6 It’s not about blameIt is about being open to your mistakes, and accepting responsibility for them, being open and accepting to the need to change
7 Legislation underpinning Safeguarding Equality Act 2010 Mental Capacity Act 2005 Safeguarding Vulnerable Groups Act 2006 Mental Health Act 1983 NHS Act 2006 Human Rights Act 1998 Care Act 2014
8 Adults at risk‘Adult at risk’ refers to anyone aged 18 years and over who is or may be in need of community care services by reason of mental disability, age or illness and is or may be unable to take care or protect themselves against significant harm
9 A single act or repeated acts. Unintentional / Intentional or wilful. What is abuse?Abuse may beA single act or repeated acts.Unintentional / Intentional or wilful.An act of neglect or a failure to act.Multiple acts.
10 Neglect and acts of Omission Sexual Discriminatory Institutional Types of abusePhysicalEmotionalFinancialNeglect and acts of OmissionSexualDiscriminatoryInstitutional
11 No choice for individuals Institutional AbuseRoutines and RitualsNo choice for individualsSet bed timesEveryone is given porridge for breakfast
12 Six principles Protection Partnership Accountability Empowerment ProportionalityPreventionSpot early signsSafeguarding is everyone's business even the publicInformed choice, advocacy, individual at the centreProfessionally can't be there24 hrs. per dayRecognising signs of abuseEmpowerment – person led decision and assumedconsentProtection – support and representationPrevention – action before harmProportionate responses – proportionate and leastintrusivePartnership – individuals, professionals andcommunitiesAccountability – being accountable, transparency andcollaborationLAs retain the leadInvestigation - enquiryIssues around clinical V socialDecision tree for guidancePoints of reflection
13 Accountability and documenatation Check revised code
14 Treat patients - ‘’As if the patient were my own…….’’ Adult Safeguarding starts with managers being Leaders‘’ Providing a positive experience of care is central to nursing and care delivery. It’s about treating every patient as you would treat your own loved one’’’In health we see people at their most vulnerable and it’s in these moments, when we can make the biggest difference – by bringing reassurance and humanity to a situation and environment that can be unfamiliar to people’’Treat patients - ‘’As if the patient were my own…….’’
15 Emotional Intelligence How we behave has a profound impact on those around us What makes a good leader within safeguarding adults?Calm assuring demeanourIn controlTrust those around themCompassionate listenerSpeaking kindly and with clarityApproachableSeems to make the right informed decisions
16 6 C’s Care, Compassion, Communication, Competency, Courage Commitment: Through caring roles staff need to become aware of issues that could indicate abuse or neglect:It is all our jobs to raise and communicate safeguarding concerns and competently follow basic procedures.As part of this process you have to exercise professional judgement but not be judgemental – treating all involved with compassion.It can be hard to be an advocate. It can take courage to speak out and escalate concerns.It takes commitment to keep the vulnerable in focus amidst all the other priorities to keeping people safe and promote their welfare.Leadership that role models behaviours, skills and attributesIt isn’t just about the care given, but its the way its given.It’s about how staff listen, what they say, what they do and more importantly, how they do it.Its about understanding the impact of what you say and do.You need to see the person in every patient showing compassion in a way that is professional but yet human, respects boundaries, ensures dignity and respect.Leading by building networks & relationships to engage for improvement, sharing of information byCommunication and Engagement – observing and hearingSharing and evaluating ideasThere is a need to give patients, carers and colleagues a full and detailed explanation to enable them to understand the issues or problemTo nurture a shared purpose and mobilise people to work together to deliver continuous and consistent quality improvement.This is essential if we are to understand the impact of what we do and ensure we deliver truly compassionate care.Leading through innovation and improvements that require courage to challenge sceptics and overcome barriersTo commit to making changes and improve quality improvement, we need to dig deep in difficult times to:Do the right thingSpeak up and challenge when things are wrongChallenge and influence scepticsChallenge and influence those in more senior positions to youBe open to being challenged ourselvesOvercome barriers to make things happenBe unafraid of leading by example, adopting innovations and changeBe unafraid to make suggestionsDon’t give up!Leading the commitment of accountability for the rigorous delivery of change and to transparent measurement and evaluation for continuous improvement.We need to support providers to recognise and change areas of their practice that require improvement.To change the way we communicate - with each other, with our patients, their carers, the public and our providersSupport evidence based practice; andEnsure contemporaneous record keeping that is clear; and supports ....The delivery of the right care to the right person at the right time (first time)
17 PolicyEach care home should be familiar with the Pan Dorset Multi-Agency Safeguarding Adults Policy and Procedures
19 Thank youLocal contact Care Direct – Bournemouth Help Desk – Poole Dorset County Council (safeguarding team) Out of Hours In an emergency: If a vulnerable adult is potentially seriously injured: Ring 999 If someone is threatening to harm the vulnerable: Ring 999
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