1. The Safeguarding Adult’s Course Level Two
January 2017

2. Safeguarding Adults Policy Applies to:
An adult who has:
has needs for care and support (whether or not the local authority is meeting any of those needs) and;
Is experiencing, or at risk of, abuse or neglect; and
as a result of those care and support needs is unable to protect themselves from either the risk of, or the experience of abuse or neglect.
Care Act 2014

3. Legislation & Guidance (Adults)
Making Safeguarding Personal (ADASS 2013)
Care Act 2014
Safeguarding Vulnerable Groups Act 2006
Health and Social Care Act 2008 & (Regulated Activities) Regulations 2009
Protection of Freedoms Act 2012 – (new Disclosure & Barring Service)
Human Rights Act 1998
Sexual Offences Act 2003

4. Continued….
Mental Health Act 1983 – Ill treatment or wilful neglect of a mentally disordered patient
Mental Capacity Act 2005 – Ill treatment or wilful neglect of a person lacking capacity
Fraud Act 2006 – Fraud by person in position of trust
Domestic Violence, Crime and Victims Act 2004 – Causing or allowing death of child or vulnerable adult (Amended 2012 to include causing or allowing serious physical harm)
Domestic Violence Disclosure Scheme ‘Clare’s Law’2014

5. Care Act 2014 Summary of Key Points
Local Authorities and other parts of the health, care and support system have a clear framework to protect adults at risk of abuse or neglect
Legal requirement for each Local Authority to have a Safeguarding Adult Board - must include LA, Police and NHS; business plans to be published.
Local Authorities will need to make enquiries, or cause others to make enquiries if they think anyone with care and support needs is at risk of neglect or abuse
Responsibility for Safeguarding Adult Reviews and identifying lessons to be learnt
Requirement to adopt the principles of Making Safeguarding Personal (MSP) and responsibility for arranging advocacy.

6. Psychological/Emotional Abuse
Adults (Psychological):
Actions which adversely affect a person’s emotional wellbeing & causing mental distress

7. Psychological/Emotional Abuse
Conveying to a vulnerable adults that they are worthless or unloved, inadequate or valued only insofar as they meet the needs of another person
Over protection or limitation of exploration and learning/participating in normal social interaction
Ignoring, undermining or overly critical of an adult
Seeing or hearing the ill treatment of another

8. Additional Adult Categories
Financial/ Material Abuse:
Unauthorised taking or misuse of money or assets
Organisational
Failure to provide safe, appropriate and acceptable standards of care
Discriminatory:
Behaviour/ Services which deny equal opportunities to all groups or individuals.

9. Self Neglect
As from April 1st 2015, the Care Act 2014 makes it clear that significant self-neglect may be a form of harm or behaviour that requires consideration within mainstream safeguarding activities.
Self neglect includes:
Living in very unclean circumstances
Portraying eccentric behaviours e.g. Hoarding
Poor diet and nutrition
Declining services or care, or not attending appointments
Refusing to allow access to other organisations with an interest in the property, for example, staff working for utility companies

10. Aims With Self Neglect
Individuals who are self-neglecting are empowered as far as possible, to understand the implications of their actions;
A shared, multi-agency understanding and recognition of the issues involved in working with individuals who self-neglect;
Effective multi-agency working and practice;
Appropriate prioritisation; and
Agencies and organisations uphold their duties of care.

11. Response to Self Neglect
For those who lack mental capacity use the Mental Capacity Act 2005 and best interest decision making process
For those with mental capacity consider use of the Multi-Agency Risk Management Meeting (MARM) procedure. (Appedices 2 & 8 Multi -Agency Procedures)

12. There Are 5 Criteria Required for an Adult Safeguarding Alert
There is an adult in need of care or support (formerly ‘victim)
There is a person(s) who may have/may be causing harm (formerly perpetrator)
There is an act, or suspected act of abuse, or an act or suspected act of omission (neglect)
The act is causing or could cause ‘harm’ to that person
The person is self neglecting

13. What To Do If You Are Worried About The Welfare Of An Adult
Respond promptly
Ensure safety, if risks are high and/or immediate (contact police via 999 is appropriate)
Preserve evidence, if required
Report to and consult with line manager & DHC safeguarding adult service if required
Record relevant information and complete a Ulysses form
Raise a safeguarding adult concern with Adult Social Care at the relevant local authority, if appropriate.
Record your referral and follow-up to check actions taken 13 13

14. Safeguarding Adult Contacts
Advice & Support - DHC
Safeguarding Adult Lead /
Safeguarding Adult Advisor
Tel /
Monday – Friday

15. Referral Routes for Safeguarding Adults
Dorset County Council
Adult Safeguarding Triage Team
Tel: Secure Fax:
Bournemouth Borough Council
Bournemouth Care Tel:
Fax:
Borough of Poole
Social Services Helpdesk Tel:
Adult Social Services Fax: