Safeguarding

Question 1

The introduction of the Care Act 2014 provides:

Answer 1

A statutory framework to safeguard adults at risk of abuse or neglect

Question 2

The 6 key principles underpinning the Care Act 2014:

Answer 2

Empowerment
Prevention
Proportionality
Protection
Partnership
Accountability

Question 3

The aim of safeguarding:

Answer 3

Stop abuse and neglect
Prevent harm and reduce the risk of abuse and neglect to adults with care and support needs
Safeguard adults in a way that supports them in making choices and having control about how they want to live
Promote an approach that concentrates on improving life for the adult

Question 4

An adult who requires safeguarding is someone who:

Answer 4

A) Has a need for care and support AND
B) Is experiencing, or at risk of, abuse and/or neglect AND
C) As a result of the care and support needs, is unable to protect themselves

Question 5

An adult requires care and support if:

Answer 5

A) The adults needs are related to a physical or mental impairment or illness
B) The adult is unable to self-care or complete activities of daily living (nutrition, toileting, keeping house, maintaining relationships)
C) There is resulting significant impact on the adults wellbeing

Question 6

Every adult patient with unmet or increasing care needs requires safeguarding. True or false?

Answer 6

False - they may not reach the threshold for safeguarding, but still require an alert to be raised

Question 7

Consent is required for a safeguarding referral. True or false?

Answer 7

False - while adults at risk should be given full information to make an informed decision, consent is not required if the patient does not have capacity or, if having a discussion around safeguarding increases the risk to the patient or staff

Question 8

The Female Genital Mutilation Act 2015 states that:

Answer 8

There is a mandatory reporting duty for all health professionals to report known cases of FGM in patients < 18 years old to the police

Question 9

For children and vulnerable adults an automatic safeguarding referral must be made if:

Answer 9

Any child or vulnerable adult has signs or symptoms of FGM or
You have good reason to suspect they are at risk for FGM

Question 10

All adults with FGM require an automatic safeguarding referral. True or false?

Answer 10

False

Question 11

Managing an adult at risk:

Answer 11

Ascertain the patients wishes
Gain consent if able
Consider the Mental Capacity Act

Question 12

Children are “in need” when:

Answer 12

They are unlikely to reach or maintain a good level of health or development
Their health and development will be significantly impaired without the provision of services
They have a disability

Question 13

The most vulnerable group of children are those aged:

Answer 13

0 - 12 months
Any injury in a baby less than a year old requires review

Question 14

It is not normal for babies less than a year old to sustain:

Answer 14

Bruises and broken bones

Question 15

Expected places to find bruises in mobile babies and toddlers

Answer 15

Shins, elbows, and forehead due to advancing mobility and curiosity

Question 16

Unexpected places to find bruises in mobile babies and toddlers:

Answer 16

Back, upper arms and abdomen

Question 17

Older children tend to give lots of detail of accidents, however, in non-accidental injuries:

Answer 17

The detail will be missing because they’ve been told what to say

Question 18

A women that has given birth, or who presents late in pregnancy and has engaged in little-to-no antenatal care or who has declined conveyance should be managed by:

Answer 18

A safeguarding risk assessment

Question 19

If physical, sexual, or emotional abuse or neglect is suspected in young children…

Answer 19

Do not take any action that would further pose a risk to the child
Limit questions to routine history taking
Complete a safeguarding referral and report to police - parental consent is not required

Question 20

If a patient is found deceased due to a suspected death due from abuse or neglect – you still need to raise a safeguarding concern for an investigation to take place. True or false?

Answer 20

True

Question 21

The difference between safeguarding and welfare referrals is the

Answer 21

Risk or actual experience of abuse or neglect

Question 22

When considering a child in need (section 17):

Answer 22

There is a poor support system, but no risk or actual experience of abuse or neglect
Requires parental consent

Question 23

When considering a child at risk (section 47):

Answer 23

A child is at significant risk of harm, abuse, or neglect
Does not require parental consent

Question 24

The Child Protection Information Centre (CP-IS) must be checked for all paediatric patients or expectant mothers. True or false?

Answer 24

True

Question 25

Every single deceased paediatric must be transported to hospital, unless:

Answer 25

The police are managing the death as suspicious and are managing the scene as a crime scene (must document officers name)
There are catastrophic injuries including decapitation or hemicorporectomy.
The child’s body has established signs of decay (rotting, maggots)

Question 26

What is the procedure following the death of a twin?

Answer 26

Conveyance of both twins to hospital

Question 27

Surviving sibling safeguarding is critical when:

Answer 27

Dealing with incidents of unexplained death or life-threatening emergencies.