Safeguarding is Everybody’s Business

Trish O’Hara

Have the knowledge to describe how safeguarding should improve quality of life

Be able to list ways to make safeguarding personal Have the knowledge to consider the importance of

LGBTQ inclusivity in service provision Be updated on the latest safeguarding information

required for managers of care services Be able to understand what should be included in

staff training to ensure the service is both compliant and person focussed

Why do we safeguard?

To protect people we support from harmTo meet requirementsTo prevent abuseTo learn from mistakesTo reduce risk

What do people usually say

To improve quality of lifeTo uphold rightsTo includeTo empowerTo learn from the personTo make safeguarding personal

We safeguard to

What we want to achieve

What are you doing to Make Safeguarding

Personal?

‘Unless people’s lives are improved, then all thesafeguarding work, systems, procedures &partnerships are purposeless. Directors &Safeguarding Adults Boards must have a meansof knowing what works & how they aremaking a difference to people’

Safeguarding Adults: Advice & Guidance to Directorsof Adult Social Services ADASS; LGA, (Mar 2013)

Done with, not to

Meaningful improvement – not

only ‘investigation' & ‘conclusion’

Social work rather than

‘putting people through process'

Practitioners, families, SABs - know what

difference been made

Outcomes they want at beginning & middle &

ascertaining which outcomes realised

MSP

ADASS & Local Gov Assoc appointed Institute of Public Care at Oxford Brookes Uni & Research in Practice for Adults (RiPfA) to develop…

Over 60% of adult safeguarding enquiries in Herts relate to abuse in home or care homes Victims of abuse are more commonly female Just under half aged between 78 &97 years

Understand where to find your Duty of Care

What should we know?

The Care Certificate induct to safeguarding

Basic safeguardingSafeguarding for managersSafeguarding champions

MCA DOLs (LPS)Root cause analysis

Positive risk takingEquality & diversityNon medical interventionWorking with challenge

Know your client group & type of service

Equality & DiversitySexuality & older peoplePerson Centred PlanningRecord keeping

What does it mean?

Abuse affects 500,000OP yearly UK (Action on

Elder Abuse)

53% adults 65+ targeted by ‘fraudsters’ 33% who responded lost £1000+ Age UK 2015

Older victims of burglaries 2.5 more likely to move into care within 2 years

Report to police & LA Trading Standards Services for investigation

Office of Public Guardian for deputies or attorneys & DWP forappointees

Hertfordshire prioritiesFinancial Abuse

ScammingHuman traffickingDomestic Abuse

Self Neglect

Herts Sunflower

Modern slavery growing problem globally

Almost 21 million people worldwide -forced labour – 11.4 million women &girls & 9.5 million men & boys

2016 UK 3,805 identified as potential victims 17% increase on 2015

In Hertfordshire, 119 potential victims identified as victims since 2009 However, not all had offences committed against them within countyMajority women (58), men (32), boys (17) girls (12)

Herts multi-agency anti-slavery partnership 15 agencies & charities set up – Senior level reps from Council, Police & Crime Commissioner’sCo-ordinated by Shiva Foundation - aims to tackle & prevent human trafficking &modern slavery in UKOperation Tropic launched May 2017 by Herts Constabulary - dedicated police unit

Almost 20% people Herts - ethnic group12% born outside UK or Ireland 6% not have English as first languageExpect number of BAME to increaseIncreased risk - late diagnosis & may face problems in accessing some services

Assessment case by case basisDoes person have ability to protect themselves?May need support

Frontal lobe impairment found to be main risk factor for self-neglect among OP

Inconsistent evidence determining whether self-neglect is more common in older people

Or less manageable Or more likely to come to attention of services

Self-neglect may not prompt s42 enquiry

Working Together to Safeguard Children 2015

Everyone responsible:Protect from maltreatment

Prevent impairment of health or development

Ensure consistent with provision of safe/effective careAction to have best outcomes

Emphasis on links with Child & adult services & ‘family approach’ model

No ‘wrong door’

27% 70+ desire more sex. Some pay (Holden et al 05)

50% - erectile dysfunction do not seek help (Rosen et al 04)

HIV rising over 50’s Present later - higher mortality (Elford et al 08)

Quarter+ 75+ sexual relations least monthly (DeLamater & Moorman)

62% m & 30% w engage intercourse (Kessel/retirement homesCalifornia)

Est 1.2 million older LGBT people in UK (Aspinall 09)

53% of LGBT people ‘out’ to health professionals (Price 09)

1% of care homes incl sexual orientation in assess (CSCI 2008)

This may not be a priority but lets make it one

LGBTQ• 1973 removed as mental disorder • 1993 removed as psychiatric disorder • More likely live alone, less children, greater care (Musingarimi, 08)

• Discrimination/negative treatment, endemic (Hunt & Dick, 08)

• Historical discrimination detrimental - physical/MH (Wintrip, 09)

• Orientation absent from assess & allocation (Charnley & Langley 07)

• Higher risk suicidal behaviour, MH, substance misuse (King et al 08)

On your table - see a post it notePlease write on it a pledge to inclusivity for people from the

LGBTQ community & stick it on our stand