Adult Safeguarding Compassion in Nursing: the 6C strategy Jaydee Swarbrick, Professional Practice Lead Pam O’Shea, Quality Improvement Manager

Video Clip http://www.nmc-uk.org/Nurses-and-midwives/safeguarding/The-films/

Introduction 6 C’s : A strategy that links into the overall vision for nursing to make a difference. It links to all care delivery and should be aligned to safeguarding practice.

Safeguarding Umbrella Vulnerable Adults Domestic Violence Modern Day Slavery Forced Marriages Honour Based Violence Prevent

Safeguarding Continuum

It’s not about blame It is about being open to your mistakes, and accepting responsibility for them, being open and accepting to the need to change

Legislation underpinning Safeguarding Equality Act 2010 Mental Capacity Act 2005 Safeguarding Vulnerable Groups Act 2006 Mental Health Act 1983 NHS Act 2006 Human Rights Act 1998 Care Act 2014

Adults at risk ‘Adult at risk’ refers to anyone aged 18 years and over who is or may be in need of community care services by reason of mental disability, age or illness and is or may be unable to take care or protect themselves against significant harm

A single act or repeated acts. Unintentional / Intentional or wilful. What is abuse? Abuse may be A single act or repeated acts. Unintentional / Intentional or wilful. An act of neglect or a failure to act. Multiple acts.

Neglect and acts of Omission Sexual Discriminatory Institutional Types of abuse Physical Emotional Financial Neglect and acts of Omission Sexual Discriminatory Institutional

No choice for individuals Institutional Abuse Routines and Rituals No choice for individuals Set bed times Everyone is given porridge for breakfast

Six principles Protection Partnership Accountability Empowerment Proportionality Prevention Spot early signs Safeguarding is everyone's business even the public   Informed choice, advocacy, individual at the centre Professionally can't be there 24 hrs. per day Recognising signs of abuse Empowerment – person led decision and assumed consent Protection – support and representation Prevention – action before harm Proportionate responses – proportionate and least intrusive Partnership – individuals, professionals and communities Accountability – being accountable, transparency and collaboration LAs retain the lead Investigation - enquiry Issues around clinical V social Decision tree for guidance Points of reflection

Accountability and documenatation Check revised code

Treat patients - ‘’As if the patient were my own…….’’ Adult Safeguarding starts with managers being Leaders ‘’ Providing a positive experience of care is central to nursing and care delivery. It’s about treating every patient as you would treat your own loved one’’ ’In health we see people at their most vulnerable and it’s in these moments, when we can make the biggest difference – by bringing reassurance and humanity to a situation and environment that can be unfamiliar to people’’ Treat patients - ‘’As if the patient were my own…….’’

Emotional Intelligence How we behave has a profound impact on those around us What makes a good leader within safeguarding adults? Calm assuring demeanour In control Trust those around them Compassionate listener Speaking kindly and with clarity Approachable Seems to make the right informed decisions

6 C’s Care, Compassion, Communication, Competency, Courage Commitment: Through caring roles staff need to become aware of issues that could indicate abuse or neglect: It is all our jobs to raise and communicate safeguarding concerns and competently follow basic procedures. As part of this process you have to exercise professional judgement but not be judgemental – treating all involved with compassion. It can be hard to be an advocate. It can take courage to speak out and escalate concerns. It takes commitment to keep the vulnerable in focus amidst all the other priorities to keeping people safe and promote their welfare. Leadership that role models behaviours, skills and attributes It isn’t just about the care given, but its the way its given. It’s about how staff listen, what they say, what they do and more importantly, how they do it. Its about understanding the impact of what you say and do. You need to see the person in every patient showing compassion in a way that is professional but yet human, respects boundaries, ensures dignity and respect. Leading by building networks & relationships to engage for improvement, sharing of information by Communication and Engagement – observing and hearing Sharing and evaluating ideas There is a need to give patients, carers and colleagues a full and detailed explanation to enable them to understand the issues or problem To nurture a shared purpose and mobilise people to work together to deliver continuous and consistent quality improvement. This is essential if we are to understand the impact of what we do and ensure we deliver truly compassionate care. Leading through innovation and improvements that require courage to challenge sceptics and overcome barriers To commit to making changes and improve quality improvement, we need to dig deep in difficult times to: Do the right thing Speak up and challenge when things are wrong Challenge and influence sceptics Challenge and influence those in more senior positions to you Be open to being challenged ourselves Overcome barriers to make things happen Be unafraid of leading by example, adopting innovations and change Be unafraid to make suggestions Don’t give up! Leading the commitment of accountability for the rigorous delivery of change and to transparent measurement and evaluation for continuous improvement. We need to support providers to recognise and change areas of their practice that require improvement. To change the way we communicate - with each other, with our patients, their carers, the public and our providers Support evidence based practice; and Ensure contemporaneous record keeping that is clear; and supports .... The delivery of the right care to the right person at the right time (first time)

Policy Each care home should be familiar with the Pan Dorset Multi-Agency Safeguarding Adults Policy and Procedures http://www.dorsetforyou.com/media.jsp?mediaid=165523

Joe’s story http://www.nmc-uk.org/Nurses-and-midwives/safeguarding/The-films/

Thank you Local contact Care Direct – Bournemouth 01202454979 Help Desk – Poole 01202 633902 Dorset County Council (safeguarding team) 01929 557712 Out of Hours In an emergency: 01202 657279 If a vulnerable adult is potentially seriously injured: Ring 999 If someone is threatening to harm the vulnerable: Ring 999