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Workshop for Birmingham City Council: Risking your Dignity: hearing the citizen’s voice The tension between ‘empowering’ and ‘protecting’ people: Have the key principles underpinning the Pan West Midlands Safeguarding Adults procedures been used to improve practice and maintain dignity? Copyright Integritas Support Ltd 01.05.14
What this workshop will cover – we have 1 hour Introductions – your name, place of work, job role and your knowledge of the key principles underpinning the West Midlands Safeguarding Adults procedures. West Midland’s Safeguarding Adults key principles within the procedures document. Applying them in practice – two case studies – how do we balance the right to autonomy with our duty to protect? Facilitated by Wendy Silberman of: Integritas Support seeks to promote the dignity and human rights of all adults. We provide information and independent assessments for adults with complex care needs and training for practitioners and carers supporting them. Copyright Integritas Support Ltd 01.05.14
The Safeguarding Adults multi-agency procedure for the West Midlands Key principles are drawn from the Department of Health Policy on Safeguarding Adults published in 2011: Empowerment: person-led decisions and informed consent, consulting the person about their desired outcome throughout the Safeguarding process. Protection : Ensuring people are safe, have support and representation throughout the process. Prevention: minimising the likelihood of repeated abuse and recognising the person’s contribution to this in their safeguarding plans. Proportionality: interventions are as unintrusive as possible and appropriate to the risk presented. Partnerships: Agencies are working constructively to make them safe. Accountability: Safeguarding should be transparent and consistent and may be subject to external scrutiny (Courts). Copyright Integritas Support Ltd 01.05.14
West Midland’s Safeguarding Adults procedure – key principles User Outcomes: At every stage of the Safeguarding process what the individual wants to achieve most be identified and revisited. Risk Assessment and Management: An assessment of risk should be carried out with the individual at each stage of the process so that adjustments can be made in response to changes. Mental Capacity: We assume all adults (16 and older) have the ability to make their own decisions and are entitled to support to aid their own decision-making abilities. If they do not have capacity, then decisions will be made in their best interests and involve them throughout this process. Protection Planning: In response to the identified risks, a multi- agency plan will be developed with the aim of preventing further abuse or neglect; keep the risk of abuse/neglect at a level acceptable to the person being abused and the agencies supporting them and/or support the individual to remain in a risky situation if that is their choice and they have the capacity to make that decision. Copyright Integritas Support Ltd 01.05.14
Working in small groups… Please discuss one of your experiences of protection planning in the context of adult Safeguarding. Who was involved in assessing the person’s risks? How were they assessed? What if there was disagreement, how was that resolved? How did the agreed plan manage the risks or keep it at an acceptable level to the person concerned and the agencies involved? Copyright Integritas Support Ltd 01.05.14
Protection planning (continued) Protection planning also involves supporting anyone who has been abused or neglected to recover from that experience. It involves these key areas: 1.Information sharing: This is key between agencies to ensure that the response is coordinated around the needs of the individual. There is a balance to be made to maintain privacy/confidentiality whilst also ensuring appropriate information is shared to secure better outcomes. 2.Recording: Maintaining accurate records is vital to individuals’ care and safety. Where an allegation of abuse is made, all agencies have a responsibility to deep clear and accurate records to evidence what action has been taken and what decisions have been made and why. 3.Feedback: At each stage of the Safeguarding process it is important to ensure feedback is given to the adult at risk, alerters and partners. The extent of this feedback will depend on various issues (confidentiality, risk of compromising an investigation, etc). Copyright Integritas Support Ltd 01.05.14
Returning to your groups… Please try to think of two examples where you either shared information across agencies or provided feedback. SituationPositive OutcomeNegative Outcome – what could have made it better Copyright Integritas Support Ltd 01.05.14
Applying the principles to case studies Returning to your groups – you will be given a case study to read and answer the questions as a group. We want you to think about how you will evidence the key principles of user involvement, risk assessment and management, issues of capacity and protection planning to come up with a potential plan of action. If you don’t agree with each other that’s fine, just write down the areas of disagreement. Thank-you. Copyright Integritas Support Ltd 01.05.14
9 Justice Lord Munby…. “The local authority is a servant, not a master, a truth which on occasions is too easily overlooked. Vulnerable adults and their carers, look to the State – to a local authority – for the support, the assistance and the provision of the services to which the law, giving effect to the underlying principles of the Welfare State, entitles them. They do not seek to be “controlled” by the State or by the local authority. And it is not for the State in the guise of a local authority to seek to exercise such control. The State, the local authority, is the servant of those in need of its support and assistance; it is not their master. And any attempt to control is likely to be nothing but counter-productive when it comes to a local authority ‘working together’, as it must, with family carers.” Justice Munby Speech given to the annual AMHP Conference in 2011 and at a Safeguarding Conference in 2013.
Final Thoughts… What do you think we can all do to embed the principles of user involvement, risk assessment, capacity issues and protection planning in a way that maintains the dignity of the individual at risk? Copyright Integritas Support Ltd 01.05.14
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