Safeguarding Adults Part IV Protocol Southern Health NHS Foundation Trust

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1 All persons have the right to live their lives free from violence and abuse. This right is underpinned by the duty on public agencies under the Human Rights Act (1998) to intervene proportionately to protect the rights of citizens. Safeguarding is Everybody s Business This protocol has been developed to provide staff working within Southern Health NHS Foundation Trust with a clear framework for responding, alerting, and initiating Safeguarding Adult Interventions. This protocol does not replace existing policies or guidance and should be read with reference to the following: Safeguarding Adult Multi-Agency Policy (CP15.1) Guidance (CP15.2) Referral to the Independent Safeguarding Authority (Vetting and Barring Scheme) (CP110) Management Action when a Concern Arises (HRP40) Responsibility: Under the Department of Health Guidance No Secrets (2000) all agencies have a responsibility to report concerns, and all Southern Health NHS staff must act if they become concerned that a vulnerable adult is experiencing or at risk of harm from abuse. The Local Authority are the lead agency for co-ordinating the Safeguarding Adults procedures when they are required. This includes Southern Health NHS services where they are integrated, including teams in Mental Health, Learning Disability and Specialised services, and Older Persons teams. Principles: The following principles apply to all Safeguarding practice: Empowerment Protection Prevention Proportionality Partnerships Accountability Definitions who are we Safeguarding? No Secrets defines a Vulnerable Adult as: A person aged 18 or over 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 him or herself, or unable to protect him or herself against significant harm or exploitation. (Department of Health, 2000)

2 Definitions what are we Safeguarding them from? A person may abuse a vulnerable adult by inflicting harm or failing to act to prevent harm. Abuse can be intentional or unintentional and can occur in a variety of situations including residential and nursing homes, at home, in day care settings, public places and hospitals. Perpetrators of abuse can be anyone; family members, institutions, paid or unpaid carers, professionals, neighbours, or those in a close relationship with the victim. Victims may be abused by those known to them or, more rarely, by a stranger. Abuse is most common in domestic or institutional settings. Abuse may take any of the following form or forms: Physical harm, including verbal abuse. Sexual harm, assault, or exploitation, including offences against an adult who lacks mental capacity regarding sexual activity. Emotional harm and Psychological harm. Financial and Material abuse. Neglect, Act of Omissions, and Poor Professional Practice. Institutional Abuse. Discrimination Violations of individual s Human or Civil Rights Hate Crime Mate Crime Domestic Abuse Honour-based Violence Forced Marriage Human Trafficking Exploitation by radicalisers who promote violence Reducing Risk and Early Help: Using the No Secrets definition of vulnerable adult (above) clearly identify those of your service users who are vulnerable adults, or at risk of becoming vulnerable adults (for example as the result of abuse). Vulnerable Adults in receipt of services should be: Monitored, for example through Care Management or Care Planning. Their vulnerable adult status should be reviewed regularly in supervision. Concerns should be discussed at an early stage including actions to resolve vulnerabilities, or increase resilience. Protection: raising the alert If there are concerns that a vulnerable adult is at risk of significant harm then immediate protective actions may be necessary: Make a risk assessment of any imminent threat to safety. Summon emergency services if needed (Ambulance, Police, or Fire service). Consider contacting the police if a crime has been committed. Consider any actions required to preserve evidence.

3 A discussion should be held with the line manager, or relevant Safeguarding Practitioner, about whether a Safeguarding Alert should be raised. Nb. If an alert is raised with the Social Services referral point then an incident report should always be completed. Making a Referral: An alert becomes a referral when it is passed on to a referral point and accepted as a referral. The alert should be raised with the relevant Social Services referral point. Vulnerable Adult is known to a Social Services Team Integrated Allocated Team Community Services Care Manager/Care Co-ordinator Learning Disability LD Social Work Team Care Manager/Care Co-ordinator Specialised Services Social Work Team Manager Care Manager/Care Co-ordinator OPMH OPMH Social Work Team Care Manager/Care Co-ordinator Mental Health Allocated Team (AAT/CTT) (Inpatient) Care Manager/Care Co-ordinator Mental Health Allocated Team (Community) Care Manager/Care Co-ordinator Vulnerable Adult is not known to a Social Services Team (or different client group) HCC Adult Contact Centre LD Social Work Team Duty Social Work Team Manager OPMH Social Work Team Duty Mental Health AAT Mental Health AAT What happens next?

4 Safeguarding Adult Referral Process Safeguarding Event (Take necessary immediate protective actions) IMR Process Complete Incident Form Discuss with Manager Agree Threshold Decision Not Safeguarding Safeguarding Alert to Social Services Referral Point Not known to Social Services Known to Social Services Social Services Contact Centre Relevant Social Work Team (AAT/CTT Manager if Mental Health)

5 SAFEGUARDING ADULTS IS EVERYONES BUSINESS. PROCESS FOR ICS, LEARNING DISABILITY, MENTAL HEALTH AND SUBSTANCE MISUSE SERVICES

6 IMR & CIR, SCR, SIRI Capacity and Personal Risk Taking Information sharing ISA

7 SAFEGUARDING ADULTS CONTACT NUMBERS Southern Health NHS Foundation Trust NHS Name /Website Contact Number Sue Kewell Head of - Integrated Community Services Jo Lappin Head of Safeguarding Mental Health & LD Services Specialist Safeguarding Practitioner Mental Health & LD Services Debbie McGregor Specialist Nurse for Integrated Community Services Jason Brandon MHSW Development Manager AMH (PA: Sarah Figgins) Pete McCullagh Locality Manager Paul Thomas Head of Service Development OPMH Nicki Brown Deputy Director of Operations LD sue.kewell@southernhealth.nhs.uk Office: Mobile : jo.lappin@southernhealth.nhs.uk Office: Mobile: Office: eliot.smith@southernhealth.nhs.uk Mobile: debbie.mcgregor@southernhealth.nhs.uk Jason.brandon@southernhealth.nhs.uk Office: Mobile: peter.mccullagh@southernhealth.nhs.uk paul.thomas@southernhealth.nhs.uk nicki.brown@southernhealth.nhs.uk Governance Office Hampshire County Council Adult Services Southampton City Council Adult Services Hantsweb Office hours: Out of hours: Office hours: Out of hours:

8 SAFEGUARDING ADULTS CONTACT NUMBERS Southern Health NHS Foundation Trust NHS Professionals Line for Hampshire Adult Services (For advice only. Not for phoning in referalls) Safeguarding Childrens Professionals Number (Hampshire wide) Police Central Referral Unit (for all adult and children safeguarding referrals) Open 7.30am 8,00pm Monday Friday; 8.00am 4.00pm Saturday and Sunday Police Flextel Contact Numbers for Out of Hours Manager within ICS Linda Sutton (for advice regarding DOLS) (DOLS Advisor NHS Hampshire) Phone: Fax: in an emergency South East: South West: North: Office: Mobile: IMCA (Independent Mental Capacity Advocacy) Phone & fax: Hampshire Domestic Abuse Forum National Domestic Abuse Helpline (free) Care First (staff advice and information service and counselling service) Resources available on the Intranet

9 Legal Context: Policy Context: No Secrets (2000) A National Framework providing better protection for people needing care and support (S7 LASS Act 1970) Safeguarding National Framework (2005) ADASS aims to ensure Safeguarding built into core activity of key agencies Local multi agency policy developed jointly with Councils, Health, Police Clinical Governance and Adult Safeguarding DOH 2010 (DOH) Guide for NHS Provider Boards & Managers & Practitioners 2011