1. Annual Safeguarding Adults Lead Network Event 2016 16th September 2016

2. 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

3. Engaging Hampshire Communities
Mandy Grahamsley, Safeguarding Consultant, HCC

4. 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.

5. 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

6. 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.

7. 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

8. 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

9. 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

10. National and local developments in adult safeguarding

11. 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.

12. 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

13. 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.

14. 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.

15. 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.

16. Adult abuse and neglect – the extent of the problem?

17. 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 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%)

18. 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

19. 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

20. Useful Links www.hampshiresab.org.uk www.skillsforcare.org.uk

21. For more information visit

22. Wellbeing Trigger Tool
Nicky Ward, Service Development Worker, HCC

23. Any comments or questions?

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