The Care Act 2014
Under the Care Act a new legal framework was introduced for how local authorities and other public agencies should protect adults at risk of abuse or neglect.
Local authorities were given new safeguarding duties including a duty to make (or cause to be made) whatever enquiries it thinks necessary to enable it to decide whether any action should be taken in an adult’s case where:
A local authority has reasonable cause to suspect that an adult in its area (whether or not ordinarily resident there) —
(a) has needs for care and support (whether or not the authority is meeting any of those needs),
(b) is experiencing, or is at risk of, abuse or neglect, and
(c) as a result of those needs is unable to protect himself or herself against the abuse or neglect or the risk of it.
Wiltshire Safeguarding Adults Board
To reduce neglect and abuse, the Board works across agencies and with local care providers to ensure the right policies are in place and professional are supported.
Guidance for professionals If you provide care and support to vulnerable adults please read the Board’s Staff Guide. It’s there to support you if you think an adult with care and support needs is experiencing, or is at risk of, abuse and neglect. The guidance has recently been updated to ensure it reflects the Care Act 2014.
Responding to Self-Neglect – new WSAB guidance
Would you recognise the signs of self-neglect and know how to safeguard an adult at risk who is self-neglecting?
This WSAB guidance will help you identify the signs of self-neglect and know how to respond. Recent Safeguarding Adults Reviews have shown us that we need to do more to support our workforce to safeguard those who may be self-neglecting. In response, this guide and tool is for you to use and to share with colleagues.
The guidance explains what self-neglect is and the various forms takes. It will help you identify the signs and understand how you can support someone who you think may be self-neglecting. The Self-Neglect Risk Assessment Tool is there as an Appendix to help you assess the risk and how to respond accordingly.
The full guidance can be found here
A quick reference guide is also available here for you. We suggest that you print this out to put in any communal areas in your workplace where people may find this helpful.
If you have questions or we can provide more information please contact us at LSAB@wiltshire.gov.uk
Wiltshire Multi-Agency Hoarding Protocol
The Multi-Agency Hoarding Protocol is aimed to improve how all agencies deal with people with hoarding behaviours using a person centred approach. It is designed for operational use with a series of appendices to assist in signposting referrals to the appropriate agencies.
Appendix 1 – A brief outline of the responsibilities of the agencies involved in producing the protocol
Appendix 2 – Professional practice guidance on referring children safeguarding issues
Appendix 3 – Wiltshire Safeguarding Adults Board Information Sharing protocol on how to share data between agencies
Appendix 4 – Short introduction to the Mental Capacity Act
Appendix 5 – Hints and tips on communicating with people suffering from hoarding disorders
Appendix 6 – Safe and Independent Living (SAIL) referral form
Appendix 7 – Assessment form for completion by professional in the home situation
Appendix 8 – Clutter Image Rating – a photographic tool to assess the severity of hoarding
Appendix 9 – Detailed reference document not for completion in clients’ home
Appendix 10 – Contact details for agencies in relation to hoarding cases
High Risk Professional Meeting (HRPM) tools and guidance
Working effectively across agencies
The guidance provides a framework for the management of very complex cases where, despite continuing work, serious risks are still present and all other safeguarding options / action / protection and interventions have been exhausted.
The Board is working to promote and share access to training that will help improve professional standards and the training that is available to unpaid carers. More information will follow soon.
If you provide training and would like to make your courses accessible to carers in Wiltshire please contact 01225 716693.
Making Safeguarding Personal
Safeguarding should be person-centred and outcome-focused. The Board provides assurance that local safeguarding is effective from the point of view of the person being protected by it. All agencies are expected to help enhance the choice and control people have over their lives as well as improving people’s quality of life, wellbeing and safety.
Multi-agency policy and procedures
Safeguarding in the UK is governed by the Care Act 2014. Under this legislation local authorities are required to:
- make enquiries, or ensure others do so, if it believes an adult is, or is at risk of, abuse or neglect
- set up a Safeguarding Adults Board
- arrange, where appropriate, for an independent advocate
- cooperate with each of its relevant partners and supply information
- carry out safeguarding adult reviews
These duties apply in relation to any person who is aged 18 or over and at risk of abuse or neglect because of their needs for care and support. You can read more about multi-agency policies and the roles of local organisations by downloading our local policy and procedures.
Prevent Referral Pathway
Wiltshire Police have produced a practitioner guide to help those who are in a position of care and trust understand what to do if they have a concern that someone may be on the route to radicalisation. You can download the guide here to find out more about local emergency points of contact and where you can access advice and guidance.
Learning how we can improve services
There are a number of processes that can be used by WSAB to help agencies and partners learn from incidents and practice, and to use these findings to improve local practice and service delivery. These include:
- Safeguarding Adults Reviews;
- Audits of multi-agency and single agency practice;
- Reviews of whole service safeguarding Large Scale Investigations;
- Reviews of individual safeguarding section 42 enquiries;
- The Board’s new High Risk Behaviours Policy.
Under the 2014 Care Act, Safeguarding Adults Boards are responsible for Safeguarding Adults Reviews (SARs). The purpose of a SAR is not to re-investigate an incident or to apportion blame, but a review will identify whether lessons can be learned about the effectiveness of professionals and agencies working together to safeguard adults at risk.
Safeguarding Adults Boards must arrange a Review 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. SABs must also arrange a SAR if an adult in its area has not died, but the SAB knows or suspects that the adult has experienced serious abuse or neglect.
SABs are also able to arrange for a SAR in any other situations involving an adult in its area with needs for care and support. The adult must have needs for care and support, but does not have to have been in receipt of care and support services for a SAR to be considered.
To find out more about how WSAB promotes learning and effective partnership working contact 01225 716693.
WSAB Escalation Policy
We know from the reviews the Board has conducted the importance of challenge and escalation in safeguarding adults at risk. Our Policy is here to ensure everyone working in our local system understands feels able to raise concerns when another service or organisation has not responded in as required or anticipated to safeguard an adult at risks.
All, practitioners, regardless of role or perceived standing in the system, should are able to and encouraged to escalate concerns.
A flowchart showing how our escalation process works and how notification of an escalation should be recorded can be accessed here: