1. Safeguarding Adults in Ealing
Belinda Murphy
Safeguarding Adults Service Manager - Ealing Council

2. Case Study 1
78 year old Margaret Panting was found dead in the Sheffield home of her former son in law five weeks after he had removed her from her sheltered housing to look after his three children. The pathologist found more than 100 injuries on Margaret’s body, including cigarette burns under her arms and razor cuts on her stomach.

3. Case Study 2
Mrs S was residing in a nursing home when promises from her son that he would care for her resulted in her leaving the care facility. Some weeks later after emptying out Mrs S bank account and taking her to solicitors to change her will and the deeds to her home, Mrs S was left at Hammersmith hospital. Her son has not been able to be traced since.

4. Case Study 3
Mr X resided in a nursing home during which time the home failed to appropriately treat his pressure sores as they deteriorated from grade 2 to grade 4 sores. Mr X was admitted to Ealing Hospital with dehydration and septicaemia. He died two days later. No criminal charges were taken against the home as police could not get supporting evidence i.e. a death certificate stating cause of death as neglect.

5. Safeguarding Adults - Policy & Legislation
No Secrets
Speaking Up for Justice
Achieving Best Evidence & Special Measures
Youth Justice and Criminal Evidence Act 1999
Care Standards Act 2000 – POVA List 2004
Sexual Offences Act 2003
Mental Capacity Act 2003
Domestic Violence, Crime & Victims Act 2004
Etcetera, Etcetera, Etcetera…

6. Safeguarding Adults 2005
A National Framework of Standards for good practice and outcomes in adult protection work
11 National Standards
Develop consistency in Safeguarding Adults across the country
Emphasis on partnership working with zero- tolerance policy of abuse
New guidelines

7. Safeguarding Adults - No Secrets
Inter agency policies & procedures
Standard & broad definition of vulnerable adults & abuse
Proposals for Adult Protection Coordinators & Committees
Common confidentiality policy
Statistical monitoring
Checks on appointments of staff etcetera

8. Safeguarding Adults - Who is a “vulnerable adult”?
A person of 18 years & over who is or may be in need of :
Community Care Services by reason of
Mental Health Disability Age Illness
Who is or may be unable to take care of him/herself OR
Unable to protect him/herself against
Significant harm Serious Exploitation
(No Secrets, March 2000)

9. Safeguarding Adults - Defining Abuse
Abuse is a violation of an individual’s human & civil rights by any other person/s
May consist of a single act or repeated acts
May occur in any relationship & may result in significant harm or exploitation of the person subjected to it
(No Secrets. March 2000)

10. Safeguarding Adults - Roles and Responsibilities
Chief Officers & Chief Executives:
Contribute to national developments; respond to and support national policy proposals
Locally, raise the profile, support the policy, & promote development of initiatives to ensure the protection of vulnerable adults
(No Secrets. March 2000)

11. Safeguarding Adults - Roles and Responsibilities cont/-
Social Services are the lead agency for Safeguarding adults
Health services responsibilities
 less well defined
 need for more robust reporting and
responding procedures to be developed
 need for more interagency training -
commitment of joint training budget

12. Safeguarding Adults in Ealing (1)
143 Referrals between 1st April & 30th Sept 05
65% Older People, 9% PD, 14% LD, 12% MH
White British / Gender mainly women / Physical abuse reported more than others
Abuse mainly occurs within the home or in nursing/residential homes
Room for improvement in timeliness of alerting and info provided
Working well with Police Community Safety Unit
Working with health services improving

13. Safeguarding Adults in Ealing (2)
Permanent APC & Admin posts established
Developing new Structure for Safeguarding Adults Partnership and Sub Groups
Reviewing & developing practice across agencies
Developing Joint Training Strategy
Developing monitoring arrangements
Developing work with the independent sector
Charts