Safeguarding vulnerable adults: policy & Practice Jill Manthorpe November 14, 2018

Outline Using evidence from Unit work and others *thanks for your help! Use examples to highlight some points for discussion Will focus mainly on vulnerable adults (not alleged abusers) November 14, 2018

Adult safeguarding Long standing concerns about mistreatment (calls for legal protection) Adult safeguarding roots in long-stay institutions but also family ‘Vulnerable adults’ majorly influenced by elder abuse November 14, 2018

Care home workers terrified dementia patients with horror hand-puppets 'for fun’ Two care home nurses are facing jail for using a glove puppet to bully elderly women as a joke. (They) were paid to look after the frail grandmothers - but instead the pair 'scared them for just for the fun of it'. (They) laughed while using a green goblin puppet to terrify women patients aged 87 and 91 in the home for the elderly.

Criminal connections?

Definitions: endless, conflicting & hidden Risk Vulnerable Compromised care Poor practice Neglect and self-neglect November 14, 2018 IOP

Policy reaction: Winterbourne View November 14, 2018

Building blocks of Safeguarding Responses   Safeguarding Adults Boards Attention to legal powers Vulnerable adults November 14, 2018

Care and Support white paper 2012 Duty to investigate in safeguarding cases No emergency and compulsory powers unless the Government wants them Repeal of section 47 of the National Assistance Act 1948 Statutory Adult Safeguarding Boards (social services, NHS and the police) Statutory Serious Case Reviews (safeguarding adults reviews) November 14, 2018

What do safeguarding professionals do? Prevention Referral - screen Investigate Evidence collection Support for alleged victims Work with alleged perpetrators November 14, 2018

Prevention levels Primary prevention Secondary Tertiary November 14, 2018

Primary prevention Examples Family vigilance Neighbourliness Vetting & barring CRB checks Office of Public Guardian Trading standards Professional regulation November 14, 2018

Secondary prevention Training Advocacy Investigation Expressed in policy and procedures Authorisation eg Lasting power of Attorney Media stories eg scams November 14, 2018

Tertiary prevention Criminal prosecutions Best evidence provision Inspection and regulation Care monitoring People monitoring Learning from what went wrong November 14, 2018

Debate: Bad apples or rotten barrels? False positives and false negatives Moving from abuse to harm Subjective and objective Family conflict eg some recent DoLS cases November 14, 2018

Theory Lite Carer stress? Gender & power Hate & prejudice Vulnerable Situations Searching for risk factors New emphases -survivors & resilience November 14, 2018

Missing areas Cost and cost effectiveness More emerging on outcomes What works How to address false positives and false negatives November 14, 2018

Website http://www.kcl.ac.uk/scwru/ The Social Care Workforce Research Unit receives funding from the Department of Health November 14, 2018