The Safeguarding Adult’s Course Level Two January 2017

Safeguarding Adults Policy Applies to: An adult who has: 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. Care Act 2014

Legislation & Guidance (Adults) Making Safeguarding Personal (ADASS 2013) Care Act 2014 Safeguarding Vulnerable Groups Act 2006 Health and Social Care Act 2008 & (Regulated Activities) Regulations 2009 Protection of Freedoms Act 2012 – (new Disclosure & Barring Service) Human Rights Act 1998 Sexual Offences Act 2003

Continued…. Mental Health Act 1983 – Ill treatment or wilful neglect of a mentally disordered patient Mental Capacity Act 2005 – Ill treatment or wilful neglect of a person lacking capacity Fraud Act 2006 – Fraud by person in position of trust Domestic Violence, Crime and Victims Act 2004 – Causing or allowing death of child or vulnerable adult (Amended 2012 to include causing or allowing serious physical harm) Domestic Violence Disclosure Scheme ‘Clare’s Law’2014

Care Act 2014 Summary of Key Points Local Authorities and other parts of the health, care and support system have a clear framework to protect adults at risk of abuse or neglect Legal requirement for each Local Authority to have a Safeguarding Adult Board - must include LA, Police and NHS; business plans to be published. Local Authorities will need to make enquiries, or cause others to make enquiries if they think anyone with care and support needs is at risk of neglect or abuse Responsibility for Safeguarding Adult Reviews and identifying lessons to be learnt Requirement to adopt the principles of Making Safeguarding Personal (MSP) and responsibility for arranging advocacy.

Psychological/Emotional Abuse Adults (Psychological): Actions which adversely affect a person’s emotional wellbeing & causing mental distress

Psychological/Emotional Abuse Conveying to a vulnerable adults that they are worthless or unloved, inadequate or valued only insofar as they meet the needs of another person Over protection or limitation of exploration and learning/participating in normal social interaction Ignoring, undermining or overly critical of an adult Seeing or hearing the ill treatment of another

Additional Adult Categories Financial/ Material Abuse: Unauthorised taking or misuse of money or assets Organisational Failure to provide safe, appropriate and acceptable standards of care Discriminatory: Behaviour/ Services which deny equal opportunities to all groups or individuals.

Self Neglect As from April 1st 2015, the Care Act 2014 makes it clear that significant self-neglect may be a form of harm or behaviour that requires consideration within mainstream safeguarding activities. Self neglect includes: Living in very unclean circumstances Portraying eccentric behaviours e.g. Hoarding Poor diet and nutrition Declining services or care, or not attending appointments Refusing to allow access to other organisations with an interest in the property, for example, staff working for utility companies

Aims With Self Neglect Individuals who are self-neglecting are empowered as far as possible, to understand the implications of their actions; A shared, multi-agency understanding and recognition of the issues involved in working with individuals who self-neglect; Effective multi-agency working and practice; Appropriate prioritisation; and Agencies and organisations uphold their duties of care.

Response to Self Neglect For those who lack mental capacity use the Mental Capacity Act 2005 and best interest decision making process For those with mental capacity consider use of the Multi-Agency Risk Management Meeting (MARM) procedure. (Appedices 2 & 8 Multi -Agency Procedures)

There Are 5 Criteria Required for an Adult Safeguarding Alert There is an adult in need of care or support (formerly ‘victim) There is a person(s) who may have/may be causing harm (formerly perpetrator) There is an act, or suspected act of abuse, or an act or suspected act of omission (neglect) The act is causing or could cause ‘harm’ to that person The person is self neglecting

What To Do If You Are Worried About The Welfare Of An Adult Respond promptly Ensure safety, if risks are high and/or immediate (contact police via 999 is appropriate) Preserve evidence, if required Report to and consult with line manager & DHC safeguarding adult service if required Record relevant information and complete a Ulysses form Raise a safeguarding adult concern with Adult Social Care at the relevant local authority, if appropriate. Record your referral and follow-up to check actions taken 13 13

Safeguarding Adult Contacts Advice & Support - DHC Safeguarding Adult Lead 01202 443117/07500814558 Safeguarding Adult Advisor Tel 01305 361106/07825897596 Monday – Friday

Referral Routes for Safeguarding Adults Dorset County Council Adult Safeguarding Triage Team Tel: 01929 557712 Secure Fax: 01929 554217 Bournemouth Borough Council Bournemouth Care Tel: 01202 454979 Fax: 01202 454975 Borough of Poole Social Services Helpdesk Tel: 01202 633902 Adult Social Services Fax: 01202 633634