Transcript Safeguarding Adults

Safeguarding Adults
Basic Awareness Course
www.sheffield.gov.uk/safeguardingadults
Learning Outcomes
By the end of the course, learners will be able to:
• Define the terms Abuse and Vulnerable Adult
• Outline types of abuse and how they will
recognise abuse within their work
environment.
• Explain what they should do if they witness
or suspect abuse is taking place
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Ground Rules
maintain confidentiality
we have the right to make mistakes and not
know things
take responsibility for your learning by asking
questions and giving feedback
allow others to have their say, challenge the
views not the person
You can leave the room at any time, without
explanation
anything else?
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Stephen Simpson
Peter
Connelly
Stephen Hoskins
History and Context- Adults
• Number of cases highlighted the institutional
abuse of older adults and people with learning
disabilities
• The need for regulation and inspection was
recognised and the Care Standards Act was
introduced
• The criminal justice system promised to improve
vulnerable adults access to the police and courts
• Pressure groups and the Directors of Social
Services called for laws to protect vulnerable
adults
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Policy and Guidance
No secrets
[Department of Health 2000]
• first national guidance about the protection
of vulnerable adults
• emphasised the importance of multi-agency
approaches
…and supports the view that
‘There can be no hiding place when it comes to
exposing the abuse of vulnerable adults …and
that all workers at all levels of the organisation
have a responsibility to respond to adult
protection concerns’
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The Care Act 2014
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•
•
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Makes certain aspects of safeguarding
‘statutory’
New Definition of Vulnerable Person
Introduces ‘Making Safeguarding
Personal’ (MSP)
Introduces new ‘types of abuse’ (self
neglect, Female Genital Mutilation (FGM),
Modern Slavery, Domestic Violence,
Honour Based Violence (HBV)
Policy and Guidance 2
Local Procedures
• South Yorkshire ‘Safeguarding Adults’
Policy and Procedures
• Each local Authority area administers its
own
• organisational policies and procedures?
• Safeguarding Adults in regulation and
registration – Nursing and Midwifery
Council, General Social Care Council,
Care Quality Commission,
ISA/Independent Safeguarding Authority
[vetting and barring]
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Vulnerable Adult
[No secrets 2000]
a person aged 18 or over:
‘who is or may be in need of community
care services by reason of mental or other
disability, age or illness
and is or may be unable to take care of him
or herself or unable to protect him or
herself against significant harm or
exploitation’
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Abuse
may be a single act or the systematic illtreatment of vulnerable adults
may be intentional or unintentional but will
result in harm to the adult
No secrets defines abuse as:
‘a violation of an individual’s
human and civil rights by any
other person or persons’
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Forms of Abuse
Physical
• Financial or material
Sexual
• Discriminatory
Psychological
Institutional
• Neglect and acts
of omission
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Physical abuse
• Deliberate or accidental acts that result in
injury to the adult. Examples include:
• Force feeding
• Forced medication
• Hitting, slapping, punching
• Restraint – unless specifically agreed in
the care plan
• Burns, scalds etc
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Financial Abuse
•Taking money or property from someone without
their consent or from someone unable to give their
consent;
•persuading someone or taking action to benefit from
wills, sale of property etc from someone unable to
refuse or consent.
•Examples include: Cashing someone’s benefits and
not giving them all the money. Gaining control of
someone’s saving or bank accounts and withdrawing
money for your own benefit, Buying goods for your
own benefit with their money
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Sexual Abuse
• Involvement of a vulnerable adult in any sexual
activity that they do not want to be involved in, or
are unable to give consent to, examples include:
• Rape
• Forcing them to watch pornography
• Taking photographs of the person naked or
partially clothed without their consent
• Actively encouraging service users to be
sexual active for your benefit/gratification.
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Discriminatory Abuse
Providing care different to care provided to most
clients or refusing services to people on the basis
of their disability/ difference
Actions or threats likely to cause harm to people
who are often discriminated against in our society.
Examples include: Verbal or physical threats,
Physical attacks, Refusal to provide services,
Regular name calling and comments likely to
damage the person’s self esteem.
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Psychological Abuse
• Deliberate
or unintentional actions or lack
of action which cause emotional harm or
distress to the vulnerable adult. Examples
include:
• Ignoring someone when they are
talking to you
• Making negative comments about
someone
•Threatening someone
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Neglect
The intentional or unintentional neglect of a
person’s physical, emotional needs with the
result that it causes the person harm or
distress. Examples include:
• Not obtaining walking, hearing or other
aids when a person needs them
• Failing to provide sufficient food,
necessary medication or drink to keep the
person well
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Institutional abuse
•The service or workers prioritise the running of the service or
their work lives over the needs of people using the service. The
managers/services fail to prioritise spending to help them
provide equal services to all vulnerable adults. Examples
include:
• People with learning disabilities having very poor dental
health due to problems in getting dentists to treat them
• People with mental health problems not being diagnosed
with physical illnesses as the symptoms are not taken
seriously
• People living with dementia being kept on locked wards
as staffing levels are not adequate to keep them safe
without locked doors
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ALERT
SAFEGUARDING
ASSESSMENT
(Does it meet the threshold?
Strategy Meeting)
SAFEGUARDING
INVESTIGATION
OTHER
(Training, disciplinary,
CQC, other agencies)
(only if malicious or unfounded)
CASE CONFERENCE
CASE CONFERENCE
REVIEW
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Response to disclosures
let the person speak, do not interrupt/make
comments
do not let own feelings distract
watch for non verbal clues
remember as much as you can
feel comfortable with silences
clarify the bare facts
do not ask questions (only to clarify)
assume that the adult is telling the truth, we
need to consider all concerns before
dismissing them
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Ensuring Safety
Seek immediate treatment or emergency
assistance if needed
If medical treatment is not immediately
required, medical examinations should not
be arranged until the investigation is
planned.
Consider wider risks [to other people or in
other places]
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Preserving Evidence
includes:
disturbing a ‘scene’ as little as possible, sealing
off areas if possible
not removing victim’s clothing
discouraging washing/bathing
not handling items which may hold DNA evidence
putting any bedding, clothing which has been
removed, or any significant items given to you
[weapons etc.] in a safe dry place
not interviewing the victim or potential witnesses
not alerting the alleged perpetrator
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Recording and reporting
You must report all concerns and disclosures
even if the adult asks you to “keep it to yourself”
explain that you cannot keep this information
private
Try and record any disclosures using the same
language as the adult used, noting how they
appeared – upset, angry etc
Records should be written as soon as possible,
with the date, your signature and designation
made clear. If records are hand-written, the
original should be kept for evidential purposes.
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Recording and reporting cont….
If you suspect that the person you would
normally pass any alerts to may be a perpetrator
or involved in some way, you will need to contact
another manager, the Safeguarding Adults
Office, or the police immediately.
don’t share information about the incident
without agreeing this with your line manager
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And finally…
…it is the responsibility of all staff to
act on any suspicion of abuse or
neglect and to pass on their
concerns to a responsible
person/agency”
No secrets (6.2)
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Contact Numbers:
Adult Access Team (alerts/ referrals)
0114 2734908
Safeguarding Adults Office (advice)
01142736870