UPDATE ON ADULT PROTECTION MONITORING REPORT 2010-12 Age Cymru Big Event Kevin Barker.

UPDATE ON ADULT PROTECTION MONITORING

REPORT 2010-12

Age Cymru Big EventKevin Barker

Inspections and Reviews

Since 2009 CSSIW has published 75 reports specifically on safeguarding and protecting adults and children.

These are available on CSSIW website http://wales.gov.uk/cssiwsubsite/newcssiw/publications under the heading:

“Reports on our findings of social services in Wales”

Francis Report

Robert Francis press statement:“ We need a patient centred culture, no tolerance of non compliance with fundamental standards, openness and transparency, candour to patients, strong cultural leadership and caring, compassionate nursing, and useful and accurate information about services…”

Adult Protection Monitoring Report 2010-12 - Key Findings:

• 14% fall in completed referrals 2010-2012

Chart 1: Total number of completed referrals, year ending 31 March

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

4,500

5,000

5,500

2006 2007 2008 2009 2010 2011 2012

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Adult Protection Monitoring Report 2010-12 - Key Findings:

• Differences in the rate of referrals across Wales• 2:1 women to men are victims• Most common victim are older women• Most victims lived in their own home in the

community• Staff were the people most likely to be alleged to

be responsible for abuse - 44% of referrals

Adult Protection Monitoring Report 2010-12 - Key Findings:

The places where the alleged abuse occurred for Wales by forum area,year ending 31 March 2012

Place of alleged abuse South Wales

South East

North Wales

Dyfed- Powys Wales East Wales Powys Number Per cent

Own home in the community 625 425 425 200 1,675 38.7

Care home - residential place 285 120 220 90 715 16.5

Care home - nursing place 280 110 215 65 670 15.5

Supported tenancy 120 65 60 40 285 6.6

Hospital, NHS 135 25 55 20 230 5.3

Public place 55 35 30 15 140 3.2

Hospital, Independent 25 55 45 0 125 2.9

Other 35 30 35 20 125 2.9

Relative's home 25 15 35 20 95 2.2

Care home - respite place 35 15 15 20 85 2.0

Sheltered accommodation (warden) 20 30 5 0 55 1.3

Day Care 25 15 5 10 55 1.3

Home of alleged perpetrator 20 15 10 5 50 1.2

Education establishment 5 5 5 0 15 0.3

Hospice 0 0 0 0 0 0.0

Total 1,690 960 1,160 505 4,320 100.0

Wales

Adult Protection Monitoring Report 2010-12 - Key Findings:

Number of completed referrals by status of allegation, year ending 31 March 2012

2010 2011 2012

Inconclusive 1,268 1,249 1,124Proved 960 997 903Unlikely on balance of probability 799 714 580Likely on balance of probability 653 758 599Disproved 571 541 495Admitted 365 404 315Allegation withdrawn 292 303 230

Total 4,908 4,966 4,245

Adult Protection Monitoring Report 2010-12 - Key Findings:Outcomes for alleged victim as a percentage of total referrals, year ending 31 March

2009 2010 2011 2012 2010-12

Risk reduced/improved safeguards to client/property 23.2 27.1 27.6 25.7 26.7Risk removed 14.4 13.5 12.7 15.0 13.8Increased monitoring by care manager 13.5 11.2 11.7 12.2 11.9Not applicable 11.9 9.1 8.3 8.3 8.3Adult Protection Plan 9.9 16.0 16.3 15.3 15.8Other 6.9 6.8 6.9 7.9 7.4Provider support 5.0 5.6 5.7 5.1 5.4Action refused by alleged victim 4.8 2.8 3.2 2.9 3.0No Action 3.6 3.0 2.4 2.4 2.4Other Additional services 3.4 2.7 2.3 1.3 1.8Alleged victim changed accommodation 2.3 1.4 1.7 2.4 2.0Referred for counselling 0.4 0.5 0.4 0.6 0.5Referred to Victim support 0.7 0.2 0.3 0.2 0.3Meeting other victims 0.0 0.0 0.0 0.1 0.0Preparation for court 0.1 0.3 0.3 0.3 0.3Application for criminal injuries compensation 0.1 0.0 0.0 0.3 0.2

Total 100.0 100.0 100.0 100.0 100.0

Key questions

• Why are the main themes so consistent year on year?

• How can we understand more about outcomes for vulnerable people?

• What is CSSIW going to do about it?

Challenges for CSSIW& partners

• Undertake work to understand the factors behind the large percentage of referrals from care homes

• How successful are strategies to support good quality social care services, e.g. - the Bill and the White Paper?

• How can we work better with the Care Council for Wales re workforce issues?

Most importantly…

How do we help older people

who are vulnerable find

a voice that is heard?