In Safe Hands - Action on Elder Abuse

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.all be funnelled into the adult protection framework as soon as concerns about abusesurface. Designated workers are needed to undertake assessment/ investigation activities inall the relevant agencies, including joint interviews between social services and the policeusing agreed protocols. Without clear roles training cannot be properly targeted and ifpeople are moved too frequently networks and expertise can be dissolved.Shared values and principles6.6 Many of the principles of good practice set out in this document are not the preserveof adult protection cases. Below are areas of practice which determine a culture which helpsto safeguard vulnerable people:• rigorous recruitment• induction and training• supervision• record keeping• accountability and systems of delegation• workplace counselling schemes• disciplinary action• grievance• complaints• advocacy• confidentiality/information sharing• health and safety (eg lifting and handling)• contract specifications and monitoring.13
.7. SHARED DEFINITIONS7.1 For the purpose of both national and local guidance it is important to clarify how wedefine abuse, who is included under the heading of a "vulnerable adult", and what kinds ofabuse are covered.7.2 For the purposes of this guidance a vulnerable adult is a person over 18 years ofage who:" is or may be in need of community care services by reason of mental or other disability,age or illness and who is or may be unable to take care of himself or herself, or unable toprotect himself or herself against significant harm or serious exploitation" LawCommission (Who decides?: making decisions on behalf of mentally incapacitated adults1997)7.3 People with learning disabilities or mental health problems, older people anddisabled people may fall within this definition, particularly when their situation iscomplicated by additional factors, such as physical frailty or chronic illness, sensoryimpairment, challenging behaviour, social or emotional problems, poverty or homelessness.<strong>In</strong> addition to information about client group, agencies may wish to make a separate notewhere clients are from ethnic or minority communities and/or where they are Welsh speakersor where neither English nor Welsh is their first language.7.4 The following definition of abuse provides a basis from which to develop practice:"Abuse is a violation of an individual's human and civil rights by any other person orpersons"7.5 Abuse may take different forms. The ADSS endorses the following categorisationand it is proposed that this be used as the basis of recording and monitoring in Wales.• physical abuse , including hitting, slapping, over or misuse of medication,undue restraint, or inappropriate sanctions14
Page 4: .IN SAFE HANDSIMPLEMENTING ADULT PR
Page 7 and 8: .2. A FRAMEWORK FOR WALES2.1 Wales
Page 9 and 10: .• Agreed decision making and fol
Page 11 and 12: .5. INTERAGENCY WORKING5.1 The Nati
Page 13 and 14: .• Local authority member level.
Page 15: .6. A POSITIVE SERVICE CULTURE6.1 W
Page 19 and 20: .are theoretically possible but who
Page 21 and 22: .7.16 Abuse which occurs within an
Page 23 and 24: .• initial adult protection refer
Page 25 and 26: .intimidated it is quite in order f
Page 27 and 28: .8.16 The case conference should al
Page 29 and 30: .9. PROTOCOLS FOR SHARING INFORMATI
Page 31 and 32: .10. MONITORING ARRANGEMENTS10.1 Ac
Page 33 and 34: .10.6 Periodic audits of individual
Page 35 and 36: .12. USEFUL CONTACT LIST12.1 A simp
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Page 39 and 40: .APPENDIX 1VULNERABLE ADULTS - POLI
Page 41 and 42: .setting, manner and language appro
Page 43 and 44: .- any injury which has not been pr
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Page 47 and 48: .- dishevelled appearance- basic ne
Page 49 and 50: .consider whether abuse has occurre
Page 51 and 52: .Possible indicators44. These indic
Page 53 and 54: .APPENDIX 3DraftALL WALES REGISTRAT
Page 55 and 56: .The local Social Services Departme
Page 57 and 58: .• Where a resident/patient has n
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Page 63 and 64: .APPENDIX 4Powys C.CFLOW CHART: The
Page 65 and 66: .Complaint to professional body (ac
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.If yes:-PoliceHealthHousingOther S
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.And assuming something is done abo
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.What to record for monitoring purp
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.How often should monitoring be und
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.APPENDIX 7PREVENTION OF ABUSEEXAMP
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.APPENDIX 8LIST OF RELEVANT STATUTE
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.APPENDIX 9The legal context for ad
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.Section 48 authorises the local au
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.The Mental Health Act (MHA) 1983Se
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.Trespass to the person (assault &
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.Agency office, who will arrange to
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.The Official Solicitor does not re
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.ii) it is an offence to persuade a
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.APPENDIX 10PROTECTING VULNERABLE A
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.StatusThe documents were referred
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.allegations of abuse. All the docu
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.• Civil Law• Common Law• Fin
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Update 2003Diweddariad 2003Update 2
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• people with sensory impairments
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Assessors6.2 The NHS and Community
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- if the third party has been grant
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(f)Financial and accounting records
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7.13 Transparency & In</str
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Sec 1: All vulnerable adults (conti
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Sec 4: formal arrangements (continu
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function undertaken by the Receiver
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. If someone is not happy with open
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Additional Contract requirements.5.
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REFERENCESResidents Money - A Guide
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- repaying, in certain circumstance
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- keep any property in a reasonable
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(c)(d)Power of Attorney and Endurin
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8. Column 4 (Details of Transaction
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iv)It may be necessary to check med
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When someone has the mental capacit
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affecting patients. The administrat
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4) The PVA2 does not achieve the fo
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3.2 The CSIW will respond positivel
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• In accordance
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In Safe Hands - Action on Elder Abuse

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