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Safeguarding vulnerable adults: policy & Practice Jill Manthorpe

Safeguarding vulnerable adults: policy & Practice Jill Manthorpe. Outline. Using evidence from Unit work and others * thanks for your help! Use examples to highlight some points for discussion Will focus mainly on vulnerable adults (not alleged abusers). Adult safeguarding.

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Safeguarding vulnerable adults: policy & Practice Jill Manthorpe

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  1. Safeguarding vulnerable adults: policy & Practice Jill Manthorpe

  2. Outline • Using evidence from Unit work and others *thanks for your help! • Use examples to highlight some points for discussion • Will focus mainly on vulnerable adults (not alleged abusers)

  3. Adult safeguarding • Long standing concerns about mistreatment (calls for legal protection) • Adult safeguarding roots in long-stay institutions but also family • ‘Vulnerable adults’ majorly influenced by elder abuse

  4. Care home workers terrified dementia patients with horror hand-puppets 'for fun’ Two care home nurses are facing jail for using a glove puppet to bully elderly women as a joke. (They) were paid to look after the frail grandmothers - but instead the pair 'scared them for just for the fun of it'. (They) laughed while using a green goblin puppet to terrify women patients aged 87 and 91 in the home for the elderly.

  5. Definitions: endless, conflicting & hidden • Risk • Vulnerable • Compromised care • Poor practice • Neglect and self-neglect IOP

  6. Policy reaction: Winterbourne View

  7. Building blocks of Safeguarding Responses • Safeguarding Adults Boards • Attention to legal powers • Vulnerable adults

  8. Care and Support white paper 2012 • Duty to investigate in safeguarding cases • No emergency and compulsory powers unless the Government wants them • Repeal of section 47 of the National Assistance Act 1948 • Statutory Adult Safeguarding Boards (social services, NHS and the police) • Statutory Serious Case Reviews (safeguarding adults reviews)

  9. What do safeguarding professionals do? Prevention Referral - screen Investigate Evidence collection Support for alleged victims Work with alleged perpetrators

  10. Prevention levels • Primary prevention • Secondary • Tertiary

  11. Primary prevention Examples • Family vigilance • Neighbourliness • Vetting & barring • CRB checks • Office of Public Guardian • Trading standards • Professional regulation

  12. Secondary prevention • Training • Advocacy • Investigation • Expressed in policy and procedures • Authorisation eg Lasting power of Attorney • Media stories eg scams

  13. Tertiary prevention • Criminal prosecutions • Best evidence provision • Inspection and regulation • Care monitoring • People monitoring • Learning from what went wrong

  14. Debate: Bad apples or rotten barrels? • False positives and false negatives • Moving from abuse to harm • Subjective and objective • Family conflict eg some recent DoLS cases

  15. Theory Lite • Carer stress? • Gender & power • Hate & prejudice • Vulnerable Situations • Searching for risk factors • New emphases -survivors & resilience

  16. Missing areas • Cost and cost effectiveness • More emerging on outcomes • What works • How to address false positives and false negatives

  17. http://www.kcl.ac.uk/scwru/ Website The Social Care Workforce Research Unit receives funding from the Department of Health

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