safeguarding adults level 1 protecting adults from abuse and neglect
TRANSCRIPT
.Safeguarding Adults Level 1
Protecting adults from abuse and neglect.
Margaret Panting (1923 to 2001) 78yrs
Steven Hoskin (1967- 2007) 40 years
Care Act 2014
From April 1st 2015.Protecting Adults will be Law.
Section 14 of the Act
No longer “vulnerable” adults definition.
The safeguarding duties; apply to an adult who: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.
Safeguarding (2005) - umbrella term;Empowerment - Presumption of person led decisions and informed consent. Protection - Support and representation for those in greatest need. Prevention - It is better to take action before harm occurs. Proportionality – Proportionate and least intrusive response appropriate to the risk presented. Partnership - Local solutions through services working with their communities. Communities have a part to play in preventing, detecting and reporting neglect and abuse. Accountability - Accountability and transparency in delivering safeguarding.
10 Categories of AbusePhysical Abuse
NeglectDiscriminationSexual abuse
Financial abusePsychological abuseOrganisational abuse
*Domestic Abuse*Modern Slavery
*Self Neglect
Self- Neglect• Definition:• Self-neglect – this covers a wide range of behaviour; neglecting to care
for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding that causes a risk of harm.
• Cases of severe self-neglect require management of the balance between protecting the adult from self-neglect against their right to self-determination is a serious challenge. It is not unusual for people to refuse a particular form of care due to lack of insight into the need for intervention.
• Examples may be: A person sends away a home care worker who is tasked to do cleaning or
prepare a meal.A person is incontinent but is reluctant to wear pads. A person with diabetes refuses their insulin injection.All cases of self-neglect recognised in the acute hospital must be referred
to Safeguarding Adults Team.
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Responding to a Disclosure;• Ask the Adult what they want to happen?
• Follow the Trust’s safeguarding flowchart.Outcomes could be;
Adult protection referral
Increase in Package of care
Referral to Domestic violence advocate
Referral for GP or Community matron to follow up
Referral to Adult social care for social worker.
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Level 4 – Adult Protection (abuse and neglect)
The Role of the Alerter/Referrer.RECOGNISE /RESPOND/REPORT
• If necessary call the police (abuse and neglect is a criminal offence).
• Ensure immediate safety of patient.
• Preserve forensic evidence
• Speak with your line manager – inform the patient – contact Trust’s safeguarding adults team.
• Hand write a report
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Organisational AbuseMid Staffordshire hospital – public enquiry into the
abuse at an acute general hospital.
There was a failure;
•Focus on quality
•Failure to listen to patients
•Failure of the role of the regulator.
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Organisational Abuse continuedMid Staffordshire hospital – public enquiry of the
abuse in the acute general hospital.
Although, no specific reference to safeguarding; safeguards have been instigated to prevent another mid staffs.
• Francis emphasises the importance of Candour, Openness and Transparency for hospitals.
• Focus on listening to patients.• CQC have improved their inspections, so there is focus on
Quality.• Raising Awareness in the Public Interest policy.
Safeguarding Adult Named Nurse Zoe Cooper – 01872 252446 - Bleep 3048
Email. [email protected] Out of hours leave referrals on answer phone the clinical site co-
ordinators.
Acute Liaison Nurses for Learning Disabilities and / or Autism.
Daniella Rubio-Mayer 07827 903729 Bleep 3054Tristan Coombe 07827 903729 Bleep 3095Jane Rees 07765 221848 Bleep 3053
Learning Disabilities and Autism
For deliberate self harm, mental health assessments or urgent mental health concerns contact the Psychiatric Liaison Team via: Bodmin Hospital Switchboard Ext 1300
For out of hours support contact the Clinical Site Co-ordinators via Switchboard.
Lerryn Hogg - Specialist Nurse for Mental Health and Wellbeing and Mental CapacityVia: Ext 2446 or Mobile 07789 876247 [email protected]
Mental Health and Mental Capacity
Domestic Abuse
Any incident or pattern of incidents of controlling coercive or threatening behaviour, violence or abuse between those
ages 16 or over who are or have been intimate partners of family members regardless of gender or sexuality. This can encompass but is not limited to the following types of abuse:
Psychological Sexual Physical
Financial Emotional
Independent Domestic Violence Advocate (IDVA)
The IDVA is based at RCHTin the safeguarding adults team
Anna Onslow - 07435 752497
Out of Hours leave a message or contactREACH on: 03007774777