Andrea Giordano, Service Manager,

1
Learning lessons to safeguard Vulnerable Adults

• Andrea Giordano, Service Manager,
• Protection Of Vulnerable Adults
• Dave Street
• Service Manager, Commissioning

2
Aims

• Consider specific lessons learned from a range of
  activities including a regional police
  investigation
• Share Caerphilly County Borough Council response
  to ensure improvement in quality of services and
  adult protection

3
Background

• Regional Police investigation
• Baseline audit of registered care older
• people and supported living services
• Baseline audit of POVA process
• Need for improvement across Providers

4
Key themes from Police Investigation

• Communication
• Assessment and practice
• Contract and commissioning
• Multiagency POVA process
• Provider and relationship with provider
• Record keeping

5
Need for improvement across Provider services

• Need outcome based care plans service plans
• Using contracts to protect
• Reinforcing provider accountability
• Risk assessment
• Implications - block contracts/embargo
• Sustaining improvement

6
Baseline audit POVA process

• Develop POVA process audit tool
• Practice quality, timeliness, adult protection
  plans, service user involvement
• Inconsistent methods of managing concerns
• Identified the structure of new team including
  role of support services
• Improved POVA process centralised into a team
• Training POVA level 3 - investigations

7
Baseline audit - registered care

• Cross departmental input new audit tool
• Joint monitoring with partner agencies
• Identification of key themes
• Detailed knowledge of quality of care
• More robust contract monitoring
• Reporting process timed action plans

8
Additional outcomes achieved

• 3 year contract monitoring strategy
• Workshop - Interagency roles responsibility
• Stronger links - Commissioning POVA
• Offer quality review to self funders
• Proposal to link quality fees
• Developed evaluated Provide Performance
  Monitoring Protocol

9
AAPC Provider Performance Monitoring Protocol

• Quality assurance meeting usual role
• Escalating concerns above usual role
• Provider performance meeting
• Monitoring and risk management
• Closure and back to usual role

10
Outcomes of Provider Performance Monitoring
Protocol

• Proactive approach with an audit trail
• Consistent records templates (embargo)
• Action plans linked to risk management and
  demonstrate sustained improvement
• Monthly quality assurance meeting
• Improved interagency working
• Improved quality of care - survey

11
Sharing lessons learned

• PAVA Wales PAVA UK
• National Safeguarding Conference Dec 09
• Regional POVA Forum and AAPC
• All Wales POVA Coordinators group
• South Wales Contract Group
• ADSS workshop June 08
• All Wales Care Sector liaison Group
• Corporate and directorate meetings

12
Challenges

• Regional collaboration - differences in
  prioritisation of activities, timeframes
  resources
• Contract versus National Minimum Standards
• Engaging residents in feeding back on quality
• Challenging raising different expectations of
  quality
• Sustained improvement in the current economic
  climate

13
Contacts

• Andrea Giordano
• Service Manager Protection of Vulnerable Adults
• 01443 864609
• Giorda_at_caerphilly.gov.uk
• Dave Street
• Service Manager Commissioning (Adult Services)
• 01443 864584
• Streed_at_caerphilly.gov.uk