Safeguarding Adults - Protection

1. Safeguarding Adults - Protection Practitioner Level

2. Housekeeping Fire Procedure Smoking Toilets Breaks Finishing Time Mobile Phones / Devices

3. Training Transfer Getting learning into practice • “50% of learning fails to transfer to the workplace” (Sak, 2002) • “The ultimate test of effective training is whether it benefits service users” (Horwath and Morrison, 1999)

4. Training Transfer

5. Introductions • Name • Place and nature of work • What do you want to know by the end of today’s session?

6. Outcomes By the end of the session you will: • Be able to take early action because you recognise that abuse may be insidious / hidden rather than just a one off event • Be able to respond to a safeguarding concern/alert effectively

7. Attendees will be able to: • take and make appropriate referrals and refer to other sources of investigation if required • ask the ‘right’ questions and gather initial information to promote the safety and well being of the person • undertake an initial risk assessment either by telephone or face to face and take any required protective action • Recognise when other agencies may need to be involved including the Police • reflective practice in safeguarding • Attendees will be clear about their role in the safeguarding process

8. Ground Rules Safeguarding is a dynamic world and we continue to learn about how to prevent people from being harmed on both a strategic / organisational level and as individual practitioners. Safeguarding is about partnership, it is not about blame. All agencies and individuals need to take responsibility, to reflect and learn to safeguard people who may be vulnerable.

9. Ground Rules Confidentiality within the group will be respected but may need to be broken if a disclosure of unsafe practice, abuse or neglect is made during the course – this will usually be discussed with you first.

10. Recap • What is abuse? • Who is a vulnerable adult?

11. Abuse is: • A violation of an individual’s human and civil rights by any other person or persons. • Abuse can consist of a single act or repeated acts. It may be physical, verbal, or psychological. • It may be an act of neglect or an omission to act, or it may occur when a vulnerable person is persuaded to enter into a financial or sexual transaction to which he or she has not consented or cannot consent. • Abuse can occur in any relationship and may result in significant harm to, or exploitation of, the person subjected to it.

12. A vulnerable adult is: • a person "who is or may be in need of community care services by reason of mental or other disability, age or illness, • and who is or may be unable to take care of him or herself, • or unable to protect him or herself against significant harm or exploitation" No secrets: guidance on developing and implementing multi-agency policies and procedures to protect vulnerable adults from abuse DOH March 2000

13. Safeguarding Adults Principles • Empowerment • Protection • Prevention • Proportionality • Partnership • Accountability Adult Safeguarding: Statement of Government Policy, 2011 What outcomes should individuals experience from the safeguarding process?

14. Because you said something...

15. Small Group Discussion In groups have a look at the following scenarios :- • The man in the park • The two brothers • The couple in the conservatory What was happening? What might be done?

16. Feedback – the man in the park

17. Hate Crime “Any criminal offence, which is perceived, by the victim or any other person, to be motivated by hostility or prejudice based on a person’s difference or perceived difference.” CPS Police also record incidents which are not crimes.

18. Disability Hate Crime Better understanding of disability hate crime and of impact on victims Offender(s) often known to victim Likely to increase in severity or frequency • Vulnerability Screening • Neighbourhood harm register • Enhanced sentencing • EHRC / DoH / Home Office / Regional projects

19. Allport’s Scale of Prejudice

20. Mate Crime “When someone befriends a vulnerable person in order to exploit them.” Why?

21. Forced Marriage

22. Radicalisation to Support or Commit Terrorism Nicky Reilly attempted to detonate an improvised explosive device at a restaurant in Exeter in May 2008. Was radicalised through contact with people on the internet. Known to have mental health issues and learning difficulties and had regular contact with health and social services. Andrew Ibrahim was arrested in Bristol in April 2008 charged with Terrorist offences and convicted in July 2009. Had previously sought medical help for injuries to his hands during trials with explosives. Had shown his Drug counsellor violent footage that he Had downloaded onto his mobile phone. Developed a "mind-set of martyrdom“ after accessing extremist Material online. “Building Partnerships, Staying Safe The health sector contribution to HM Government’s Prevent strategy: guidance for healthcare organisations”

23. Grooming Process • Choose a vulnerable adult with whom they have (or can manipulate) a relationship of authority • Develop a special relationship with the adult • Get the victim’s support network to trust them or isolate the victim (threat, inducement, deception) • Slowly introduce low level behaviour in order to desensitise or normalise • Introduce the target behaviour

24. Police involvement • 101 OR 999 http://www.devon-cornwall.police.uk/ • PCSO’s • Police officers • Neighbourhood beat managers • Specialist officers – public protection unit

25. Scams www.thinkjessica.com www.stoploansharks.org.uk

26. Trading Standards May be able to help: • If you’ve been misled by the trader into buying something you wouldn’t have bought if you had been given all the information beforehand • If the trader has made false claims about goods or services which you have found out not to be true • If you’ve been sold fake or counterfeit goods • If the trader has used aggressive selling techniques or persuaded you to buy something you wouldn't necessarily have bought if you had a free choice

27. Feedback – the two brothers

28. Domestic Abuse “Any incident or pattern of incidents of controlling, coercive, 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. The abuse can encompass, but is not limited to: psychological, physical, sexual, financial and emotional abuse.” Cross government definition, 2010

29. Biderman's Chart of Coercion • Isolation • Monopolisation of Perception • Induced Debility and Exhaustion • Threats • Occasional Indulgences • Demonstrating omnipotence and omniscience • Degradation • Enforcing trivial demands

30. Domestic Abuse 0345 155 1074 www.devon.gov.uk/domestic_violence

31. Feedback – the couple in the conservatory

32. Carers and Safeguarding Adults Carers are more likely to perpetrate abuse (intentional or not) if the carer: • Has unmet or unrecognised needs • Is themselves vulnerable • Has unwillingly had to change his or her lifestyle or feels unappreciated by the vulnerable person or exploited by relatives or services • Is being abused by the vulnerable person • Has little insight or understanding of the person’s condition or needs • Is feeling emotionally and socially isolated, undervalued or stigmatised • Has other responsibilities such as family or work ADASS (July 2011)

33. What is the purpose of making an alert? • To keep the person safe now and in the future • To share information about risk so that others can decide on the next actions that might be needed • To collect national information / data

34. Making/Taking an Alert What information will the Safeguarding Adults team need in order to assess risk and make recommendations?

35. Practitioner’s Role

36. Asking the right questions Open Closed Specific Probing Hypothetical Reflective Leading TED

37. Assessing Risk In groups, consider for your case study how you would go about gathering the required information.

38. Assessing Risk In groups consider for your case study: • What factors might have influenced the answers the person is giving you? • Who else may be harmed?

39. Managing Risk In groups consider for your case study: • Do you need to take any action to protect the person in the short term?

40. Gaining Consent You should seek consent to share information unless doing so would: • Place a child at increased risk of significant harm • Place and adult at increased risk of serious harm • Prejudice the prevention, detection or prosecution of a serious crime • Lead to unjustified delay in making enquiries about significant harm or serious harm

41. Gaining Consent You can share information without consent: • In the best interest of a person lacking capacity (to understand the risks they face or capacity to understand the safeguarding process) • In the public interest You must always balance a person’s right to safety with their right to confidentiality.

42. Woman in the.. Hospital Care Home If you came across her upset, what would you do to establish what the issue was? What would you do/say if she told you the carer had been cruel to her? What would you think about when considering making an alert? • If you came across her upset, what would you do to establish what the issue was? • What would you do/say if she told you the nurse had touched her? • What would you think about when considering making an alert?

43. Multi-agency Process Devon Care Direct on 0845 1551 007 Torbay Single Point of Contact on 01803 219741 or safeguarding.alertstct@nhs.net Plymouth Adult Protection Team on 01752 668000 or adultpro@plymouth.gov.uk

44. Referral Process

45. Investigation Process Review

46. Child Protection www.devon.gov.uk/childprotection • If you are concerned about a child or young person in Devon contact the MASH on 0345 155 1071 or email mashsecure@devon.gcsx.gov.uk and give as much information as you can.

47. Final Questions?

48. Prevention is Better Than Cure Keep the course in context. Whilst there are some very worrying situations occurring everyday there is also good practice in all care environments Remember to vigilant and deal with things at the earliest opportunity. Whether it’s poor practice or abuse doing nothing isn’t an option. What will you do now?