Lancashire Safeguarding Adults Board

Transcription

1 Lancashire Safeguarding Adults Board LSAB Board Notes of meeting held 9 June 2017 Cabinet Room D, County Hall, Preston Present Zakyeya Atcha Consultant in Public Health Lancashire County Council Kath Barron Quality Improvem & Safety Specialist Lancashire County Council Sarah Blagden Public Health Specialty Registrar Lancashire County Council Jane Booth Independent Chair Lancashire Safeguarding Boards Peter Chapman Head of Safeguarding East Lancashire CCG Hayley Clarke Business Co-ordinator Lancashire Safeguarding Boards Tony Dovaston Com Safety Officer (repl T Bradley) Progress Housing Andrea Edmondson Safeguarding Practitioner North West Ambulance Service Lorraine Elliot Designated Lead Nurse for SA & MCA GreatPreston,Chorley&SR,WL CCG Victoria Gibson Business Manager Lancashire Safeguarding Boards Sarah Hargreaves Business Co-ordinator Lancashire Safeguarding Boards Derek Harrison Governor Lancaster Farms Prison Marie Hill Safeguarding Lead Lancashire CAssoc/Cornmill Lisa Johnson Practi Devel/Prob Officer (repl J Dann) Community Rehabilitation Company Alice Marquis-Carr Head of Safeguarding Fylde & Wyre CCG Yvette McGurn Principal Social Worker Lancashire County Council Danielle McMillan Business Co-ordinator Lancashire Safeguarding Boards Laura Nuttall Business Co-ordinator Lancashire Safeguarding Boards Sandra O'Hear Deputy Director of Nursing & Quality Merseycare Tony Pounder Director of Adult Services Lancashire County Council Andrew Roberts Senior Operational Support Manager Probation Robert Rushton Victims & Vulnerable People Lead PCC for Lancashire Steve Ryder DI (repl A Webster) Lancashire Constabulary Cate Short COP Co-ordinator Lancashire County Council Kelly Short Named Nurse Safeguarding Morecambe Bay CCG Lisa Slack Head of Service Patient Safety&Safegu Lancashire County Council Pauline Stables DCI Police Louise Taylor Corporate Director, Ops & Delivery Lancashire County Council Shaun Turner County Councillor Wyre Rural East Council Sheralee Turner-Birchall Chief Executive Healthwatch Lancashire & Blackpool Bridgett Welch Associate Director of Nursing Lancashire Care Foundation Trust Louise Wilson Business Support Officer Lancashire Safeguarding Boards Lynne Wyre Deputy Chief Nurse University Hosp of Morcambe Bay Apologies Randip Bhogal County Operations Manager Lancashire County Council Tony Crook Service Group Manager Lancashire Fire & Rescue Service Tammy Bradley Operations Director(replaced) Progress Housing Group Joanne Dann Deputy Director(replaced) Community Rehabilitation Company Glenn Harrison Patient Experience Manager NHS England David Hayes Head Safe Prison & Equality HM Prison Service Jane Jones Head of SG&Desig Nurse SC(replaced) Morecambe Bay CCG Graham Lowe On-line Safeguarding Advisor Lancashire Safeguarding Boards Garry Payne Chief Executive Wyre District Council Julie Seed Assist Dir Pat&Safety Govern Lancs Teaching Hospital NHS FT Andy Webster Detective Superintendent(replaced) Lancashire Constabulary Absent Richard North Head of Safer Preston HMP Preston

2 - 2 - No. ITEM ACTION 1. WELCOME & APOLOGIES FOR ABSENCE JB welcomed everyone to the meeting, apologies and replacements were noted as above. 2. NOTES OF MEETING HELD 21/04/17 - ACCURACY The notes from the previous meeting were approved for accuracy with the amendment of Jane Jones apologies rather than un-named apology from Morecambe Bay CCG, amended minutes attached. DMC asked that Point 8 as an attachment be approved separately and any amendments to contact DMC. LSAB Board Meeting Notes 2104 Members asked to review Point 8 and feedback any amendments to DMC ALL 3. REVIEW OF MATTERS ARISING AND/OR ACTION LOG Action Monitoring Log updated attached and discussions below:- LSAB Action Monitoring Log Apr2 Action 85 Smoke alarms in Social Care assessments KB confirmed that she had met with the Fire Service and Social Care and assessments were now included, a paper will be brought to a future Board Action 96 Long term segregation & seclusion LS noted that this is currently with LCC legal to ensure that facts are complete and pathways in place, to report at next meeting Action 105 Joint LSAB/LSCB Board Meeting This was agreed so the next meeting of the LSAB on 11/8/17 to be deferred to 8/9/17 to join with the LSCB. LN noted that completion of the Annual Report will need to be done via Action 106 Channel referrals PC noted that as the information was sensitive it would not be possible to report however we could ask for 12 months previous, JB noted that as long as we have assurance this was agreeable Action 109 SG Easy Read LN and RB are in discussion, to report back at next meeting Action 111 Tri-X move to Blackburn with Darwen In progress Action 113 Charging policy with LWDP JB has discussed with MH Action 114 DoLS Backlog LE will ask DoLS Team Manager to report at the next meeting Action 116 Self Neglect Framework YMG is finalising Action 118 JB spoke to professionals and a Chair has been identified for East Lancashire case Action 112 Annual Report LN reported still awaiting some responses but in progress Joint Board Meeting cancel 11/8/17 and rearrange 8/9/17 (pm), book venue LE to invite DoLS Team Manager to report on backlog to next Board Meeting LW LE 4. LANCASHIRE VICTIM SERVICE - Robert Rushton Robert Rushton, Victims & Vulnerable People Lead, Police & Crime Commissioner for Lancashire presented the attached. They new service model for vulnerable adults across Lancashire has now been commisioned and the hubs are based in Preston, Blackpool,

3 - 3 - Lancaster and Accrington. They are currently receiving 35 new cases per week and are checking new contacts to see if used by previous providers. Vulnerable Adults Services update 0806 BW asked if information was shared with the MASH before the Police send the PVP to the new provider, RR noted that the PVP goes via the MASH. JB queried historical information and how this will be accessed. RR noted that this was not an issue for those service users who were open cases at the time the service transferred, but noted that this is an issue for those no longer using the service as the way the funding worked it was not clear who owned the data, this is being looked at to decide who takes responsibility going forward. JB noted that loss of history in a potential risk. RR noted that they are working to get a more universal and consistent service across the County. 5. MASH UPDATE KB reported from LCC the backlog of safeguarding alerts at 2/6/17 was 675 and is reducing, there is an LCC work plan in place to remove this backlog and ensure that LCC staff including customer services staff are working as productively as possible. The issue is also on their Risk Register. LWY asked how they report appropriateness of referrals, KB noted that all referrals received by MASH are looked at immediately and then graded with from 1-4 from high to no immediate risk. PC asked if we knew how many were being reported at each level and how the new guidance impact on this, KB noted that the complexity of alerts is increasing since the changes. BW raised the issue that once an alert is raised then the referrer they may not hear how it has progressed, KB noted that the alert is acknowledged on receipt but due to workloads every case cannot be updated with the alerter. 6. POLICE PROFESSIONAL STANDARDS - Pauline Stables Pauline Stables, Integrity & Anti-Corruption Team (IACT), Professional Standards Department, Lancashire Constabulary presented. Contact details for queries and information are T , E hq.psd.iact@lancashire.pnn.police.uk. A presentation was given on the abuse of Police powers to perpetrate sexual violence. The abuse of police powers for purposes of sexual exploitation, or even violence, is something that fundamentally betrays the trust that communities and individuals place in the police. It therefore has a serious impact on the public s confidence in individual officers and the service in general. It is essential to ensure that systems are in place to prevent, monitor and deal swiftly with any individual who exploits that trust The abuse of Police Powers to perpetrate sexual violence IPCC PS noted that this is a problem within the Police nationwide but that we should be assured that this is a small minority of offenders. Their responsibility is to prevent such abuse, identify it as soon as possilbe, deal with it effectively and learn lessons quickly. They are raising awarness interally working on a sexual misconduct plan, professional boundaries, changes to the reportable assoication policy, CPD events, standards aide memoire, personal reponsibility, integrity line, robust invesitgations, risk management,

4 - 4 - vetting and policies. They are also raising awareness externally via IDVAS, MARAC Steering Group, Safeguarding Boards, womens refuges and street sex workers The next steps are external reporting mechanisms eg internet site, service confidence dip samples, lessons learnt, prediction indicators and National Counter Corruption Strategy. PS noted that there is now a barred list for such offenders and that it was mainly male against female abuses. KB asked if this would come up on a DBS before or after the crime which PS said that she would need to clarify. ZA asked if there were any issues around race, gender etc, PS could not clarify but Dorset do have a risk matrix. LW to contact PS to clarify if a DBS would pick up the offender information LW/PS 7. PENNINE CCG SAFEGUARDING SERVICE PC shared a paper which summarised recent changes It was agreed by the two CCGs that the most effective and efficient way to address the capacity and demand issue for their safeguarding requirements was for the two CCGs to merge their safeguarding services to become a Pennine CCG safeguarding service. PC noted that there would be no loss of resource but sharing portfolios in a better and more efficient way. BW noted that they would possibly deliver to the full specification by the end of the year. AMC said that the Designated and Named Doctor capacity appears to be an issue although Fylde & Wyre are smaller it is difficult to recruit to these posts, it was noted that where the specific expertise is needed then a doctor will attend but there is an issue with naming a specific post-holder. It was noted that with the merging of jobs and teams there could be issues as individual areas work differently, PC said that it would be looked at again in 12 months. 8. QA PERFORMANCE REPORT HC shared and talked through a handout for the Quarter 4 performance with the group, areas reported were discussed and agreed at the last QA meeting. DoLS MH noted that the backlog of DoLS is still high, TP said that they are still looking at finance and the workforce and accept that this is a risk, SOH noted that this is currently on the CQC agenda. JB asked how easy it is to identify urgency if something has previously been reported as no immediate risk, MH said that they have to flag again if the condition worsens. HC said that the current reporting does not include "waiting", LS was unsure why as they do have this information so will ensure that they receive this in the future. AMC said that where there is a deprivation of liberty in residential/nursing homes this is a problem for the CCGs and we need to be prioritising how we are dealing with this. CQC Inspections TP and LS are doing work around reporting which will be good for this group, TP said that it is an improving picture looking at April-June. We need to take into consideration that smaller services get better outcomes than larger so sometimes figures are not always useful so that are trying to report in a more constructive way. SAR Referrals PC noted that the timescale of 6 months to complete was not necessarily appropriate at times and JB agreed that this was only a guide and not statutory. MASH (Update also discussed and reported on in Point 5). KB said that the traffic light system in the Guidance for Safeguarding Concerns should assist people with urgency, PC said that it would be useful to see the number of high priority included in the reporting if possible.

5 - 5 - Safeguarding Enquiries HC noted that they have the information on the report for age breakdown, JB said that while this is not required at every meeting this information should be pulled out if anything interesting is shown in the future. Cases closed discussed where outcomes unsubstantiated, KB noted that RB regularly discusses and is due to report back further. MASH priority levels to be broken down if possible HC 9. MSP AUDIT FEEDBACK KB shared a paper for consideration on how MSP will continue to be taken forward with multi agency LSAB partners. KB talked through the paper on the current position of LCC where there is a lot of internal work being done. The QA group now have this on their agenda for the third audit, RB is also working with the North West ADASS group on a tool which will not be mandatory but could work for collation of this information. KB brought this to the group to see how we can pull all of this information together, JB asked LS if MSP is built into contracts and measured as art of quality assurance.it is not. PC noted that commissioning services would also need to be part of this the information gathering process. JB noted that we need assurances from all agencies that this is being done. KB asked if this could be part of the Practice with Provider work plan going forward, JB said that this will be discussed at the meeting on 20/6/17 when they review the Practice with Provider and Leadership Sub-groups. MSP to be discussed at review meeting for the Provider and Leadership Sub-Groups JB 10. POLICIES & PROCEDURES GROUP PROCESS SH shared a paper on the new proposed policies and procedures process with the group. SH asked the group to read and feedback with any views or suggestions on the process. Agencies to nominate representatives from the key LSAB partners to form a group. Agree policies & procedures process and nominate key representative to the group ALL/SH 11. RISK REGISTER VG shared the draft updated Risk Register. PC noted that the level of impact may need changing on some areas, JB noted that Point 5, residual risk needs changing from 9 to 6. All agencies to revisit and send VG any further updates/amendments, attached updated as above. LSAB Risk Register DRAFT xls

6 VG to update Risk Register and agencies to feedback any updates ALL/VG SUICIDE AUDIT FINDINGS - Sarah Blagden Dr Sarah Blagden, Public Health Specialty Registrar, Public Health & Wellbeing, Lancashire County Council presented. Suicide Audit Findings.pdf SB talked through the document and noted that this information will be available on the LCC website in the next few weeks and will be used to inform other strategies. The Mental Health Lead will also be looking at in 6 months to see if we are addressing issues. STB has spoken to the fire & rescue services and people living on their own are an issue and thinks intelligence is being brought forward. JB pointed out that none o the identified factors are specific to Preston and yet its figures were high. She asked if any reason has been found as to why Preston is considerably above the national average rate. SB said that now that now we have this data we can start to analyse and look at patterns. SB noted that there are issues with self poisioning and people having overdosed on prescribed drugs and that with delays at Accident & Emergency it would be hard for these sorts of issues to be picked up here. JB noted that the LSAB has met with the Harmless & Tomorrow project which agencies may find information useful on self harm COURT OF PROTECTION DOLS - Cate Short Cate Short, Court of Protection Coordinator, Lancashire County Council shared papers to brief the Board on Lancashire County Council's activity and recommendations in relation Court of Protection work. (Attached is an amended report from CS) COP Report to the LSAB May 2017amended.docx Discussed whether there is any room to explore the DoLS application issues through CQC and how we can monitor and evidence the issues. CS is working on a COP prioritisation tool to assist with this the problem as there has been no defined pathway to the Customer Access Service, people can contact CS for any advice for the time being. MH asked if they could have clarification from the CQC on the process, TP noted that he did not think that would be possible as they would have a national not local perspective. YMG queried direct payments and how this would impact how they receive money, even if funding private the same issues apply with authorisation. TP said that this is also an issue for children so needs to be a discussion at the joint Board. JB noted that this is not for the Board to approve but to note. COP DoLS to be discussed at joint Board with CS 14. SUB-GROUP REPORTS a) MCA/DoLS Sub-Group Report was shared for information. b) Quality Assurance, Audit & Performance Sub-Group TP

7 - 7 - Report was shared for information. TOR was approved. c) Leadership Sub-Group RB was not in attendance but reported was shared for information. d) Practice with Providers Sub-Group JB noted that a lot of good work has come out of this group. The TOR was deferred until after the review of Provider & Leadership Sub-groups meeting on 20/6/17 and the Comms & Engagement meeting on 21/6/17. e) SAR Sub-Group Attached report was tabled at the meeting. It was noted that since the report was written another SAR has been agreed so there are a total of 5 ongoing. SAR Sub-Group Report.docx f) Learning & Development Sub-Group The group are meeting for a development day later in June so no report available. 15. GUIDANCE FOR SAFEGUARDING CONCERNS APPENDIX 4 KB shared with the group a draft Appendix 4 for the guidance for when to raise an alert following a service user to service user incident. KB noted that this was not the final as they are still consulting, and people could still feedback any issues or amendments to the LSAB for consideration. SOH asked if information could be shared with Liverpool, JB said that once complete this will be fine to share as widely as possible as there seems no point in duplicating information. Group to feedback to LSAB on Appendix 4 for Guidance for Safeguarding Concerns ALL/KB 16. ANY OTHER BUSINESS a) Any Agency Feedback on Website LN asked the group to feedback on the website with any issues, suggestions or amendments 17. DATE OF NEXT MEETING 8 September 2017 Time & Venue to be confirmed (calendar invites will be sent as a rearranged date from the previous one on 11/8/17)