12.10.2015 Views

No Secrets

safeguardingAdultsNewsletterOct2015

safeguardingAdultsNewsletterOct2015

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Kirklees<br />

Safeguarding Adults<br />

Board<br />

Partners in preventing<br />

abuse and neglect<br />

12th edition. Autumn 2015<br />

<strong>No</strong> <strong>Secrets</strong><br />

Safeguarding News<br />

Working together across<br />

Kirklees to protect<br />

vulnerable adults


Welcome to the 12th edition of<br />

“<strong>No</strong> secrets” Safeguarding News<br />

This is the safeguarding<br />

vulnerable adults’<br />

e-newsletter for health and<br />

social care professionals<br />

and members of the<br />

safeguarding network.<br />

This newsletter has been produced by the<br />

Kirklees Safeguarding Adults Board to<br />

keep you up to date on safeguarding issues<br />

including Safeguarding Mental Capacity Act<br />

and Deprivation of Liberty.<br />

We also include topics that affect you such<br />

as dignity in care, hate crime and domestic<br />

violence. We hope you find it interesting and<br />

informative.<br />

Newsflashes<br />

• At the bottom of some pages you will see<br />

newsflashes – we asked the question “When I<br />

think of the people I work with, what do I do now<br />

to make safeguarding personal?” and you gave us<br />

your answers. For more information see page 14.<br />

In this edition<br />

• Progress update<br />

• Multi-agency policy and procedure<br />

• Safeguarding Annual Report<br />

• The board<br />

• What is the duty of candour?<br />

• Deprivation of Liberty Safeguards –<br />

Consultation launched by the Law<br />

Commission<br />

• ‘I feel safer as a result of the<br />

safeguarding investigation’<br />

• Promoting safety - expansion of the<br />

Safe Places Scheme<br />

• SAFER (Scams & Fraud Education for<br />

Residents) project<br />

• Should all self-neglect be regarded<br />

as safeguarding?<br />

• Domestic abuse<br />

• Mental Capacity Act (MCA)<br />

• Dignity In Care network event<br />

• Safeguarding Network Event<br />

• Louise Macaskill, District Nurse Team<br />

Leader -<br />

my secondment<br />

• Housing Services and implications<br />

of the Care Act<br />

• Keith Smith Chair of the board for 9<br />

years<br />

• Do you know how to access Multi-<br />

Agency Training?<br />

• What’s new with you?<br />

• Feedback<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal -“tell people how you will help instead of what will<br />

happen”<br />

2


Progress update<br />

Welcome to Mike Houghton-Evans<br />

Mike Houghton-Evans has been<br />

appointed as the independent<br />

chair of Kirklees Safeguarding<br />

Adults Board.<br />

Mike said “I am delighted<br />

to have been appointed as<br />

independent chair for Kirklees<br />

Safeguarding Adults Board.<br />

It is the role of the chair to<br />

effectively engage with partners<br />

and ensure the board not only<br />

maintains its strategic focus but<br />

also even handed independence<br />

with the ability to challenge<br />

poor performance wherever it<br />

arises.<br />

It is clear that within Kirklees<br />

there are strong partnerships<br />

and this is demonstrated<br />

through the well-established,<br />

effective, and well-supported<br />

Safeguarding Adults Board. The<br />

board has already undertaken<br />

much of the work required to<br />

ensure it complies with the<br />

statutory requirements of the<br />

Care Act.<br />

My role will be to help the board<br />

build on its strong foundations<br />

and continue to provide system<br />

leadership, constructive<br />

scrutiny and challenge as we<br />

focus on our primary focus to<br />

keep the people of Kirklees<br />

safe.”<br />

Mike has a lot of experience<br />

working in specialist<br />

safeguarding area of work.<br />

He has a senior social worker<br />

background and has held<br />

a number of senior posts,<br />

including the position of<br />

Director of Health and Social<br />

Policy/Modernisation – a joint<br />

appointment - working for both<br />

Social Services and health.<br />

Last year he worked with the<br />

Department of Health and the<br />

<strong>No</strong>rth West Joint Improvement<br />

Programme and led the work<br />

on early intervention and<br />

prevention.<br />

Mike has been involved in<br />

reviews of safeguarding<br />

arrangements for a number of<br />

years and has held the position<br />

of independent chair of another<br />

Safeguarding Adults Board<br />

since 2009.<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”go back to the beginning – get the full story”<br />

3


What’s new?<br />

The Safeguarding Adults Multi Agency Policy and<br />

Procedure for West Yorkshire and <strong>No</strong>rth Yorkshire<br />

The five West Yorkshire Safeguarding Adults<br />

Boards (SABs) have had a joint adult safeguarding<br />

policy and procedure since October 2013. The<br />

<strong>No</strong>rth Yorkshire Safeguarding Adults Board has<br />

now also adopted the policy /procedures, which<br />

have been updated to take into account some<br />

changes required by the Care Act 2014<br />

What are the changes?<br />

The key areas to note are:<br />

Wellbeing duty<br />

The overall wellbeing duty for councils includes<br />

protection from abuse and neglect.<br />

There are some changes in terminology<br />

• Alerts become concerns<br />

• Referrals become initial enquiries.<br />

• You may hear the term ‘formal section 42<br />

enquiry’. This refers to a new duty to make<br />

enquiries.<br />

New duty to make enquiries<br />

The local authority has a responsibility to ensure<br />

enquiries are made where safeguarding criteria<br />

below are met:<br />

• if a person has care and support needs and<br />

• is experiencing, or at risk of abuse or neglect<br />

and...<br />

• as a result of care and support needs, is unable<br />

to protect themselves from abuse, neglect or<br />

the risk of it.<br />

These criteria are becoming known as the<br />

Section 42 criteria.<br />

An enquiry is the action taken or instigated by<br />

the local authority in response to a concern that<br />

abuse or neglect may be taking place.<br />

Any enquiry should establish whether any action<br />

needs to be taken to prevent or stop abuse and<br />

neglect and by whom. It could range from a<br />

conversation with the adult, risk management<br />

action right through to a much more formal<br />

multi-agency course of action, involving<br />

strategy, enquiry and case conference.<br />

Once enquiries are completed, the local<br />

authority should then determine with the adult<br />

what, if any, further action is necessary and<br />

acceptable.<br />

Great emphasis on outcomes<br />

The new policy gives even higher priority<br />

than before to the key messages of Making<br />

Safeguarding Personal, about how we might<br />

respond in safeguarding situations in a way that<br />

improves involvement, choice and control as<br />

well as improving quality of life, wellbeing and<br />

safety.<br />

Types of abuse include:<br />

Physical - including assault, hitting, pushing,<br />

misuse of medication, restraint<br />

Sexual - including rape, indecent exposure,<br />

sexual harassment, inappropriate looking or<br />

touching, sexual teasing or innuendo<br />

Psychological - including threats of harm<br />

or abandonment, deprivation of contact,<br />

humiliation, blaming, controlling<br />

Neglect - including ignoring medical, emotional<br />

or physical care needs<br />

Discrimination - including forms of harassment<br />

because of race, gender and gender identity,<br />

age, disability, sexual orientation or religion.<br />

Organisational – (formerly institutional)<br />

including neglect and poor care practice as a<br />

result of the structure, policies, processes and<br />

practices within an organisation.<br />

Financial - including theft, fraud, and<br />

misappropriation of property, possessions or<br />

benefits.<br />

continues over<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”check out what’s being said”<br />

4


What’s new?<br />

Multi Agency Policy and Procedure<br />

Other types of abuse<br />

The Care Act acknowledges the wider aspects<br />

of adult safeguarding and makes links with selfneglect,<br />

human trafficking /modern slavery and<br />

domestic abuse.<br />

Safeguarding will include some cases of the<br />

above.<br />

However, it is important to note that it will only be<br />

if the criteria set out at Care Act 2014 section 42.1<br />

are met (ie the person must have needs for care<br />

and support) before the issue is considered as a<br />

safeguarding concern.<br />

Duty to arrange advocacy<br />

The local authority has a duty to arrange for<br />

an independent advocate where the adult has<br />

substantial difficulty with the process and there<br />

is no other appropriate individual to assist.<br />

Advocates will be involved in all formal Section<br />

42 enquiries where the adult has substantial<br />

difficulty and no other appropriate support.<br />

Advocates could also be involved in any more<br />

complex risk management approaches.<br />

continued<br />

Implications for care provider<br />

organisations<br />

Role in enquiries<br />

When undertaking an enquiry, the first<br />

responsibility to act must be with the employing<br />

organisation (unless there is a conflict or asked<br />

to do otherwise by the local authority).<br />

The employer should investigate any concern,<br />

provide any additional support the adult may<br />

need, unless there is compelling reason why it<br />

is inappropriate or unsafe to do this. However<br />

it is important to note that the local authority<br />

now has a duty to ensure that any actions taken<br />

by others investigating a concern do safeguard<br />

the individual concerned, so good partnership<br />

working remains essential.<br />

Employers must report all findings of abuse to<br />

Disclosure and Barring Service and professional<br />

bodies with Designated Adult Safeguarding<br />

Manager oversight.<br />

For more information visit<br />

http://bit.ly/1MW5bsx<br />

Safeguarding Annual Report 2014/15<br />

The Safeguarding Annual Report 2014/15 is available on the Kirklees<br />

Council website at http://bit.ly/1JPGM3n<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”work harder to involve the Adult at Risk in the process<br />

right at the very beginning”<br />

5


What’s New?<br />

The Board<br />

The Kirklees Safeguarding Adults Board brings<br />

together the main organisations working with adults<br />

at risk including the local authority, West Yorkshire<br />

Police and health agencies. Its core purpose is to<br />

help and protect adults at risk in its area.<br />

The board has overall governance of the policy,<br />

practice and implementation for safeguarding. It<br />

also has a key role in promoting the wider agenda so<br />

that safeguarding is a responsibility for everyone.<br />

From April 2015 the board has statutory status,<br />

and much of the board’s work during the last<br />

twelve months has been to ensure it meets the<br />

requirements of the Care Act 2014.<br />

The Act introduces the first statutory framework<br />

for protecting adults from abuse and neglect and<br />

includes:<br />

• A new duty for a local authority to carry out<br />

enquiries (or cause others to) where it suspects<br />

an adult is at risk of abuse or neglect.<br />

• A requirement for all areas to establish a<br />

Safeguarding Adults Board (SAB) to bring<br />

together Local Authority, NHS and the police<br />

(these agencies are now statutory partners) to<br />

coordinate activity to protect adults from abuse and<br />

neglect.<br />

• A requirement for Safeguarding Adults Boards<br />

to carry out safeguarding adults reviews into<br />

cases where someone who is experiencing abuse<br />

or neglect dies or there is concern about how<br />

authorities acted, to ensure lessons are learned.<br />

• Safeguarding Adults Boards can require information<br />

sharing from other partners to support reviews or<br />

other functions.<br />

• In addition, Care Act guidance requires boards<br />

(statutory partners) to have initial arrangements in<br />

place to undertake the function of a new role - the<br />

Designated Adults Safeguarding Manager. This<br />

function is at the very early stages of development<br />

and is subject to further national guidance.<br />

Although it is not a requirement, the local authority<br />

has appointed an independent chair to the<br />

Safeguarding Adult Board who is not an employee<br />

of an agency that is a member of the board. This<br />

is to provide reassurance that the board has some<br />

independence from the local authority and other<br />

partners.<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”adapt to how the person communicates, using their<br />

language, plain English / whatever form of communication they use”<br />

6


What’s New?<br />

What is the DUTY OF CANDOUR?<br />

“Openness and honesty when things go<br />

wrong: the professional duty of candour”<br />

Section 81 of the Care Act sets out the statutory<br />

duty of candour on providers of health care and<br />

adult social care services registered with the<br />

Care Quality Commission Providers of care<br />

regulated by the CQC have a duty to report to<br />

them any allegations of abuse or neglect.<br />

See http://bit.ly/1FW9p43<br />

In addition, in June 2015 the Nursing and<br />

Midwifery Council (‘NMC’) and the General<br />

Medical Council (‘GMC’) issued new guidance out<br />

the standards expected of doctors, nurses and<br />

midwives in respect of their professional duty of<br />

candour.<br />

Under the new guidance doctors, nurses and<br />

midwives should:<br />

• Speak to a patient, or those close to them, as<br />

soon as possible after they realise something<br />

has gone wrong with their care.<br />

• Apologise to the patient - explain what<br />

happened, what can be done if they have<br />

suffered harm and what will be done to prevent<br />

someone else being harmed in the future.<br />

• Use their professional judgement about<br />

whether to inform patients about near misses<br />

– incidents which have the potential to result in<br />

harm but do not.<br />

• Report errors at an early stage so that lessons<br />

can be learned quickly, and patients are<br />

protected from harm in the future.<br />

• <strong>No</strong>t try to prevent colleagues or former<br />

colleagues from raising concerns about patient<br />

safety<br />

All healthcare professionals have long had a<br />

professional responsibility to be honest with<br />

people in their care when things go wrong,<br />

but this new guidance is the latest step in the<br />

responses to the well-documented failings at<br />

Mid-Staffordshire NHS Foundation Trust.<br />

The challenge remains for us all is to embrace<br />

the opportunities for openness provided by the<br />

new guidance and for organisations to support a<br />

culture built on improvement through learning<br />

from mistakes.<br />

See http://bit.ly/1LDIMlo<br />

Openness and honesty<br />

when things go wrong:<br />

the professional duty of candour<br />

The professional duty of candour 1<br />

Every healthcare professional must be open and<br />

honest with patients when something that goes<br />

wrong with their treatment or care causes, or has the<br />

potential to cause, harm or distress. This means that<br />

healthcare professionals must:<br />

■ ■ tell the patient (or, where appropriate, the<br />

patient’s advocate, carer or family) when<br />

something has gone wrong<br />

■■<br />

apologise to the patient (or, where appropriate,<br />

the patient’s advocate, carer or family)<br />

■■<br />

offer an appropriate remedy or support to put<br />

matters right (if possible)<br />

■■<br />

explain fully to the patient (or, where appropriate,<br />

the patient’s advocate, carer or family) the short<br />

and long term effects of what has happened.<br />

Healthcare professionals must also be open and<br />

honest with their colleagues, employers and<br />

relevant organisations, and take part in reviews<br />

and investigations when requested. They must also<br />

be open and honest with their regulators, raising<br />

concerns where appropriate. They must support and<br />

encourage each other to be open and honest, and<br />

not stop someone from raising concerns.<br />

About this guidance<br />

1 All healthcare professionals have a duty of<br />

candour – a professional responsibility to be<br />

honest with patients * when things go wrong.<br />

This is described in The professional duty of<br />

candour, which introduces this guidance and<br />

forms part of a joint statement from eight<br />

regulators of healthcare professionals in the UK.<br />

2 As a doctor, nurse or midwife, you must be open<br />

and honest with patients, colleagues and your<br />

employers.<br />

3 This guidance complements the joint statement<br />

from the healthcare regulators and gives more<br />

information about how to follow the principles<br />

set out in Good medical practice 2 and The Code:<br />

Professional standards of practice and behaviour<br />

for nurses and midwives. 3 Appendix 1 sets out<br />

relevant extracts from General Medical Council<br />

(GMC) and Nursing and Midwifery Council<br />

(NMC) guidance. This guidance applies to all<br />

doctors registered with the GMC and all nurses<br />

and midwives registered with the NMC across<br />

the UK.<br />

*<br />

When we refer to ‘patients’ in this guidance, we also mean<br />

people who are in your care.<br />

1<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”ask questions”<br />

7


Safeguarding<br />

Deprivation of Liberty Safeguards – Consultation<br />

launched by the Law Commission<br />

The Deprivation of Liberty<br />

Safeguards (DoLS) aim to<br />

protect people who lack mental<br />

capacity, but who need to be<br />

deprived of liberty so they can<br />

be given care and treatment<br />

in a hospital or care home.<br />

If a person’s right to liberty<br />

needs to be infringed in other<br />

settings, an authorisation must<br />

be obtained from the Court of<br />

Protection.<br />

The DoLS have been criticised<br />

since they were introduced<br />

for being overly complex and<br />

excessively bureaucratic.<br />

In March 2014, a House of Lords<br />

Select Committee published<br />

a detailed report concluding<br />

that the DoLS were “not fit for<br />

purpose” and recommended<br />

that they be replaced. At the<br />

same time, a case in the United<br />

Kingdom Supreme Court held<br />

that far greater numbers of<br />

people fell to be dealt with<br />

under the DoLS system than<br />

had previously been thought.<br />

This has placed increasing<br />

burdens on local authorities<br />

and health and social care<br />

practitioners administering the<br />

DoLS<br />

The Law Commission has<br />

opened a consultation on the<br />

law of mental capacity and<br />

deprivation of liberty. The<br />

consultation is open until 2<br />

<strong>No</strong>vember 2015.<br />

The Safeguarding Adults Board<br />

will be submitting its own<br />

response to the consultation,<br />

but as this affects so many<br />

people across the partnership<br />

in Kirklees, we encourage you<br />

to read the proposals, think<br />

what they mean, and respond<br />

to the consultation ,either<br />

directly to the Law Commission<br />

or by linking in with your own<br />

organisation’s response<br />

Summary<br />

http://bit.ly/1OjcNIL<br />

Full document<br />

http://bit.ly/1eF754q<br />

The consultation questions can<br />

be found at Appendix A<br />

The Law Commission expects<br />

to publish a final report with its<br />

recommendations and a draft<br />

Bill in 2016.<br />

The Law Commission<br />

has proposed replacing<br />

the Deprivation of Liberty<br />

Safeguards (DoLS) with a new<br />

system, to be called “Protective<br />

Care”.<br />

Launching its consultation<br />

on the law of mental capacity<br />

and deprivation of liberty,<br />

the Government’s law<br />

reform advisory body said its<br />

proposed new system would<br />

not be focused on authorising<br />

deprivations of liberty, “but<br />

instead upon providing<br />

appropriate care and better<br />

outcomes for people who lack<br />

mental capacity and helping<br />

their family and carers.”<br />

The consultation can be<br />

viewed here:<br />

http://bit.ly/1fmOrPO<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”stop using the word ‘safeguarding’ with the individual it<br />

causes alarm – keep it for the professionals”<br />

8


Safeguarding<br />

‘I feel safer as a result of the<br />

safeguarding investigation’<br />

What do people in Kirklees say?<br />

Asking people about their experience of safeguarding is clearly<br />

not a simple task and needs approaching in a sensitive way.<br />

This year the board took an active part in research commissioned<br />

by the Department of Health, Health and Social Care Information<br />

Centre and Kings College London. The aim of the research was<br />

to see if adults at risk feel safer as a result of a safeguarding<br />

investigation and if collecting the views of the individual<br />

concerned could help provide a national measure of quality.<br />

The research involved conducting face to face interviews with a<br />

sample of consenting participants who have had a safeguarding<br />

investigation. Questions included:<br />

• Did you feel listened to during conversations and meetings with<br />

people about helping you feel safe?<br />

• Were you able to understand the information given to you when<br />

people were trying to help you stay safe?<br />

• How happy are you with the end result of what people did to try<br />

and keep you safe?<br />

• Do you feel that you are safer now because of the help from<br />

people dealing with your concern?<br />

People or their advocates told us they felt reassured by the<br />

process and the support they were given and that the process<br />

was fair. They were impressed and reassured by the openness<br />

and honesty of staff and people involved in the concern and said<br />

they were safer now the concerns have been recognised.<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”be honest about possible outcomes”<br />

9


Safeguarding - linking with other agendas<br />

Promoting safety - SAFER (Scams & Fraud<br />

expansion of the Safe Education for Residents)<br />

Places Scheme<br />

project<br />

The board has supported<br />

the ‘Safe Places Scheme’<br />

for a number of years<br />

as part of its prevention<br />

agenda. It is a<br />

partnership arrangement<br />

across various parts of the<br />

council, the learning disability<br />

partnership board and Metro Travel.<br />

It is delivered by Mencap in Kirklees.<br />

“Safe Places” are designated venues in the<br />

community where people can go if they are<br />

feeling unsafe or are experiencing what might be<br />

described as a hate crime.<br />

The Safe Places scheme originally focussed<br />

on individuals with learning disabilities but in<br />

September 2014 was re-launched for all adults<br />

who might be at risk in the community, including<br />

people with dementia. This has meant updating<br />

current venues and materials with appropriate<br />

information to ensure the scheme is fully<br />

inclusive and meets all members’ needs.<br />

New partnerships have been encouraged<br />

and developed particularly with dementia led<br />

services including the Kirklees Dementia Action<br />

Alliance, Alzheimer’s Society and Making Space.<br />

Membership of the scheme has steadily<br />

increased to over 400 members and the number<br />

of venues across Kirklees is now approaching<br />

70. The safeguarding board continues to help<br />

guide the scheme through its membership<br />

on the scheme’s steering group. Members<br />

continue to report higher feelings of confidence,<br />

independent travel and ability to participate in<br />

their local community.<br />

For more information visit<br />

https://mencapinkirklees.wordpress.com/<br />

Kirklees<br />

Safeguarding<br />

Adults Board is<br />

supporting the<br />

SAFER (Scams &<br />

Fraud Education for Residents) project.<br />

This project aims to help older residents in<br />

Kirklees to protect themselves from scammers,<br />

fraudsters and doorstep crime<br />

We know that 14.5m people are targeted by<br />

scams annually, 2.5m fall victim, with an<br />

estimated £10 billion lost to fraudsters (National<br />

Fraud Authority 2013).<br />

The University of Exeter (2009) found that scams<br />

cause severe psychological harm through<br />

keeping it secret from family members, and<br />

the Metropolitan Police believe the impact is<br />

equivalent to that of violent crime.<br />

We know fear of crime can increase feelings of<br />

isolation and decrease engagement in the local<br />

community.<br />

SAFER is a community protection and<br />

empowerment programme supporting older and<br />

vulnerable adults run by West Yorkshire Trading<br />

Standards. The project aims to increase the<br />

knowledge, skills and confidence of residents<br />

to protect themselves from doorstep crime and<br />

scams, as well as providing advice and support<br />

on finances. The project also offers training to<br />

front line workers to help them spot, stop and<br />

support residents at risk of victimisation.<br />

For more information contact Rebecca<br />

Finch, SAFER Project officer for Kirklees and<br />

Calderdale, on 0113 393 9814 or email<br />

rfinch@wyjs.org.uk<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”allow people to take risks, give them information”<br />

10


Watch this space!<br />

Should all self-neglect be regarded as safeguarding?<br />

Situations where someone<br />

appears to be self-neglecting<br />

are complex and challenging.<br />

The Care Act 2014 requires<br />

boards to consider where<br />

self‐neglect should fit<br />

safeguarding policies and<br />

procedures.<br />

Readers will remember<br />

that we welcomed Michael<br />

Preston-Shoot, Executive<br />

Dean, Faculty of Health and<br />

Social Sciences from the<br />

University of Bedfordshire, to<br />

talk further about the subject.<br />

The audience of over 100<br />

reflected on the expert detailed<br />

research he has carried out.<br />

Michael was supported by Kay<br />

Murray, Head of Professional<br />

Standards, Croydon Adult Care<br />

Commissioning, who also<br />

talked about current thinking<br />

on self-neglect. Mick Wharton,<br />

Wakefield Safeguarding Adults<br />

Board Business Manager,<br />

gave us an example of a case<br />

study and a model of working<br />

that has been used by some<br />

authorities to address issues of<br />

self-neglect.<br />

The board in Kirklees is taking<br />

this work forward using views<br />

shared at the event. There<br />

is a multi-agency group<br />

working at present and their<br />

recommendations will be<br />

shared shortly.<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”working best with unwise decisions”<br />

11


Domestic Abuse<br />

During recent months key partners have<br />

been working together to produce a new<br />

Domestic Abuse Strategy for 2015-18 and<br />

establish priority actions for the next twelve<br />

months. The strategy sets out a vision and<br />

objectives to reduce the incidence and impact<br />

of domestic abuse in Kirklees delivering high<br />

quality services to victims. Working across all<br />

tiers of need, support will be provided from an<br />

early intervention level when issues are first<br />

recognised, through to high risk cases where<br />

impact is likely to be significant.<br />

The strategy has built on national guidelines<br />

and policies and the Domestic Abuse Needs<br />

Assessment undertaken by Kirklees Public<br />

Health earlier this year; it links to wider<br />

Kirklees strategies including the Safer<br />

Stronger Communities Plan, Joint Health<br />

and Wellbeing Strategy and the work of the<br />

Local Safeguarding Children’s Board and<br />

Adults Safeguarding Board. The strategy has<br />

been produced in collaboration with local<br />

managers from the statutory and voluntary<br />

sectors and recently agreed by the Domestic<br />

Abuse Strategy Partnership and endorsed by<br />

the Safer Stronger Communities Executive.<br />

During coming months, it will be shared<br />

on websites and discussed at the Adults<br />

Safeguarding Board and Health and Wellbeing<br />

Board; a presentation was also made in July<br />

to the Local Children’s Safeguarding Board.<br />

Priorities for the first year include:<br />

• Expansion of Independent Domestic<br />

Violence Advocacy Service to meet needs of<br />

people with mental health and substance<br />

misuse problems, targeted support for<br />

young people, support for victims through<br />

domestic violence prevention orders and<br />

in court, help in Accident and Emergency<br />

departments<br />

• Development of targeted campaigns to<br />

raise awareness of domestic abuse<br />

• Agreement of pathways and referral routes<br />

into services at all tiers of need<br />

• As part of a West Yorkshire programme,<br />

increase perpetrator work<br />

• Further analysis of good practice locally<br />

and nationally to improve understanding of<br />

domestic abuse issues, improve support and<br />

inform future commissioning<br />

• Establish gaps in training to shape<br />

workforce development programme<br />

To view the domestic abuse strategy visit:<br />

http://bit.ly/1MWxerP<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”offer advocacy of an appropriate sort”<br />

12


Sharing good practice<br />

Mental Capacity Act (MCA)<br />

Dignity In Care<br />

network event<br />

Last year the Care Quality<br />

Commission made a full<br />

inspection of the Mid Yorkshire<br />

Hospitals NHS Trust.<br />

The inspectors identified<br />

that the organisation had<br />

major problems with the<br />

understanding and awareness<br />

of the Mental Capacity Act<br />

(MCA) 2005. In preparation for<br />

this year’s follow-up inspection,<br />

and further to intensive<br />

training undertaken through<br />

the organisations mandatory<br />

training systems, members<br />

of the adult safeguarding<br />

team spent two weeks on the<br />

three hospital sites, as well<br />

as visits to interim care units<br />

in order to promote MCA and<br />

the Deprivation of Liberty<br />

Safeguards (DoLS).<br />

The team were dressed very<br />

distinctively in bright orange<br />

polo shirts with black lettering<br />

on which asked ‘MCA - any<br />

questions?’<br />

The aim was not for the team to<br />

question staff, but for the staff<br />

to approach them with practice<br />

related questions.<br />

This was very successful and<br />

staff approached the team<br />

with a variety of questions.<br />

Two questions had a recurring<br />

theme, which was apparent<br />

across the entire organisation.<br />

1. Who assesses capacity?<br />

2. How do you document it?<br />

The team encouraged staff<br />

to ask questions, those who<br />

did we rewarded with special<br />

banner pens and credit sized<br />

guides containing basic MCA<br />

information. The banner pens<br />

provided top tips on MCA and<br />

learning disabilities.<br />

On week three, the team<br />

provided support for “learning<br />

disabilities week”, which saw a<br />

manned stand in the hospitals<br />

giving out information on MCA.<br />

Awareness of MCA is continuing<br />

throughout the trust and further<br />

‘orange polo shirt walkabouts’<br />

are happening at regular<br />

interval to help embed MCA/<br />

DoLS.<br />

‘We are what we eat’ -<br />

sharing good practice in<br />

food and fluids<br />

Over 60 people attended this<br />

event recently and took part in<br />

workshops as well as listening<br />

to our guest speakers.<br />

Our guest speakers were<br />

chosen to support the link<br />

between nutrition and<br />

wellbeing:<br />

• Tracy Conroy, tissue<br />

viability nurse delivered her<br />

presentation on pressure<br />

ulcer prevention.<br />

• The FINE (Food Initiatives<br />

Nutrition Education) team<br />

promoted the key messages<br />

for healthy eating. Layla<br />

Brown, dietician from Locala<br />

and Jill Stancliffe, nurse<br />

practitioner discussed the<br />

Malnutrition Universal<br />

Screening Tool’ (‘MUST’) and<br />

food fortification.<br />

• Sandra Gott, Community<br />

Matron and Debbie Atkinson,<br />

MacMillan clinical nurse<br />

specialist explored “Nutrition<br />

in last weeks/days of life”<br />

and Joanne Coxon, Kirklees<br />

College presented on<br />

nutrition and cooking skills.<br />

We are grateful to our speakers<br />

who readily show their<br />

commitment by speaking at the<br />

network events.<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”include the adult at risk’s views in the investigation<br />

report”<br />

13


Safeguarding Network Event<br />

Making Safeguarding Personal is about:<br />

• Enabling people to have more control in how<br />

safeguarding happened and to decide on the<br />

process that would work best for them.<br />

• Making sure that people being safeguarded<br />

are better informed about what safeguarding<br />

is, the process that may be followed and<br />

how they might be involved in deciding what<br />

outcomes they wanted.<br />

• Making sure that people are involved in and<br />

able to influence the process that is followed.<br />

Peer challenge and other work has found<br />

that people can tend to feel driven through a<br />

process in safeguarding, although they may<br />

appreciate the work of individual staff they may<br />

not feel in control of what is happening.<br />

Whilst most people do want to be safer, other<br />

things may be as, or more important, for<br />

example: maintaining family relationships.<br />

In Kirklees we started this work by ensuring<br />

the board were fully committed to taking the<br />

work forward, and by then holding a network<br />

event in partnership with Huddersfield<br />

University.<br />

We were delighted to welcome Jill Manthorpe<br />

Professor of Social Work King’s College<br />

London to talk about ‘What is Making<br />

Safeguarding Personal?’ and Sarah Finlay,<br />

Department of Social Work and Communities<br />

<strong>No</strong>rthumbria University, who gave feedback<br />

from research .We also shared feedback from<br />

a pilot study in Kirklees about how people felt<br />

about Safeguarding in Kirklees<br />

We asked practitioners:<br />

• When I think of the people I work with, what<br />

do I do now to make safeguarding personal?<br />

• What can I do differently in my own everyday<br />

practice to make safeguarding more<br />

personal to meet desired outcomes?<br />

• What suggestions do you have that will<br />

support the Kirklees Adult Safeguarding<br />

Board and all partner organisations<br />

to develop and improve how we make<br />

safeguarding more personal in the future?<br />

Feedback from the event was used to plan<br />

some priority areas of work for a task and<br />

finish group to take forward over the coming<br />

months.<br />

Making Safeguarding Personal network<br />

event feedback<br />

It was an inspiring event that has<br />

allowed valuable networking and<br />

also an arena where practice can be<br />

discussed and exchanged. I thoroughly<br />

enjoyed Jill Manthorpe’s presentation<br />

“<br />

“<br />

A very useful and informative event.<br />

Great to see such a good attendance<br />

from a variety of agencies<br />

”<br />

”<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”engage more – talk more”<br />

14


Louise Macaskill, District<br />

Nurse Team Leader -<br />

my secondment<br />

Louise Macaskill was seconded 2 days per<br />

week to Locala Safeguarding Team. Louise<br />

told us about her secondment:<br />

“I have now come to the end of my<br />

safeguarding secondment. I finished at the<br />

end of July and had been with the Locala<br />

Adult safeguarding team since March.<br />

I have never had such a more knowledgeable<br />

and enlightening experience. It has been so<br />

valuable, both for myself, and hopefully other<br />

District Nurses, and I hope they will see me<br />

as an extra resource in the community.<br />

I could not believe just how vast and varied the<br />

role was. I was welcomed by everyone I had<br />

the pleasure to meet, including all Kirklees<br />

staff and also the staff in ‘On Trak’. I found<br />

the strategy meetings at the Civic Centre ‘eye<br />

opening’ to say the least.<br />

In our roles as District Nurses we put early<br />

indicator forms in and make safeguarding<br />

referrals, but often that is where our<br />

journey ends. I have now been able to follow<br />

processes and procedures through and see<br />

outcomes and systems that then get put into<br />

place following these initial alerts. I do feel<br />

that with issues that I have been involved in I<br />

have been able to make a difference and it will<br />

definitely change my own practice.<br />

I cannot thank Ayesha Marshall, Sue Wallace,<br />

Paula Adams and Tina Quinn enough for<br />

firstly giving me this opportunity and also<br />

for supporting me in this role and if the<br />

opportunity arose I would gladly join the team.<br />

(That’s if they would have me). Once again a<br />

big ‘THANKYOU’ to everyone I have had the<br />

pleasure to meet.”<br />

Housing Services and<br />

implications of the<br />

Care Act<br />

Housing Services recently held a half-day<br />

session with colleagues from Adults Services,<br />

looking at the implications arising from the Care<br />

Act, and opportunities for closer partnership<br />

working, across our services. As a result we have<br />

strengthened our relationships and increased<br />

our understanding of each other’s “worlds” and<br />

identified scope where we can further build on<br />

this good work.<br />

Below is a good practice example from our<br />

Accessible Homes Team, which provides the<br />

adaptations service and medical re-housing for<br />

people who need to move to more appropriate<br />

accommodation.<br />

The team arrange for the provision of grant<br />

assistance for people who have been assessed<br />

and whose homes need major adaptation as<br />

a result of disability or a long term health<br />

condition. As part of the grant approval process,<br />

staff keep an eye out for any unexplained<br />

irregularities in someone’s finances which might<br />

indicate that financial abuse is occurring. For<br />

example, if large sums of money are going out<br />

of the person’s account, or the person’s living<br />

circumstances don’t seem to be in keeping with<br />

their income.<br />

All staff within the Accessible Homes Team have<br />

been trained in safeguarding, and if abuse is<br />

suspected, they respond in accordance with the<br />

council’s arrangements for keeping people safe.<br />

For more information contact Karen Oates at<br />

karen.oates@kirklees.gov.uk<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”make sure you know the individual’s desired outcomes<br />

and be aware this may change during the process”<br />

15


Movers and Shakers<br />

Keith Smith Chair of the board for 9 years<br />

On behalf of the board<br />

- a word of thanks from<br />

our lay member, Hazel<br />

Wigmore<br />

The role of chair was<br />

previously held by Keith<br />

Smith, Kirklees Council<br />

Assistant Director for<br />

Commissioning and Health Partnerships.<br />

I would like to say a big thank you to Keith for<br />

his dedication, commitment and hard work over<br />

the last nine years, for his effective chairing,<br />

and successful development of the board.<br />

Keith’s knowledge of local, regional and national<br />

shifts in policy has kept the board in front of<br />

decision-making. He has shown a thorough<br />

grasp of situations, perceiving its broad<br />

compass along with an attention to detail.<br />

Information<br />

Do you know how to access Multi-Agency Training?<br />

The Kirklees Safeguarding Adults Board training<br />

plan sets out our approach to learning and<br />

development activities that are designed to<br />

support the West Yorkshire and <strong>No</strong>rth Yorkshire<br />

Multi-agency Safeguarding Adults Procedures<br />

and the requirements of current legislation and<br />

guidelines<br />

Keith has demonstrated the ability to explain<br />

issues clearly and steered a path to solutions.<br />

He has been impartial and allowed all views to<br />

be aired. He has appreciated alternative views<br />

but has been decisive in action. As chair he has<br />

been approachable yet has demanded answers<br />

from board members and candid in investigating<br />

issues.<br />

It has been a privilege to serve on a pioneering<br />

group serving the needs of vulnerable people<br />

under Keith’s strong leadership and I wish him<br />

well for the future.<br />

Richard Parry Director for Commissioning, Public<br />

Health and Adult Social Care also says “I would<br />

like to personally say a big thank you to Keith for<br />

his dedication, commitment and hard work over<br />

the last nine years for his effective chairing and<br />

successful development of the board.”<br />

The training plan focusses on the delivery of high<br />

quality learning and development activities to<br />

all levels of staff to enable them to respond to<br />

safeguarding concerns with prompt, timely and<br />

appropriate action. It also links to other areas of<br />

training, such as dignity in care.<br />

For more information about FREE training visit:<br />

http://bit.ly/1VDm7eO<br />

What’s new with you?<br />

We’re keen to share good practice and hot<br />

topics across all areas of safeguarding. If you<br />

have an issue or good idea that worked for your<br />

organisation and would like to share it please<br />

get in touch using the contact details below.<br />

Feedback<br />

If you have any suggestions for topics<br />

or comments about this newsletter,<br />

then please contact Kirklees Council<br />

Communications and Marketing by email:<br />

CPA&CHYPScommunications@kirklees.gov.uk<br />

Why not send us an article about safeguarding<br />

good practice or new ways of working? We will<br />

promise to try and include it in future editions.<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - ”check frequently that the person understands the<br />

process and is happy to be involved”<br />

16


Information in other formats<br />

Kirklees Council are committed to ensuring that our communication<br />

is clear, plain and available for everyone. This information can be<br />

made available in languages other than English. It can also be made<br />

available in large print, audio CD and Braille. Full details are available<br />

by telephoning 01484 414933.<br />

This newsletter has been produced by Kirklees Council Communications and Marketing Team.<br />

October 2015.<br />

NEWS<br />

NEWS<br />

FLASH<br />

FLASH<br />

Making safeguarding personal - Xxxxxx xxxxxxx xxxx xxxxxx xxx xxxxx xxxxx xx xxxxxxx<br />

xxxx xxxxxxx<br />

17

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!