SAFEGUARDING ADULTS WORKBOOK

Transcription

1 Ensuring our safeguarding arrangements act to help and protect adults SAFEGUARDING ADULTS WORKBOOK Module One Safeguarding Adults and Learning from Safeguarding Adult Reviews

2 Contents Page Introduction 2 Safeguarding 4 Reporting a concern 8 Learning from Safeguarding Adult Reviews 13 Module Assessment 17 Useful references and websites 22 Appendices 1. Teeswide Safeguarding Adults Inter-Agency Procedure Summary Teeswide Alert Form (web link) 27 Evaluation & Certification 28 Revision Number Date Approved by the Board Links to Other Policies Review Date: One 28 June 2016 June

3 Introduction This workbook has been developed for staff and volunteers who have completed Safeguarding Adults awareness training, which may have been through attending a tutor-led course, completing an e-learning course or the TSAB Safeguarding Adults Awareness workbook. This workbook will build on your prior learning and is module 1 of 6. The modules are as follows: Module 1: Module 2: Module 3: Module 4: Module 5: Module 6: Safeguarding Adults & Learning from Safeguarding Adult Reviews The Mental Capacity Act & Deprivation of Liberty Safeguards Domestic Abuse Forced Marriage Female Genital Mutilation Prevent You must complete all sections of the workbooks and return them to your Manager for assessment. When you have successfully completed all of the modules, you will be issued with a certificate and your training records will be updated: the workbooks will be returned to you to be used as a reference tool. In the appendices, you will find the current Teeswide Inter-Agency Safeguarding Adults Policy and Procedures for reference purposes. The workbook has been checked for legal accuracy and is accurate as of June Suggested study time to be allocated to complete this module: 2½ hours. Once you have completed the workbooks please forward the Certificate of Completion page to the Teeswide Safeguarding Adults Board, Business Unit, using the contact details below, who will make a record of completion and issue a certificate. Teeswide Safeguarding Adults Board Business Unit, Kingsway House, West Precinct, Billingham, TS23 2NX tsab.businessunit@stockton.gov.uk 2

4 This competency framework is aligned with nationally recognised competencies. It is based on the Bournemouth University National Competence Framework for Safeguarding Adults, reviewed in 2015, and mapped against the Safeguarding Adults: Roles and competences for health care staff- Intercollegiate Document issued 5 February On completing of this workbook, you will be able to: Level 1 (Foundation) 1. Understand and demonstrate what Adult Safeguarding is 2. Recognise adults in need of Safeguarding and take appropriate action 3. Understand dignity and respect when working with individuals 4. Understand the procedures for making a Safeguarding alert 5. Have knowledge of policy, procedures and legislation that supports Safeguarding Adults activity 6. Ensuring effective administration and quality of safeguarding processes Target groups: Alerters and NHS Level 1 & 2. Including: All staff and volunteers in health and social care settings, all frontline staff in Fire and Rescue, Police and Neighbourhood Teams and Housing, Clerical and Administration staff, Domestic and Ancillary staff, Health and Safety Officers, staff working in Prisons and custodial settings, other support staff, Elected Members, Governing Boards and Safeguarding administrative support staff. Level 2 (Intermediate) 9. Demonstrate skills and knowledge to contribute effectively to the safeguarding process 10. Have awareness and application of legislation, local and national policy and procedural frameworks Target Groups: Responders, Specialist Staff and NHS Level 3 Including: Social Workers, Senior Practitioners, Social Work Team Managers, Voluntary and Independent Sector Managers, Heads of Nursing, Health and Social Care Provider Service Managers, Safeguarding Adult Co-ordinators, Police Officers, Probation Officers, Community Safety Managers, Prison Managers, MCA Lead, Best Interests assessors (including DoLS), Advocates, Therapists, Fire and Rescue Officers, staff working in Multi-Agency Safeguarding Hubs. 3

5 Safeguarding The Care Act Guidance (updated in 2016) Guidance describes safeguarding as the means of protecting an adult s right to live in safety, free from abuse and neglect. It is about people and organisations working together to prevent and stop both the risks and experience of abuse or neglect, while at the same time making sure that the adult s wellbeing is promoted including, where appropriate, having regard to their views, wishes, feelings and beliefs in deciding on any action; imposing a duty on organisations to co-operate. Within this context, the guidance recognises that adults sometimes have complex interpersonal relationships and may be ambivalent, unclear or unrealistic about their personal circumstances. What is meant by free from abuse and neglect? Abuse and neglect can take many forms and it is important that staff working in all organisations should not be constrained in their view of what constitutes abuse or neglect, and the circumstances of an individual case should always be considered. Making Safeguarding Personal (MSP) means that the safeguarding process should be person-led and outcome-focussed, enhancing the individual s involvement and choice and control together with seeking to improve quality of life, wellbeing and safety. It should be emphasised however that safeguarding procedures are not a substitute for: Providers responsibilities to provide safe and high quality care and support; Commissioners regularly assuring themselves of the safety and effectiveness of commissioned services; The Care Quality Commission (CQC) ensuring that regulated providers comply with the fundamental standards of care or by taking enforcement action The core duties of the police to prevent and detect crime and protect life and property. Abuse or Neglect may be: a single act or repeated acts multiple in form an act of neglect or a failure to act deliberate an opportunistic act or a form of serial abusing where the perpetrator seeks out and grooms the individual(s). 4

6 The Care Act (2014) Guidance (updated in 2016) sets out the different types and patterns of abuse and neglect, though stresses that the list is not exhaustive, and describes the different circumstances in which they may take place. The safeguarding duties apply to any adult, in the Local Authority area, who: has needs for care and support (whether or not the local authority is meeting any of those needs); and is experiencing, or at risk of, abuse or neglect; and as a result of those care and support needs is unable to protect themselves from either the risk, or the experience, of abuse or neglect. The adult experiencing, or at risk of abuse or neglect will hereafter be referred to as the adult throughout this workbook. The definition of adults at risk of abuse or neglect (regardless of capacity) includes: those who are at a greater risk of suffering abuse or neglect because of physical, mental, sensory, learning or cognitive illnesses or disabilities; and substance misuse or brain injury those who purchase their care through personal budgets those whose care is funded by local authorities and/or health services those who fund their own care those receiving informal care from family and friends informal carers, family and friends who provide care on an unpaid basis. 5

7 Principles Six key principles underpin all safeguarding adult work: The Department of Health, Care and Support Statutory Guidance issued under the Care Act 2014, describes six principles that underpin all safeguarding adult work which applies to all sectors and settings including care and support services, further education colleges, commissioning, regulation and provision of health and care services, social work, healthcare, welfare benefits, housing, wider local authority functions and the criminal justice system. These principles should always inform the ways in which professionals and other staff work with adults. Empowerment Prevention Proportionality Protection People being supported and encouraged to make their own decisions and informed consent. I am asked what I want as the outcomes from the safeguarding process and these directly inform what happens. It is better to take action before harm occurs. I receive clear and simple information about what abuse is, how to recognise the signs and what I can do to seek help. The least intrusive response appropriate to the risk presented. I am sure that the professionals will work in my interest, as I see them and they will only get involved as much as needed. Support and representation for those in greatest need. I get help and support to report abuse and neglect. I get help so that I am able to take part in the safeguarding process to the extent to which I want. Partnership Local solutions through services working with their communities. Communities have a part to play in preventing, detecting and reporting neglect and abuse. I know that staff treat any personal and sensitive information in confidence, only sharing what is helpful and necessary. I am confident that professionals will work together and with me to get the best result for me. Accountability Accountability and transparency in delivering safeguarding. I understand the role of everyone involved in my life and so do they. 6

8 TYPES OF ABUSE AND NEGLECT Discriminatory Abuse Including forms of harassment, slurs or similar treatment; because of race, gender and gender identity, age, disability, sexual orientation or religion. Financial or Material Abuse Including theft, fraud, internet scamming, coercion in relation to an adult s financial affairs or arrangements, including in connection with wills, property, inheritance or financial transactions, or the misuse or misappropriation of property, possessions or benefits. Neglect and Acts of Omission Including ignoring medical, emotional or physical care needs, failure to provide access to appropriate health, care and support or educational services, the withholding of the necessities of life, such as medication, adequate nutrition and heating Physical Abuse Including assault, hitting, slapping, pushing, and misuse of medication, restraint or inappropriate physical sanctions. Self-Neglect This covers a wide range of behaviour neglecting to care for one s personal hygiene, health or surroundings and includes behaviour such as hoarding. Domestic Abuse Including psychological, physical, sexual, financial, emotional abuse; so called honour based violence. Modern Slavery Encompasses slavery, human trafficking, forced labour and domestic servitude. Traffickers and slave masters use whatever means they have at their disposal to coerce, deceive and force individuals into a life of abuse, servitude and inhumane treatment. Organisational Abuse Including neglect and poor care practice within an institution or specific care setting such as a hospital or care home, for example, or in relation to care provided in one s own home. This may range from one off incidents to on-going ill-treatment. It can be through neglect or poor professional practice as a result of the structure, policies, processes and practices within an organisation. Psychological Abuse Including emotional abuse, threats of harm or abandonment, deprivation of contact, humiliation, blaming, controlling, intimidation, coercion, harassment, verbal abuse, cyber bullying, isolation or unreasonable and unjustified withdrawal of services or supportive networks. Sexual Abuse Including rape, indecent exposure, sexual harassment, inappropriate looking or touching, sexual teasing or innuendo, sexual photography, subjection to pornography or witnessing sexual acts, indecent exposure and sexual assault or sexual acts to which the adult has not consented or was pressured into consenting. 7

9 Local authorities should not limit their view of what constitutes abuse or neglect, as they can take many forms and the circumstances of the individual case should always be considered. Exploitation, in particular, is a common theme in the following types of abuse and neglect: Physical abuse, including domestic violence Sexual abuse Psychological abuse Financial or material abuse. Reporting a Safeguarding Adult Concern I have a concern about a vulnerable adult If there is an immediate risk of danger or harm, report your concerns without delay to your line manager and your Adult Safeguarding team. Immediate actions to consider: ACTIONS Is the individual safe now? Do I need to contact the police-999? Do I need to take immediate action to keep the individual safe? Do I need someone to stay with the individual? Do I need to obtain support through additional or specialist staff? 8

10 Do I need to raise a safeguarding adult concern? Many staff may hesitate if they have a concern regarding an adult and this is quite natural. However, safeguarding adults is everyone s business, it is the duty of care of all and we must share concerns. Likewise we must support each other during these processes. Talk through your concern with your line manager and where possible the adult safeguarding team before completing an alert form. Alert forms are located at Appendix 1. As a general principle within Making Safeguarding Personal we must keep the person we are safeguarding central to the process. We must: communicate our concerns openly seek the consent of capacitated individuals RAISING A CONCERN Question: In your organisation, where are the Alert Forms kept, and how do you access them? 9

11 Remember: You may need to check that you have the correct Alert Form for your patient or client; this will be dependent on their where the incident took place, home address and/or their funding authority. When completing the Alert Form, you must: Complete all sections with as much detail as possible Send any capacity test with the alert If the alert relates to a pressure ulcer remember to refer to local policies and procedures. This has a short assessment tool that must be completed each time you are considering raising a Safeguarding Adult concern Be clear if an Independent Mental Capacity Advocate (IMCA) is involved Be clear about any discussions with the individual and their wishes Be clear about any discussions with appropriate family/partner/carer and include their contact details Where possible, complete the Alert Form electronically; if this is not possible and the form is being hand written, then ensure it is legible When highlighting concerns do so in list format, i.e Inform your line manager if at all possible prior to submitting the Alert Form your concern to the local authority via a secure address The named contact/safeguarding lead person for your organisation, i.e. Single Point of Contact (SPOC). 10

12 Where To Send The Alert Form The alert form must be sent securely by Ensure you copy your SPOC into the , if applicable to your service The alert form is then scanned and attached to the Datix, if applicable The original alert form must be retained in the Adult s Health or Social Care record, it must also be recorded in the clinical notes that an alert has been raised If your organisation keeps electronic records then the alert form should also be scanned and added to the electronic record This must be done promptly and in a timely manner to ensure anyone continuing to provide care has access to all relevant information (avoid delaying this task by leaving for other staff to complete the next day) Contact the relevant local authority by phone to check that they have received the Alert Form First Contact and Support Hub Hartlepool Borough Council dutyteam@hartlepool.gcsx.gov.uk First Contact Team Middlesbrough Borough Council adultsafeguardingalert@middlesbro ugh.gov.uk Access Team Redcar & Cleveland Borough Council contactus@redcar-cleveland.gov.uk First Contact Team Stockton-on- Tees Borough Council firstcontactadults@stockton.gov.uk Out of Hours (Tees Valley) Emergency Duty Team Durham County Council If the funding Local Authority is not listed, please contact your line manager. 11

13 What Happens When The Alert Form Is Received Into The Local Authority? See appendix 1. 12

14 Learning From Safeguarding Adult Reviews What is a Safeguarding Adult Review (SAR)? Since the implementation of the Care Act 2014, in April 2015, Safeguarding Adult Boards have had a statutory duty to undertake SARs when: An adult in its area dies as a result of abuse or neglect, whether known or suspected, and there is concern that partner agencies could have worked more effectively to protect the adult. An adult in its area has not died, but the Safeguarding Adult Board knows or suspects that the adult has experienced serious abuse or neglect. In the context of SARs, something can be considered serious abuse or neglect where, for example, the adult would have been likely to have died but for an intervention, or has suffered permanent harm, or has reduced capacity or quality of life (whether because of physical or psychological effects) as a result of the abuse or neglect. Prior to the Care Act 2014, Safeguarding Adult Reviews were known as Serious Case Reviews (SCR). This section consists of a case study of the well-known Steven Hoskin case, with some associated questions for you to complete. It is important to remember that a SAR can be arranged in any other situation involving an adult in its area. 13

15 Case Study: Steven Hoskin In July 2006, Steven Hoskin was found dead at the bottom of a 100-foot railway viaduct in St Austell, Cornwall. Summary of What Happened He had been tortured for hours before his death, suffering from various injuries inflicted upon him by a number of perpetrators. He had been tied up, dragged round by a lead, imprisoned, burnt with cigarettes, humiliated and repeatedly violently abused in his own home over a period of time. He had been forced to make a false confession he was a paedophile and coerced into taking a lethal dose of paracetamol tablets. Finally he was taken to a viaduct and forced over the railings before one of the perpetrators stamped on his fingers until he let go. Steven was a 38 year-old man with learning difficulties. His murder was the culmination of on-going abuse. Five people were involved on the night of his death. The Response Steven s death followed a series of abusive incidents occurring over a period of months that a number of agencies, including police, health services, housing and social services, had been alerted to at some stage. Opportunities to intervene to halt the abuse were missed. Steven had been identified as having learning disabilities as a child and numerous agencies and organisations came into contact with him throughout his lifetime. He attended an NHS Assessment and Treatment Unit for persons with learning disabilities and mental health issues. He was assessed by Adult Social Care as having substantial need and allotted weekly visits. Social services did not conduct a risk assessment, when agreeing to stop these weekly visits, at Steven s request, after he was befriended by DS who moved into Steven s flat along with his girlfriend. Various healthcare visits, including an emergency ambulance call after Steven had been assaulted, were not reported to the police or adult protection. Once the Adult Care support ceased, Steven contacted the police on a number of occasions, without on-going follow up taking place. There were numerous 999 calls from the property but these were treated as individual events and not linked. His greatly increased contact with police and social services in the period following the cessation of weekly visits did not trigger a safeguarding referral. Steven s landlord, Ocean Housing Group, was aware that he was a vulnerable adult, that young people were always hanging around his bedsit and that he had a lodger who was dangerous and officials should not visit the accommodation alone. They did not intervene to address why Steven became the subject of frequent neighbour complaints after DS moved in with him or contact adult protection to alert them to their concerns. DS had serious on-going mental health issues and was in contact with a number of agencies as a result. He was recognised as dangerous by both Ocean Housing and the ambulance service, who would not visit the property unaccompanied. Agencies did not consider how DS presence in the flat impacted on Steven s freedom to make choices. Agencies failed to record what was happening properly, to share information and undertake proper risk assessment. Co-ordinated action and an effective flagging up system could have prevented the abuse and subsequent events leading to Steven s 14

16 death. His murder raised serious questions regarding multi-agency actions concerning both Steven and the perpetrators of the crimes. Prosecution The case was not prosecuted as disability hate crime. The combination of paedophile labelling and extreme violence is suggestive of disability hate crime, as explained in more detail in the Keith Philpott case. The paedophile labelling seems to have been used to justify the perpetrators inhumane treatment of Steven. There is no evidence that there was any basis for their accusation, but as the serious case review noted: A rumour-dynamic of this order is impossible to suppress and, as the final hours of Steven s life testify, it had chilling consequences. Review Process Cornwall Safeguarding Adults Board commissioned an independent serious case review of the events leading up to Steven Hoskin s death which addressed agency contact with both Steven and the perpetrators. Agencies in Cornwall have shown considerable commitment to learning from their mistakes and have taken time and effort to make improvements. A follow-up review a year after the serious case review found that the progress in Cornwall is considerable and goes far beyond minimalist adjustment. Actions from the serious case review had been implemented and improvements included: Better information sharing A more proactive approach to safeguarding across agencies Better systems for flagging concerns and triggering referrals Better risk assessment processes and training Effective leadership A spirit of collaboration between agencies The police have established a neighbourhood harm reduction process. Systems are in place to identify addresses of persons at risk and reasons for contact, and this is being monitored. We took evidence from both Margaret Flynn, the independent chair of the Steven Hoskin serious case review and separately from the key agencies in Cornwall. It was clear that the commitment to implementing a proactive approach to safeguarding was still strong that all agencies have made significant efforts to continue improving their responses to disability-related harassment including: Further work to develop and refine the triggers of the protocol Greater emphasis on training all staff who may have contact with members of the public in how to recognise and refer safeguarding issues Risk matrix to assist in assessment Better engagement around sub-criminal as well as criminal matters Strong relationships with Cornwall People First (a learning disability organisation) Joining up safeguarding, human rights, equality and diversity training A greater focus on entitlement to safety and independence, not just protection Clear engagement with the complexities of balancing safeguarding with independence Neighbourhood harm reduction registers for the police working with other 15

17 agencies. Much of the learning in Cornwall is applicable to other areas across Britain, but is not necessarily being applied. Flynn told us that there are currently no mechanisms for effectively sharing lessons. She said: Hand on heart I couldn t say that the lessons have been abstracted for other localities. If anything, I think the typical response is thank God it didn t happen here. 1. Flynn, 2007, for Cornwall Adult Protection Committee, The Murder of Steven Hoskin: A Serious Case Review. 2. Flynn, 2009, for Cornwall Safeguarding Adults Board, The success achieved and barriers encountered in delivering the Steven Hoskin Serious Case Review action plan. 3. Link to Cornwall County Council website: 16

18 Teeswide Safeguarding Adults Board Safeguarding Adults Workbook Module One Assessment Name Job Role Notice to Learners: You should complete the following questions without any help and submit answers to your line manager. Question 1 Where would you find information on How to raise a Safeguarding Adult concern within your workplace? a) b) Question 2 In your organisation, who would you speak to if you had a safeguarding concern? Question 3 A person being trafficked from one town to another where they are forced to have sex with different people is which types of abuse? (Please circle your answer) a. Modern Slavery b. Emotional c. Sexual d. All of the above 17

19 Question 4 Give 2 examples of the following types of abuse: Physical 1) 2) Psychological 1) 2) Sexual 1) 2) Self-Neglect 1) 2) Organisational 1) 2) Financial 1) 2) 18

20 Modern Slavery 1) 2) Domestic Abuse 1) 2) Discriminatory 1) 2) Neglect or Acts of Omission 1) 2) Question 5 Name the six key principles which underpin all safeguarding adults work. 1. E 2. P 3. P 4. P 5. P 6. A 19

21 Question 6 As part of the reporting abuse process, where should marks of the victim s body be recorded? (Please circle one answer) a. On a body map b. In the staff diary c. In the communication book Question 7 List the agencies involved in the Steven Hoskin s case study Question 8 a) Agencies recorded accurately what was happening True / False b) Co-ordinated action and an effective flagging up system could have prevented the abuse and subsequent events leading to Steven s death True / False c) Much of the learning in Cornwall is applicable to other areas across Britain True / False 20

22 Question 9 Please state 3 actions from the serious case review which have been implemented: 1) 2) 3) Question 10 List 3 significant efforts made by all agencies to continue improving their responses to disability-related harassment 1) 2) 3) 21

23 Useful References and Websites Legislation: The Care Act 2014 The Mental Capacity Act, 2005 (MCA) The Deprivation of Liberty Safeguards, 2007 (DoLS) addendum to MCA, 2005 The Mental Health Act, 2007 (MHA) The Forced Marriage Act, 2007 The Human Rights Act, 1998 The Protection from Harassment Act, 1997 (amended by the Protection of Freedoms Act 2012) The Housing Act, 2004 The Family Law Act, 1996 The Children Act, 2006 The Local Government Act, 2003 The Crime and Disorder Act, 1998 The Fraud Act, 2006 The Theft Act, 1968 The Police and Crime Evidence Act, 1984 The Medicines Act, 1968 The Sexual Offences Act, 2003 The Domestic Violence Crime and Victims Act, 2004 The Disability Discrimination Act, 2005 The Public Interest Disclosure Act, 2013 The Health and Social Care Act, 2015 The Disabled Person Act, 1986 The Anti-social Behaviour, Crime and Policing Act, 2014 Resources: Self-neglect and adult safeguarding: findings from research, Social Care Institute for Excellence, 2011 (SCIE) Deciding Right Making Safeguarding Personal Care Act Statutory Guidance Care and Support Statutory Guidance (2016 update) Cheshire West Judgement

24 ENQUIRY PHASE Appendix 1 Teeswide Safeguarding Adults Inter-Agency Procedure Summary In accordance with the Care Act 2014, safeguarding duties apply to an adult who: has needs for care and support (whether or not the local authority is meeting any of those needs); and is experiencing, or at risk of abuse or neglect; and as a result of those care and support needs is unable to protect him/herself from either the risk, or the experience, of abuse or neglect The adult experiencing, or at risk of abuse or neglect will be referred to the adult throughout this procedure. Stage of Procedure Role Responsibility Maximum Timeframe 1 Alert Take immediate action to safeguard anyone at risk of abuse or neglect Report and record concerns that an adult maybe at risk of abuse or neglect Establish the adult s views, wishes if appropriate Alerter Immediate Inter-agency alert form completed within 1 day 2 Decision Making Decision made as to whether the Inter-agency Safeguarding Procedure is appropriate to address the concern or whether more information is required as part of the enquiry Decision support tool used to inform the decision making process Ensure that the views and wishes of the adult are taken into account Determine who will undertake the initial enquiry if not the LA. Consider alternative action if safeguarding procedures are not appropriate Designated Officer Within 3 days of receiving the alert 23

25 ENQ UIR Stage of Procedure Role Responsibility Maximum Timeframe Consider providing feedback to the alerter 3 Initial Enquiry Further information gathered from identified sources in order to inform the decision as to whether to progress into safeguarding procedures Seek or review the adult s views and wishes including their desired outcomes Consider whether the adult requires an independent advocate to support them Consider providing feedback to the alerter 4 Decision Making Decision made as to whether the safeguarding procedures are appropriate to address the concern or whether more information is required as part of the enquiry Decision support tool used Consider the adult s views and wishes including their desired outcomes Consider whether the adult requires an independent advocate to support them Consider alternative action if safeguarding procedures are not appropriate Consider providing feedback to the alerter Safeguarding partners; adult, their advocate, relative and carers Designated Officer Within 3 days of receiving the alert Within 7 days of receiving the alert, if more time is required, the reason for the extended timescale must be recorded. 5 Strategy Designated Officer co-ordinates the strategy discussion/meeting Designated Officer/all Within 7 days of receiving the alert, if 24

26 Stage of Procedure Role Responsibility Maximum Timeframe Discussion/Meeting Formulate a Inter-agency safeguarding plan if needed Determine who will undertake the further enquiry if not the LA Agree timescale for completion of enquiry Involvement of the adult, their advocate, relative or carers to ensure that their views, wishes and desired outcomes are central to the process Consider alternative action if safeguarding procedures are not appropriate Consider providing feedback to the alerter 6 Further Enquiry Co-ordination and collection of information about the safeguarding concern and the context in which it happened On-going activity to address any protection needs Involvement of the adult, their advocate, relative or carers to ensure their views, wishes and desired outcomes are central to the process Identified lead investigator to report back to the Progress Strategy Discussion/Meeting every 28 days if the enquiry takes more than 28 days 7 Progress Strategy Review progress of enquiries, or if concluded Discussion/Meeting evaluate the outcome Review the views, wishes and desired attendees Identified Lead Investigator All attendees more time is required, the reason for the extended timescale must be recorded. Within the timeframe agreed at the Strategy Discussion/Meeting Within 28 days of the initial Strategy 25

27 Stage of Procedure Role Responsibility Maximum Timeframe outcomes of the adult Review the interim safeguarding plan Develop full safeguarding plan if needed Set a date for the next Progress Strategy Discussion/Meeting if needed Decision made to conclude Safeguarding Adults Procedures if appropriate and outcome recorded Consider providing feedback to the alerter 8 Review Review progress of enquiries Review the views, wishes and desired outcomes of the adult Set a date for the next Progress Strategy Discussion/Meeting if needed Decision made to conclude Safeguarding Adults Procedures and outcome recorded and evaluated; establish and record whether the adult s desired outcomes have been met and to what extent (MSP Survey) Consider whether alternative action is required if safeguarding procedures have been concluded Provide feedback to the alerter All attendees, the adult, their advocate, relative and carers Discussion/Meeting Within 28 days of the Progress Strategy Discussion/Meeting 26

28 Appendix 2 Teeswide Alert Form 27

29 Evaluation Once completed please forward the workbook evaluation (i.e. this page) and the Certificate of Completion) to the Teeswide Safeguarding Adults Board, Business Unit, using the contact details below, who will make a record of completion and issue a certificate. Teeswide Safeguarding Adults Board Business Unit, Kingsway House, West Precinct, Billingham, TS23 2NX tsab.businessunit@stockton.gov.uk Why did you complete this workbook? Where did you do your training? Home Work Mixture Overall, how satisfied were you that the workbook gave you the information that you needed to know? Very satisfied Satisfied Partly satisfied Dissatisfied What is the most important thing you have learned from this workbook? How will you use the information from this workbook in your day to day work? Would you recommend this workbook to other people? Please explain. Is there any aspects of the workbook you feel could be improved? Manager / Supervisor: Please provide feedback on how the learner managed this learning experience. 28

30 Adult Safeguarding Workbook Certificate of Completion Module One I have discussed the completion of the workbook with my manager / assessor. Name (please print): Signature of employee: Date: / / Declaration: I have seen the workbook completed by (as it will appear on the certificate))and I can confirm that I am satisfied that they now have a good knowledge and understanding of Safeguarding Adults and Learning from Safeguarding Adult Reviews. Name (please print): Signature: Date: / / Details of Manager / Assessor: Job Title: Organisation: Address: Telephone Number: 29