Post on 12-Dec-2014
description
AimsTo explore personal values and beliefs
To enable staff to promote the safeguarding of all adults at risk
To establish a shared understanding of best working practice in offering support
To understand procedures when reporting abuse
ObjectivesExplain what is meant by the term “Adult at Risk”Describe what is meant by abuseList signs and indicators of abuseDiscuss how to differentiate between causes for concern and
safeguarding issuesDemonstrate how to respond appropriately Identify policy and procedure
IntroductionsEach person introduce themselves
Tell us where you work and who are the adults you work
Warm up exercise
True or False?Up to 10% of people over 65 are abused each year
TRUE – as far as we know
People who are abused may not know they are being abused
TRUECan you give some reasons?
True or False? In order of ‘most likely’ (1) to ‘least likely’ (3)
Woman 3 (25%)
Man 1 (45%)
Man and woman together 2 (33%)
Over 70% of elder abuse affects people over 70 years old
TRUE – in fact it is nearly 80%
True or False?Over 60% of elder abuse is experienced by women
TRUE – in fact it is nearly 70% -with earlier statistic – 52% of elder abuse affects women over 70
Some forms of abuse violate people’s human rights
FALSEALL forms of abuse violate human rights
True or False?Drug Users and alcoholics don’t count as vulnerable adults
FALSE
Most elder abuse occurs in care homes
FALSEMost occurs in people’s own homes
True or False?Abuse is another term for domestic violence
IT DEPENDSVulnerable adults can experience domestic violence but not all
domestic violence involves the vulnerable adults we are discussing
Most Community or District Nurses encounter elder abuse each year
TRUE88% reported so in a survey but this is only elder abuse
True or False?A fifth of older people living in care homes suffer from malnutrition
TRUEAny examples?
Nearly half of all nursing and care homes fail to reach national minimum standards for managing residents medication
TRUEAny examples?
True or False?Abuse is not always deliberate
TRUEAny examples?
“Grooming” is a term that only applies to paedophile offences
FALSE
No Secrets 2000Partnership
Prevention
Guidance – inter-agency policies, procedures and joint protocols
Communication
Adult at Risk “Adult at Risk” is a term used to describe a person who Is
an adult aged 18 years and over
AND
who is or may be in need of community care services by reason of mental or other disability, age or illness
AND
who is or may be unable to take care of him or herself or take steps to protect him or herself from significant harm or exploitation”
[No Secrets, DOH, 2000]
This Includes PeopleOlder peopleWith a Learning DisabilityWith a Physical DisabilityWith Mental Health problemsWith DementiaWith Brain injuriesWith Drug & Alcohol problemsWith a Sensory disability
Definition of Abuse ‘Abuse is a violation of an individual’s human and civil rights by any
other person or persons.
It may consist of a single act or repeated acts. It may be an act of neglect, or omission, or it may occur when a adult at risk is persuaded to enter into a financial or sexual transaction to which he or she has not consented or cannot consent’
[No Secrets, DOH, 2000]
Defining AbusePhysical Abuse – Including hitting, slapping, kicking, misuse of
medications, over or under feeding, restraint or inappropriate sanctions
Sexual Abuse – Through non- consensual sexual actions, rape, sexual assault / or pressured into consenting, sexual explicit conversations
Psychological/ Emotional Abuse – Through non-physical means, threats of harm or abandonment, deprivation of contact, humiliation, blaming, controlling, verbal abuse, isolation or withdrawal from supportive networks.
Defining Abuse (cont)Financial/Material Abuse – Including theft, fraud, exploitation of wills,
property, inheritance, possessions or benefits
Neglect – Ignoring medical and/or physical care needs, failure to provide access to health, social care or educational services, withholding necessities of life, e.g. medication, adequate nutrition, heating , lack of cleaning
Discriminatory – Based on someone's race, culture, faith, age, gender, disability, sexuality or capacity and other forms of harassment, slurs or similar treatment
Institutional – Harm or distress as a result of poor management, training or practice. Choice taken away, Care given at set times to make it easier for staff and the organisation
Indicators, Signs & Signals of AbusePhysical - Sleepy, Bilateral marks, injuries in various stages of
healing, hair loss, marks on hidden parts of the body, mouth ulcers, burns, bruises, brakes, scratches
Sexual – Difficulty in sitting/walking, use of sexual words/gestures, body fluids, pregnancy, blood stains, difficulty in going the toilet, STIs
Psychological/Emotional – Hesitation to talk openly, emotional agitation, unusual behaviour such as sucking thumbs, biting, rocking, confusion, unexplained fear
Indicators, Signs & Signals of abuse (cont)Financial – Lack of heating, lack of food in the cupboards, referral to
another person for money related matters, borrowing money, unexplained bank withdrawals
Neglect/Environmental – Dehydration, malnourishment, weight loss without illness, pressure sores, lice, dirty, mouth rashes, smells, doors left open/locked, unable to use mobility aids, glasses, hearing aids
Institutional- Restricted visiting, no stimulus, lack of bedding/clothing, no privacy for visitors
Consider what might you see/hear/feel/smell
Who Can Be An Abuser?Partner Other family memberHealth care workerVolunteerSocial care staffOther vulnerable adultNeighbour/ friendStrangerOther
Relationship Figures 2010/ 11Partner Other family memberHealth care workerVolunteerSocial care staffOther professionalOther vulnerable adultNeighbour/ friendStrangerNot known Other
7%18%3%0%25%3%13%6%2%14%8%
This is only what we know from what is reported. The true figures could be double, triple.........
Signs & SignalsShare out the cards and in turn
read your situation, discuss as a group
and decide where you place it
Dealing With A Concern/Allegation Of AbuseDO- Inform a Line ManagerTake what the person says seriously Stay calm, try not to show shockListen carefully & allow them to share informationSupport & reassure the person throughout, it’s not their faultProtect evidenceTell the person you must discuss with a managerEnsure the person is safeWrite down what was said Inform police if it’s a crimeMaintain Confidentiality
Dealing With A Concern/Allegation Of Abuse (cont)DON’T-Promise to keep secretsPress the person for more informationMake promises you cannot keepDon’t interrupt Do not be judgemental or ‘explain’ the situation awayDo not contact the alleged abuserDon’t be persuaded to keep quietDo not attempt to investigate yourself
Failure to report known or suspected abuse is an act of omission and a failure under duty of care – making the failure abuse itself
Writing a ReportMake a note of what has been disclosed to you as soon as possibleEnsure that you state the facts and not opinion Date and sign your report, clearly stating your nameWrite down what was said using the exact words if possible or what
you observed, including dates and timesDescribe the circumstances in which the disclosure was made, what
you observed concerning actions and behaviourSay where it happened and who else was there at the time, stating
full names if possibleConsider who, what, when, where, why Any immediate action that has been taken
Public Interest Disclosure Act [1998] ‘Whistleblowing’
Aim:Last resort optionProvides an avenue to raise concerns and receive feedback on any
action takenYou will be protected from reprisals or victimisationEncourages employees to raise serious concerns Identity will be kept confidential for as long as possibleAn investigation or court case may reveal a persons identity
Mental Capacity Act 2005 Key 5 Principles 1. A person must be assumed to have capacity unless it is
established that he lacks capacity’2. ‘A person is not to be treated as unable to make a decision unless
all practicable steps to help him to do so have been taken without success’
3. ‘A person is not to be treated as unable to make a decision merely because he makes an unwise decision’
4. ‘An act done, or decision made, under this Act for or on behalf of a person who lacks capacity must be done, or made in his best interests’
5. ‘The act or decision is to be achieved in a way that is less restrictive of a person’s rights and freedom of action’
Useful Telephone Numbers Independent Safeguarding Authority – 01325 953 795 Office Public Guardian - 0300 456 0300 Police Call Centre – 101Police Emergencies – 999NHS Whistleblowing Hotline – 08000 724 725Care Quality Commission (CQC) – 0300 061 6161Public Concern At Work 020 7404 6609
How Safe are our Services?
What can you do
as an individual,
team or organisation
to help create a safer
environment for the
people you support
‘Abuse results in significant harm,
exploitation of, the adult at risk.
It may be perpetrated by anyone who
has power over the person whether
they are a carer, relative, a paid
Member of staff or professional, or as
a result of persistently poor care or a
rigid and oppressive regime.’
Steven Hoskins Video