Principles of safeguardi

Physical injuries can occur where there is no satisfactory explanation, definite knowledge, or a reasonable suspicion that injury was inflicted with intent, caused through lack of are by the person having custody, charge or care of that person. Sexual abuse Sexual abuse is the forcing of undesired sexual behavior by one person upon another. Sexual abuse is the involvement of vulnerable adults in sexual activities, which they do not fully comprehend, to which they are unable to give consent, either verbally or by their behavior, to which they object or which may cause them harm.

Emotional/psychological abuse Psychological abuse, also referred to as emotional abuse or mental abuse, is a form of abuse characterized by a person subjecting or exposing another to behavior that may result in psychological trauma, including anxiety, chronic depression, or post-traumatic stress disorder. This can include intimidation, humiliation, shouting, swearing, emotional blackmail and denial of basic human rights. Using racist language, preventing someone from enjoying activities or meeting friends.

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Financial abuse Financial abuse is an illegal or unauthorized use of a person’s property, money, pension book or other valuables (including changing the person’s will to name the abuser as heir), often fraudulently obtaining power of attorney, followed by privation of money or other property, or by eviction from own home. Financial or material abuse can take the form of fraud, theft or using of the vulnerable adults property without their permission. This could involve large sums of money or just small amounts from a pension or allowance each week. Institutional abuse Institutional abuse is different from other categories because it is about who abuses and how that abuse comes to pass, rather than about types of harm. Abuse occurs in a relationship, family, service or institution and it can be perpetrated by an individual or more collectively, by a regime. Self neglect Self-neglect is any failure of an adult to take care of himself or herself that causes, or is reasonably likely to cause within a short period of time, serious physical, mental or emotional harm or substantial damage to or loss of assets.

Self-neglect can happen as a result of an individual’s choice of lifestyle or the person may be depressed, have poor health, have cognitive (memory or decision making) problems, or be physically unable to care for self. Neglect by others A person can suffer because their physical and/or psychological (emotional) needs are being neglected by a career. This could include failure to keep someone warm, clean and well-nourished or neglecting to glee prescribed medication.

Iii Identify signs and symptoms of the different types of abuse Physical Abuse Injuries that are the shape of objects Injuries in a variety of stages or injuries that have not received medical attention A person being taken too many different places to receive medical attention Skin infections Dehydration or unexplained weight changes or medication being lost Behavior that indicates that the person is afraid or avoiding the perpetrator Change of behavior Sexual Abuse Sexually transmitted diseases or pregnancy

Tears or bruises in genital/anal areas Soreness when sitting Signs that someone is trying to take control of their body image, for example, anorexia, bulimia or self-harm Sexualities behavior Inappropriately dressed Emotional Abuse Difficulty gaining access to the adult on their own The adult not getting access to medical care or appointments with other agencies Low self-esteem or lack of confidence and anxiety Increased levels of confusion Increased urinary or fecal incontinence Sleep disturbance The person feeling/acting as if they are being watched all of the time Decreased ability to communicate engage being used that is not usual for the service user Deference/submission to the perpetrator Financial Sudden loss of assets Unusual or inappropriate financial transactions Visitors whose visits always coincide with the day a person’s benefits are cashed Insufficient food in the house Bills not being paid A sense that the person is being tolerated in the house due to the income they bring in; sometimes with that person not included in the activities the rest of the family enjoys Institutional Treating adults like children Arbitrary decision making by staff group, service or organization Strict, segmented or inflexible routines or schedules for daily activities such as meal times, bed / awakening times, bathing / washing, going to the toilet Lack of choice or options, such as food and drink, dress, possessions, daily activities and social activities Lack of privacy, dignity, choice or respect for people as individuals Unsafe or unhygienic environment Lack of provision for dress, diet or religious observance in accordance with an individual’s belief or cultural background Withdrawing people from individually valued community or family contact Neglect by self or others Malnutrition Rapid or continuous weight loss Not having access to necessary physical aides Inadequate or inappropriate clothing Untreated medical problems Dirty clothing/bedding Lack of personal care. Iii Explain the correct actions to take if you suspect an individual is being abused It is possible that an older person with mental health needs may directly disclose to you that they have been abused. Even if the older person is considered to be confused, such disclosures should be taken seriously. Listen carefully to what you are being told, and even if it sounds fanciful do not dismiss it.

Although some older people with mental health needs may experience Emory loss, cognitive impairment or delusional thoughts, it is also possible that they have been abused in the way they describe, or that something else distressing has occurred. Be reassuring, try to understand what may have happened, but do not interrogate the person or suggest you do not believe them. Via Explain the correct actions to take if an individual tells you they are being abused If someone tells you they are being abused stay calm and listen, take what they say seriously. The person being abused must be the one to make any decisions about who to contact and what action to take, provided they have he mental capacity to do so. If a person does not have the mental capacity to make this decision than you should act in their best interest.

If a person is in immediate danger, or if the person experiencing abuse is not considered to be a vulnerable adult then contact the police. If you suspect a person is being abused you can still contact social services or the police. You may want to talk to the person first before making contact. VA Identify how to ensure that any evidence of abuse is kept safe In most circumstances you may not need to do anything except record the events that eve given cause for concern. The best way to preserve evidence is to report the matter as quickly as possible. However, there may be occasions when it is important to follow certain rules Make a written record of messages (e. G. Answer- phone) to ensure they are not lost. Include the date and time and sign them Ensure written records (notes, letters, bank statements, medication records etc. ) are kept in a safe place Don’t tidy up, wash clothes, bedding or other items. Do not try to clear or tidy anything up Try not to touch anything unless you have to for the immediate wellbeing of he victim – if you have to try to make a record of what you have done If any sexual offence is suspected try to discourage the victim from washing, drinking, cleaning their teeth or going to the toilet until the police are present Preserve anything used to warm or comfort the victim e. G. Blanket Try to ensure that no one else enters the premises or alleged scene of crime until the police arrive If you can, try and ensure that the alleged perpetrator does not have any contact with the victim Record any physical signs or injuries using a body map (click here) or hand drawing. Write a description of any physical signs or injuries including size, shape, color etc. Always remember to sign and date your notes and any other records you have made Aviva Identify the national policies that set out requirements for safeguarding individuals 1 . Safeguarding vulnerable adults policy 2. Protection of vulnerable adults 3. No secrets 4. In safe hands 5.

Organizational safeguarding policy 6. Local authority policy 7. SC Codes of Practice Via Identify the local and organizational systems for safeguarding Each local authority has established a multi-agency partnership to lead ‘Safeguarding Adults’ work. The “Safeguarding Adults” has multiple member organizations and partners. Viii Explain the roles of different agencies and professionals that are involved in safeguarding individuals The policy and procedures are for different agencies and individuals involved in safeguarding adults, including managers, professionals, volunteers and staff working in public, voluntary and private sector organizations.

They represent the commitment of organizations to: work together to prevent and protect adults at risk from abuse empower and support people to make their own choices investigate actual or suspected abuse and neglect support adults and provide a service to adults at risk who are experiencing abuse, neglect and exploitation. According to the No secrets government guidance (DO, 2000), local authorities have the lead role in coordinating work to safeguard adults. However, the guidance recognizes that successful responses need mufti-agency and multi- disciplinary working. Each local partnership is asked to adopt this policy and procedures so that there is consistency across London in how adults at risk are safeguarded from abuse. However, some local partnerships may want to adapt some aspects of the procedures to meet their local arrangements.

For example, some boroughs may have a slightly different approach to thresholds for Safeguarding Adults action. Local partnerships could add an appendix to this policy and procedures. Xix Identify sources of advice, support and information to help social care workers understand their own role in safeguarding Safeguarding Adults at Risk Trainings which are provided by the Care Home. Task B Research and Account Identify two reports on serious failures to protect individuals from abuse. Write an account that describes the unsafe practices in the reviews. Suggested word count: 400 words 1 . The Wintergreen View hospital abuse occurred at Wintergreen View, a private hospital at Handbook, South Clotheshorse, and England.

Local social services and the English national regulator (ICQ) had received various warnings but the mistreatment continued. One senior nurse reported his concerns to the management at Wintergreen View and to ICQ, but his complaint was not taken up. An undercover footage showed staff repeatedly assaulting and harshly restraining patients under chairs. Staff gave tenants cold punishment showers, left one outside in near zero temperatures, and poured mouthwash into another’s eyes. They pulled patients’ hair and forced medication into patients’ mouths. Victims were shown screaming and shaking, and one patient was seen trying to jump out of a second floor window to escape the torment, and was then mocked by staff members. 6] One patient was repeatedly poked in the eyes. [7] A clinical psychologist who reviewed the footage described the abuse as “torture”. On 21 June 2011 , 86 people and organizations wrote to the Prime Minister, David Cameron about the revelations, “We are aware f the various actions currently being taken within and outside government – such as the DO review and ICQ internal inquiry. We hope to make submissions to those both individually and collectively. However, on their own these will not be enough and a clear programmer is needed to achieve change. ” The prime minister responded saying he was “appalled” at the “catalogue of abuses” Panorama uncovered.

In June 2011 the Association of Supported Living issued a press statement, which was followed up in writing to every Member of Parliament in the United Kingdom, calling for community based supported living revises to replace institutional services for people with learning disabilities. The Daily Mail said “Without the investigation by the Bib’s Panorama, given huge coverage in the Mail, the abuse of patients at Wintergreen View might be continuing to this day. As it is, the secure hospital and two other care homes have been shut down, 1 1 guilty staff has been brought to justice – and a devastating report now exposes the serial failings of the local NASH, police and health watchdogs. For the past year, the Elevens Inquiry has focused relentlessly on the failings of the media. Never let it be forgotten how much this country owes, in the fight against cruelty and corruption, to its free Press. The Daily Telegraph said, “It is impossible to read the details of what went on at Wintergreen View, a care home for the severely disabled in Clotheshorse, without feeling repelled. In the wake of an expos© from the Bib’s Panorama, 11 members of staff were convicted of almost 40 charges of neglect and ill treatment of those in their care. ” The Daily Telegraph said, “It is impossible to read the details of what went on at Wintergreen View, a care home for the every disabled in Clotheshorse, without feeling repelled. In the wake of an expos© from the Bib’s Panorama, 11 members of staff were convicted of almost 40 charges of neglect and ill treatment of those in their care. The ICQ also inspected 132 similar institutions and a Serious Case Review was commissioned – some of the roughly ten local and national enquiries were carried out to examine what went wrong, including one by NASH Southwest which was one of the first to be published and list many of the others. The head of the Care Quality Commission resigned ahead of a critical government report, a report in which Wintergreen View was cited. MENACE published a report warning that similar abuse could be going on elsewhere and calling for the closure of all large institutions far from people’s families. Eleven people plead guilty to criminal offences of neglect or abuse as a result of evidence from Undercover Care and six of them were jailed. Immediately after the eleventh person pleaded guilty, the Serious Case Review was published, revealing hundreds of previous incidents at the hospital and missed warnings. 2.

In March 2002, a 30-year-old woman with learning disabilities was admitted o Borders General Hospital in Scotland with multiple injuries as a result of sustained physical and sexual assaults. The abuse had been carried out at home and was perpetrated by three men, one of whom was her career. ‘The case of the vulnerable adult’ is the term that the individual involved has asked to be used. Her identity is protected under rules giving anonymity to victims of rape. The woman had made allegations against one of the perpetrators as a child but agencies decided her mother could protect her. When her mother died, he was allowed to become her career, making her sleep on a carpet in the hall at his mom.

He began taking the woman’s benefit money, deprived her of food and liquid and made her sit in the dark for long periods. Together with two friends he forced her to strip, shaved her head, sexually assaulted her and repeatedly stamped on her face and body. They also threw the woman over a fence, handcuffed her to a door and set fire to her clothing. The police, health and social services had been aware of allegations of abuse dating back to the woman’s childhood. These had been investigated and reported to the Procurator Fiscal but she was considered an unreliable witness due to her learning disability. This report is full of unsafe practice and people in authority have failed to protect the woman as a result of this.

The unsafe practice started when the woman was just a little girl, she had made allegations against one of the perpetrators but agencies decided her mother could protect her. The agencies should have taken the allegations seriously and not assumed her mother could have protected her. Task C – Short Answer Questions CIA Explain what a social care worker must do if they become aware of unsafe practice. First, discuss with his colleague (who is performing) about the unsafe reactive and the risk involves result in this practice. Then he can show the safe way to do and explain how it minimize the risk. Any unsafe practice should be recorded and reported to the manager in order to be corrected informing all of the staff by providing training or necessary information.

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