Effective Safeguarding Training - Ensuring Safety and Compliance

1. Welcome to: Safeguarding Your Trainer Simon Sykes

2. Fire alarm and evacuation Toilet facilities Lunch Refreshments Room temperature monitor Housekeeping

3. Conversations one at a time No talking over each other Respect each others comments, values, ideas, mistakes, personalities, questions Keep noise levels to a minimum Do not use your mobile phone Create lots of energy by being positive Get involved If you need to take a time out please do Comfort Points

4. Overall Learning Aims Identify any gaps in your own knowledge and how you can address them Develop your knowledge of the subject as a whole Recognise the purpose of safeguarding and the need for an effective approach to safeguarding Identify who must be safeguarded

5. Course Content What is safeguarding and the church’s responsibilities Safeguarding vulnerable adults Safeguarding children and young people Writing a Safeguarding policy The role of the Safeguarding officer Safer recruitment

6. What is Safeguarding What is the difference between Safeguarding and Child protection Why bother with Safeguarding Who’s responsibility is Safeguarding

7. Icebreaker Activity Test your observation skills

13. Safeguarding Definition What do we mean by Safeguarding?

14. Safeguarding Definition What do we mean by Safeguarding? A definition: ‘All those working with children, young people and vulnerable adults must take reasonable steps to ensure risks to their welfare are minimised. When concerns are raised, all parties involved must take appropriate action.’

15. Safeguarding Story ‘Anywhere Ltd’ This is a story about safeguarding at ANYWHERE LTD, where EVERYBODY, SOMEBODY,ANYBODY and NOBODY were employed………..Safeguarding was the responsibility of EVERYBODY and EVERYBODYwas sure that SOMEBODYwould do it…..

16. Safeguarding Story ‘Anywhere Ltd EVERYBODY should have done it, but NOBODYdid it. SOMEBODYgot emotionally abused because it was EVERYBODY’Sjob but NOBODY did it. EVERYBODY thought, ANYBODY could have done it, but NOBODY realised that EVERYBODY wouldn’t do it. It ended up that EVERYBODY blamed SOMEBODY when NOBODY did what ANYBODY could have done……..

17. Safeguarding Story Activity • What is the moral of the story?

18. Why A Greater Focus On Safeguarding? Changes to legislation arose from high- profile abuse cases including: • Abuse by care home owner Gordon Rowe, which came to light in the late 1990s • The 2003 Laming Report following the death of Victoria Climbié • The 2004 Bichard Report following the Soham murders

19. Why A Greater Focus On Safeguarding? • Proposed introduction of a Vetting and Barring Scheme

20. The Laming Report The Laming Report, in particular, illustrated failures in communication and information sharing between agencies. Lessons learned from this and other cases have strengthened the legal framework for safeguarding. It now fully supports staff in creating a safer environment

21. Safeguarding In Adults

22. Learning Aims By the end of this session learners will be able to: • Define and explain different types and signs of abuse in adults • Recognise the consequences of poor safeguarding practices • Learn how to Record and respond to safeguarding issues

23. What We Will Cover • Types and signs of abuse in adults • Preventing abuse • Barriers to reporting concerns • Disclosure • Dealing with emergencies • Recording information • Reporting abuse

24. Types Of Abuse In Adults Different Types of abuse in adults • Physical abuse/assault • Sexual abuse • Psychological/emotional abuse • Financial or property abuse • Discrimination abuse • Institutional abuse • Neglect and acts of omission

25. Types Of Abuse In Adults Physical Abuse/Assault This would include: Hitting, slapping, pushing, punching, kicking, misuse of medication, burning, scalding, restraint, or inappropriate sanction

26. Types Of Abuse In Adults Sexual abuse This would include: Rape, sexual assault or sexual acts to which the vulnerable adult has not consented, or could not consent or was pressured into consenting, i.e. inappropriate touch, being videoed or photographed or made to look at photos/DVDs for sexual purposes, being made to watch sexual acts

27. Types Of Abuse In Adults Psychological/emotional abuse This would include consistent: Threat of harm or abandonment, deprivation of contact, humiliation, blaming, controlling, intimidation, coercion, harassment, verbal abuse, isolation or withdrawal from services or supportive networks Often passed with no comment

28. Types Of Abuse In Adults Financial or property abuse This would include: Theft, fraud, exploitation, pressure in connection with wills, property, inheritance or financial transactions, or the misuse of misappropriation of property, possessions or benefits

29. Types Of Abuse In Adults Discrimination abuse This would include: Racist, sexist, ageist language/behaviour that is based on a person’s Gender, age, religion, cultural background or disability and other forms of harassment, slurs or similar treatment.

30. Types Of Abuse In Adults Institutional abuse This occurs when the service offered is run in favour of the organisation and the staff rather that the people who receive the service. Examples include: lack of individual care, inappropriate confinement or restrictions, sensory deprivation, inappropriate use of rules, custom and practice, no flexibility of bedtime or waking times, dirty clothing or bed linen, lack of personal possessions or clothing, deprived environment or lack of stimulation, misuse of medical procedures

31. Types Of Abuse In Adults Neglect and acts of omission This would include: Ignoring medical or physical needs, failure to provide access to appropriate health, social care or educational services, the withholding of necessities of life, such as medication, adequate nutrition and heating. Pressure sores are a serious indicator of neglect and is totally unacceptable. Neglect can be deliberate or unintentional

32. Types Of Abuse In Adults Neglect and acts of omission Cont – In considering neglect it is also important to recognise that there are occasions when someone will choose a particular lifestyle that is considered by others to be poor. There is a difference between a chosen pattern of behaviour and neglect by others that causes deterioration in a person’s circumstances and condition.

33. Signs Abuse Activity Signs of abuse

34. Signs Of Abuse Indicators of Physical abuse: • Explanation/story given not consistent with injuries • Unexplained bruising and in various states of healing, often on non-visible areas • Multiple bruising and fractures not consistent with a fall • Bruised eyes, slap-marks, kick marks, abrasions, cuts/laceration • Over-feeding

35. Signs Of Abuse Indicators of Physical abuse: • Weight loss due to malnutrition, dehydration • Force-feeding • Use of equipment/furniture to restrict movement/mobility • Medication misuse – over or under use of medication/untreated medical problems – recurring crises resulting in forced hospital admissions • Lack of personal care, such as inadequate/inappropriate clothing, inadequate heating

36. Signs Of Abuse Indicators of Self-harm: People that self-harm may be an indicator that some form of abuse is taking place Be sensitive and explore further

37. Signs Of Abuse Indicators of sexual abuse: • Significant change in sexual behaviour/language • Pregnancy in person who is not able to consent • Signs of depression, stress • Clothing or underclothing worn and/or stained with blood • Pain, bruising on inner thighs, bleeding in genital region • Sexually transmitted disease, urinary/vaginal infections/irritation

38. Signs Of Abuse Indicators of sexual abuse: • Onset of urinary/faecal incontinence • Nightmares • Difficulty in walking/sitting • Sudden onset of confusion • Upset or agitation when the person is being bathed, dressed, undressed or medically examined (or when these things are suggested)

39. Signs Of Abuse Psychological/emotional abuse: • Be alert to change in behaviour such as becoming fearful/anxious, withdrawn or non-communicative – i.e. fearful of caregiver and avoids looking at them, may flinch on approach, be defensive or stressed • Threats to abandon the person • Few visitors, phone calls or outings

40. Signs Of Abuse Psychological/emotional abuse: • Name calling, insulting, withholding affection • Inflicting punishment for being incontinent • Locking the person in their own home/room • Lack of acknowledgement/dismissive, i.e. as if the person did not exist/or is invisible • Harassing the person

41. Signs Of Abuse Financial/Property abuse: • Recent change to deeds or title of house • Person lacks belongings or services, which they could clearly afford • Recent acquaintances expressing sudden or disproportionate affection for the person with money or property

42. Signs Of Abuse Financial/Property abuse: • Carer only interested in asking financial questions and not about the person • Person managing financial affairs is evasive or unco-operative

43. Signs Of Abuse Indicators of discrimination: Where a person’s choice/needs are based on their race, gender, age, disability etc and not their ability

44. Signs Of Abuse Other signs of discrimination abuse may be similar to signs of other forms of abuse e.g. physical or psychological abuse: • Threats, intimidation, shouting or bullying • Isolated/shunned/dismissed by other people • Unexplained fear or defensiveness

45. Signs Of Abuse Other signs of discrimination abuse may be similar to signs of other forms of abuse e.g. physical or psychological abuse: • Emotional withdrawal/feelings of powerlessness and hopelessness • Deference, passivity, resignation • Unexplained attacks on the person, their property or possessions • Low self esteem

46. Signs Of Abuse Indicators of institutional abuse • Lack of individual care plans • Staff opening the individuals mail • Not providing privacy or choice • Limiting access to friends, independent visitors, advocates • Saying that the person doesn’t need money as everything is provided for them • Authoritative or disrespectful language or behaviour from staff

47. Signs Of Abuse Indicators of institutional abuse • Controlling the person’s life-style in a way which suits the organisation and staff – e.g. the individual cannot choose when to go to bed or get up but have to go and get up at a set time as it is a rule of the residential/nursing establishment • Authoritative or disrespectful language or behaviour from staff

48. Signs Of Abuse Indicators of institutional abuse • Not listening or responding to the individuals requests • Discussing the individual publicly • Soiled bed linen not being changed • Staff entering the individuals room without knocking • Being confined to one area without good reason or choice

49. Signs Of Abuse Neglect by others • Unusual weight loss, malnutrition, dehydration • Untreated physical problems, such as pressure sores • Unsanitary living conditions: dirt, bugs, soiled bedding and clothes • Unsuitable clothes or covering for weather • Unsafe living conditions (no heat or running water; faulty electrical wiring, other fire hazards)

50. Signs Of Abuse Neglect by others • Leaving vulnerable adults in a public place • Unexplained accidents • Low self-esteem • Depression • Becoming listless, spending a lot of time sleeping