Safeguarding Adults LEVEL 1

Transcription

1 FACTSHEET Safeguarding Adults LEVEL 1 Principles of safeguarding adults Pa erns of abuse Types of abuse PREVENT Taking ac on Trust contact details A quick way to update mandatory training Please note: there are only 2 a empts at the eassessment. Produced by : Learning & Development and based on the Core Skills Training Framework 1 Last Updated: December 2015

2 How to find the eassessment on ESR 1. Log onto the PC using your own network username and password. 2. Insert your smartcard into the card reader on your computer keyboard or place on the infec on control reader. Enter your smartcard pin number. Select the box for Pa ent Care. 3. Double click on the ESR via smartcard icon on your desktop. If you see a cer ficate popup box, ck the box Always trust content from this publisher. then select Run. 4. Click 427 elearning User then elearning. 5. Using the Search box, type one key word e.g. eassessment into the blank search box and click Go. 6. From the list returned, click the envelope icon under choose or enrol in class next to the relevant eassessment. 7. Click Apply. The course should now be in the list of courses ready to play. 8. Click the Play bu on to the right hand side of the elearning programme. 9. You may get the following security warning. Click on No. 10. You will get 2 a empts at the eassessment. Please ensure that you have dedicated me to complete the assessment. 11. To exit and save your result, you must click on the Home icon at the top right corner of your screen. PLEASE NOTE: If you do not click on the Home icon your results will not be recorded. 12. When you have completed the module, please check that your result has updated under status. 2

3 Introduc on Safeguarding Adults is everybody s business. This factsheet is designed to help you identify if an adult is at risk of abuse or neglect or is experiencing abuse or neglect. We all need to know what abuse is, how we recognise it and what our role is in safeguarding adults who are at risk. Learning Objec ves Understand the term safeguarding adults. Understand the nature and scope of harm to and abuse of adults at risk. Be able to recognise a range of factors which have featured in adult abuse and neglect Understand the importance of demonstrating dignity and respect when providing healthcare services. Understand how healthcare environments can promote or undermine people s dignity and rights and the importance of individualised, person centred care. Know how to apply the basic principles of helping people to keep themselves safe. Know the local arrangements for the implementation of multi-agency Safeguarding Adult s policies and procedures. Know and explain what to do if abuse or an adult is suspected; including how to raise concerns within local whistle blowing policy procedures. Know relevant legislation, local and national policies and procedures which relate to safeguarding adults. Understand the importance of sharing information with the relevant agencies. Know the actions to take if they experience barriers in alerting or referring to relevant agencies. Defini on Safeguarding duties apply to an adult who is over 18 and; Has needs for care and support [whether the Local Authority is meeting any of those needs or not], and Is experiencing, or at risk of, abuse and 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 and neglect Care Act

4 Sec on 1 : 6 principles underpinning all adult safeguarding work 1. Empowerment: people being supported and encouraged to make their own decisions and informed consent 2. Prevention: it is better to take action before harm occurs 3. Proportionality: the least intrusive response appropriate to the risk presented. 4. Protection; Support and representation for those in greatest need. 5. Partnership; Local solutions through services working with their communities. Communities have a part to play in preventing detecting and reporting neglect and abuse 6. Accountability; accountability and transparency in delivering safeguarding. Sec on 2: making safeguarding personal In addition to the 6 key principles, it is vital that all organisations recognise that adult safeguarding arrangements are there to protect individuals. We all have different preferences, histories, circumstances, lifestyles. So it is unhelpful to prescribe a process that must be followed whenever a concern is raised. Making safeguarding personal means it should be person led and outcome focussed. Should a patient experience extreme difficulty in engaging with the safeguarding process then they are entitled to support from an advocate. The safeguarding approach should enhance their involvement, choice and control as well as improving quality of life, wellbeing and safety. Sec on 3: what are abuse and neglect? Abuse and neglect come in different forms and more than one type may be happening at the same time. Incidents of abuse may be one off or multiple and affect one person or more. Some people may be more at risk than others for the following reasons: Mental ill health Substance misuse History of abuse as a child Socio-economic problems Learning disability Dementia Dependent on others for their care. Abuse can happen in many different places: Someone s own home A care home A hospital A day centre A public place 4

5 Sec on 4: pa erns of abuse Anyone can be an abuser and it is often someone they know and trust: Unintentional abuse Planned, calculated and systematic Opportunistic Reaction to provocation or perceived provocation Being stressed Poor training Poor supervision or management. Sec on 5: types of abuse Type of abuse Physical Defini on Including assault, hitting, slapping, pushing, misuse or medication, restraint or inappropriate physical sanctions. Domes c Violence (from age of 16) Including controlling or coercive behaviours, physical, sexual, financial emotional & honour based violence. Domestic violence specifically occurs within close relationships and either gender. Sexual Including rape, indecent exposure, sexual harassment, inappropriate looking and touching, sexual teasing or innuendo, sexual photography, subjection to pornography or witnessing sexual acts, to which the adult has not consented or was pressured into consenting. Psychological Including emotional abuse, threats of harm or abandonment, deprivation of contact, humiliation, blaming, controlling intimidation, coercion, harassment, verbal abuse, cyber bullying, isolation or unreasonable and unjustified withdrawal of services or supportive networks. 5

6 Type of abuse Financial or material Defini on Including theft, fraud, internet scamming, coercion in relation to an adults financial affairs or arrangements, including in connection with wills, property, inheritance or financial transactions or the misuse or misappropriation of property, possessions or benefits. Modern Slavery Encompasses slavery, human trafficking, forced labour and domestic servitude. Traffickers and slave masters use whatever means they have at their disposal to coerce, deceive and force individuals into a life of abuse, servitude and inhumane treatment. Neglect The persistent failure to meet basic physical and or psychological needs. Discriminatory Includes forms of harassment, slurs or similar treatment because of race, gender and gender identity, age, disability sexual orientation or religion. Organisa onal Neglect and Acts of Omission Including neglect and poor care practice within an institution or specific care setting, such as a hospital or care home, or in a relation to funded care provided in one s own home. It can be through neglect or poor professional practice as a result of the structure, policies, processes and practices within an organisation. Including ignoring medical emotional or physical care needs, failure to provide access to appropriate health, care and support or educational services, the withholding of necessities of life such as, medication, adequate nutrition and heating. 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. 6

7 Other Harms Female Genital Mu la on Defini on Also known as female genital cutting and female circumcision, it is the ritual removal of some or all of the external female genitalia. FGM is practised by ethnic groups in 27 countries in sub-saharan and north-east Africa, in Yemen and Iraqi Kurdistan, and to a lesser extent elsewhere in Asia. The age at which it is conducted varies from days after birth to puberty. Forced Marriage A forced marriage is where one or both people do not) consent to the marriage and pressure or abuse is used. Recognised in the UK as a form of violence against women and men, domestic/child abuse and a serious abuse of human rights. The pressure put on people to marry against their will can be physical (including threats, actual physical violence and sexual violence including honour based violence) or emotional and psychological. Financial abuse can also be a factor. Sec on 6: PREVENT Radicalisation is a process by which an individual or group comes to adopt increasingly extreme political, social, or religious ideals Focus on identifying and supporting vulnerable people who are at risk of becoming radicalised and therefore becoming involved in terrorist activity. Healthcare workers have the opportunity to refer vulnerable individuals for support in a pre-criminal space by: 1. Recognising vulnerable adults, children and young people who may be at risk of radicalisation; 2. Working in partnership to reduce risk and protect the individual 3. Providing adequate and necessary support as part of a proportionate multi-agency response to any concerns. 7

8 Sec on 7: Suspec ng abuse or neglect and what you need to do 1. You may have general concerns about someone s wellbeing. 2. You may see or hear something which could be abuse or neglect. 3. Someone may tell you they are experiencing abuse or neglect. What you need to do Reassure and support the adult at risk. Wherever possible gain consent to share the information disclosed. However, adult protection concerns means that you have a duty to disclose information to the relevant agencies. Therefore discuss with Senior Staff or the Adult Safeguarding Team. If criminal offence is suspected contact the police to discuss and raise your concerns. Document all your concerns and the actual disclosure made by the adult at risk. Take photographs if appropriate. You are an ALERTER, it is not your role to inves gate any concerns. Make a safeguarding referral by completing a Harm Event on Millennium or in working hours Bleep the Adult Safeguarding Team on Sec on 8 : what happens when an alert is made The lead agency for Adult Safeguarding is always the Local Authority. The Care Act states that where there is a safeguarding concern the local authority must make (or cause to be made) whether enquiries it this it is necessary to enable it to decide whether any action should be taken in the adults case and, if so what and by whom. (Section 42 Enquiry) This means that the adult safeguarding team will be working with you to gather the information for the local authority enquiry. This information will be used by the local authority to decide whether to initiate safeguarding arrangements. You may be required to attend strategy or planning meetings as part of the safeguarding process. Ultimately the local authority will determine whether the adult at risk will be subject to an Adult Protection Plan. Frequently the decision will be made to support the adult at risk through a supportive care plan to meet their needs rather than an adult protection plan, but, the concerns raised will remain on record and can be reviewed at any time in the future. 8

9 Sec on 9: policies and legisla on The following policies to support your practice are available on the RUH Intranet. Safeguarding Adults Policy Consent Policy Mental Capacity Act 2005 incorporating Deprivation of Liberty Mental Health Act Policy Restraint Policy Non Concordant with Care/Treatment, incorporating Covert Medication Raising Concerns ( Whistle Blowing Policy) Prevent Allegations against Staff Domestic Violence Domestic Violence Affecting Staff ( Perpetrators and Victims) Policy Managing Conduct Safe and Supportive Observation Policy Relevant legislation includes: Care Act 2014 Equality Act 2010 Human Rights Act 1998 Safe recruitment practice i.e. DBS Mental Capacity Act 2005 incorporating Deprivation of Liberty Safeguards 2007 Mental Health Act 2007 Health and Social Care Act 2008 Modern Slavery Act 2015 Criminal Justice and Courts Act 2015 Safeguarding Adults responsibilities are also included in Professional Codes of Conduct 9

10 Sec on 10 : safeguarding checklist Safeguarding checklist I know where to access the RUH Safeguarding Adults policy in my workplace. I am aware of the 10 categories of adult abuse. I understand my responsibili es regarding safeguarding adults. I know what I need to do to raise any concerns I may have about safeguarding an adult at risk. I know how to contact the RUH safeguarding adult team. Sec on 11 : Trust contacts Safeguarding Adults Team Contact details Administrator Ext 5358 Lead Nurse for Adult Safeguarding, Mental Capacity and DoLS Ext 5320 Adult Safeguarding Nurse Ext 4933 Bleep 7077 More information is available at: h p://webserver.ruh-bath.swest.nhs.uk/clinical_directory/mental_health_and_capacity Date of publica on: 14th December 2015 Royal United Hospitals Bath NHS Founda on Trust Loca on: Shared Folders 10 Technology Enabled Learning/02/11/01/06 10