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safeguardingAdultsNewsletterOct2015
safeguardingAdultsNewsletterOct2015
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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