L7 Protecting Vulnerable Adults and Older People Flashcards
persons at risk of abuse
- Older persons
- Persons with physical disabiliteis
- Persons with intellectual disabilities
- People with sensory impairments
- Perople with long term illnesses for which they receive
healthcare - People with diminished social skills
- People dependent on others for personal care
- People detained in psychiatric wards or lawful custody
- Person who is homeless
- Person with substance misuse issues
relevant sections of CORU cose of professional conduct and ethics
8) Comply with requirements for the protection of children and vulnerable adults
20) Raise concerns about safety and quality of care
other relevant policies and guidelines
- HSE Adult Safeguarding policy 2019
- National Standards for Adult Safeguarding 2019 (Health Information and Quality Advisory)
- Health Act 2007
- National Consent Policy
- Assisted Decision-Making (Capacity) Act
- National Standards for Residential Services for Children and Adults with Disabilities
- National Quality Standards for Residential Care Settings for Older People
Adult Safeguarding Principles (HIQA and MHC, 2019)
- empowerment
- a right’s based approach
- proportionality
- prevention
- partnership
- accountability
empowerment
Adult Safeguarding Principles (HIQA and MHC, 2019)
people are empowered to protect themselves from the risk of harm and to direct how they live their lives on a day-to-day basis according to their will and preferences
rights based approach
Adult Safeguarding Principles (HIQA and MHC, 2019)
people’s rights should be promoted and protected by health and social care services
proportionality
Adult Safeguarding Principles (HIQA and MHC, 2019)
taff working in health and social care services should take proportionate action which is the least intrusive response appropriate to the risk presented and takes account of the person’s will and preferences.
prevention
Adult Safeguarding Principles (HIQA and MHC, 2019)
it is the responsibility of health and social care services to take action before harm occurs.
partnership
Adult Safeguarding Principles (HIQA and MHC, 2019)
health and social care services and the person using the service, their nominated person and professionals and agencies working together to recognise the potential for, and to prevent, harm.
accountability
Adult Safeguarding Principles (HIQA and MHC, 2019)
health and social care services are accountable for the care and support they deliver and for safeguarding people using their services
4 Themes related to Safety & Quality in a Service (HIQA & MHC, 2019)
- person-centred care and support
- effective care and support
- safe care and support
- health, wellbeing and development
person centred care and support
Themes related to Safety & Quality in a Service (HIQA & MHC, 2019)
how services place people using their services at the centre of what they do in order to protect them
from harm. This includes making sure that people’s rights are upheld and promoted.
effective care and support
Themes related to Safety & Quality in a Service (HIQA & MHC, 2019)
how services ensure that safeguarding is part of the routine delivery of care in and between services
safe care and support
Themes related to Safety & Quality in a Service (HIQA & MHC, 2019)
how services protect people from the risk of harm and respond to safeguarding concerns when they arise.
health, wellbeing and development
Themes related to Safety & Quality in a Service (HIQA & MHC, 2019)
how services work in partnership with people using the service to develop the skills to protect and promote their own physical, mental, emotional and social health and wellbeing and protect themselves from harm.
4 Themes related to Service Providers Capacity and Capability (HIQA & MHC, 2019)
- leadership, governance and management
- responsive workforce
- use of resources
- use of information
leadership, governance and management
Themes related to Service Providers Capacity and Capability
accountability, decision-making, risk management and performance assurance to reduce the risk of harm and respond to safeguarding concerns
responsive workforce
Themes related to Service Providers Capacity and Capability
how services plan, recruit, manage and organise their workforce to ensure enough staff are available at the right time with the right skills and expertise to reduce the risk of harm and promote the rights, health and wellbeing of people using services.
use of resources
Themes related to Service Providers Capacity and Capability
how services plan, manage and prioritise their resources to reduce the risk of harm and promote the rights, health and wellbeing of each person.
use of information
Themes related to Service Providers Capacity and Capability
how services use information as a resource for planning, delivering, monitoring, managing and improving services to keep people safe
examples of physical abuse
Hitting, slapping, pushing, kicking, misuse of medication, restraint or inappropriate sanctions
sugns of physical abuse
Unexplained signs of physical injury, Service user appears frightened, avoids a particular person, demonstrates new atypical behaviour; asks not to be hurt.
examples of sexual abuse
Rape and sexual assault, or sexual acts to which the vulnerable person has not consented, or could not consent
signs of physical abuse
Trauma to genitals, breast, rectum, mouth, injuries to face, neck, abdomen, thighs, human bite marks. Service user demonstrates atypical behaviour patterns such as sleep disturbance, incontinence, aggression, changes to eating patterns, inappropriate or unusual sexual behaviour, anxiety attacks.
examples of psychological abuse
Emotional abuse, threats of harm or abandonment, deprivation of contact, humiliation, blaming, controlling, intimidation, coercion, harassment, verbal abuse, isolation or withdrawal from services
signs of psychological abuse
Mood swings, incontinence, obvious deterioration in health, sleeplessness, feelings of helplessness / hopelessness, Extreme low self esteem, tearfulness, self abuse or self destructive behaviour. Challenging or extreme behaviours – anxious/ aggressive/ passive/withdrawn
examples of neglect
Ignoring medical or physical care needs, failure to provide access to appropriate health, social care or educational services, withholding of medication, adequate nutrition and heating
signs of neglect
Poor personal hygiene, dirty and dishevelled in appearance. Poor state of clothing. Non attendance, socially isolated
examples of financial or material abuse
Theft, fraud, exploitation, pressure in connection with wills, property, inheritance or financial transactions, or the misuse or misappropriation of property, possessions or benefits
signs of financial or material abuse
No control over personal funds or bank accounts, misappropriation of money, valuables or property, no records or incomplete records of spending, insufficient monies to meet normal budget expenses, etc.
examples of discriminatory abuse
Ageism, racism, sexism, that based on a person’s disability, and other forms of harassment
where does institutional abuse occur
within residential care and acute settings including nursing homes, acute hospitals and any other in‐patient settings
examples of institutional abuse
poor standards of care, rigid routines and inadequate responses to complex needs
signs of institutional abuse
Lack of or poor quality staff supervision and management. High staff turnover. Lack of training of staff and volunteers. Poor record keeping. Poor communication with other service providers. Lack of personal possessions and clothing, being spoken to inappropriately, etc
procedure for recognising and reporting abuse
- early detection - observation, disclosure, complaint
- immediately ensure safety of client
- take notes, keep records
- notify line manager/HSE CHO safeguarding and protection team on the same day
- co-operate with any screenings, safeguarding plans and reviews
what law covers protected disclosure of information
Health Act 2004 (as amended by the Health Act 2007).
purpose of protected disclosure of information
- facilitate employees to make protected disclosures in good faith
where they have reasonable grounds for believing that the health or welfare of patients/clients or the public may be put at risk, or where there is waste of public funds or legal obligations are not being met, so that the matter can be investigated. - Particularly if evidence to the above is being or is likely to be deliberately concealed or destroyed
procedure for protected disclosure of information
- Fill in the Protected Disclosures of Information Form
- Submit to the Authorised Person.
- Authorised Person determines whether or not the subject matter of the disclosure comes within the scope of the Act
- If the subject matter of the disclosure falls within the scope of specific policies or procedures, an investigation will be carried out in accordance with the appropriate policy/procedure e.g. Trust in Care Policy, Disciplinary Procedure, Children First Guidelines
- May refer to appropriate scheduled body (HIQA) or professional body (e.g. IASLT/CORU) or Garda Síochána
what does the assisted decision-making (capacity) act 2015 do
- Law that maximised a person’s right to make their own decisions, with legally recognised supports, wherever possible
- Obligation on health professional to support a person to make their own decisions as far as possible – issue-specific or time specific
- Provides a statutory framework for individuals to make legally binding agreements to be assisted and supported by a person of their choosing or by someone appointed by the court
who may a person appoint under the capacity act
- Decision-making assistant
- Co-decision maker (written and witnessed agreement)
- Decision-making representative (court appointed)
- Advance healthcare directive
- Enduring power of attorney (appointing a person to make decisions on their behalf)
what is the capacity act based on
- presumption of capacity of the individual
- principles of supported decision-making
- respect for people’s choices
- intervention is not always required
- intervention should be as limited as possible
- essential considerations when making an intervention (participation, past preferences, beliefs and values)
- inclusion of other people whose views may be helpful
- respect the privacy of the person
CURB - assesing functional capacity
- C: Communicate – can the person communicate their decision in some way?
- U: Understand – can they understand the information given to them?
- R: Retain – can they retain the information given to them long enough to make a choice?
- B: Balance – can they use, weigh up or balance that information as part of the process of making the decision
guidelines in CORU Code of Ethics relevant to capacity
11) obtain consent from service users
12) assess service users’ capacity to consent where necessary
