Presentation on theme: "By the end of the session you will;"— Presentation transcript:
1By the end of the session you will; ObjectivesBy the end of the session you will;Know how to recognise the signs and symptoms of abuseKnow how to respond to disclosed or suspected abuseUnderstand the national and local context of safeguarding and protection policies and proceduresUnderstand ways to reduce the likelihood of abuseKnow how to recognise and report unsafe practice
3Working in small groups define the term ‘Vulnerable Adult’ TASK 1Working in small groups define the term ‘Vulnerable Adult’Five Minutes
4Vulnerable Adult? A‘vulnerable adult’ is someone who: Click for moreA‘vulnerable adult’ is someone who:“has attained the age of 18; is in residential care or is in sheltered accommodation or receives domiciliary care or receives any form of health care and has any form of disability”(Safeguarding Vulnerable Groups Act 2006)“is or may be in need of community care services by reason of mental or other disability, age or illness; and who is or may be unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation.”(No Secrets 2000)
5Who is a vulnerable adult? TASK 2Working in small groups answer the questionWho is a vulnerable adult?Five Minutes
6Who is a vulnerable adult? Abuse can affect any vulnerable adult, but particularly someone who is, or may be, unable to protect themselves against significant harm or exploitation, for example:Older peoplePeople with mental health problemsPeople with physical disabilitiesPeople with learning difficulties or disabilitiesPeople with acquired brain damagePeople who misuse substances
7Other vulnerable adults may be: People who are isolated and lack contact with other peoplePeople with memory problems or difficulty communicatingPeople who don't get on with their carerPeople with carers addicted to drugs or alcoholPeople with financially and emotionally dependent carers
8What kind of person abuses vulnerable people? TASK 3As a whole group discuss the following questionWhat kind of person abuses vulnerable people?
9Who abuses?Anyone can be an abuser, often it can be the person you least expect, such as:Spouse/partnerCarers and Care WorkersFamily member/relativeFriendNeighbourVolunteer helperSomeone not known to the person.
11Types of Abuse Physical abuse Sexual abuse Emotional/psychological abuseFinancial abuseInstitutional abuseSelf neglectNeglect by others
12Working in small groups define the following: TASK 4Working in small groups define the following:Group APhysical abuseSexual abuseEmotional/psychological abuseGroup BFinancial abuseInstitutional abuseSelf neglectNeglect by others
13Types of abuse; some definitions Physical: including hitting, shaking, biting, grabbing, withholding food or drink, force-feeding, wrongly administering medicine, unnecessary restraint, failing to provide physical care and aids to livingSexual: including sexual assault, rape, inappropriate touching/molesting, pressurising someone into sexual acts they don't understand or feel powerless to refuseEmotional or psychological: including verbal abuse, shouting, swearing, threatening abandonment or harm, isolating, taking away privacy or other rights, bullying/intimidation, blaming, controlling or humiliation
14Financial or material: including withholding money or possessions, theft of money or property, fraud, intentionally mismanaging finances, borrowing money and not repaying.Neglect: including withholding food, drink, heating and clothing, failing to provide access to health, social and educational services, ignoring physical care needs, exposing a person to unacceptable risk, or failing to ensure adequate supervision.Discriminatory abuse: including slurs, harassment and maltreatment due to a person's race, gender, disability, age, faith, culture or sexual orientation.Institutional abuse: including the use of systems and routines which neglect a person receiving care. This can happen in any setting where formal care is provided.
15Signs and Symptoms of Abuse TASK 5Signs and Symptoms of AbuseWhat might we notice about a service-user who is experiencing the following?Physical abuseSexual abuseEmotional/psychological abuseFinancial abuseInstitutional abuseSelf neglectNeglect by others
16Signs and Symptoms of Abuse Things we might notice about a service-userPhysical AbuseWhen an individual is physically harmed by those who have a responsibility for their care.Examples may include: slapping, being restrained in a chair, or given too much medicationSigns:Unexplained cuts, bruises, burns or other marksUnexplained injuries of any natureExhibiting fear reactions when approached
17Sexual AbuseAny form of abuse of a sexual nature including exploitation.Being involved in a sexual act that was unwanted or not agreed to, such as: rape, indecent assault, watching pornography etc.Signs:Unexplained injury to genital or other private areasGenital or anal soreness or infectionApparent fear or avoidance of physical contactOvertly sexualised behaviour or language
18Emotional or Psychological Abuse When an individual is treated in a way that causes emotional or psychological harm that causes distress.Examples may include : constant criticism, disrespect or overt rudeness from carers or others, who may bully or undermine the service-userSigns:Obsessive,Compulsive behaviourService-user may appear overly anxious to pleaseService-user may become withdrawnService-user may exhibit lack of concentrationService-user may experience difficulty in focussingService-user may exhibit loss of skills or abilities
19Financial AbuseAny form of abuse which adversely affects the financialwelfare of an individual.This may include theft by friends, family, acquaintances or carers; or threats to gain access to someone's money, or to get them to change their willSigns:Unexplained lack of moneySudden loss of assetsObjects missing from the homeBills not being paidBeing excessively or unusually protective of possessionsBeing excessively or unusually careful with money
20Institutional abuseAny form of abuse which is created or sanctioned by the systems, policies and procedures of an organisation.This may involve any or all of the other forms of abuseSigns:Inadequate (or absence of) care or support planShared possessions in a residential settingFrequent admissions to hospitalMany different carers (High staff turnover)Lack of consistency in the quality of careInadequate equipment to support care giving
21Self NeglectWhen an individual harms him or herself or fails to take adequate care of him or herself.Signs:Unexplained or inappropriate weight lossHunger or thirstUnexplained cuts, marks or other injuriesDehydrationLack of personal careDirty or unkempt appearanceMedication not taken or taken incorrectlyMissed medical appointments
22Neglect by othersWhen an individual is neglected by those who have responsibility for his or her care.Signs:Unexplained or inappropriate weight lossHunger or thirstUnexplained cuts, marks or other injuriesDehydrationLack of personal careDirty or unkempt appearanceMedication not taken or taken incorrectlyMissed medical appointmentsFailing health
23Legislation and policy associated with safeguarding 'No Secrets' 2000Safeguarding Adults - Consultation of the Review of the 'No Secrets' Guidance 2009Human Rights Act 1998CQC (CSCI) Safeguarding Adults Protocol and Guidance 2007CQC Safeguarding Statement 2009Mental Capacity Act Code of Practice 2005Deprivation of Liberty Safeguards Code of Practice 2009Safeguarding Vulnerable Groups 2006Bichard Inquiry Report 2009The Equality Act 2010
24Local PolicyLCC Multi-agency policy and procedure- Offers step by step guidance on the reporting of abuse, local safeguarding procedures and appropriate practicesLCC Safeguarding adults policy (2010) Guidance to ensure all agencies work within a standard set of guidelines. Ensuring people are safe, free from violence, harm and abuse.Organisational policy – All settings are required to publish their own policies and proceduresClick the book to visit LCC website
25TASK 6Working in small groups and using the resources available to you online and on paper, identify the correct procedures for dealing with incidents of abuse or incidents where abuse may be suspected.
26What if I suspect abuse?The correct actions to take if abuse is suspected may include:Follow organisational proceduresReport immediately to the correct personRecord exactly what is suspected and why,Record injuries or marks on a body chart if appropriateDo not tell the person suspected of abusing the individualDo not discuss with anyone other than the correct person
27What if someone tells me he or she has been abused? if an individual discloses abuse, the social care worker should take the appropriate actions listed on the previous slide. In addition he or she should:Reassure the individualTell them you believe themDo not ask leading questionsTell the individual what you are doing and whyPreserve any evidence
28Preserving Evidence In the case of abuse- anything could be evidence; Remember:Don’t move or touch anything at the scene of eventWhere possible, leave things as and where they are. If anything has to be handled, keep this to a minimum.Do not clean up. Do not touch what you do not have to.Do not wash anything or in any way remove fibres, blood etc .Preserve the clothing and footwear of the victim.Handle these as little as possible to avoid cross contamination.
29Preserve anything used to comfort or warm a victim – e.g. a blanket. Note in writing the state of the clothing of both alleged victim and alleged perpetrator.Note injuries in writing. Make full written notes on the conditions and attitudes of the people involved in the incident.Note and preserve any obvious evidence such as footprints or fingerprints.
30Dealing with Abuse or Suspected Abuse It is important to recognise that abusive or unsafe practice may be found anywhere and involve anyone. Social care workers have a responsibility to take action in all cases.Duties include:Inform managersReport to police or other agencyChallenge individual whose practice is not safeTake immediate action to protect any individual at riskAvoid cover ups or collusionAvoid aggressive challengesDemonstrate good practice in accordance with national and local legislation and policy
31What if I report abuse to my line manager and nothing is done?Consider the following options:Whistle blowing: reporting your concerns to a higher authority such as the Care Quality Commission, the local authority safeguarding board, the police.Seeking further training and development for yourself and for other members of staff.Carefully record your concerns and seek advice from organisations such as the local authority safeguarding board, social services or other supportive organisations.Most importantly do not give up.
32Organisations with a Role in Safeguarding Lancashire Adult and Community Services Directorate (Social Workers)PoliceIndependent Social Care Providers inc. Supporting PeopleProbation ServiceSafeguarding Children representativeMedical professionalsCQCYour organisationsCriminal Records Bureau (CRB)
33Who does what in safeguarding adults Police:Investigate crimesWill take action to prosecute if sufficient evidence is foundCan arrange support for victims of crime.Medical Professionals:Examine and treat injuries, illness and medical conditionsCan gather evidence to support police investigation into suspected abuseCan be used as expert witness to indicate likely causes ofinjury.
34Social Worker:Assessment of need and access to a variety of services that can support and protect individuals.Regulatory Body:Regulatory bodies register and inspect agencies and care providers, and can require changes to practice to protect individuals.Criminal Records Bureau:CRB checks undertaken to inform prospective employers and organisations of previous convictions
35Reducing the likelihood of abuse Person-Centred CarePerson-Centred Care ensures that the service-user plays a central role in ensuring the quality of his or her care. The delivery of care becomes a partnership between the carers and the service-user.Person centred care can help an individual be more likely to protest about or report any safeguarding concerns, because he or she is a stakeholder in the care partnership and will feel more confident in expressing his or her concerns.
36Reducing the likelihood of abuse Active ParticipationIndividuals who are actively involved in their care are less likely to be victims of abuse as they have an opportunity to decide what they require and how it will be delivered.It also helps to ensure that carers see the individual as a partner rather than a passive recipient, which can ensure a more equitable balance of power.
37Reducing the likelihood of abuse An effective and easy to use complaints procedureAll organisations need a complaints procedure which is easy to understand and use. Individuals are more likely to make complaints about abusive situations if the system is simple and transparent. The complaint must be dealt with promptly with recorded outcomes.
38Where do I go if I need guidance and support? Senior or more experienced staffLocal joint working training sessionsRelevant websites, books or leaflets (See below)Specialist workers in other agencies
39LCC Multi-agency policy and procedure- Offers step by step guidance on the reporting of abuse, local safeguarding procedures and appropriate practicesLCC Safeguarding adults policy (2010) Guidance to ensure all agencies work within a standard set of guidelines. Ensuring people are safe, free from violence, harm and abuse.Organisational policy
40Guidance and AdviceClick on the picture to go to Lancashire County Council Safeguarding website for more informationClick on the picture to visit the Social Care Institute for Excellence (SCIE) website.
41Click on the picture to visit the Care Quality Commission (CQC) website Click on the picture to visit the NHS Vulnerable People website
42QUIZ ANSWERS1. Direct discrimination refers to treating a person less favourably than another person based on stereotypes, beliefs or prejudices.2. Indirect discrimination refers to situations where it seems that people are treated equally but the requirements will have a particular impact on one group rather than another.3. Diversity is recognition that each person is unique. Each person has their own heritage. Within larger groups there are differences (e.g. it is not acceptable to assume that everyone with a mental health problem has the same needs and same way of living their life)
434. Equality does not mean treating everyone the same 4. Equality does not mean treating everyone the same. It is linked to opportunities and fairness, so each individual has an opportunity to achieve his or her full potential and is not treateddifferently based on assumptions and stereotypes.5. Inclusion is about working in a way that involves individuals. This may be in assessments, decisions about their care and how it will be delivered and reviews. Ensuring that any information is accessible to all using different formats if necessary. Acceptingdifference and choices that you may disagree with.
446. Examples of effective ways of challenging discriminatory practice may include: Report and recordWhistle blowingSupervisionChange systemsTraining and workforce developmentIndividual coaching and mentoringSlide 3