Appendix A HARTLEPOOL VULNERABLE ADULTS PROTECTION COMMITTEE SAFEGUARDING VULNERABLE ADULTS BIENNIAL REPORT April 2005 March 2007
HARTLEPOOL VULNERABLE ADULTS PROTECTION COMMITTEE CONTENTS PAGE Introduction 2 Background and Context 2 Hartlepool Vulnerable Adults Protection Committee and Sub Groups 3 Teeswide Framework 3 Adult Protection Activity: Recording and Monitoring 3-4 Adult Protection Referrals: No Further Action 4 Strategy Discussion Meetings in 2005 2007 4 Trends 4 Training 5 Costs 5-6 Outcomes 6 - Objectives and Way Forward 7 Appendix 1: Members of Hartlepool Vulnerable Adults Protection Committee 8 Appendix 2: Profile of Referrals 9-17
1. Introduction Hartlepool Vulnerable Adults Biennial Report 2005-2007 1.1 This is the third Report of the Hartlepool Vulnerable Adults Protection Committee and covers the period 1 April 2005 to 31 March 2007. 1.2 The Report describes activity in relation to Vulnerable Adult referrals; and provides information of the work of Hartlepool Vulnerable Adults Protection Committee and its sub groups. The Report also highlights progress and priorities in relation to workstreams during 2005-2007. 2. Background and Context 2.1 The Government produced No Secrets Guidance in 2000 to help authorities work with partner agencies to protect vulnerable adults from abuse. Local procedures are documented and revised via a Teeswide Review Steering Group. 2.2 Adult and Community Services Department has responsibility for coordinating the procedures for Adult Protection in Hartlepool. These procedures are overseen by Hartlepool Vulnerable Adults Protection Committee (HVAPC). Members of HVAPC are detailed at Appendix 1. 2.3 A range of groups have been established to contribute to the safeguarding framework. These are intended to ensure that practice in relation to safeguarding activity is in line with national guidelines; also, so that: - Lessons can be learned to improve practice - Any new and relevant information can be taken into account when updating the Procedure and thereby ensuring best practice. - Appropriate Provision can be made to respond to identified training needs. 2.4 In October 2005 the Association of Directors of Adult Social Services (ADASS) launched the document Safeguarding Adults: A National Framework of Standards for Good Practice and Outcomes in Adult Protection Work. This outlines a set of national standards that aim to prevent neglect and abuse of Vulnerable Adults. 2.5 The underlying principles of the National Framework will be reflected in a forthcoming review of the No Secrets procedure by the Teeswide Steering Group for a more preventative approach to the safeguarding of Vulnerable Adults. This is taking place in 2007-2008. 2
Hartlepool Vulnerable Adults Biennial Report 2005-2007 3 Hartlepool Vulnerable Adults Protection Committee and Sub Groups 3.1 The role of the Hartlepool Vulnerable Adults Protection Committee is to monitor and evaluate Policy, Procedures and Practice Guidance in order to better safeguard the welfare of Vulnerable Adults. 3.2 The Committee is a multi agency partnership whose purpose is to implement arrangements that will protect vulnerable adults from abuse and exploitation. The committee aims to make sure that professionals respond effectively to adult protection concerns. 3.3 Hartlepool Adult Protection Committee Practice Sub Group seeks to enable discussion and learning between agencies to safeguard and improve practices in the Safeguarding of Vulnerable Adults. Teeswide Framework 3.4 The Teeswide Review Steering Group is responsible for monitoring the implementation of the Teeswide Inter Agency Policy, Procedures and Practice Guidance and enabling sharing of monitoring data. The Group has responsibility to review the Teeswide procedure to reflect changing policy and practice; also to ensure development of a Teeswide training strategy. 3.4.1 The Teeswide Policy Procedures was revised in June 2005. Following this it was made available on each of the Teeswide local authority websites. 3. 4.2 During 2007/2008 the procedures are being revised again. 3.4.3 A complaints procedure relating to the Teeswide No Secrets procedure was confirmed in February 2006. 3.5 The Function of the Teeswide Adult Protection Training Strategy Sub Group is to lead the development and implementation of a multi agency training strategy. This is aimed at increasing awareness of the abuse of vulnerable adults and supporting best practice. 4. Adult Protection Activity: Recording and Monitoring 4.1 Data on Adult Protection activity and outcomes are collated in a standard format to enable comparison across the Teeswide area. 4.2 Referral Profile details and activity during the reporting period is detailed in the tables at Appendix 2. 3
Hartlepool Vulnerable Adults Biennial Report 2005-2007 4.3 During the periods April 2005 to March 2006 and April 2006 to March 2007 respectively there were 146 and 148 alerts or notifications of abuse in Hartlepool. 4.3.1 This represents a significant increase compared to 63 alerts which occurred during the period April 04 to March 05. However, it is important to note that this increase does not necessarily mean that abuse is occurring more often; it is perhaps more likely a reflection of a greater awareness of Adult Protection procedures. 4.2 Adult Protection Referrals: No Further Action 4.2.1 All allegations of possible abuse are logged by Adult and Community Services Department and it is possible that any trends may be identified. 4.2.2 A small number of referral/notifications of alleged abuse do not progress any further. Reasons for this include the following: Expressed wishes of victim not to proceed further. Situations where an Alleged Abuser or Victim lacks capacity. Circumstances where there is no evidence to support allegations of possible institutional abuse and police involvement. 4.2.3 In 2005-2006 26 of the alerts/referrals did not proceed any further. 4.2.4 In 2006 2007 16 of the alerts/referrals did not proceed any further. 4.3 Strategy Discussion Meetings in 2005-2007 4.3.1 If a vulnerable adult cannot be safeguarded at the initial strategy stage this means that further investigation is necessary. 4.3.2 Of the 146 referrals in 2005-2006, 120 went on to be investigated further. 4.3.3 Of the 148 Investigations in 2006 2007 132 went on to be investigated further. 5. Trends 5.1 During 2005-2007 the following trends have been noted - A slight Increase in numbers of allegations of financial abuse - A small increase in instances of referrals from home care agencies - A small decrease in instances of referral from Care Home Providers. - A significant increase in instances of alleged institutional abuse - A significant increase in instances of alleged abuse taking place in Residential Care Home. 4
6. Training Hartlepool Vulnerable Adults Biennial Report 2005-2007 6.1 Training during the reporting period has continued via a rolling programme of multi agency training. Level 1 Awareness Training Level 2 Assessment and Investigation Level 3 Practice skills in investigation and management of Vulnerable Adults cases. Level 4 Chairing and co-ordinating Strategy meetings 6.2 Basic Awareness Training was provided to 371 and 459 individuals respectively in 05/06 and 06/07. 6.3 6 Hartlepool Adult & Community Services staff completed Level 2 Adult Protection training in 2005/2006 and 23 staff completed this training in 2006/2007. 6.4 Level 4 training on the Charing and Convening of Strategy meetings was introduced in Hartlepool in September 2006 and was completed by 8 Adult and Community Services Department Staff. 7. Costs 7.1 Arrangements to meet costs has continued in the reporting period as follows: Adult and Community Services - 50% Primary Care Trust 40% Police 10% 7.2 April 05 March 06 7.2.1 Expenditure Salary 29,405 Supplies & Services 1,705 Transport 192 7.2.2 Income 15,621 5
Hartlepool Vulnerable Adults Biennial Report 2005-2007 7.3 April 06 March 07 7.3.1 Expenditure Salary 30,956 Supplies & Services 545 Transport 75 7.3.2 Income: 15,786.00 8. Outcomes 8.1 Recording of outcomes is a valuable way of identifying the benefits of any actions undertaken within the framework. Success might be measured in relation to the quality of life brought about by a greater level of safety and security for the victim of abuse. A range of beneficial outcomes for individuals includes: - The alleged victim of abuse being safeguarded e.g. by a removal to a place of safety - Increased monitoring and support being put in place e.g. to minimise risk of further harm - Removal of alleged perpetrator - Prosecution of perpetrator - Disciplinary action against alleged perpetrator e.g. resulting in increased monitoring, final warning or dismissal - Review of care plans, person centred planning and risk management in relation to alleged perpetrator - Alleged perpetrator referred to the POVA (Protection of Vulnerable Adults) list. 8.2. There have also been beneficial outcomes at a system level: Teeswide Multi-agency approach to training has been established. - Training to Independent provider agencies and also Adult and Community Services in relation to the POVA scheme. - Revised No Secrets Procedure available in Hartlepool Borough Council - Links have been established with Multi-agency Public Protection Arrangements (MAPPA) through Adult and Community Services Duty Team Manager - No Secrets Procedure has been made accessible via the Hartlepool Borough Council website 6
Hartlepool Vulnerable Adults Biennial Report 2005-2007 9 Objectives and Way forward: 9.1 Work will be undertaken with Teeswide colleagues following an Adult Protection Seminar hosted by Middlesbrough Borough Council Adult and Social Care Department. The Seminar will include a range of issues to assist improvements in the Safeguarding of Vulnerable adults. 9.2 Objectives for 2007-2008 include: - Consideration regarding possible Teeswide area Adult Protection Committee - Revision of Public Information. - Confirmation of funding arrangements with partner agencies. - Review and rewrite of the No Secrets procedure. - Confirmation of Multi-agency Training Strategy for 2007 2008. - Production of Annual Report. - Continued awareness raising within the community. - Review of membership of groups within the local Safeguarding framework. - Consideration of cases by Practice Sub Group; including lessons learned. - Review of current arrangements for allocation of referrals/chairing of Strategy meetings 9.3 A priority during 2007/2008 will be the development of a new Teeswide procedure underpinned by the National Framework. This in turn will widen the scope of the work as activity focuses upon a greater preventative approach to work with Vulnerable Adults. 7
Members: Appendix 1 Membership List Hartlepool Vulnerable Adults Protection Committee 2005-2007 Alan Dobby (Chair HVAPC) Liz Abbot Gail Defty Mike Egan Neil Harrison Marie Horsley Phil Hornsby Ian Hudson Andrea Jackson Tracy Jefferies/ Mary Diver Sue Judge Sally Latcham Gary Laville John Lovatt Geraldine Martin Gwenda Pout Tina Preen Christine Remmer Cath Siddle Pam Simpson Mick Walker Tricia Wetherall John Williamson Adult and Community Services Stockton Borough Council (Emergency Duty) Hospital of God Tees Esk & Wear Valley NHS Trust Adult & Community Services (Disabilities Inclusion) Adult & Community Services (Safeguarding Vulnerable adults Co-ordinator/Trainer) Adult & Community Services (Commissioning) Cleveland Police Real Life Options Hartlepool Carers Hartlepool Primary Care Trust Cleveland Fire Brigade Adult & Community Services (Disability Sensory Loss) Adult & Community Services (Older People) Adult & Community Services (Mental Health) Adult & Community Services (Workforce Development) Hartlepool Adult Education Hartlepool Access Group North Tees & Hartlepool NHS Trust Adult & Community Services (Duty) Cleveland Police Hartlepool College of Further Education Commission for Social Care Inspection 8
Appendix 2(I) : Profile of Referrals Age of Alleged Victims of Abuse Age 2005-2006 80-89 2 90-99 6% 18-19 20-29 9% 30-39 8% 40-49 1 70-79 2 65-69 5% 60-64 50-59 1 18-19 20-29 30-39 40-49 50-59 60-64 65-69 70-79 80-89 90-99 Age 2006-2007 80-89 20% 90-99 5% 18-19 4% 20-29 10% 30-39 6% 40-49 16% 70-79 2 65-69 5% 60-64 50-59 1 18-19 20-29 30-39 40-49 50-59 60-64 65-69 70-79 80-89 90-99 9
Appendix 2 (II) Age of Alleged Perpetrators Alleged Perpetrator 2005-2006 90-99 8% 20-29 8% 30-39 10% 80-89 2 40-49 10% 70-79 2 65-69 5% 60-64 50-59 1 20-29 30-39 40-49 50-59 60-64 65-69 70-79 80-89 90-99 Alleged Perpetrator 2006-2007 80-89 20% 90-99 5% 18-19 4% 20-29 10% 30-39 6% 40-49 16% 70-79 2 65-69 5% 60-64 50-59 1 18-19 20-29 30-39 40-49 50-59 60-64 65-69 70-79 80-89 90-99 10
Appendix 2 (III) Ethnicity of alleged Victims Ethnicity 2005-2006 Other Ethnic Group White - British 99% White - British Other Ethnic Group Enthnicity 2006-2007 Other Ethnic Group White - British 99% White - British Other Ethnic Group 11
Appendix 2 (IV) Gender of Alleged Victim of Abuse Gender of Alleged Victims of Abuse 2005-2006 M 4 F 58% F M Gender of Alleged Victims of Abuse 2006-2007 M 37% F 6 F M 12
Appendix 2 (V) Location of Abuse Location of Abuse 2005-2006 Care Home Users Home 46% Care Home With Nursing 36% Supported Living Relatives Home 0% Other 0% Day Care Unit Care Home(Residential) 10% Care Home Care Home With Nursing Care Home(Residential) Day Care Unit Other Relatives Home Supported Living Users Home Location of Abuse 2006-2007 Care Home Users Home 39% Care Home With Nursing 3 Supported Living Relatives Home Other Day Care Unit Care Home(Residential) 18% Care Home Care Home With Nursing Care Home(Residential) Day Care Unit Other Relatives Home Supported Living Users Home 13
Appendix 2 (VI) Source of Referral Other Local Authority Source of Referral 2005-2006 Housing Support Provider 7% Relative 4% Anonymous Police Self Other Care Home With Nursing Provider 17% CSCI Health Professionals (community based) 8% Care Home Provider 9% Home Care Provider Social Services Department 36% Health Professionals (hospital based) Probation Service Care Home With Nursing Provider CSCI Health Professionals (community based) Health Professionals (hospital based) Probation Service Social Services Department Home Care Provider Care Home Provider Housing Support Provider Relative Police Anonymous Other Local Authority Self Other Source of Referral 2006-2007 Housing Support Provider 8% Other Local Authority 5% Anonymous Relative Self Other Care Home With Nursing Provider 18% CSCI 1 Care Home Provider 7% Home Care Provider Social Services Department 28% Health Professionals (community based) 9% Health Professionals (hospital based) Probation Service Care Home With Nursing Provider CSCI Health Professionals (community based) Health Professionals (hospital based) Probation Service Social Services Department Home Care Provider Care Home Provider Housing Support Provider Relative Anonymous Other Local Authority Self Other 14
Appendix 2 (VII) Suspected Abuse Suspected Abuse 2005-2006 Sexual 1 Emotional/Pyschologi 7% Financial 2 Physical 35% Institutional Neglect/Omission 2 Emotional/Pyschologi Financial Institutional Neglect/Omission Physical Sexual Suspected Abuse 2006-2007 Sexual 9% Emotional/Pyschologi 8% Financial 25% Physical 38% Neglect/Omission 9% Institutional 1 Emotional/Pyschologi Financial Institutional Neglect/Omission Physical Sexual 15
Appendix 2 (VIII) Vulnerable Adult Client Group Vulnerable Adult Client Group 2005-2006 **NO USER GROUP 7% Physical Disabilities-OLDER 37% Learning Disabilities-ADULTS 2 Physical Disabilities-ADULTS 1 Learning Disabilities-OLDER Mental Health-ADULTS 8% Mental Health-OLDER 1 **NO USER GROUP Learning Disabilities-ADULTS Learning Disabilities-OLDER Mental Health-ADULTS Mental Health-OLDER Physical Disabilities-ADULTS Physical Disabilities-OLDER Vulnerable Adult Client Group 2006-2007 Physical Disabilities-OLDER 3 **NO USER GROUP 5% Learning Disabilities-ADULTS 36% Physical Disabilities-ADULTS 10% Mental Health-OLDER 16% **NO USER GROUP Learning Disabilities-ADULTS Mental Health-OLDER Physical Disabilities-ADULTS Physical Disabilities-OLDER 16
Appendix 2 (IX) Vulnerable Adults Subject to Previous Referrals and Vulnerable Adults Placed by another Authority Vulnerable Adults Subject to Previous Referrals 2005-2006 150 120 Value 100 50 0 19 RE-REFERRED TOTAL REFERRED 16% % RE- REFERRAL Year 2005-2006 Vulnerable Adults Subject to Previous Referrals 2006-2007 150 132 Value 100 50 0 36 RE-REFERRED TOTAL REFERRED 27% % RE- REFERRAL Year 2006-2007 17