Safeguarding is Everybody’s Business
Trish O’Hara
Have the knowledge to describe how safeguarding should improve quality of life
Be able to list ways to make safeguarding personal Have the knowledge to consider the importance of
LGBTQ inclusivity in service provision Be updated on the latest safeguarding information
required for managers of care services Be able to understand what should be included in
staff training to ensure the service is both compliant and person focussed
Why do we safeguard?
To protect people we support from harmTo meet requirementsTo prevent abuseTo learn from mistakesTo reduce risk
What do people usually say
To improve quality of lifeTo uphold rightsTo includeTo empowerTo learn from the personTo make safeguarding personal
We safeguard to
What we want to achieve
What are you doing to Make Safeguarding
Personal?
‘Unless people’s lives are improved, then all thesafeguarding work, systems, procedures &partnerships are purposeless. Directors &Safeguarding Adults Boards must have a meansof knowing what works & how they aremaking a difference to people’
Safeguarding Adults: Advice & Guidance to Directorsof Adult Social Services ADASS; LGA, (Mar 2013)
Done with, not to
Meaningful improvement – not
only ‘investigation' & ‘conclusion’
Social work rather than
‘putting people through process'
Practitioners, families, SABs - know what
difference been made
Outcomes they want at beginning & middle &
ascertaining which outcomes realised
MSP
ADASS & Local Gov Assoc appointed Institute of Public Care at Oxford Brookes Uni & Research in Practice for Adults (RiPfA) to develop…
Over 60% of adult safeguarding enquiries in Herts relate to abuse in home or care homes Victims of abuse are more commonly female Just under half aged between 78 &97 years
Understand where to find your Duty of Care
What should we know?
The Care Certificate induct to safeguarding
Basic safeguardingSafeguarding for managersSafeguarding champions
MCA DOLs (LPS)Root cause analysis
Positive risk takingEquality & diversityNon medical interventionWorking with challenge
Know your client group & type of service
Equality & DiversitySexuality & older peoplePerson Centred PlanningRecord keeping
What does it mean?
Abuse affects 500,000OP yearly UK (Action on
Elder Abuse)
53% adults 65+ targeted by ‘fraudsters’ 33% who responded lost £1000+ Age UK 2015
Older victims of burglaries 2.5 more likely to move into care within 2 years
Report to police & LA Trading Standards Services for investigation
Office of Public Guardian for deputies or attorneys & DWP forappointees
Hertfordshire prioritiesFinancial Abuse
ScammingHuman traffickingDomestic Abuse
Self Neglect
Herts Sunflower
Modern slavery growing problem globally
Almost 21 million people worldwide -forced labour – 11.4 million women &girls & 9.5 million men & boys
2016 UK 3,805 identified as potential victims 17% increase on 2015
In Hertfordshire, 119 potential victims identified as victims since 2009 However, not all had offences committed against them within countyMajority women (58), men (32), boys (17) girls (12)
Herts multi-agency anti-slavery partnership 15 agencies & charities set up – Senior level reps from Council, Police & Crime Commissioner’sCo-ordinated by Shiva Foundation - aims to tackle & prevent human trafficking &modern slavery in UKOperation Tropic launched May 2017 by Herts Constabulary - dedicated police unit
Almost 20% people Herts - ethnic group12% born outside UK or Ireland 6% not have English as first languageExpect number of BAME to increaseIncreased risk - late diagnosis & may face problems in accessing some services
Assessment case by case basisDoes person have ability to protect themselves?May need support
Frontal lobe impairment found to be main risk factor for self-neglect among OP
Inconsistent evidence determining whether self-neglect is more common in older people
Or less manageable Or more likely to come to attention of services
Self-neglect may not prompt s42 enquiry
Working Together to Safeguard Children 2015
Everyone responsible:Protect from maltreatment
Prevent impairment of health or development
Ensure consistent with provision of safe/effective careAction to have best outcomes
Emphasis on links with Child & adult services & ‘family approach’ model
No ‘wrong door’
27% 70+ desire more sex. Some pay (Holden et al 05)
50% - erectile dysfunction do not seek help (Rosen et al 04)
HIV rising over 50’s Present later - higher mortality (Elford et al 08)
Quarter+ 75+ sexual relations least monthly (DeLamater & Moorman)
62% m & 30% w engage intercourse (Kessel/retirement homesCalifornia)
Est 1.2 million older LGBT people in UK (Aspinall 09)
53% of LGBT people ‘out’ to health professionals (Price 09)
1% of care homes incl sexual orientation in assess (CSCI 2008)
This may not be a priority but lets make it one
LGBTQ• 1973 removed as mental disorder • 1993 removed as psychiatric disorder • More likely live alone, less children, greater care (Musingarimi, 08)
• Discrimination/negative treatment, endemic (Hunt & Dick, 08)
• Historical discrimination detrimental - physical/MH (Wintrip, 09)
• Orientation absent from assess & allocation (Charnley & Langley 07)
• Higher risk suicidal behaviour, MH, substance misuse (King et al 08)
On your table - see a post it notePlease write on it a pledge to inclusivity for people from the
LGBTQ community & stick it on our stand