Annual Safeguarding Adults Lead Network Event 2016 16th September 2016

Workshop Outline National and local developments in adult safeguarding Resources available Engaging Hampshire Communities Wellbeing Trigger Tool One year on – your successes, challenges and future priorities Meet Safeguarding Adult Leads from other organisations

Engaging Hampshire Communities Mandy Grahamsley, Safeguarding Consultant, HCC

Safeguarding Adult Lead Role Leads on safeguarding for their organisation. Ensures concerns are logged and stored securely First point of contact for staff for advice if they have concerns. Knows the contact details of relevant statutory agencies e.g. adult services, Police, CCG, CQC, etc. Assesses information relating to concerns about adults at risk. Ensures the organisation’s safeguarding policy and related policies are kept up to date. Decides if concerns should be notified to adult services  Completes the Organisational Safeguarding Self Audit Make safeguarding referrals. Liaises with the relevant DASM and LADO for their sector.

Creating the right culture Clear stated values and ethos within the organisation Internal safeguarding policy Raising awareness about personal rights   Personal centre approach Safe recruitment practice Open culture about whistleblowing and complaints Responsibility to prevent abuse and to report concerns in JDs Allegations management and DBS/fitness to practice referrals Code of conduct reflects zero tolerance stance

Prevention Basic safeguarding awareness and alerter training Focus on building or strengthening family/social networks ‘Keeping Safe’ information Raising awareness of the signs of abuse or neglect Recognising and responding to a person’s ‘vulnerability factors’ Information about sources of independent advice and advocacy. Support to reduce loneliness or isolation Effective risk management and early intervention Staff, service user and family awareness of abuse and how to raise concerns.

Internal adult safeguarding policy All organisations must have an up-to-date clear internal adult safeguarding policy consistent with the Multi-Agency Safeguarding Adults Policy Ensure all staff are aware of and can act upon concerns and allegations in accordance with this policy. Review of current internal policies to ensure fit with the new local multi agency safeguarding policy: Prevention of abuse and neglect New definition of abuse Addition of other forms of abuse Safeguarding enquiries Information sharing Making safeguarding personal

Safeguarding Enquiries Report concerns promptly to the local authority. Cooperate with safeguarding enquiries being undertaken. Undertake safeguarding enquiries – e.g. when the concern relates to the conduct or actions of staff and written report of the actions taken Share information and supporting documentation arising from the enquiry with the local authority (and advocate). Involve the service user in the enquiry (MSP) providing any additional support the adult may need. Provide information, advice and support is provided to the adult harmed

Resources to assist the SAL SAL Role Profile Care Act Implementation Checklist Safeguarding Self Audit Tool Safeguarding Learning and Development Strategy Guidance on producing an internal safeguarding policy Alerter Checklist Prevention and Early Intervention Guidance Publicity material on abuse and neglect HSAB Website Engaging Hampshire Communities resources SAL Network

National and local developments in adult safeguarding

Care Act (2014) statutory guidance An amended version of the statutory guidance published by the DH on 10th March 2016. Main change is the removal of the DASM role - replaced with requirement for allegations management policy re people in a position of trust Some forms of abuse such as financial and domestic abuse have been expanded to reflect new legislation introduced since April 2015. New statutory guidance and the Summary are also available on the HSAB website.

HSAB safeguarding plan – key priorities going forward Wide awareness of adult abuse and neglect and its impact - engaging local communities Making Safeguarding Personal embedded across all sectors Clear, effective governance processes in place across all organisations Prevention and early intervention – promoting wellbeing, safety and acting before harm occurs Learning from experience - mechanisms in place to learn from serious cases and improve practice and services Well equipped workforce across all sectors

Sounding Board Survey A survey of over 175 community and volunatry organisations Fear of repercussions and reprisals Fear of not being believed of becoming isolated or the loss of relationships. Responses highlighted further work needed around raising awareness about adult abuse and neglect A lack of confidence, pride, shame and embarrassment 2/3 had not seen leaflets or other publicity on adult abuse and were unsure of the reporting process Enablers to reporting: Barriers to reporting: A more personalised approach and access to a trusted person Not understanding the behaviour is abusive Greater support for informal carers and also victims of abuse Fears of being seen as interfering or nosy Access to advocacy, counselling services, support networks Assumptions someone else will respond Invest in rebuilding community spirit and caring for others.

Risk Management Framework Care Act highlights local agencies should have robust risk management processes to prevent concerns escalating to a crisis point Partners should have mechanisms in place to enable early identification and assessment of risk through timely information sharing and targeted multi-agency intervention. The multi-agency risk management framework provides guidance on managing cases when there is a high level of risk but the circumstances may sit outside the statutory s42 safeguarding enquiry framework but for which a multi-agency approach would be beneficial. Process can be initiated by any organisation when it feels the level of risk has become unmanageable - this triggers a multi-agency meeting to undertake a shared risk assessment and to develop a management plan. Can be aligned with single agency prevention, early intervention and risk management policies by adding a multi agency dimension.  

Allegations management guidance All organisations providing universal care and support services to adults with care and support needs must now have clear policies for dealing with allegations against people in positions of trust. Employers must assess any potential risk to service users and, if necessary, to take action to safeguard those adults. Policies must have clear recording and information-sharing guidance and timescales for action and reflect the need to preserve evidence. Relates to current or historical allegations. HSAB has developed an overarching Allegations Management Framework which should be reflected in internal policies.

Adult abuse and neglect – the extent of the problem?

National picture Annual findings from the national safeguarding adults monitoring report published Oct 2015. Social care support was the source of risk in 36% of referrals In the remaining cases (14%) the source was someone unknown to the individual. In 2014/15 103,900 safeguarding referrals were opened: 60% were female & 63% were 65 or over. Location of risk was most frequently the home of the adult (43%) or in a care home (36%) 52% of the individuals required physical or MH support. 65 serious case reviews carried out – involving 190 adults at risk, of which 30% suffered serious harm and died and 70% suffered serious harm but survived. Most common reason was neglect and acts of omission (32%) and physical abuse (27%) Source of risk most commonly someone known to the adult but ot in a social care capacity (50%)

Hampshire picture 2015/16 Overall safeguarding enquiries were 3324 ( an increase of 101 on the previous year) – involving 2,847 individuals Older people accounted for 60% of the total referrals made. Clients aged 65 and under with a Physical Disability where the second most referred group accounting for 15%. No. of enquiries relating to people with a learning disability dropped for the second consecutive year from 570 to 463 representing 14% of safeguarding enquiries . Concerns about neglect and physical abuse were the most common reason for safeguarding referrals (41% and 23% respectively). Most common location for the abuse or neglect was the adult’s own home followed by residential care. Only one case met the criteria for a SAR – now been completed. A no. of other cases, fell short of criteria for a statutory review but these were subject to a multi agency review to gain learning

HSAB guidance and tools Work undertaken by the Hampshire SAB with the other local SABs in Hampshire and IOW: Local multi agency safeguarding policy and guidance 2015 Safeguarding enquiry process Practice guidance on: - Information sharing - Prevention and early intervention Safeguarding in commissioned services Multi agency risk management Allegations management HSAB website SAL resources

Useful Links www.hampshiresab.org.uk www.skillsforcare.org.uk http://www.scie.org.uk/adults/safeguarding https://khub.net

For more information visit www.hampshiresab.org.uk

Wellbeing Trigger Tool Nicky Ward, Service Development Worker, HCC

Any comments or questions?

One year on – your successes, challenges and future priorities?