Action on Elder Abuse. 3. Safeguarding 1. Who we are 2. Elder Abuse 4. Personalisation.
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Transcript of Action on Elder Abuse. 3. Safeguarding 1. Who we are 2. Elder Abuse 4. Personalisation.
Action on Elder Abuse is a ‘Four Nations’ organisation based in LondonIt was established in 1993 by practitioners from health and social care, academics and voluntary sector representatives, and is now one of the key Adult Protection agencies in the UK.
We are an ABUSE charity focusing upon the needs of older people
What is the whistle blowing helpline?
A unique project which aims to develop partnership working between the charity and the company - to encourage older people, their relatives, representatives and staff to report abuse and bad practice.
An independent and safe means of telling the company when things are going wrong – and when people do not feel confident or are unable to do so in any other way.
The Background to the project
o A fundamental issue in care provision is the relationship between a service user and their care provider: the power imbalance.
o Older people often lack confidence in asserting their rights
o Sometimes things go wrong in even the best care settings: we all know this!
o Formal complaint procedures may not always be adequate to support older people – even if they are the best procedures in existence
Abuse Abuse is…is…
‘a single or repeated act or lack of appropriate action occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person….
The overall prevalence of abuse, defined by ‘expectation of trust’ in the year preceding the survey was
UK Study of Abuse and Neglect of Older People - 2007
4%
This equates to 342,000 people aged 66 and over, or 1 in every 25 of the population aged 66 and over
Age of victim
78% of abuse occurs after the age of 70 years
0
5
10
15
20
25
30
35
40
45
4
55-64
55-64
1865-69
65-69
22
70-79
70-79
40
80-89
80-89
16
90+
90+
Source: Hidden Voices
Where abuse occurs
0
10
20
30
40
50
60
70
4
Shelteredhousing
4
Other
5
Hospital
23 Care Home
64
At home
Source: Hidden Voices
Prey onVulnerabilities
Isolate From Others and Information
Keep Unaware
Perform Intermittent
Acts ofKindness
Induce Shame and Secrecy
Create Lack of Faith in Own
Abilities
CreateDependencies
Create Fear
Exploitation
Copyright © 2006 YWCA Omaha, Nebraska
It took from February 2008 to October 2008 to draft a discussion and question consultation document.
Reviewing the guidance:
On 15 June 2007 the Minister of State for Care Services, Ivan Lewis, promised a review of No Secrets, with particular regard to the need for legislation.
The consultation was published 14 October 2008 and concluded on 31 January 2009.
And then there was silence ……
Many Forces felt that a change to the wording of vulnerable adult may be an improvement such as the suggested one of ‘adult at risk’. View that people are vulnerable due to the circumstances they find themselves in, not simply because of age, infirmity or disability and that the definition should enable everyone, not just practitioners to understand who would be deemed a vulnerable adult. (Police)
Definitions: one example
Framework legislation addresses the parameters and structures within which safeguarding and adult protection systems and processes are constructed. It establishes powers and duties within which agencies collaborate, share information and work together.Intervention legislation addresses the powers and duties of interaction between adult protection processes and the individual citizen. It potentially could impact upon an individual’s right to choice and control in certain situations.
The fundamental basis
Who thinks we need framework legislation?
The Association of Directors of Adult Social Services The Commission for Social Care Inspection
The Law Society
The Local Government Association
The Care Quality Commission
The London Ambulance Service
Multiple Safeguarding Boards across the country…..
The Association of Chief Police Officers
Action on Elder Abuse
Action for Advocacy Age Concern England and Help the
Aged The Alzheimer’s Society
Counsel and Care The Down’s Syndrome
Association ERoSH sheltered housing body Joseph Rowntree
Foundation
InTouch Mencap
The National Autistic Society
PAVA
The Registered Nursing Homes Association
Scope Voice UK
The United Kingdom Home Care Association
Who thinks we need framework legislation?
Radar
Beth Johnson Foundation
Advocacy Matters
Speaking Up
National Care Association
The English Community Care Association
BASW
BUPA
A Dignified Revolution
CDNA
Ekta
The term ʻpersonalisationʼ has been used to refer to a broad range of possible strategies which could be used to reform welfare service by including people in the design of services that suit them better.
AEA’s view is that every person receiving support in every setting, and through whatever mechanism, should have choice and control over their care and support. This should include the ‘cash for care’ model, traditional domiciliary care, residential care, hospital environments, and all other permutations.
Personalisation
‘it should be their choice – the informed choice of ordinary people – who they trust with collecting their pensions, or who they pay to help them take a bath or administer their medication, and it should be their choice if they wish to manage the payments for their personal budgets or if they wish someone else to do it for them’. (No Secrets Review)
Environments of risk
Undue influence
Dynamics of abuseGrooming
‘Abuse in domiciliary settings is the commonest type of abuse, but the most difficult to combat. Contact between victims of abuse and statutory services may be limited, and those abused will often feel under threat, or obligation, to those abusing them. The only measures likely to have much impact here would be ones which increased the climate of awareness of the problem, making health and social care professionals more aware of the issue, and those which empowered older people to report abuse more easily, recognising the reasons for their reluctance to do so’.
Environments of risk
Abuse by neighbours/acquaintances 33%
Environments of risk
Abuse by partners 35% Abuse by other family members 33% Risk factors: Living alone (financial
abuse) Feelings of loneliness Age 85+ years
Bad/Very bad health or depression
Environments of risk
Why does a care worker need:
a CRB and POVA check?be registered with the GSCC?have NVQ training?
be formally supervised?
be required to ‘whistleblow’?
But a Personal Assistant doesn’t!
Either regulation works or it doesn’t. But it sure has cost a lot!