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Mistreatment and neglect: prevention and response

This presentation discusses the ongoing concern of mistreatment and neglect in care homes and the measures taken to prevent and respond to such incidents. It covers topics such as professional regulation, inspection and clinical governance, case law developments, and the review of the No Secrets policy. Relevant resources and implications for care homes are also explored.

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Mistreatment and neglect: prevention and response

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  1. Mistreatment and neglect: prevention and response Jill Manthorpe King’s College London 20 may 2009

  2. A subject that won’t go away • Concern is unlikely to dissipate • Professional regulation – extensions? • Inspection and clinical governance • Case law development • Review of No Secrets 20 may 2009

  3. Concerns abounding • ‘Care home worker stole £20k from residents’ Caring Times, April 2008. • ‘Conmen who earn a fortune by preying on the old’, Daily Telegraph, 29 October 2002 • ‘Family of elderly woman who was robbed on her deathbed face red tape nightmare to see crime investigated’, Mail Online 26 June 2008 • ‘Daughter’s pleas over mother’s care home death’, MailOnline, 14 July 2008 • ‘Half a million ‘forgotten’ elderly victims of crime’, Mail Online, 7 November 2007 • ‘Police probe six deaths of care home residents’, Daily Telegraph, 24 September 2008 20 may 2009

  4. The implications are • Fear? • Mistrust? • Blame cultures? • Staff shortages? • ‘Managing’ 20 may 2009

  5. 2. Professional regulation • Lessons from POVA List (vetting and barring) • Safeguarding Vulnerable Groups Act 2006 extending to Health Oct 2009 • Changes to social care through personal budgets – registration of some but not all – fears about transferring of risk • Voluntary registration of home care by 2011 20 may 2009

  6. Implications for Care Homes • Employment and human resources work • The importance of records • Not stopping at checks • Emerging case law eg MCA 20 may 2009

  7. 3 Case law developments • New offences under Mental Capacity Act 2005 of mistreatment and wilful neglect • Role of IMCA and Mental Health Advocates • Use of Lasting Powers of Attorney and Advance Decisions to refuse treatment • DOLS - Deprivation of Liberty Safeguards – new procedures 20 may 2009

  8. Task extension • Finding sources of support, information and advice (particularly Adult Safeguarding team/leads in Trust and local authority) • Participating in local activities eg training, consultation, the ‘business’ • Personal and professional indemnity • Constructing thresholds • Expert evidence • Casting the law as obstructive or empowering 20 may 2009

  9. 4. Review of No secrets • Key questions around organisational relationships and funding • Potential of powers of entry and intervention, mandatory reporting • Rights to safeguarding • NB Review of law and adult social care • Development of agreed outcomes 20 may 2009

  10. resources • Review of No secrets DH • Action on Elder Abuse • Ministry of Justice (MCA and Code of P) • DH DOLS Code of Practice • Home Office (SVG) 20 may 2009

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