Protecting Adults at Risk Flashcards
What is the 2014 care act?
? duties apply to any adult who:
Has ? and is experiencing, or is at risk of, ? and ?
? also have ? and a general duty to ?
Safeguarding duties apply regardless of ?
They also apply to people who ?
Adult safeguarding duties apply to any adult who:
Has care needs and is experiencing, or is at risk of, abuse/neglect and can’t protect themselves
Local authorities also have safeguarding responsibilities for carers and a general duty to promote the wellbeing in the communities they serve.
Safeguarding duties apply regardless of whether a person’s care and support needs are being met
They also apply to people who pay for their own care and support service
Local authorities and partners have new safeguarding duties. What are these?
- Lead a ? system
- Make ? when they think an ?
- Establish ?, inc the ?, who implement a ?
- Carry out ? when someone ? due to ?
- Arrange for an ? to represent ?
- Lead a multi-agency local adult safeguarding system
- Make enquiries when they think an adult with care needs may be at risk of abuse
- Establish Safeguarding Adults Boards, inc the local authority, NHS and police, who implement a joint safeguarding strategy
- Carry out Safeguarding Adults Reviews when someone w care and support needs dies due to neglect or abuse
- Arrange for an independent advocate to represent someone who is the subject of a safeguarding enquiry
Types of abuse defined by the Care Act Statutory Guidance?
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- Physical abuse
- Domestic violence or abuse (inc ‘Honour violence’)
- Sexual abuse
- Psychological or emotional abuse
- Financial or material abuse
- Modern slavery (can include Forced Marriage)
- Discriminatory abuse
- Organisational or institutional abuse
- Neglect or acts of omission
- Self-neglect
One of the safegurading duties is to make enquiries. Expand more on this.
- An enquiry is ?, under ? of the Care Act, in response to ?
- The Care Act requires ? to make ? where there is a concern about ?
- This may be preceded by ?, if that is needed to ? and therefore whether ? applies.
- An enquiry is any action taken by a local authority, under Section 42 of the Care Act, in response to abuse/neglect of at risk adult with care needs
- The Care Act requires local authorities to make proportionate enquiries where there is a concern about the possible abuse or neglect of an adult at risk
- This may be preceded by an informal info-gathering process, if that is needed find out if abuse has occurred or is occurring and therefore whether the Section 42 duty applies.
How can you make safeguarding personal?
- ? approach
- Don’t ?, instead ? w them to ? and ?
- If practitioners only focus on ?, they may ? other aspects of their wellbeing, such as feeling ?
- Clear and consistent use of MCA – ?
- Person centred approach
- Don’t put people through a process, instead engage w them to identify and realise their desired outcomes
- If practitioners only focus on making people feel safe, they may compromise other aspects of their wellbeing, such as feeling empowered and in control
- Clear and consistent use of MCA – unwise choices?
What are signs and symptoms of a safeguarding issue?
What is the drs responsibility with regards to safeguarding?
Safeguarding is ?
If you have a concern, ?
If you experience ? from a patient: ?
Consider ?
Explain we cannot guarantee ?
? vital for safeguarding: ‘?’
A doctor may be required to ?
Safeguarding is everyone’s responsibility (LEGALLY as well as part of GMC requirements)
If you have a concern, do not ignore it!
If you experience a disclosure from a patient: listen, reassure, assess any immediate risk ask the person what they would like to happen
Consider mental capacity
Explain we cannot guarantee confidentiality
Recording is vital for safeguarding: ‘if it wasn’t written down, it didn’t happen’
A doctor may be required to have the initial convos w a patient, contribute opinion on safeguarding concerns and support the wider safeguarding enquiries.
Outline the mental capacity act in relation to adult safeguarding
Applies 16+. 5 Principles:
Assume capacity unless proven otherwise.
Help patient make decisions before considering them incapable.
Unwise decisions do not indicate incapacity.
Decisions under this Act must be done in his best interests.
Before the act is done, must think if it is the best decision or necessary
Who Makes Decisions under the MCA?
Pt w Capacity to consent = Patient makes decision (note- consent can be overridden w reported crimes, and sometimes safeguarding)
Pt lacking Capacity to consent = Clinician usually responsible to act for care but will vary depending on the decision
Unless: There is an active LPA for health and welfare
OR a valid and applicable advanced decision
( Lasting Power of Attorney (LPA) )
MCA and Restrictions & Restraint:
The MCA allows ? to protect someone from harm, as long as it is ? and there are no?. policies like ? support ?.
For in-patients, ? trigger assessments by the local authority. These assessments review ?
The ? also provide pt w ?
The DoLS will soon be renamed as the ?, which will increase ? for acute trusts, as they’ll be ?
MCA and Restrictions & Restraint:
The MCA allows restraint to protect someone from harm, as long as it is within reason + no other options. Policies like ICLIP support legal practices.
For in-patients, the DoLS (Deprivation of Liberty Safeguards) trigger assessments by the local authority. These assessments review the pt’s eligibility, capacity, and consider the necessity of any restrictions. The DoLS also provide pt w representation and the right to appeal.
The DoLS will soon be renamed as the Liberty Protection Safeguards (LPS), which will increase time and resource implications for acute trusts, as they’ll be responsible for most assessments.
