The Safeguarding Adult’s Course Level Two

1. The Safeguarding Adult’s Course Level Two January 2017

2. Safeguarding Adults Policy Applies to: An adult who has: • has needs for care and support (whether or not the local authority is meeting any of those needs) and; • Is experiencing, or at risk of, abuse or neglect; and • as a result of those care and support needs is unable to protect themselves from either the risk of, or the experience of abuse or neglect. Care Act 2014

3. Legislation & Guidance (Adults) • Making Safeguarding Personal (ADASS 2013) • Care Act 2014 • Safeguarding Vulnerable Groups Act 2006 • Health and Social Care Act 2008 & (Regulated Activities) Regulations 2009 • Protection of Freedoms Act 2012 – (new Disclosure & Barring Service) • Human Rights Act 1998 • Sexual Offences Act 2003

4. Continued…. • Mental Health Act 1983 – Ill treatment or wilful neglect of a mentally disordered patient • Mental Capacity Act 2005 – Ill treatment or wilful neglect of a person lacking capacity • Fraud Act 2006 – Fraud by person in position of trust • Domestic Violence, Crime and Victims Act 2004 – Causing or allowing death of child or vulnerable adult (Amended 2012 to include causing or allowing serious physical harm) • Domestic Violence Disclosure Scheme ‘Clare’s Law’2014

5. Care Act 2014 Summary of Key Points • Local Authorities and other parts of the health, care and support system have a clear framework to protect adults at risk of abuse or neglect • Legal requirement for each Local Authority to have a Safeguarding Adult Board - must include LA, Police and NHS; business plans to be published. • Local Authorities will need to make enquiries, or cause others to make enquiries if they think anyone with care and support needs is at risk of neglect or abuse • Responsibility for Safeguarding Adult Reviews and identifying lessons to be learnt • Requirement to adopt the principles of Making Safeguarding Personal (MSP) and responsibility for arranging advocacy.

6. Psychological/Emotional Abuse • Adults (Psychological): Actions which adversely affect a person’s emotional wellbeing & causing mental distress

7. Psychological/Emotional Abuse Conveying to a vulnerable adults that they are worthless or unloved, inadequate or valued only insofar as they meet the needs of another person Over protection or limitation of exploration and learning/participating in normal social interaction Ignoring, undermining or overly critical of an adult Seeing or hearing the ill treatment of another

8. Additional Adult Categories • Financial/ Material Abuse: Unauthorised taking or misuse of money or assets • Organisational • Failure to provide safe, appropriate and acceptable standards of care • Discriminatory: Behaviour/ Services which deny equal opportunities to all groups or individuals.

9. Self Neglect • As from April 1st 2015, the Care Act 2014 makes it clear that significant self-neglect may be a form of harm or behaviour that requires consideration within mainstream safeguarding activities. • Self neglect includes: • Living in very unclean circumstances • Portraying eccentric behaviours e.g. Hoarding • Poor diet and nutrition • Declining services or care, or not attending appointments • Refusing to allow access to other organisations with an interest in the property, for example, staff working for utility companies

10. Aims With Self Neglect • Individuals who are self-neglecting are empowered as far as possible, to understand the implications of their actions; • A shared, multi-agency understanding and recognition of the issues involved in working with individuals who self-neglect; • Effective multi-agency working and practice; • Appropriate prioritisation; and • Agencies and organisations uphold their duties of care.

11. Response to Self Neglect • For those who lack mental capacity use the Mental Capacity Act 2005 and best interest decision making process • For those with mental capacity consider use of the Multi-Agency Risk Management Meeting (MARM) procedure. (Appedices 2 & 8 Multi -Agency Procedures)

12. There Are 5 Criteria Required for an AdultSafeguarding Alert • There is an adult in need of care or support (formerly ‘victim) • There is a person(s) who may have/may be causing harm (formerly perpetrator) • There is an act, or suspected act of abuse, or an act or suspected act of omission (neglect) • The act is causing or could cause ‘harm’ to that person • The person is self neglecting

13. What To Do If You Are Worried About The Welfare Of An Adult Respond promptly Ensure safety, if risks are high and/or immediate (contact police via 999 is appropriate) Preserve evidence, if required Report to and consult with line manager & DHC safeguarding adult service if required Record relevant information and complete a Ulysses form Raise a safeguarding adult concern with Adult Social Care at the relevant local authority, if appropriate. Record your referral and follow-up to check actions taken 13

14. Safeguarding Adult Contacts Advice & Support - DHC Safeguarding Adult Lead 01202 443117/07500814558 Safeguarding Adult Advisor Tel 01305 361106/07825897596 Monday – Friday

15. Referral Routes for Safeguarding Adults Dorset County Council Adult Safeguarding Triage Team Tel: 01929 557712 Secure Fax: 01929 554217 Bournemouth Borough Council Bournemouth Care Tel: 01202 454979 Fax: 01202 454975 Borough of Poole Social Services Helpdesk Tel: 01202 633902 Adult Social Services Fax: 01202 633634