Strategy Stage
The strategy stage allows for a strategy discussion
and/or a strategy meeting (and strategy review meeting
if necessary) to be convened and chaired by the
safeguarding coordinator….
Responsibilities are the same…
• Start recording in line with national data requirements
• Share information
• Consider the adult at risk wishes and support needs
• Assess risk and agree an interim protection plan
• Confirm a safeguarding investigation is required
2013 the investigation
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•MarchPlan
ESCR Recording: Activity Plan
Status of case
Name(s) of person involved
Start of Episode
Personal details of
Adult at Risk
Safeguarding activity:
Sub Types
Dates
Outcomes
ALL MUST BE COMPLETED TO COMPLY WITH REQUIREMENTS OF THE SAFEGUARDING ADULTS RETURN
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This strategy discussion/meeting will need to be a
professional judgement and be a proportional response to the
nature of the issues. The need for a strategy meeting will be
indicated where:
 there are significant risk or protection planning
arrangements for the adult at risk (or others)
 several organisations have concerns and need to share
information
 there may be a number of investigations by different
organisations
 there may be legal or regulatory actions
 a serious crime may have occurred
 the allegation involves a member of staff/volunteer
 the situation could attract media attention
 there are concerns about the safety of the
service/institutional abuse.
2013 scale investigation is being considered
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 aMarch
large
Leeds: Investigation Type
West Yorkshire Procedures
Type 1 Investigation
The Safeguarding Investigating
Officer is the service provider
(ESCR: Service provider investigation)
Type 2 Investigation
Type 3 Investigation
Type 4 Investigation
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The Safeguarding Investigating
Officer is ASC/LYPFT/LTHT
(ESCR: Independent investigation)
Large Scale Investigation
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Service providers as Safeguarding Investigating
Officer….
The decision will need to be a proportionate one,
reflecting individual circumstances, and the indicators:
 issues are such that they can be investigated
impartially by the service provider (and will be
perceived to be)
 institutional abuse is not indicated or suspected
 no other organisation is needing to contribute to the
safeguarding investigation
 a serious crime is not indicated
 no regulatory or contracting authority actions are
indicated
 there is no reoccurring pattern of incidents of abuse
indicated.
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There will no longer be different timescales for the
different ways of undertaking an investigation. The
target timescale is for a case conference discussion or
meeting to be held 8 weeks* after the safeguarding
referral decision.
* to be achieved earlier wherever possible.
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Forms:
A form for Notes of a Strategy Discussion
Templates for a:
• A Strategy Meeting
• A Strategy Review Meeting
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Investigation Stage
The investigation process is there to:
• Establish the truth behind an allegation,
• Support the assessment of risk and
• Support the development of a protection plan.
Need to follow the investigation plan agreed at the strategy
stage
The role of the safeguarding investigating officer is
unchanged
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Current proposal: changes to the forms:
• A Service Provider Investigation Report
• An Independent Safeguarding Investigation
Report
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ESCR Recording: Key Points
Denotes the type of
Investigation:
Independent
Large Scale
Service Provider
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Denotes the outcome of
the investigation:
Case Conference Discussion
Case Conference Meeting
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Case Conference Discussion or Meeting
Leeds Procedures
West Yorkshire Procedures
No name: In a Type 1 & Type 2
Investigations concluded by
Safeguarding Coordinator
Case Conference Discussion
Case Conference Meeting
Case Conference Meeting
Whether a case conference meeting is needed will be
determined with professional judgement taking into
account a set of indicators/guidance. Where a strategy
meeting is required, a case conference meeting will
ordinarily be required.
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Case Conference stage
Was called ‘protection plan’ as a stage previously, but
responsibilities are the same…
• Consider the evidence gained from the investigation
• Determine whether abuse has occurred (for each type
of abuse)
• Assess the level of risk
• Agree a on-going protection plan, if required
• Record actions taken in response to referral
• Agree outcomes (risk removed/reduced/remains)
• Decide how protection plan is to be reviewed
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Case Conference Discussion
• Where a Case Conference Meeting is not required a
Case Conference Discussion will need to be held.
• The Safeguarding Coordinator will need to review the
Safeguarding Investigation report, liaise with the
Investigation Officer (and others where needed) and
record the outcomes and conclusions.
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Case Conference Meetings
• Chaired by Independent Safeguarding and Risk
Managers from Safeguarding Adult Partnership
Support Unit.
• Where a case conference meeting is held, the
Investigation Reports will ordinarily be sent out to
participants 5 working days in advance. There is a
consensus of legal advice from across West
Yorkshire that this is appropriate in order to provide
for a fair process. This means reports need to be
received by the unit 7 working days in advance.
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Case Conclusions
• The case conclusion definitions reflect the new national
data requirements
• For each type of abuse...(on the ‘balance of probabilities’)
• Substantiated – allegation was proved
• Not substantiated – unfounded, unsupported or
disproved
• Inconclusive – insufficient evidence
• Investigation ceased at individual’s request
Also update definitions for Overall Case Conclusion (p.91)
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Current proposal:
• Case Conference Discussions are recorded
as part of the Investigation Report Templates
• Case Conference Meetings are recorded on
their own template
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ESCR Recording: Key Points
Denotes the type of
conference:
Meeting
Discussion
Either Action Taken or
NFA under Safeguarding
March 2013
Denotes the overall case conclusion:
Cease at adult at risk’s request
Inconclusive
Not Substantiated
Substantiated – fully
Substantiated - partly
Denotes the outcome of
Risk evaluation:
Risk remains
Risk reduced
Risk removed
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Review Stage
• A review meeting is not always required within the
safeguarding adult procedures, often a review can be
carried out effectively in other ways, such as by CPA or
Care Management. This is current practice in Leeds.
• Where the need for a review meeting within the
safeguarding procedures, is agreed as part of the Case
Conference Meeting, the review meeting will be
chaired by an ISRM from the Safeguarding Adult
Partnership Support Unit. This is already our practice
in Leeds.
• What is different, is that Case Conference Review
Meetings will be simply be called Safeguarding Adults:
Review Meetings.
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ESCR recording: Key Points
Denotes the outcome of
the review meeting:
Close: No further ASC role
Close: Further ASC role
Continue Adlt SG role
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ESCR recording: Completed Example
THE END!
A COMPLETED FULLY RECORED SAFEGUARDING REFERRAL FROM ALERT THROUGH
TO CONCLUSION, VIA CAPACITY ASSESSMENT, STRATEGY DISCUSSION,
INVESTIGATION, CONFERENCE AND REVIEW!!
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West Yorkshire P&P Review
• 6 month review period
• Email address established to receive feedback from
across West Yorkshire.
[email protected]
Please use this so that any review encompasses
your/Leeds views.
cc: [email protected]
Website: www.leedssafeguardingadults.org.uk
Phone: 0113 224 3511
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Questions?
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