Presentation on theme: "Whose Business Is It?. Whose Business Is It? Ground Rules Share experiences and views Recognise the sensitive nature of the subject matter Listen and."— Presentation transcript:
3 Ground Rules Share experiences and views Recognise the sensitive nature of the subject matterListen and respect what others have to sayNote differing views as these may add to your knowledgePromote anti-oppressive practiceRespect confidentiality unless it is necessary to address a current concern about the safety/risks to a vulnerable adult, if you do, talk this through with the trainer or a relevant person on the courseExplain any jargon
5 The Extent of Abuse – A National Perspective As many as 342,000 older people were neglected and abused over the previous year by family and/or friends (UK study of abuse and neglect of older people: prevalence survey report, National Centre for Social Research 2007).In the first 10 years that the AEA Helpline had been running, they have recorded 6,867 calls relating to10,528 incidents of abuse.71% of those with mental health issues had been a victim of crime in the past two years, 22% had experienced physical assault, 41% experienced ongoing bullying,27% experienced sexual harassment (with 10% experiencing sexual assault), with only 19% feeling safe at all times within their own home (MIND 2007).Disabled people are four times more likely to be victims of crime compared to non- disabled people (British Council of Disabled People 2007).Prevalence of abuse increased with a decline in health. The level of mistreatment was higher for people with a limiting long-term illness, a lower quality of life, and for those suffering from depression. (UK study of abuse and neglect of older people: prevalence survey report, National Centre for Social Research 2007).5
6 The Extent of Abuse – A Local Perspective Over the last year, there has been a rise in the total number of reported incidents of alleged abuse from 804 in 2008/09 to 1437 in 2009/10; an increase of 79%.Hampshire has seen a 76.5% increase in cases of financial abuse.Between 1st April 2005 and 31st March 2006 Hampshire Constabulary recorded 79 occurrences of disability hate crime and 374 occurrences of homophobic hate crime.The Fire Service has reported that about 80% of fire deaths involve a vulnerable adult.Self referrals and referrals from friends, relatives or neighbours of alleged victims have also increased from 156 in 2008/09 to197 in 2009/106
7 The Extent of Abuse – A Local Perspective continued…. 585 reported incidents in the last 12 months were in respect of people not receiving a service commissioned by the County Council’s Adult Services (self-funders).Referrals from partners account for 71% of reported safeguarding incidents with Health partners and the Police referring 19% and 8% of reported incidents respectively, with increased levels of reporting compared with previous years.Work with Housing partners is beginning to impact on the numbers of reported incidents resulting from Housing (5 in 2008/09 and 15 in 2009/10).Physical abuse, financial abuse, and neglect/acts of omission have been the most prevalent reported types of abuse over the last three years.It is estimated that 56,000 women and girls have been a victim of domestic abuse in the last year in Hampshire.7
8 ADSS Safeguarding Adults October 2005 ‘Safeguarding Adults’ is a term used to mean all work which enables an adult to retain independence, wellbeing and choice and live a life that is free from abuse and neglect.ADSS Safeguarding Adults October 2005
9 Safeguarding Services? Who Is In Need ofSafeguarding Services?‘‘A person aged 18 years or over, who 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’
10 Safeguarding Children The government guidance Working Together (2006), places the responsibility for the safety and welfare of children with the local authority (WT section 2.9), but expects that all professionals who come into contact with children, parents and carers in the course of their work are aware of their responsibilities to safeguard and promote the welfare of children and young people (WT sections 2.52 to 2.73).
11 Rights and Responsibilities Session 2Rights and Responsibilities
12 What is the Mental Capacity Act 2005? A statutory framework to empower and protect people who are not able to make their own decisionsHelps anyone over the age of 16, living in England and Wales, who lack capacity to make a decision for themselvesPuts the needs and wishes of a person who lacks capacity at the centre of any decision making process
13 What is the Mental Capacity Act 2005? cont... Makes it clear who can take decisions, in which situations, and how they should go about thisEnables people to plan ahead for a time when they may lose capacityIntroduces new safeguards for people who lack capacityA Code of Practice
14 Whose Work is Affected by the Mental Capacity Act? YOU ARE ALL LEGALLY REQUIRED TO HAVE REGARD TO THE CODE OF PRACTICEPeople working in a professional capacityPeople who are paid to care or support adults in any settingAnyone with a Lasting Power of AttorneyAnyone who is a deputy appointed by the Court of ProtectionAnyone acting as an Independent Mental Capacity Advocate (IMCA)Anyone carrying out research with people who lack capacityAnyone being paid for acts for, or in relation to, a person who lacks capacityGENERALLY anyone who looks after or cares for someone who lacks capacity14
15 Principles of The ActAssume a person has capacity unless proved otherwiseDo not treat people as incapable of making a decision unless you have tried all practicable steps to help themDo not treat someone as incapable of making a decision because their decision may seem unwiseDo things for, and take decisions for, people without capacity in their best interestsBefore doing something to someone or making a decision on their behalf, consider whether you could achieve the outcome in a less restrictive way15
16 What is Mental Capacity? Mental capacity is the ability to make adecision, by:Understanding the information you are givenRetaining the information long enough to enable you to make the decisionWeighing up the informationCommunicating your decision16
17 The MCA and Safeguarding Adults Good practice in applying the principlesof the MCA is also:Good Safeguarding Practice17
18 Agency responsibilities ALL AGENCIES have a responsibility to report concerns in accordance with the policy to ensure the most effective response ‘No Secrets’ DH 2000Adult Services have a responsibility, in partnership with other agencies, to co-ordinate safeguarding responses ‘No Secrets’ DH 2000
19 All agencies Have the responsibility to: ALWAYS involve service users in decision makingPromote the safety of service usersPromote the awareness of abuseAssure staff and service users they will be listened toEnsure staff are aware of reporting proceduresTake appropriate action where abuse is suspectedCall emergency services where there is immediate dangerProvide trainingWork alongside other professionalsKeep recordsCommission/provide safe services
21 Defining Abuse No Secrets DH 2000 Abuse is the violation of a person’s human and civil rights by any other person or personsAbuse is the harming of another individual usually by someone in a position of power, trust or authority over that individual.The harm may be physical, psychological or emotional or may be directed at exploiting the vulnerability of the victim in more subtle waysThe threat or use of punishment is also a form of AbuseAbuse may happen as a “one-off” or it may become a regular feature of a relationshipOther people may be unaware that Abuse happening and for this reason it may be difficult to detect.In many cases Abuse is also a criminal offenceNo Secrets DH 2000
22 Types of Abuse Physical Psychological/Emotional Financial Sexual NeglectDiscriminatory
23 Indicators of AbuseIt is unlikely that any one indicator alone will conclusively prove abuse has taken placePeople will often experience more than one type of abuseStaff should be alert to patterns and clusters of indicators which may raise suspicionsIt is vitally important to report any concern/sAny report should be taken seriouslyMany of the indicators will feature similar elements in a number of different types of abuse e.g. Institutional abuse
24 In the person’s own home In nursing, residential or day care services Where Does Abuse Occur?In the person’s own homeIn the communityIn nursing, residential or day care servicesHospitalsIt can happen anywhere
25 Who Abuses? It can be any of us Relatives/Friends Other service users NeighboursPaid carersProfessionalsStrangers
26 Abuse Can Occur in Different Contexts Domestic Abuse – between people where there is a relationship and living in the same householdProfessional Abuse – by those who are acting in a professional capacity, e.g. Doctors, Therapists, Nurses, Social Workers etc.Institutional Abuse – takes place within an institutional setting with evidence of….. see next slide……
27 Safeguarding Children Children and young people may be abused in a family or in an institutional or community setting; by those known to them or, more rarely, by a stranger.All abuse and neglect are forms of maltreatment – a person may abuse or neglect a child byinflicting harm, or by failing to act to prevent harm.
28 Institutional Abuse Routines and regimes Lack of choice and consultationPoor quality environmentThe service revolves around the staffLow staff moraleLack of staff trainingLack of personal belongingsNo evidence of effective policies and procedures
30 Responding All allegations/disclosures must be treated seriously The safety of the person is paramountStay calm, listen and reassureDemonstrate a sensitive approachBe aware of the possibility of the existence of forensic evidenceExplain the you are required to share that information with your manager but not with other staff or any other service users
31 RespondingReassure the person that any further response will be taken sensitively and with their full involvement, whenever possibleReassure the person that the service will take steps to support and where possible, protect them in the futureREPORTMAKE A WRITTEN RECORD
32 IF IN DOUBT ALWAYS REPORT - in line with your organisation’s policy ConfidentialityA person’s right to confidentiality is not absolute and may be overridden where there is evidence that sharing information is necessary in exceptional cases to prevent:Serious crimeDanger to a person’s lifeDanger to othersDanger to the communityDanger to the health of the personIF IN DOUBT ALWAYS REPORT- in line with your organisation’s policy
34 ‘No Secrets’ (2000)ALL AGENCIES have a responsibility to report concerns in accordance with the policy to ensure the most effective responseALL KINDS OF ABUSE HARM THE INDIVIDUAL – WE MUST NOT IGNORE IT
35 Enablers To ReportingService users awareness of what to expect from staff and the serviceKnowing how to recognise indicators of abuseOpen organisational cultureStaff trainingStaff support
36 Enablers To Reporting cont... Accessible complaints proceduresSupervision and staff appraisalEffective management role modelling of good practiceGood working relationships with professionals, families and carers
37 Barriers to Reporting Failure to recognise the abuse Will not be believedFear of reprisalsFear of ‘heavy handed’ responsesBreaching confidentialityNot sure if concerns are validLack of clarity about reporting procedures
38 Barriers To Reporting cont... Impact on relationships with colleagues/service users/familiesA workplace culture of non reportingIncreased tolerance levels (accepting certain behaviours)
39 Initial Action To Be Taken All allegations should be treated seriouslyThe safety of the person is paramountCall the Police if a crime has been committedStay calm, listen and reassure the personDo not press the person for detailsDo not make promises you cannot keepDo not confront the alleged perpetratorDo not dispose of possible evidenceRemember the limits of confidentialityMake notes as soon as possibleReport concerns immediatelyFollow procedures
40 Mapping the Alert In-house procedures Within 24 hours:Assess risk of further harmProvide information and supportto adult at riskReport concerns to SocialServices (in line with your localsafeguarding procedures)Report to CQC (Regulation 18)Consider internal disciplinaryaction if the person alleged tobe causing the harm is anemployeeRecord all actions and decisionmakingImmediate Action:Ensure safety of thepersonCall emergencyservicesSupport the personReport to Line ManagerRecord detailsPreserve evidence
41 Child Protection Concerns Be familiar with and follow your organisation’s procedures and protocols for promoting and safeguarding the welfare of children in your area, and know who to contact in your organisation to express concerns about a child’s welfare.
43 Guidance for Making a Written Record Make a note of date, time and settingMake a note of anyone else who was there at the timeRecord what was said using the person’s own wordsSeparate factual information from any opinions expressedUse a pen or ballpoint with black ink if you can.
44 Guidance for Making a Written Record cont... Make sure your writing is legible and do not use tippex and initial any changesDate and sign your reportRemember that your report may be required as part of any legal action or disciplinary proceedingsKeep a copy for future reference which is filed securely.
45 Information To Be Given When Making a Referral Your detailsDetails of the alleged victimDetails of alleged perpetrator (if known)Details of any witnesses (if known)Name and contact details of GPReasons for the concernsAny relevant background informationWhether the person is aware of the referralAction already taken.
47 What Do I Need To Know?How to recognise abuse and where to report my concernsWhere to find my workplace Policy and Procedure and make sure I have read and understood itThat abuse is not an isolated problem, but a significant social concernThat abuse can be a crimeThat anyone can potentially cause harm to a vulnerable adult, intentionally or unintentionallyThe rights of the people I provide a service toThat I will be supported if I report a concernMy rights as an employeeWhat training I can expect to ensure I provide quality careThat Adult Services have a responsibility, in partnership with other agencies, to assess and respond
48 Prevention Acknowledge that it COULD happen here! Report any concerns – in whatever way necessary to be heardDo not tolerate poor practiceBe aware of possible indicators of abusePromote self advocacy and advocacyFollow policies and procedures for intimate personal care, physical interventions and sexualityAttend training when given the opportunityMake use of supervision opportunitiesGood record keepingUse ‘Whistleblowing’ Procedure