Hampshire Safeguarding Adult Board 1 Making Safeguarding Personal - - PowerPoint PPT Presentation

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Hampshire Safeguarding Adult Board 1 Making Safeguarding Personal - - PowerPoint PPT Presentation

Hampshire Safeguarding Adult Board 1 Making Safeguarding Personal Workshop 21 st July 2017 Kings Church, Hedge End Workshop Objectives 2 An introduction to Making Safeguarding Personal 1. 2. Applying Making Safeguarding Personal in practice -


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Making Safeguarding Personal Workshop

21 st July 2017 Kings Church, Hedge End

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Hampshire Safeguarding Adult Board

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Workshop Objectives

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1.

An introduction to Making Safeguarding Personal

  • 2. Applying Making Safeguarding Personal in practice - different agency

perspectives

3.

Consideration of mental capacity, best interests decision making and advocacy

  • 4. Overview of the Making Safeguarding Personal Toolkit
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An introduction to Making Safeguarding Personal Sue Lee

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Care Act 2014

 New legal framework for how local

authorities and other parts of the system work together to support adults with care and support needs.

 When exercising any of its care and

support functions, the local authority must focus on the needs and goals

  • f the person and promote their

wellbeing.

 Helping the person achieve the

  • utcomes that matter to them in

their life.

 Safeguarding defined as a core

function of care and support

 Chapter 14 of the statutory guidance

deals with safeguarding - replaces ‘No Secrets’ (2000).

 MSP enshrined as a core concept in

the Care Act – safeguarding responses must reflect a personalised and person centred approach.

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Care Act 2014 - duty to promote wellbeing

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 Personal dignity (including treatment

  • f the individual with respect)

 Physical and mental health and

emotional well-being

 Protection from abuse and neglect  Control by the individual over their

day-to-day life - over the care and support provided to the individual and the way in which this is provided.

 Suitability of living accommodation  Domestic, family and personal

relationships

 Participation in work, education,

training or recreation

 Social and economic well-being  The person’s contribution to society.

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Care Act 2014 - Safeguarding Principles

Empowerment

Presumption of person led decisions and informed consent

Prevention

It’s better to take action before harm occurs

Proportionality

Proportionate and least intrusive response appropriate to risks

Protection

Support and representation for those in greatest need

Partnerships

Local solutions through services working with their communities

Accountability

Accountability and transparency in delivering safeguarding.

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Care Act 2014 - Advocacy

The local authority must arrange where appropriate for an independent advocate to represent and support an adult who is the subject of a safeguarding enquiry where the adult may have ‘substantial difficulty’ in being involved and contributing to the process and where there is no other appropriate adult to assist (not professionals). This is separate from the appointment of an IMCA

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Being Person Centred

 Requires a fundamental shift revolves in professional

practice

 Practice that puts the adult and their wishes and experience

at the centre of the safeguarding enquiries and which seeks to enable people to resolve their circumstances.

 A focus first and foremost on the person helping them to

achieve the outcomes they are looking for.

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Making Safeguarding Personal

 A shift in culture and practice towards what is

understood to make safeguarding effective (or not) from the perspective of the adult

 Reflects the core values and practice

understood to be valued by service users:

  • Information, advice and advocacy
  • Holistic approach
  • Flexibility
  • Person-centred practical & emotional support
  • Professionals who listen/communicate well

while displaying warmth and respect

 Recognises people as experts in their own

lives - importance of being able to participate as fully as possible in decision making: “No decision about me, without me”

 Getting the information and support necessary

to consider options and make decisions.

 Active involvement in the process helps to get

at the ‘truth’ - helps bring home to professionals the impact of abuse and neglect

  • n the individual .
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Making Safeguarding Personal

 Safeguarding done with, not to people.  Outcome based rather than procedurally driven

approach.

 Safeguarding response defined by the needs,

wishes and outcomes of the adult – a focus on the

  • utcomes the person wants and finding out at the

end the extent to which these were met.

 MSP recognises that people often they want more

than one outcome, which are sometimes not easily reconcilable.

 Focus on achieving meaningful improvement to

someone’s circumstances rather than on ‘investigation’ and ‘conclusion’

 Personalised information and advice so the person

can better understand their situation and any risks – and to consider and weigh up options to manage these.

 People generally want to feel safe but also to

maintain relationships - for some people the only human contact they have is with the person/people who is/are harming/abusing them.

 Using a mix of responses to enable people to

achieve safety, resolution, recovery and access to justice.

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Adults should be assured that……..

 Their views, needs and well being are held to be central in any

enquiry/investigation, protection planning, or other process

 Their human and civil rights, including the right to self determination, will

be upheld throughout the process

 They will be supported to access the same services and have the same

rights as all other citizens, or those rights and services will be accessed

  • n their behalf if they are unable to do this with support

 Information about them will be shared only under safeguarding adults

information sharing protocols.

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Adults should be assured that…….

 Any safeguarding enquiry or planning done with them, or on their

behalf, will be multi-agency, accessing the best possible and most appropriate resources and expertise

 Responses will be timely and proportionate  There is a built in planning and reviewing process which will mean that

their protection is paramount in the minds of all involved, until the need for such protection has finished

 Actions stated in any safeguarding plan will be carried out and

professionals will be held to account for these.

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Making Safeguarding Personal in practice

 The way the person experiences safeguarding

reflects the values of user involvement, including respect, partnership, equal relationships

 Supporting the person to understand what

happens during the process and what to expect

 Supporting the person to understand be able

to participate in discussions/and meetings

 Access to advocacy when needed  Accessible meeting format, including times and

locations, and offer translation and interpretation as needed.

 Using plain language and checking out with the

person what certain terms mean to them.

 User friendly and easier to read versions of

documentation – other formats?

 Understanding positive approaches to risk and

supported decision making

 Encouraging people involved to think about

recovery as well as resolution using a range of creative responses

 Assigning a lead practitioner to brief and support the

individual throughout the safeguarding process

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Practical ways of involving the adult

 Meeting the conference chair

 Pre-meeting visits to the venue  Pre-meeting discussion of what to expect  Pre-meeting discussion of areas of concern  Being asked choices  Access to advocacy  Using of communication aids  Support to provide written or verbal contributions in advance  Participating in decision making

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Discussions prior to the meeting

 What is the purpose of the meeting?  Can you attend the meeting?  Who else will be at the meeting?  What happens if you disagree with the decisions at the meeting?

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Involving carers, family and friends

 Personalisation involves designing systems

  • f support that work well for the person and,

where they wish it, their family or circle of support.

 Recognises the uniqueness of each person’s

lifestyle and relationships.

 Carers, family members and friends can bring

knowledge and experience to help identify risks and strategies for balancing risk and choice.

 Assessment process should identify the level

  • f caring that families wish to provide and any

risks to their health and well-being of doing so.

 Support plans should consider how to ensure

that everyone can positively participate in family life, social networks and in the wider community.

 Carers have a right to an assessment of their

  • wn and these assessments should similarly

be self- directed allowing the carer to identify their priorities and aspirations and consider risk and safeguarding.

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MSP ‘toolkit’

 Achieving Best Evidence skills  Signs of Safety  Building resilience, confidence,

assertiveness, self-esteem

 Motivational interviewing  Peer support, survivors networks,

forums and circles of support

 Family group conferencing  Therapeutic and counselling support  Brief interventions  Mediation and conflict resolution  Support for people causing harm  Restorative justice  Family and domestic abuse support

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MSP and safeguarding the principles

 Empowerment “I am asked what I

want as the outcomes from the safeguarding process and these directly inform what happens next”

 Prevention “I receive clear and simple

information about what abuse is, how to recognise the signs and what I can do to seek help”

 Proportionality “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”

 Protection “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 “ 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 “I understand the role of

everyone involved in my life and so do they”

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For more information

Making Safeguarding Personal - a toolkit for responses (4th edition 2015) www.hampshiresab.org.uk

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Any comments or questions?

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Table Top Exercise

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Personal Values

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Applying Making Safeguarding Personal in practice Different agency perspectives

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Applying Making Safeguarding Personal in practice Robert Templeton

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Applying Making Safeguarding Personal in practice Jacqueline Malee

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Making Safeguarding Personal How Personal?

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Barriers to making safeguarding personal

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Hurdles to MSP

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 I think it will upset him/her to talk about it  His parents don’t want me to speak to him about it  He wont be able to understand  It will take too much time  It’s obvious isn’t it?  Anyway how can she tell me?

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Focus on the person

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 The focus should always be on the individual.  Who/what is important to them

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How to Involve People Meaningfully

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Advocacy Translation Pictures Signing Makaton Writing Most of all

listening to what people say

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Meetings

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OH NO!!

  • Where should it be held
  • How formal?
  • Who should attend?
  • How can they get there
  • Accessibility?
  • Cost?
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Road to Recovery

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Safeguarding is everybody’s business but it is crucial to involve the person at risk so that they can also consider their

  • wn safety!
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Applying Making Safeguarding Personal in practice Sharon Mcloughlin

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Experiences of putting Making Safeguarding Personal into practice

Table Discussions

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Consideration of mental capacity, best interests decision making and advocacy Jem Mason

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Barbara’s Story

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Panel Q & A