'EVERYBODY'S BUSINESS’ LEARNING TOGETHER WORKSHOP

15 June 2010 Farington Lodge

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World Elder Abuse Awareness Day – June 15

INPEA

BACKGROUND / CONTEXTThemes in care:

protection – autonomy p(m)atriarchy – self-determination individual – community / network personal (bespoke) – block (standardised) language (sense-making): “safeguarding” -

“abuse” managing scarce resources systems approach – ecosystems metaphor power 'games' – hidden/ manifest (e.g., blame

games between 'players')

Research

Systematic ReviewThe prevalence of elder abuse and neglect: a

systematic reviewClaudia Cooper, Amber Selwood and Gill Livingston

Age and Ageing 2008 37(2):151-160

1 in 4: “..one in four vulnerable elders are at risk of abuse and only a small proportion of this is currently detected.

Ask: Elders and family and professional caregivers are willing to report abuse and should be asked

about it routinely.”

'No hiding place...' (Laming)

“...it takes a village to raise a child.....” (H. Clinton) - the culture of care

The Safeguarding Project

LCA / LCC Steering Group

Results of Telephone Survey

Results from Focus Groups

A New Partnership between Providers and County Council

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Developed from Joint Work in 'Social Care Partnership'

New County Safeguarding head LCA contracted to undertake research into

providers' perceptions of how well Lancashire’s Safeguarding Procedures working

1:5 telephone survey of Residential and Domiciliary providers

‘Focus Groups’ of providers who have experience of Safeguarding process

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97% response rate to the telephone survey - big thank you for those who took part

Most respondents are generally satisfied with key domains assessed for satisfaction: ‘information’, ‘advice and support’, somewhat less on ‘training’,

But domain satisfaction ratings drop

substantially for that subgroup who have ‘experience’ of Safeguarding incidents.

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Ran 2 Groups 1 each for Residential and Domiciliary Managers who had actual experience of Safeguarding process

6-8 people in each facilitated group

Full write up of key issues have gone into the 'interim report' (in draft).

Note: follow up & future FGs

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No one expects the Spanish Inquisition......

Providers felt strongly that Safeguarding was everyone's business

Many felt not treated as professionals and there was a structural discrimination against independent providers

Danger of ‘Culture of Blame’ rather than shared agenda for dealing with abuse

'No Secrets'? Secret Meetings and absence of protocols and time lines for investigations were of great concern to managers

Care workers have rights, too!

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Impact on team morale, individual staff and small businesses all raised

BUT some examples of good practice and belief that how a Safeguarding issue was handled by Team Manager/Chair of Strategy Meeting was critical to whether seen as Partnership or Spanish Inquisition!!

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Full review of the need for, and processes involved in, secret 'pre-meetings'.

A truly independent advice line ('phone a friend') to help with defining cases.

Clear and more professional processes laid down to manage Safeguarding – this includes timescales, professionally taken minutes with drafts circulated with an agreed timescale (Note:- Dedicated minute service subsequently is being rolled out across Lancashire)

Objective investigations – some of the principles in the DH document on complaints investigations

'No Fear' approach: issues around reporting Safeguarding issues (LCC Contracts and CQC)

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Joint Working has led to:-

[1] “Joint Statement of Principles”

to underpin work on Safeguarding with Providers and

[2] “New Procedures”

Challenge is to ensure consistency across the County and continuity over time

Synergy with Safeguarding Board and Sub Groups

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Reference GroupDave Wareing, Head of Safeguarding, LCC, ChairBarbara Campbell, NLPCTMarie Hill, Cornmill NH (& Director, LWDP)Dilys MacDonald, LCCBrian Monk, LCCAnn Mylie, LCCSteve Newton, Director, LCAPaul Simic, CEO, LCA

also Liz Leung, Mike Walker, Business Support Unit, LCC

Admin support: Sarah Luton, LCA; Louise Mansfield, LCC.

Survey: Gill Tidmarsh, Deborah Baldwin; Data entry: N. Kasim