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

2. 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

3. 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

4. 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.

5. Criminal connections?

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

7. Policy reaction: Winterbourne View
November 14, 2018

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

9. 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

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

11. Prevention levels Primary prevention Secondary Tertiary
November 14, 2018

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

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

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

15. 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

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

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

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