Safeguarding Effectiveness Workshop - Supporting Care Providers

1. Safeguarding Effectiveness Workshop - Supporting Care Providers WELCOME

2. Aim By the end of the workshop participants have identified the ways in which the Safeguarding Adults Board can empower providers to be robust and proactive when safeguarding concerns are identified and be assured of safeguarding effectiveness

3. Leicestershire and Rutland SAB The Care Act requires local authorities to set up a Safeguarding Adults Board (SAB) in their area, giving these boards a clear basis in law. The SAB must: • include the local authority, the NHS and the police, who should meet regularly to discuss and act upon local safeguarding issues; • develop shared plans for safeguarding, working with local people to decide how best to protect adults in vulnerable situations; • publish this safeguarding plan and report to the public annually on its progress, so that different organisations can make sure they are working together in the best way. Boards Website http://lrsb.org.uk/

5. Role of the Board • To ensure the effectiveness of Safeguarding in Leicestershire and Rutland • To promote and ensure effectiveness of Multi Agency collaboration • Securing Learning and Development from Reviews and Performance Data

6. Safeguarding Adult Board Priority 2016-2017 To be assured of continuous improvement in safeguarding effectiveness within care settings

7. Why is this a Board Priority? • National findings in relation to safeguarding in provider settings • Improve safeguarding by sharing best practice • Understanding current challenges for providers

8. What is Safeguarding Effectiveness • Preventing and Managing risk • Responding appropriately to Safeguarding Concerns • Involving people who receive care • Multi Agency Working • Building competency within your workforce

9. Competency • The Competency Framework determines the minimum standards • It should be used to support individuals and organisations to undertake their safeguarding roles and responsibilities in a confident and competent manner. • It can be used as a ‘measure’ for SAB and single agency Quality Assurance activity.

10. A competency based approach; • supports and strengthens practice. • provides information about improved outcomes. • is more flexible (different learning and evidence recognised.) • allows a more individualistic approach. • focus’ on how learning is used and applied

13. Areas to Highlight • Thresholds - To refer or not • Feedback – Escalation (CSC swamped with incidents) • Alerting ( Referral Form) • Recording Evidence that you have taken action and the reason why

15. Aims and Objectives:

16. What the Care Act guidance says about provider roles in safeguarding enquiries 14.52 In any organisation, there should be adult safeguarding policies and procedures. These should: • reflect the statutory guidance • support the reduction or removal of safeguarding risks, as well as to secure any support to protect the adult • to help the adult recover and develop resilience. • Assist those working with adults how to develop swift and personalised safeguarding responses and how to involve adults in this decision making. This, in turn, should encourage proportionate responses and improve outcomes for the people concerned.

17. Duties of employers and the local authority 14.69 When an employer is aware of abuse or neglect in their organisation, then they are under a duty to correct this and protect the adult from harm as soon as possible and inform the local authority, CQC and CCG where the latter is the commissioner. Where a local authority has reasonable cause to suspect that an adult may be experiencing or at risk of abuse or neglect, then it is still under a duty to make (or cause to be made) whatever enquiries it thinks necessary to decide what if any action needs to be taken and by whom.

18. Making an alert to the local authority 14.78 The purpose of the enquiry is to decide whether or not the local authority or another organisation, or person, should do something to help and protect the adult. If the local authority decides that another organisation should make the enquiry, for example a care provider, they should be clear about • timescales • the need to know the outcomes of the enquiry and what action will follow if this is not done.

19. Provider investigation • 14.70 The employer should investigate any concern (and provide any additional support that the adult may need) unless there is compelling reason why it is inappropriate or unsafe to do this. For example, this could be a serious conflict of interest on the part of the employer, concerns having been raised about non-effective past enquiries or serious, multiple concerns, or a matter that requires investigation by the police. The adult should always be involved from the beginning of the enquiry unless there are exceptional circumstances that would increase the risk of abuse.

20. Background to MSP .

21. Some Key Principles of MSP • Outcome Focussed • Asset based approach • Positive risk taking • No decision without the person • Always feedback Training toolkit in development

22. Considerations if a disclosure is made to you, or you suspect abuse • Immediate risk to Service User and others • Mental Capacity • What does the person want to happen? • Confidentiality • Being honest and clear about the action you are going to take and why • Consider whistleblowing procedures • A referral to the local authority is required if abuse is known or suspected • You must inform the police if a crime has been committed

23. What you should expect from the Local Authority

24. How Should we Approach ‘Risk’? Lord Justice Munby, re MM

25. Defensible Decision Making

26. Making Safeguarding Personal At the end of the ENQUIRY the person should be able to say….

27. Case Studies Please read the case studies and discuss the questions below within your groups • What would be your initial actions? • If the local authority asked you to undertake the enquiry how would you plan this?

29. What are the ways in which the Safeguarding Adults Board can empower providers to be robust and proactive when safeguarding concerns are identified and be assured of safeguarding effectiveness

30. Group Discussion • What’s working well already ? and • What else can we do ?