Safeguarding and protection in care settings

1.1 Safeguarding is a term used in the United Kingdom and Ireland to denote measures to protect the health, well-being and human rights of individuals, which allow people — especially children, young people and vulnerable adults — to live free from abuse, harm and neglect.

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1.2 Dealing with vulnerable members of the public in my day to day job. I need to ensure any safeguarding issues that are identified are reported correctly. Making sure individuals are aware of their own rights surrounding safeguarding and how to report and problems or issues.
1.3 See table
1.4 Harm includes all harmful conduct and includes: conduct which causes physical harm. conduct which causes psychological harm, for example, causing fear, alarm or distress.
-Physical harm. This refers to physical injuries that are not accidental – or where there is significant risk of injury happening – due to the actions or lack of action of a parent or caregiver.
-Sexual harm.
-Emotional harm.
-Exposing a child to violence.

1.5 Restrictive practices are any type of support or practice that limits the rights or freedom of movement of a person with disability. This is when a person is put in a room or place and the person cannot leave when they want to.

3.1 If I suspected that an individual was being abused I would first raise my concerns with the individual if this was appropriate. If abuse was discovered I would explain the process of how to report the abuse and make sure that aware that nothing could happen without their consent. I would raise my concerns with my manager and make them aware of the situation.
If it was inappropriate to talk to the individual directly, I would raise my concerns with my manager and complete a Safeguarding concern form.

3.2 In an individual alleges that they are a victim of abuse I would explain the process of how to report the abuse and what information would be recorded. I would gather as much information on the alleged abuse including dates and times, what happened and how this impacted on the individual. I would make sure they understand that without them consenting to the Safeguarding concern nothing would progress. I would report any information given to me to my line manager and if the individual was in any immediate danger, I would advise them to contact the Police.

3.3 To ensure evidence of abuse was preserved I would make sure I’d keep a record of what the individual was saying. I would make sure that any physical evidence wasn’t disrupted and contact the police. If that was not possible, I would make sure photographs were taken and that as much information as possible was gathered.

4.1 The relevant legislation involved with safeguarding include: The Care Act 2012, The Mental Capacity Act, Assessing Capacity Chart, Deprivation of Liberty Safeguards, Pressure Ulcer Staging, Prevent/Channel, Domestic violence and Abuse, Female Genital Mutilation, Human Trafficking and Modern Slavery.
Current legislation and national policies on Safeguarding
Safeguarding Children
Safeguarding Adults
Statement of Government Policy on Adult Safeguarding
Calderdale Safeguarding Policies

4.2 The different agencies involved in safeguarding are
• Apply clinical governance standards for conduct, care & treatment & information sharing
• Report incidents of abuse, neglect or undignified treatment
• Follow up referrals
• Consult patients and take responsibility for ongoing patient care
• Lead and support enquiries into abuse or neglect where there is need for clinical input.
Social workers & Care Managers
• Identify and respond to concerns
• Identify with people (or their representatives or Best Interest Assessors if they lack capacity) the outcomes they want
• Build managing safeguarding risks and benefits into care planning with people • Review care plans
• Lead and support enquiries into abuse or neglect
• Investigate possible crimes
• Conduct joint investigations with partners
• Gather best evidence to maximise the prospects for prosecuting offenders
• Achieve, with partners, the best protection and support for the person suffering abuse or neglect – including victim support
Specialist Safeguarding Staff
• Be champions in their organisations
• Provide specialist advice and coordination
• Respond to concerns Make enquiries
• Work with the person subject to abuse
• Co-ordinate who will do what – e.g. criminal or disciplinary investigations.

4.3 Factors that have featured in serious cases of abuse and neglect:
In 2011 the Winterbourne Care Home scandal broke on a BBC Panorama Special. Like many scandals before it highlighted the fact that there was a breakdown in the reporting procedure. Although incidents had been reported on numerous times to the Quality Care Commission(CQC) they did not act according. This led to the abuse continuing. The CQC started that “systemic failure to protect people or to investigate allegations of abuse “systemic failure to protect people or to investigate allegations of abuse”.
The programme also highlighted that staff were committing acts of violence against people in their care but how it also before normal behaviour. Staff although not participating in the actual abuse were guilty of allowing the abuse to continue.

4.4 Within my own roll within Gateway to Care as a Social Care Advisor. I am able to access information from the CVC, the Calderdale Safeguarding board and also ask advice from within my own team who consist of, nurses, occupational therapists, social workers and other social care advisors.

4.5 In any situation when it comes to safeguarding it is always best to ask advice in you are unsure of anything. Even if it’s just asking a college on finding more information from government websites.

5.1 How the likelihood of abuse can be reduced by:
a) By working with person centre valued you are respecting the individuals rights and views. When you take an individual’s needs into consideration the risk of abuse is reduced because any care is focused around their own needs, wishes and personal circumstances.
b) When individuals participate and have activate input in their own relationships and care. It encourages them to speak up when things aren’t going the way they planned which could reduce the risk of abuse.
c) If individuals are aware of their choices and rights this reduces the risk of abuse as individuals feel more in control of their life. It builds self-esteem, they are not been oppressed by other people’s choices and have an active role in decision making.
d) If individuals are more aware of risks to their own personal safety. They are able to protect themselves and raise alarms when they feel that this has been breached. They can look out for warning signs and seek help if they are worried about anything.
5.2 Having an accessible complaints procedure is very important to sure that no one is being discriminated against and everyone has access to air their own opinions and issues. This could include offering a textphone service, braille and large print correspondents, leaflets in translated languages, freephone telephone numbers and face to face appointments. This reduces the likelihood of abuse as people have access to air their own views and feelings before concerns escalate.



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