SampleSafeguarding Adults

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Contents

Index. Pages 2 - 3Learning outcomes. Page 3Alignment to Qualifications and Credit Framework (QCF). Page 3Links to Care Quality Commission (CQC) outcomes. Page 3Introduction. Page 3

Unit One. Pages 4 - 6Responsibilities of Safeguarding.

Unit One Questions. Page 7

Unit Two. Pages 8 - 11Factors causing a person to be at risk and therefore vulnerable.

Unit Two Questions. Page 12

Unit Three. Pages 13 - 19Types of abuse.

Unit Three Questions. Page 20

Unit Four. Pages 21 - 27Reducing the likelihood of abuse.

Unit Four Questions. Page 28

Unit Five. Pages 29 - 33Reporting abuse.

Unit Five Questions. Page 34

Unit Six. Pages 35 - 39Safeguarding children who visit your workplace.

Unit Six Questions. Page 40

Who can you call for help and guidance? Page 41

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Learning outcomes.

• Recognisefactorscausingvulnerability.• Identifytypesofabuse.• Identifywaystoreducelikelihoodofabuse.• Knowhowtorecognise&reportunsafepractices.

Alignment to Qualifications and Credit Framework (QCF).

CoversunitHSC024.

Links to Care Quality Commission (CQC) outcomes.

Outcome7:Safeguardingpeoplewhouseservicesfromabuse. Introduction.

Abuseandneglectofadultsinvulnerablesituationshaslongbeena‘hidden’issue,itisessentialthatweallrecognisetheimportanceofprotectingthosewhoareleastabletoprotectthemselves.ReportssuchastheDepartmentofHealth’s‘NoSecrets’documentseektodefinethedifferentwaysinwhichabusemayoccurandthetypesofpeoplewhomayabuseandbeabused,theyalsoprovideguidelinesonrecognisingandreportingincidents.Individualswithatrackrecordofpoorpractice,orwhoareintentonharmingthosetheycarefor,shouldhavenohidingplaceinthecareworkforce.TheGovernmentbelievesthateveryonehasapartinpreventing,detectingandreportingneglectandabuse.Thismanualwillgiveyoutheknowledgetorecognisesignsandsymptonsandunderstandtheprocessofalertingandreporting.

N.B:Weareawarethatofficialpracticeistousetheterms“serviceusers”or“peopleusingthisservice”todescribethosereceivingcare.Weprefertheterm“client”anduseitthroughoutourtrainingpackage.

Key:

worksheet important

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Unit Two

Factors causing a person to be at risk and therefore vulnerable.

TheMentalcapacityAct2005statesthateveryonehascapacitytomaketheirowndecisionsunlessotherwiseproven.Ifapersoncanmakedesicionsabouttheirownsafetytheyshouldbeabletomakeinformedchoicesandprotectthemselvesfromharm.Iftheydon’thavecapacitytheymaybemoreatrisk.

Eachoneofusmayatsometimeinourlivesbeatrisk,thereareanumberoffactorsthatmayputyourclientsatincreasedriskofabuse,orneglect,theseinclude:

Advanced age:

Aspeoplegetoldertheymaybecomelessabletophysicallydefendthemselves,conditionssuchasosteoporosisalsomeanthatmoredamagecanbeinflictediftheyaremanhandledorroughlytreatedinanyway.

Reduced awareness of risk:

Someindividualsmaybemorelikelytobelievewhattheyaretold,particularlyifit’sbysomeonepresentingthemselvesasbeinginapositionofauthority.Theymay,forexample,allowstrangersintotheirhomeorbepersuadedthatabusiveactionsarenormal,necessaryoreventheirfault.

Increased reliance on others:

Themoredependentonothersapersonisthemoreatrisktheybecome.Iftheyneedotherstohelpthemmove,eatorgotothetoilet,anywithholdingofhelp,whetheraccidentalordeliberate,willresultinharm.

Communication difficulties:

Ifaclientcan’ttellanyonewhat’shappeninghowaretheygoingtogethelp?

Lack of understanding:

Conditionssuchasdementiamaymeanthatclientsareunabletorecognisethattheyarebeingabusedorneglected.Forgetfulnessandparanoiaarecommonsymptomswhichmaymeantheyarelesslikelytobebelievedwhentheyreportproblems.

Isolation:

Ifapersonhasnofamilyandfriendsnearbyandseesonlythepeopleresponsiblefortheir

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abusetheyareunlikelytobeabletomakepeopleawareoftheirpositionandgetthehelptheyneed.

Fear of the unknown.

Peoplemayprefertoputupwiththeirabusersratherthanriskhavingtomovetonewsurroundingsandbecaredforbystrangers.Theymayalsofearthatiftheycomplaintheabusewillgetworse.

Lack of information:

Ifpeopledon’tknowthathelpexistsorhowtoaccessittheyarestuckwiththesituationtheyareinandrelyonotherstouncovertheproblem.

Who might abuse or neglect?

Oneofthemostimportantthingsthatyoucandotohelppreventabuseandneglectistomaintainanopenmind.Theabuseof“adultsatrisk”,bytheircarershasbeena‘hidden’problemforyearspartlybecausepeoplejustdidn’twanttobelieveitwashappening,thesameusedtobetrueofchildabuse.

Incidentsofabuseandneglectmaybecarriedoutby individualsor theymaybearesultofattitudesandprocedurescommonto thewholeworkplace.Abuserscome inallshapesandsizes;fromthosewhoactivelyseekoutvictimstothosewhogenuinelydonotrealisethattheirbehaviourmaybewrong.Yourclientsmaybeatriskofabusefromawiderangeofpeopleincludingrelatives,carers,volunteers,neighbours,friendsandassociatesorevenstrangers.

Thereisoftenparticularconcernwhenabuseisperpetratedbysomeoneinapositionofpowerorauthoritywhoactsinawaythatnegativelyaffectsthehealth,safety,welfareandgeneralwellbeingofapersoninavulnerablesituation.

Employersandagenciesnotonlyhavearesponsibilitytoallclientsthathavebeenabused,butmayalsohaveresponsibilitiesinrelationtosomeabusers.Theroles,powersanddutiesofthevariousagenciesinrelationtotheabuserwillvarydependingonwhethertheyare:

• Carer,proprietororservicemanager.• Amemberofarecognisedprofessionalgroup.• Avolunteerormemberofacommunitygroupsuchasplaceofworshiporsocialclub.• Anotherclient.• Aspouse,relativeormemberoftheperson’ssocialnetwork.• Acarer(i.e.someonewhoiseligibleforanassessmentundertheCarers(Recognitionand

Services)Act1996).• Aneighbour,memberofthepublicorstranger.• Apersonwhodeliberatelytargetsvulnerablepeopleinordertoexploitthem.

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Strangerabusewillwarrantadifferentkindofresponsefromthatappropriatetoabuseinanongoing relationshipor inacare location. Thepersonwhohasbeenabusedmust receivesuitablesupportandactionmustbetakentoprotectothervulnerablepeopleinthefuture.Itisnotalwaysappropriatetoprosecutetheabuser;improvementsineducation,information,staffwelfareandproceduresmayallhelptopreventfutureproblems.

What are abuse and neglect?

Scenarioone:CarerShashadalong,harddayandisclosetotheendofhershift.BeforesheleavessheneedstotoiletMissD.MissDistiredandconfusedanddoesn’tseemtounderstandwhatSwantshertodo,Sdoesn’thavetimetospendtalkingsoshetakesholdofMissD’sarmandpullsherintoastandingposition,MissDoverbalancesandherwristgetsbroken.Theincidentisinvestigated.

Scenariotwo:CarerCisinabadmood,MrGisrefusingtotakehistabletssoCpincheshim.WhenMrGstillrefusesCbendsoneofhisfingersbackuntilheopenshismouth.Theincidentisunobservedandtherearenovisibleinjuries.

Doesabuseoccurinbothscenarios,explainyouranswer.

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Abusecanbephysical,verbal,orpsychological.Writedownsomeexamplesofbehaviorwhichmaybeabusive.

Physical Verbal Psychologicale.g.hitting e.g.swearingat e.g.denyingaccesstotelephone

Neglectincareenvironmentsoftenoccursbecauseofalackoftime,equipment,knowledgeandtrainingnecessarytotakecareofclients’individualneeds.Self-neglectoccurswhenpeopleareunabletolookafterthemselves,failtorecognisetheirownneeds,ornolongercareabouttheirownhealthandwelfare.Thismaybeduetodepressionorgrief.

Neglectisafailuretoprovideforbasicneeds.Usethespacebelowtorecordyourclients’basicneeds.e.g.food

Aspreviouslymentionedabuseandneglectmaybe the result of poorpracticeand lackofknowledgeaswellasbeingdeliberateactions.IntheabovescenariosCarerS,whomaynothaverealisedtherisksinvolvedinherhandlingoftheclient,causesthemostphysicalharm,CarerCintentionallyhurtsaclientbutavoidscausingseriousdamage.Wemustalsobeawareoftheemotionalandpsychologicaleffectsofthiskindoftreatment.

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Imaginethatyouareanelderlypersonreceivingcareathomefromarelative,givereasonswhyyoumightbereluctanttotellanyoneabouttheabuse.

2.

Makealistofthedifferenttypesofpeoplewhomayenteryourworkplacee.g.relatives.

3.

Whatisneglect?5.

Unit Two Questions

2.

1.

Givethreeexamplesofpotentialabusers.

3.

4.

2.

1.

Givethreeexamplesoffactorsthatmakeyourclientsvulnerabletoabuseand/orneglect.

3.

1.