Adult Safeguarding Flashcards
Define safeguarding
Protecting an individuals rights to live in safety free from abuse and neglect
MSP
Making safeguarding personal
How do professionals make safeguarding personal
Professionals should work with adult to establish what being safe means
Its about having a conversation with people and how we might respond in safeguarding situations in a way that enables their involvement, choice and controls
This improves their quality of life, well-being and safety
MSP achieves a practice that has meaningful improvement to People’s lives rather than just being a process
Nobody can be assumed to lack capacity for a decision or have a decision overruled by professionals
Who needs to be involved in safeguarding concerns
Health care providers
External bodies : police, training, staff, supervision
5 aims of safeguarding
- Prevent harm and reduce risk of abuse or neglect to adults with care
- Stop abuse and neglect wherever possible
- Address what has caused abuse or neglect
- All providers core responsibility in HSC is to provide safe effective and high quality care
- Raise public awareness so that communities alongside professions play a part in preventing identifying and responding to abuse and neglect
6 principles of safeguarding
EPPPPA
1. Empowerment - people encouraged to make their own decisions and give informed consent
2. Prevention - better to take action before mistreatment occurs
3. Proportionality - least intrusive response necessary to the risk presented
4. Protection - support those in need
5. Partnership - working in partnerships to achieve local solutions in communities
6. Accountability - transparency in delivering safeguarding and fulfilling our duty of candour
State the Well being principles
- personal dignity
- control over daily life
- physical mental health and emotional wellbeing
- Domestic and personal relationships
- Social and economic wellbeing
- Suitability of living conditions
- should be assumes that people are best placed to judge their own well being
Decision making and capacity
- adults have mental capacity to make informed decisions about their lives, regardless of their medical conditions , age or appearance ,
- if someone is assessed as not having capacity to make specific decision those decisions are made in the best interests set out by the mental capacity act
What should adults with care needs be given to make decisions ?
Given info, advice and support in a form they understand
And have all their views included to make decisions about their lives
How should decisions made by HSC professionals be made …
- timely
-reasonable
-recorded
-justified
-ethical
-proportionate
Who does the adult safeguarding duty apply to ?
- aged over 18
-needs for care and suppport
-experiencing risk of abuse or neglect
-unable to protect themselves must be as a result of their care and support needs
How do you know if someone lacks capacity ?
Nobody has to prove that they have capacity for a decision
It is up to the person who wants to take over someone’s decision making rights to prove they lack capacity
Assessments of capacity must be decision and time specific
The person must lack the capacity to make a specific decision at the time needed
What is abuse or neglect
Any forms of harm that needs to be identified and responded to appropriately to make sure harm can be stopped to reduce the likelihood of it recurring
How can patterns of abuse vary
- serial and organised abuse
- long term abuse in ongoing relationships
-opportunistic abuse such as theft occurring due to money lying around
What is a repeated incident of poor quality of care describes as?
Organisational abuse
- indication of abuse that has taken place even if you don’t witness an event occurring
10 types of abuse / neglect
Physical
Domestic
Discriminatory
Sexual
Neglects and acts of omission
Psychological abuse
Self neglect
Organisational abuse
Financial abuse
Modern slavery
- Physical abuse
-non accidental harm to the body
-including hitting, punching, kicking, misuse of meds
Indicators:
Finger markers
Bruising
Unexplained injuries
Person being fearful of people around them
- Domestic abuse
-patterns of incidents of controlling or threatening behaviour, violence or abuse by someone who is an intimate partner or family member regardless of gender or sexuality.
-includes those under the age of of 18
(16/17 should be referred to child safeguarding)
Inidscators:
-fractures
Bruised
Absence from work
Isolation
Depression
- Discriminatory abuse
- all forms of harassment, bullying, name calling
based on someone’s disability, sexuality, ethnicity, or gender
-can be considered as a hate crime
-not soldering religious or cultural needs
Indicators
-using racist or sexist descriptions
-failing for respect of faiths
-institutional abuse where organisation ignores the unique needs of the service use
- Sexual abuse
Include rape SA being forced to look at sexual images or sexual cats which has not been consented to or was pressured in consenting
Indicators
-bruising
-injuries
-fear , withdrawal , depression
-filniching from physical contact
-disturbed sleep pattern
-genial or urine infections
- Neglects and acts of omission
-ignoring medical needs or not providing care or food, drink, heating
-also includes not managing or supporting services as agreed
Indicators
-weight loss
-dehydration
-malnutrition
-complaints
-reduced independence
6.psychological abuse
Name calling, threats of harm, abandonment, deprivation of contact , bullying , verbal abuse
Indicators
-lack of confidence
-depression or withdrawal
-lack of trust in others
-deprivation of contact
- Self neglect
Individuals neglect to attend their basic needs such as personal hygiene , health or surroundings
Indicators
-hoarding
-not attending appointments
- Organisational abuse
Includes neglects and poor care practice within an institution such as hospital or care home
Poor professional practice can be the result of the structure , processes and practices within an organisation
Indicators
-complains not responded to
-lack of individualised care
-reluctance of staff to report on progress
-medication not administered
- Material or financial abuse
- theft, fraud, internet scam, being forced to pay for other things
-not being allowed to access or control your pwn money
-being pressured with your possessions or benefits
-financial affairs in connection to property, inheritance or transactions
Indicators
-fear of making decisions
-studden changes in finance
-lack of basic item
-money or possessions going missing
-insufficient money to. Provide for basic needs
- Modern slavery
- slavery
-human trafficking
-forced labour
Indicators
-severe weight loss
-poor skin condition
-poor hygiene
-extreme anxiety or fear
-suicide and self harm risk
Factors relating to safeguarding and identifying abuse
- Complexity of interpersonal rs
- Unequal power relationships and social isolation
- Historical relationships
- Mental health issues
What is radicalisation
Form of exploitation - treating someone unfairly potentially leading to violence
Carers safeguarding
A carer may witness or speak about abuse or neglect
A carer may experience intentional or non intentional harm from the adult they are trying to support
A carer may intentionally or unintentionally harm or neglect the person they care for
The care act - legislation
-makes provision for carers to be identified as having care and support needs of their own
-carers are entitled to an assessment to explore the individuals circumstances and consider whether it is possible to provide information or support that prevents abuse
-by providing training to careers about the condition the adults they care for has to support them more safely
When should you report a safeguarding concern
Immediately or at the earliest opportunity
If a crime has been comitted by thus safeguarding concern what do you do
Speak to your manager
Police should be involved
When is a decision for reported safeufuarding concern made
Within 24 hours a decision is made for the report to be actioned upon
