1. Adult Safeguarding Compassion in Nursing: the 6C strategy
Jaydee Swarbrick, Professional Practice Lead
Pam O’Shea, Quality Improvement Manager

2. Video Clip

3. Introduction
6 C’s : A strategy that links into the overall vision for nursing to make a difference. It links to all care delivery and should be aligned to safeguarding practice.

4. Safeguarding Umbrella
Vulnerable Adults
Domestic Violence
Modern Day Slavery
Forced Marriages
Honour Based Violence
Prevent

5. Safeguarding Continuum

6. It’s not about blame
It is about being open to your mistakes, and accepting responsibility for them, being open and accepting to the need to change

7. Legislation underpinning Safeguarding
Equality Act 2010 Mental Capacity Act 2005 Safeguarding Vulnerable Groups Act 2006 Mental Health Act 1983 NHS Act 2006 Human Rights Act 1998 Care Act 2014

8. Adults at risk
‘Adult at risk’ refers to anyone aged 18 years and over who is or may be in need of community care services by reason of mental disability, age or illness and is or may be unable to take care or protect themselves against significant harm

9. A single act or repeated acts. Unintentional / Intentional or wilful.
What is abuse?
Abuse may be
A single act or repeated acts.
Unintentional / Intentional or wilful.
An act of neglect or a failure to act.
Multiple acts.

10. Neglect and acts of Omission Sexual Discriminatory Institutional
Types of abuse
Physical
Emotional
Financial
Neglect and acts of Omission
Sexual
Discriminatory
Institutional

11. No choice for individuals
Institutional Abuse
Routines and Rituals
No choice for individuals
Set bed times
Everyone is given porridge for breakfast

12. Six principles Protection Partnership Accountability Empowerment
Proportionality
Prevention
Spot early signs
Safeguarding is everyone's business even the public
Informed choice, advocacy, individual at the centre
Professionally can't be there
24 hrs. per day
Recognising signs of abuse
Empowerment – person led decision and assumed
consent
Protection – support and representation
Prevention – action before harm
Proportionate responses – proportionate and least
intrusive
Partnership – individuals, professionals and
communities
Accountability – being accountable, transparency and
collaboration
LAs retain the lead
Investigation - enquiry
Issues around clinical V social
Decision tree for guidance
Points of reflection

13. Accountability and documenatation
Check revised code

14. Treat patients - ‘’As if the patient were my own…….’’
Adult Safeguarding starts with managers being Leaders
‘’ Providing a positive experience of care is central to nursing and care delivery. It’s about treating every patient as you would treat your own loved one’’
’In health we see people at their most vulnerable and it’s in these moments, when we can make the biggest difference – by bringing reassurance and humanity to a situation and environment that can be unfamiliar to people’’
Treat patients - ‘’As if the patient were my own…….’’

15. Emotional Intelligence How we behave has a profound impact on those around us
What makes a good leader within safeguarding adults?
Calm assuring demeanour
In control
Trust those around them
Compassionate listener
Speaking kindly and with clarity
Approachable
Seems to make the right informed decisions

16. 6 C’s Care, Compassion, Communication, Competency, Courage Commitment:
Through caring roles staff need to become aware of issues that could indicate abuse or neglect:
It is all our jobs to raise and communicate safeguarding concerns and competently follow basic procedures.
As part of this process you have to exercise professional judgement but not be judgemental – treating all involved with compassion.
It can be hard to be an advocate. It can take courage to speak out and escalate concerns.
It takes commitment to keep the vulnerable in focus amidst all the other priorities to keeping people safe and promote their welfare.
Leadership that role models behaviours, skills and attributes
It isn’t just about the care given, but its the way its given.
It’s about how staff listen, what they say, what they do and more importantly, how they do it.
Its about understanding the impact of what you say and do.
You need to see the person in every patient showing compassion in a way that is professional but yet human, respects boundaries, ensures dignity and respect.
Leading by building networks & relationships to engage for improvement, sharing of information by
Communication and Engagement – observing and hearing
Sharing and evaluating ideas
There is a need to give patients, carers and colleagues a full and detailed explanation to enable them to understand the issues or problem
To nurture a shared purpose and mobilise people to work together to deliver continuous and consistent quality improvement.
This is essential if we are to understand the impact of what we do and ensure we deliver truly compassionate care.
Leading through innovation and improvements that require courage to challenge sceptics and overcome barriers
To commit to making changes and improve quality improvement, we need to dig deep in difficult times to:
Do the right thing
Speak up and challenge when things are wrong
Challenge and influence sceptics
Challenge and influence those in more senior positions to you
Be open to being challenged ourselves
Overcome barriers to make things happen
Be unafraid of leading by example, adopting innovations and change
Be unafraid to make suggestions
Don’t give up!
Leading the commitment of accountability for the rigorous delivery of change and to transparent measurement and evaluation for continuous improvement.
We need to support providers to recognise and change areas of their practice that require improvement.
To change the way we communicate - with each other, with our patients, their carers, the public and our providers
Support evidence based practice; and
Ensure contemporaneous record keeping that is clear; and supports ....
The delivery of the right care to the right person at the right time (first time)

17. Policy
Each care home should be familiar with the Pan Dorset Multi-Agency Safeguarding Adults Policy and Procedures

18. Joe’s story

19. Thank you
Local contact Care Direct – Bournemouth Help Desk – Poole Dorset County Council (safeguarding team) Out of Hours In an emergency: If a vulnerable adult is potentially seriously injured: Ring 999 If someone is threatening to harm the vulnerable: Ring 999