Vulnerable Adults and Safeguarding Children

1
Vulnerable Adults and Safeguarding Children

• SHO Induction
• 2.2.05
• Pauline John
• Associate Director Governance

2
National Picture

• Department of Health No Secrets Guidance
• Local Authority take lead in co-ordinating multi
  agency policies
• All organisations supporting vulnerable adults
  must ensure local policy and procedure

3
Definition

• Abuse- the violation of an individuals human and
  civil rights by any other person or persons
• Vulnerable adult- those who are or maybe in need
  of community care services because of learning or
  physical disability, older age or physical or
  mental illness and who are or may be unable to
  take care of themselves or unable to protect
  themselves from harm or exploitation by others
• Types- physical, sexual, psychological, neglect,
  financial / material, institutional,
  discriminatory

4
Local Picture

• All agencies in Manchester must have their own
  approved procedures for dealing with allegations
  of abuse
• All agencies should have a baseline standard fo
• Reporting allegations
• Recording allegations
• Protecting from further abuse

5
Select Committee- April 04

• Health Committee Publication on Elder Abuse(April
  04)
• 40 recommendations
• Broadening the definition of No Secrets
• More Research
• Measure quality of adult protection work
• Better regulation of care providers

6
Contd

• Better inspection
• Better Training/Mandatory for nurses and social
  care staff
• Medication reviews
• Better links with psychiatry and residential care
  homes
• Strengthen policy development in financial abuse
• Death registration by GPs

7
General Staff Responsibilities

• If an allegation of abuse is made staff should
• Make sure the person is safe
• Report to available manager
• Do as manager directs
• Do not discuss with anyone else until advised
• Do not tackle an alleged abuser

8
General Management Responsibilities

• Treat all cases seriouslyListen and take full
  details from staff member or referrer
• Consult with key managers
• Decide on police consultation
• Decide on medical assessment
• Appoint investigating officer
• Keep up to date with case
• Ensure reporting forms are completed and that a
  planning meeting takes place

9
Remember

• Abuse of vulnerable people happens even if we
  cant believe it to be true
• When an allegation is made the organisation needs
  to assure itself through the proper processes
  that it has been investigated as far as is
  possible.
• The exercising of judgement, through gathering
  information and sharing decisions is essential

10
Safeguarding Children
VICTORIA CLIMBIE 1991 - 2000
11
National Picture

• Lord Laming Enquiry
• Safeguarding Children Strategy
• Every Child Matters
• Child Protection arrangements contribute to Star
  Ratings

12
Levels of vulnerability

• Level 1 - ALL children require universal
  services
• Level 2 - VULNERABLE CHILDREN need
  additional
• family support (health, education,
  voluntary etc)
• and Level 2 case planning
• Level 3 - CHILDREN IN NEED may be at risk
  of significant
• harm and require Section 17 case
  planning (this level is subdivided
  into 3.1, 3.2, 3.3)
• Level 4 - Looked After Children

13
Needs of all children

• Health and Physical Development
• Education and cognitive development
• Emotional and behavioural development
• Family and Peer relationships
• Self care and competence
• Identity
• Social presentation

14
Role of parents

• To meet childrens needs parents/carers should be
  able to
• Provide a safe physical environment
• Provide a secure emotional environment
• Teach and give opportunities for development
• Model appropriate behaviour
• Show interest and approval of their child and
  their activities and achievements

15
Good Practice

• Remember the person not just as a user of service
• Look at the full picture
• Think about the role of a parent
• Consider effect of treatment and symptoms on
  parenting role
• Seek advice
• Report concerns

16
Finally
Never Do Nothing!!!!