Safeguarding Children and Adults Level 1

1. Safeguarding Children and AdultsLevel 1 CityCare Safeguarding Team

2. Aims • To give participants an overview to their role in safeguarding children and adults. • To promote a “Think Family” approach to safeguarding children and adults.

3. Objectives By the end of the session you will be able to: • Recognise some of the signs and indicators of child abuse, adult abuse and domestic violence. • Respond appropriately if you have concerns about a child or an adult. • Identify who to seek support from if you have safeguarding concerns. • Identify your own future learning needs.

4. What is Safeguarding? • “Safeguarding means protecting people’s health, wellbeing and human rights, and enabling them to live free from harm, abuse and neglect. It is fundamental to creating  high-quality health and social care.” CQC 2012

5. Everybody’s Business

6. The Children Act 1989 • The welfare of the child is PARAMOUNT. • Parental Responsibility • Children in Need • Significant Harm • Centrality of the family

7. Working Together to Safeguard Children (2013) • A “child centred and coordinated approach to safeguarding” • Early Help • Assessment • The child’s voice

8. Physical Abuse “A form of abuse which may involve hitting, shaking, throwing, poisoning, burning or scalding, drowning, suffocating or otherwise causing physical harm to a child. Physical harm may also be caused when a parent or carer fabricates the symptoms of, or deliberately induces, illness in a child”. Working Together 2013

9. Fabricated and Induced Illness • Relatively rare • Complex – don’t discuss with parent / carer • http://nottinghamshirescb.proceduresonline.com/index.htm

10. Sexual Abuse “Involves forcing or enticing a child or young person to take part in sexual activities, not necessarily involving a high level of violence, whether or not the child is aware of what is happening. The activities may involve physical contact, including assault by penetration (for example, rape or oral sex) or non-penetrative acts such as masturbation, kissing, rubbing and touching outside of clothing. They may also include non-contact activities, such as involving children in looking at, or in the production of, sexual images, watching sexual activities, encouraging children to behave in sexually inappropriate ways, or grooming a child in preparation for abuse (including via the internet)” Working Together 2013

11. Impact of Social Media • A method of grooming – encouraging a child to have sexual conversations or share images of themselves. • False sense of security – initially child feels they are ‘safe’ as they are at home. • Perpetrators can pretend to be who they like. • Risks of bullying from other children – cyberbullying is constant and online humiliation is witnessed by thousands.

12. Neglect “The persistent failure to meet a child’s basic physical and/or psychological needs, likely to result in the serious impairment of the child’s health or development”. Working Together 2013

13. Emotional Abuse “The persistent emotional maltreatment of a child such as to cause severe and persistent adverse effects on the child’s emotional development. “ Working Together 2013

14. FGM – Female Genital Mutilation • Cutting or removal of female genitalia to varying degrees • Identification • Illegal to have FGM done in this country – illegal to travel to another for that purpose. • https://www.fgmelearning.co.uk/ • FGM helpline: 0800 028 3550

15. Child trafficking • Trafficking from abroad and within the UK. • Purpose • Indicators • Narrow window of intervention • NSPCC Child Trafficking Advice Centre: 0808 800 5000

16. Thinking Family • Poor mental health • Domestic abuse • Drug and Alcohol Use • Learning disability • Poor physical health / physical disability • Caring for another adult.

17. This is Steven

18. Adult safeguarding: The Care Act 2014 • Duty to safeguard adults s 42 • Duty to co-operate and share information s 6(7)

19. Adults at Risk 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 is 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 or experience of neglect or abuse

20. NEGLECT / OMISSION Categories of Adult Abuse DISCRIMINATORY PHYSICAL / SEXUAL MATERIAL/ FINANCIAL ORGANISATIONAL (institutional) PSYCHOLOGICAL SELF NEGLECT MODERN DAY SLAVERY DOMESTIC ABUSE

21. 6 Key Principles of Adult Safeguarding • Empowerment • Prevention • Proportionality • Protection • Partnership • Accountability “Making Safeguarding Personal”

22. Information Sharing • Consent • Emergency or life threatening situations • Public interest • Information sharing protocol • Seek advice

23. “Where’s Jenny….?” https://www.youtube.com/watch?v=vsoofNS_aUk

24. “Any incident or pattern of incidents of controlling, coercive or threatening behaviour,  violence or abuse between those aged 16 or over who are or have been intimate partners or family members regardless of gender or sexuality. This can encompass but is not limited to the following types of abuse: Psychological, physical, sexual, financial and emotional. This definition includes so called 'honour’ based violence, female genital mutilation (FGM) and forced marriage, and is clear that victims are not confined to one gender or ethnic group”. Home Office 2013 http://www.womensaid.org.uk/domestic-violence-articles.asp?section=00010001002200410001&itemid=1272&itemTitle=What+is+domestic+violence Domestic Abuse: Definition

25. Domestic Abuse Statistics • 1 in 4 women will experience domestic abuse in there life time. CAADA’s 2nd National Policy Report February 2014 • 30% of all domestic abuse incidents start in pregnancy. • Between 50% and 60% of women mental health service users have experienced domestic violence, • (2) Bowstead, Janet (2000) Mental health and domestic violence: Audit 1999 (Greenwich Multi-agency Domestic Violence Forum Mental Health Working Group); ReSisters (2002) Women speak out (Leeds: ReSisters); Department of Health (2003) op.cit

26. Domestic abuse the impact on children • An estimated 130,000 children in the UK live in households with high-risk domestic abuse; that is, where there is a significant risk of harm or death • Children who live with domestic violence are at increased risk of behavioural problems and emotional trauma, and mental health difficulties in adult life. (Kolbo, et al., 1996; Morley and Mullender, 1994; Hester et al., 2000, 2007) • 25% of children are exposed to domestic abuse between adults in their homes at some point in childhood . • Findings from the NSPCC prevalence study (Radford et al., 2011), ‘Child abuse and neglect in the UK today’,

27. Managing Domestic Abuse • Ask Ask Ask….. • Complete the DASH-RIC form. • Signpost to Women’s Aid and the Police. • Refer to DART. • Go on the Domestic Abuse training.

28. What do I need to do if I have concerns about a child or adult • Notice • Check • Share

29. Recording and sharing information • Record conversations and observations and any injuries. • Keep a record of your rationale for any action taken. • Share with consent where appropriate/ possible • Data Protection Act (1998) is not a barrier to sharing information • Seek advice • Necessary, proportionate, relevant, accurate, timely and secure

30. Advice Online http://nottinghamshirescb.proceduresonline.com/index.htm Nottingham and Nottinghamshire Safeguarding Vulnerable Adults Procedures Oct 2013 [270kb]Opens new window http://www.rcgp.org.uk/clinical-and-research/clinical-resources/~/media/Files/CIRC/Safeguarding-Children-Toolkit-2014/RCGP-NSPCC-Safeguarding-Children-Toolkit.ashx

31. Making a Safeguarding Referral • Adults; Nottingham Health and Care Point (Adult Social Care and Health) 0300 300 3333 option 2 • Children and Families Direct- 0115 876 4800 • (e) candfdirect@nottinghamcity.gcsx.gov.uk • Out of hours advice for children and vulnerable adults. 8:00pm until 8:30 am Mon – Fri 24 hours over the weekend. 0115 8761000 Fax 0115 9157959

32. The Safeguarding Team • Duty 9-5 Mon-Fri: 0115 878 6403 • On call Mon-Fri (17.00 – 20.00): 07973 451 097