Csab annual report

Calderdale SafeguardingAdults Board

Annual Report

2011 - 2012

Board

CalderdaleSafeguarding Adults

pp

Contents

Foreword 1

ExecutiveSummary 3

Section 1: Achievements2011-2012 4

Section 2: CalderdaleSafeguardingAdultsBoard

Multi-AgencyAgreement 6

Section 3: Performance 7

Section 4: PartnerAgencies 17

Section 5: Prioritiesfor2012-2013 27

Section 6: MentalCapacityandDeprivationofLibertySafeguards 28

Appendix 1:SafeguardingAdultsNationalStandards 30

Annual Report 2011 - 2012 CalderdaleSafeguardingAdultsBoard

CalderdaleSafeguardingAdultsBoard Annual Report 2011 - 20121

ForewordInlastyear’sannualreportIhighlightedfourmainissues:

1 The high level of commitment from the partner agenciesthatmakeuptheSafeguardingAdultsBoard.Thatcontinuestobethestrengthandbedrockoftheworkwedo.

2 The importance of effective and workable policies and procedures.ToensuretheprotectionofadultsinCalderdaleworkhascontinuedthroughouttheyeartoamendandimprovetheseandtoworkwithneighbouringcouncilsinWestYorkshirewiththeaimofaligningourprocedureswiththeirs.

3 The key role that the Board has in holding partners to account for their responsibilities and actions. TodothistheBoardneedsaccurateandtimelyinformationonwhatishappeningsothatitcananalyseandplanfutureactionsbasedonevidence.MuchhasbeendonetoimprovetheaccuracyofinformationinCalderdalebutthereisnationalrecognitionthatchangesneedtobemadetothedatacollectedtomakeitmoreusefulandmorefocusedontheoutcomesachievedforpeoplewhoarethesubjectofsafeguardinginterventions.

4 Thechallengeofmaintaining momentum during a time of major restructuring in the NHS and when public services are operating within severe spending restrictions. Wehavebeenfortunatethat,althoughtherehavebeensomechangesinpersonnel,mostkeymembersoftheboardhaveremainedinplaceandpositiverelationshipsarebeingbuiltwiththenewClinicalCommissioningGroupwhichwillreplacethePrimaryCareTrustin2013.

ThemainaimofthepartnershipwhichmakesuptheSafeguardingAdultsBoardistoensurethatadultsinCalderdalewhomaybeatriskofsignificantharmareabletoliveinsafety.Weknowfromtragiccasesinotherpartsofthecountrythatvulnerableadultshavebeenthevictimsofseriouscrimeandviciousharassment.AnimportantpartoftheBoard’sworkisthereforefocusedonhowtopickupconcernsatanearlystageandontheactionsthatcanpreventabuse.AnewAnti-SocialBehaviourVulnerabilityPanelwassetuponapilotbasisinDecember2011tobringagenciestogethertofindsolutionstocaseswherethereisariskofharmandtointervenebeforetheproblemsescalate.Hundredsofcaseshavebeenreviewedsincethenwithhighriskcasesresultinginurgentactions.IthasbeenagreedtoestablishthePanelonapermanentbasisasaresultofitsverypositivecontributiontopreventingharm.

Theothercoreactivityistakingdecisiveandeffectiveactiontoprotectadultswhereabusehasoccurred.ItisvitalthattheBoardisabletolearnfromthesecasesandusethatexperiencetoplanimprovements.ItisforthisreasonthattheBoardagreedtocommissionaSeriousCaseReview–adetailedexaminationofwhathappened,conductedbyanindependentauthor.Thereviewconcernsanursinghomewhere

Annual Report 2011 - 2012 CalderdaleSafeguardingAdultsBoard2

therewereconcernsaboutthehealthandsafetyofseveralresidentsandwhereinterventiontookplacebysocialservices,theNHSandthePolice.CasesofthismagnitudearerelativelyrareinCalderdalesotheboardwantedtoseewhatcouldbelearntbothaboutthefactorsthatleduptotheproblemsinthishomeandtheeffectivenessoftheworktoprotectthepeoplelivingthere.TheSeriousCaseReviewwillbecompletedinAutumn2012anditsfindingswillbeincludedinthefutureworkplanfortheBoard.

Ihopeyoufindthecontentofthisannualreportuseful.Itcontainsdetailsoftheactivitiesinthepastyearandtheprioritiesfortheyearahead.Weoftensaythatsafeguardingiseveryone’sbusinessandifyoufeelthatyourorganisationcanmakeacontributionthendogetintouchwiththeSafeguardingAdultsTeam.

Bill HodsonIndependentChairCalderdaleSafeguardingAdultsBoard


ExecutiveSummaryTheCalderdaleSafeguardingAdultsReport2011-2012detailstheachievementsoftheBoardoverthelast12months.TheBoardisavoluntaryarrangementofstatutoryandnonstatutoryagencieswiththepurposeofachievingcontinualimprovementsinpracticethatsafeguardvulnerablecitizensinCalderdale.

Keyachievementsduring2011-2012includethefollowing:

1 TheAdultSafeguardingPolicyandProcedurewasupdatedandimplementedon25thMay2011tosupportthepartnershipsinvolvedintheBoard.ThiswasindirectresponsetoaSeriousCaseReviewinCalderdale.

2 TheformationofanAnti-SocialBehaviourVulnerabilityPanelwhichhasreviewedhundredsofcasesandidentifiedwhereurgentactionisneeded.

3 TheSafeguardingAdultsTeamwassuccessfulinrecruitingareplacementSafeguardingAdultsandDoLSCo-ordinatorwithspecialistknowledgeintheareasofMentalCapacityandDeprivationofLibertySafeguards.

4 Therolloutofadultsafeguardingtrainingacrossarangeofkeypartneragencies.

TheunacceptableexperiencesofpeoplebeingabusedinresidentialestablishmentswascrystallisedbythehorrificabuseuncoveredatWinterbourneViewinSouthGloucestershirebytheBBCandthefindingsintheSeriousCaseReviewpublishedintheautumnof2012.Thispresentschallengesbothlocallyandnationallytoensurethatstatutoryagenciesdeveloptheirpracticeinthisareatoensurepeopleexperienceindividualisedsolutionsthatarebuiltuponprinciplesofempowerment,dignity,choice,andpartnershipandrespectstheirhumanrights.

Inconsideringstatisticalinformationoutlinedlaterinthisreportandvariationsinthedatathatwerepublishedinthe2010-2011report,itwasacknowledgedinthelastannualreportthatthereweredifficultieswithadultsafeguardingrecordingsystemsresultinginvariationsassociatedwithcleaningupthedataratherthanchangesinpractice.DevelopmentscontinuetobemadetotheCouncil’sclientinformationsystemtoaddresssuchanomalies.Selfreferralsonlyaccountfor1.9%ofthealertsreceivedin2011-2012highlightingthechallengeforallmembersoftheSafeguardingAdultsBoardtocontinuetoraisethepublic’sawarenessofsafeguarding,theirrightsandresponsibilities.

SpecialthanksarereservedforallpartneragencieswhohaveheavilycontributedtotheachievementsoftheSABandthecompletionofthisannualreportandforPaulSwallowwhohasproducedallthestatisticalandvisualrepresentationswithin.

Mark AlbistonSafeguardingAdultsManagerCalderdaleMetropolitanBoroughCouncil


Section1pAchievements 2011 - 2012

Governance

TheSafeguardingAdultsBoard(SAB)metregularlythroughouttheyearwiththestrategicthinkinganddirectionoftheboardbeingsupportedbytheSABexecutiveandSABsubgroups(Prevent,Protect,Perform),whichareresponsiblefordrivingforwardtheoperationalrequirementsofthestrategicvision.

TheSafeguardingAdultsBoardworksinaccordancewiththeSafeguardingAdultsMulti-AgencyAgreementandallpartnerstotheagreementhavecommittedtoworkwiththeLocalAuthority,asleadagencyforadultsafeguarding.Theagreementclearlydefinestherolesandresponsibilitiesofeachstatutorypartneragencyandtherolesandresponsibilitiesofthevoluntaryandindependentsectorwhethercommissionedornot.

TheindependentchairfortheSABcontinuestoprovideenhancedscrutinyandobjectivityinrelationtoBoardfunctionalityandbusinessactivities,providingincreasedleadershipandfocus.TheSABworkplanfor2011-2102identifiedkeyprioritiesforadultsafeguardingworkinCalderdale.

TheSafeguardingAdultsTeamprovidedcontinuedsupporttoassisttheoperationalandstrategicthinkingoftheSAB.InadditiontothisfunctiontheteambeganauditsofadultsafeguardingworkacrossalltheoperationalfieldworkteamsinMarch2011,asameansofoverseeingcompliancewithlocallyagreedpolicyandprocedure.

Serious Case Review

TheSABcommissionedaSeriousCaseReviewinautumn2011andtheAuthorisduetoreporttoanExtraordinarySABinautumn2012.TheoutcomeoftheSeriousCaseReviewwillresultinaspecificmanagement

planthatwillspantheworkrequiredbyallkeyinternalandexternalpartneragenciestoensurethattherequiredculturalandoperationalchangesarerealised.

TheSABwillalsoneedtoconsidertheissuescoveredinSeriousCaseReviewofWinterbourneViewinSouthGloucestershire,toensurethatworkismanagedinthemostefficientmannerandrealisesthechangesrequiredtoeffectivelysafeguardvulnerableadultsinCalderdale.

Safeguarding Adults Multi – Agency Procedures

Therevisedpolicyandprocedurewasimplementedon25thMay2011andwassupportedbytheroll-outofextensivetrainingtointernalandexternalpartneragencies,aweb-basedversion,easyreadguidanceandsupportingleaflets.

Theproceduresprovidearobustframeworktoensurethatthoseatriskareprotected,andreinforcestherolesandresponsibilitiesofallpartneragenciesasameansofenhancingthearrangementsformultiagencyworking.

TheSafeguardingAdultsMulti–AgencyProceduresremainanorganicdocumentsubjecttoanumberofinternalandexternalinfluences.ItisanticipatedthatthecontinuedeffectivenessoftheprocedureswillneedtobereviewedinlightofCalderdale’sSeriousCaseReviewandtheSeriousCaseReviewofabuseatWinterbourneView.

Multi – Agency Training Programme

TrainingneedsareidentifiedwithreferencetotheNationalCompetencyFrameworkforSafeguardingAdultsandorganisationsareprovidedwithaclearrationaleforeach


courseofferedtogetherwithclearlystatedlearningoutcomesforeachcourse.Trainingisdeliveredinanumberofformatswhichincludes:deliveredcourses,singleagencytrainingevents,E-learningactionlearningsetsareavailableandatrainthetrainereventwasstagedin2011.

Promotion of links with Community Safety Partnerships

SafeguardinginformationismaintainedandupdatedonCalderdaleCouncil’swebsitetosupportthepromotionofadultsafeguarding.

SABwillcontinuetoexplorelinkagestoestablishedsystemstopromotecommunicationandreduceareasofduplicatedpractice.Specificexamplesofgoodpartnershipworkinginclude–DomesticAbuse,Anti-SocialBehaviour,HateCrime,Multi-AgencyRiskAssessmentandVulnerability.

Commissioned and Contracted Services

Wewillcontinuetoensurethatadultsafeguardingisacentralfeaturewithinallservicespecificationsforcareservicesacrossallsectors.Experiencehastaughtusthatabuseismorelikelytooccurinestablishmentsthatdonotvaluetheindividualityoftheperson;wherepoorpracticeisleftunchallenged;wheretheorganisationalculturepromotesitsownneedsoverthoseofthepeoplewhorequiresupport;andwherepeople’sinformalsupportnetworksarenotseenaskeypartners.

MonthlymonitoringmeetingsarenowwellestablishedinCalderdaleandtheseprovidetheforumforinformationsharing,co-ordinationanddecisionmakinginrelationtocommissionedandcontractedservices.

TheforumbringstogetherrepresentationfromtheCareQualityCommission,HealthCommissioners,CalderdaleAdults,HealthandSocialCare–GatewaytoCare,ContractsandSafeguardingAdultsTeamtomaximiseinformationgatheringfrominspectionandregulatedactivity.

Duetotheincreasedawarenessofabuseincommissionedandcontractedservices,significantworktookplacein2011-2012tobolsterthecapacityandfunctionalityoftheteam.InJanuary2012thenewContractsManagerwasrecruitedandanextensiverecruitmentdrivecommencedforadditionalstaffintheContractsSectiontocarryoutqualityandperformanceactivityandprocurement.Theincreasedcapacityallowedforworktobecommencedaroundsettingupnewcomplianceproceduresaroundqualityandperformancemonitoring,andpriorityassessmentratingsforresidentialestablishments.Thenewcomplianceproceduresarecurrentlybeingfinalisedwithaviewtobecompletedin2012-2013.


Section2pCalderdale Safeguarding Adults Board Multi-Agency AgreementThemulti-agencyagreementsignifiesthattheorganisationslistedassignatorieshavecommittedthemselvestoco-operatewiththeLocalAuthority,asleadagencyforadultsafeguarding,andwitheachothertocarryoutsafeguardingadultsworkinCalderdale.Allpartnerstothisagreementwillworktowardsthepreventionofadultabuseandensuretheyrespondinatimelyandeffectivemannertoanyconcernsofabuse.TheagreementprovidesthecontextforadultSafeguardingthatpromotes:

p Thecapacitytoimplementadultsafeguardingwork.

p Thepreventionofabusethroughtheapplicationofbestpracticeandhighstandardsinaccordancewithcurrentguidance.

p Protectingpeoplefromabusebyestablishinginternalsafeguardingadultsproceduresthatareinaccordancewiththemulti-agencysafeguardingadultsprocedures.

p Promotingawarenessbycontributingtothepublic’sunderstandingofadultabuse,howtoreportconcernsandidentifywhathelpisavailable.

p Todevelopassurancemechanismssothateachorganisationcandemonstratethatitisimplementingadultsafeguardingworkeffectively.

Thefollowingaresomeoftheoutcomesweaimtoensureforpeoplewhouseservicesandtheircarers:

p Peopleareabletoliveinsafeandsecuresettingswherethefearoforactualharassment,abuseandneglectisprevented.

p Allpartneragenciesareinformedandknowwhattodotopreventabuseandtorespondeffectivelywhenabusehasoccurred.

p Thegeneralpublicknowwhattodoiftheyareconcernedaboutanadultatriskofabuse.

p PeopleexperiencesafeguardinginmannerthatrespectstheirrightstodignityandassociatedfreedomsinaccordancewiththeHumanRightsAct,MentalCapacityActandDeprivationofLibertySafeguards.

p Supportisprovidedbyaskilled,informativeandconfidentworkforceandbuiltuponasoundvaluebase.

p Peopleraiseagoodresponsewhentheyraiseconcernsaboutabuse,including:

• Atimelyandproportionateresponse.

• Therighttomakedecisionsandtobalanceriskswithrights.

• Robustriskmanagementplanswhichvaluestheirindividualcircumstances.

• Theopportunitiestohavetheirsituationreviewedonaregularbasis.


Section3pPerformance

Volume of alerts

Thetotalnumberofalertsin2011-2012was527whichisanincreaseonthenumberofalertsthathadbeenreceivedinthepreviousreportingyear.

Therehasbeenanincrementalincreaseinthenumbersofsafeguardingalertsoverthelast5years,withtheexceptionofthedatacollectedbetween2010-2011.ItisbelievedthatthisreductionwasduetochangesinthedatacollectionsystemandthechangetotheoperationalfunctionsofGatewaytoCare.

ItshouldbenotedthattheincreaseinalertsdoesnotnecessarilyindicatelevelsofabusehaveincreasedinCalderdalebutcouldalsobetheresultofawarenessofsafeguardingandtolerancearoundcustomandpracticehavingevolved.ItisanticipatedthatasourunderstandingofAdultSafeguardingdevelopsfurtherthiswillbereflectedinthestatisticalinformationpresentedinfutureannualreports.

However,somecautionneedstobeappliedwhenanalysingsuchinformationandallpartneragenciesneedtoremainvigilanttothelikelihoodoforactualabusethatpeopleinreceiptofsupporthaveexperienced.TheabuseuncoveredatWinterbourneViewhighlightedtheseriousconsequencesofminimisingsafeguardingconcernswithininstitutionalsettings.

Thetablebelowsummariesthenumberofalertsoverthelast5yearstodemonstratetheincreasingnumbersofalerts.

2007-08 2008-09 2009-10 2010-11 2011-12

Alerts 273 338 430 347 527

0

100

200

300

400

500

600

Annual Safeguarding Alerts Annual Safeguarding Alerts

250

317

0% 20% 40% 60% 80% 100%

2010 - 11

2011 - 12

2010 - 11 2011 - 12

18-64 97 210

65+ 250 317

Safeguarding Alerts By Age Band


Age

Themajorityofadults(317)wereovertheageof65whichisconsistentwithgeneralpatternsofactivityacrosshealthandsocialcareinotherareas.Therewasagreaterincreaseinadults18–64yearswhencomparedtotheincreaseinalertsforadultsovertheageof65years.

Safeguarding Alerts by Age Band

210

97


231

308

116

219

0% 20% 40% 60% 80% 100%

2010 - 11

2011 - 12

2010 - 11 2011 - 12

Female 231 308

Male 116 219

Safeguarding Alerts By Gender Safeguarding Alerts by Gender

Gender

63%

37%

Female

Male

Service Users by Gender

Morefemales(308)werethesubjectofsafeguardingadultsalertswhencomparedtomales(219).Therewasanincreaseinbothfemalesandmalesalertrateswhencomparedtothepreviousrecordingperiod.

Thehighervolumeofsafeguardingalertsforfemalesisnotsurprisingasfemalesaccountfor63%ofallpeoplereceivingadultsocialcaresupportfromCalderdaleMBC.

Calderdale SAB Annual Report 2011 -‐ 2012 Final.docx 9

3.4 Ethnicity

People who identify themselves as being from a white British background continue to account for the majority of safeguarding alerts.

There has been a slight increase in the numbers of alerts in relation to people from black and ethnic minority communities with the biggest increase being experienced by people who identify themselves as being from the Asian / Asian British – Pakistani community.

308

3

12

1

0

3

1

1

1

0

17

449

5

7

0

2

11

2

1

2

1

47

White - British

White - Irish

Any Other White Background

Any Other Ethnic Group

Asian/Asian British - Indian

Asian/Asian British - Pakistani

Asian/Asian British - Any Other Asian Background

Black/Black British - Caribbean

Mixed - White And Asian

Mixed - White And Black Caribbean

Information not yet obtained

0 50 100 150 200 250 300 350 400 450 500

Alerts by Ethnicity

2010 - 11 2011 - 12


Alerts by Ethnicity

Ethnicity

PeoplewhoidentifythemselvesasbeingfromawhiteBritishbackgroundcontinuetoaccountforthemajorityofsafeguardingalerts.

TherehasbeenaslightincreaseinthenumbersofalertsinrelationtopeoplefromblackandethnicminoritycommunitieswiththebiggestincreasebeingexperiencedbypeoplewhoidentifythemselvesasbeingfromtheAsian/AsianBritish–Pakistanicommunity.


205

134

65 54 31 29

1 8 0

50

100

150

200

250

2011 - 12 Safeguarding Alerts By Client Group 2011 - 2012 Safeguarding Alerts by Client Group

Client Group

PhysicalDisability(whichincludesolderpeople’sdata)continuestoreceivethehighestnumberofalerts.IncreasesintotalnumberofalertswerealsoreceivedinrelationtoLearningDisability,Dementia,SensoryImpairmentandMentalHealth.Therewasaminimalreductionforothervulnerablepeopleandpeoplewithoutclassification,whilstalertsrelatedtoSubstanceMisuseremainedthesame.

Client Group 2010 - 2011Alerts

2010 - 2011Percent

2011 - 2012Alerts

2011 - 2012Percent

PhysicalDisability 170 49.0% 205 38.9%

LearningDisabilities 46 13.3% 134 25.4%

Dementia 41 11.8% 65 12.3%

MentalHealth 32 9.2% 54 10.2%

OtherVulnerablePeople 33 9.5% 31 5.9%

SensoryImpairment 13 3.7% 29 5.5%

SubstanceMisuse 1 0.3% 1 0.2%

ClientGroupNotClassified 11 3.2% 8 1.5%

Total 347 97% 527 98%


266

130

57 28

10 30

6

0

50

100

150

200

250

300

2011 - 12 Safeguarding Alerts By Alert Source 2011 - 2012 Safeguarding Alerts by Alert Source

Alert Source

ThedatainthisareareflectsthetrendswithinotherLocalAuthoritiesasSocialCareandHealthaccountedforthemajorityofadultsafeguardingalerts.Therewasaslightreductioninselfreferralswhichonlyaccountedfor10outof527referrals(1.9%ofthetotalnumberofalerts).

WhilstthispositionisinkeepingwithotherNationaltrends,considerationwillbegiventothepotentialneedfortargetedresourcestoraisetheprofilewithpeoplewhoneedsupport,families,friendsandneighbours.

Itwillalsobeimperativeforsocialworkersandotherpractitionerstoraisetheprofileofadultsafeguardingthroughallcontacts,assessmentandplanningactivity.

Alert Source 2010 - 2011Alerts

2010 - 2011Percent

2011 - 2012Alerts

2011 - 2012Percent

SocialCare 179 51.6% 266 50.5%

Health 61 17.6% 130 24.7%

FamilyMembers,Friends,Neighbours

51 14.7% 57 10.8%

OtherBodies/Organisations 13 3.7% 28 5.3%

SelfReferral 15 4.3% 10 1.9%

Other 24 6.9% 30 5.7%

NotClassified 4 1.2% 6 1.1%

Total 347 100% 527 100%


Categories of abuse

NeglectcontinuestobethemaincategoryofabusealertedtotheDepartmentwhichisfollowedbyphysicalabuseandfinancialabuse.ItisofconcernthattherewasaslightincreaseinthenumberofunclassifiedabusetypesandtheSafeguardingAdultsManagerwillworkwillGatewaytoCaretointerrogatethisdata.

158

125

95

49

42

24

13

7

14

Neglect

Physical

Financial

Multiple Abuse

Emotional/ Psychological

Sexual

Institutional

Self Neglect

Not Classified

2011 -12 Safeguarding Alerts By Abuse Type 2011 - 2012 Safeguarding Alerts by Abuse Type

Abuse Type 2010 - 2011Alerts

2010 - 2011Percent

2011 - 2012Alerts

2011 - 2012Percent

Neglect 67 19.3% 158 30.0%

Physical 92 26.5% 125 23.7%

Financial 70 20.2% 95 18.0%

MultipleAbuse 42 12.1% 49 9.3%

Emotional/Psychological 29 8.4% 42 8.0%

Sexual 20 5.8% 24 4.6%

Institutional 6 1.7% 13 2.5%

SelfNeglect 9 2.6% 7 1.3%

Discrimination 1 0.3% 0 0.0%

NotClassified 11 3.2% 14 2.7%

Total 347 100% 527 100%


3.8 Location of abuse

When considering the location of safeguarding alerts, locations other than care homes continue to provide the highest number. However, when the number of alerts received in a person’s own home 187, is compared to those received in all care home establishments 203 there is a greater number of alerts received within care homes. This is further evidenced through the number of alerts which occur in other collective care settings such as supported accommodation. From the information below it is evident that collective care settings continue to provide the highest number of safeguarding alerts.

2011 - 12

2010 - 11

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2011 - 12 2010 - 11

Care Home 203 123

Other 324 224

Alerts by Location Type

183

19

16

13

8

8

8

7

5

4

4

3

3

1

1

1

23

6

11

137

50

8

8

0 20 40 60 80 100 120 140 160 180 200

Own Home

Supported Accomodation

Public Place

Alleged Perpetrators Home

Acute Hospital

Community Hospital

Mental Health Inpatient Setting

Hospital

Supported Living Scheme

Day Centre/ Service

Parents Home

Other Health Setting

Relatives Home

Education/Training/Workplace Establishment

Extra care Scheme

Independent Healthcare

Other

Not Known

Not Stated

Care Home - Permanent

Care Home with Nursing - Permanent

Care Home - Temporary

Care Home with Nursing - Temporary

2011/12 Alerts By Location Type


3.8 Location of abuse

When considering the location of safeguarding alerts, locations other than care homes continue to provide the highest number. However, when the number of alerts received in a person’s own home 187, is compared to those received in all care home establishments 203 there is a greater number of alerts received within care homes. This is further evidenced through the number of alerts which occur in other collective care settings such as supported accommodation. From the information below it is evident that collective care settings continue to provide the highest number of safeguarding alerts.

2011 - 12

2010 - 11

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2011 - 12 2010 - 11

Care Home 203 123

Other 324 224


183

19

16

13

8

8

8

7

5

4

4

3

3

1

1

1

23

6

11

137

50

8

8

0 20 40 60 80 100 120 140 160 180 200

Own Home

Supported Accomodation

Public Place

Alleged Perpetrators Home

Acute Hospital

Community Hospital

Mental Health Inpatient Setting

Hospital

Supported Living Scheme

Day Centre/ Service

Parents Home

Other Health Setting

Relatives Home

Education/Training/Workplace Establishment

Extra care Scheme

Independent Healthcare

Other

Not Known

Not Stated

Care Home - Permanent

Care Home with Nursing - Permanent

Care Home - Temporary

Care Home with Nursing - Temporary

2011/12 Alerts By Location Type


Location of abuse


Whenconsideringthelocationofsafeguardingalerts,locationsotherthancarehomescontinuetoprovidethehighestnumber.However,whenthenumberofalertsreceivedinaperson’sownhome187,iscomparedtothosereceivedinallcarehomeestablishments203thereisagreaternumberofalertsreceivedwithincarehomes.

Thisisfurtherevidencedthroughthenumberofalertswhichoccurinothercollectivecaresettingssuchassupportedaccommodation.Fromtheinformationbelowitisevidentthatcollectivecaresettingscontinuetoprovidethehighestnumberofsafeguardingalerts.

2011 - 2012 Alerts by Location Type


Outcomes of Alerts

Ofthe527alertsrecordedduringthisreportingperiod283wereacceptedasreferralsandofthese195hadastrategydiscussionwith37havingarecordedsafeguardingriskassessmentcompleted.

Themainareaofnoteisthereductioninthenumberofsafeguardingriskassessments(37)whichhasreducedfrom51inthepreviousreportingperiod.

Thisissuehasbeendiscussedwithrelevantmanagersacrossthedifferentoperationalteamstodevelopaclearerunderstandingofthefactorsthatarecontributingtothispicture.WhilstmuchhasbeendonetoimprovetheaccuracyofinformationinCalderdalethemainissueremainsensuringthatstafffullyutilisethesafeguardingITsystem.Thereisalsonationalrecognitionthatchangesneedtobemadetothedatacollectedtomakeitmoreusefulandmorefocusedontheoutcomesachievedforpeoplewhoarethesubjectofsafeguardinginterventions.

TheSafeguardingAdultsManagerwillneedtoaddressthisissueasapriorityin2012/2013toensurewehaveareportingsystemthatiscapableofcapturingmoredetailedoutcomesatdifferentstagesoftheAdultSafeguardingprocess.ThiswillallowformoreeffectiveinterrogationoftheAdultSafeguardingprocess.Thedatabelowisbasedononly37cases,whichmeansthatitisdifficulttodrawfirmconclusionsaboutwhatitistellingus.

2010-11 2011-12

Safeguarding Referrals 195 283

Safeguarding Strategy Discussions 150 195

Safeguarding Risk Assessments 51 37

0

50

100

150

200

250

300

Safeguarding Referrals and Risk Assessments Safeguarding Referrals, Risk Assessments and Strategy Meetings


35%

24%

11%

11%

5% 14%

2011 - 12 Risk Assessment Conclusions

Substantiated

Not determined/inconclusive

Not Substantiated

Partly Substantiated

Exonerated

Not Completed / On-going

Conclusions of Risk Assessments/Investigations

Whencomparingthedataforthelasttworeportingyears(excludingworkthatisongoing/notcompleted)itisevidentthatthemajorityofsafeguardinginvestigationshaveanoutcomeofsubstantiatedorarenotdetermined/inconclusive.Therehasbeenaslightincreaseinthenumberofexonerationsandareductionintheworkthatwasnotcompletedduringtherecordingperiod.

2011 - 2012 Risk Assessment Conclusions

Conclusion 2010 - 2011Number

2010 - 2011Percent

2011 - 2012Number

2011 - 2012Percent

Substantiated 20 39.2% 13 35.1%

Notdetermined/inconclusive 6 11.8% 9 24.3%

NotSubstantiated 5 9.8% 4 10.8%

PartlySubstantiated 5 9.8% 4 10.8%

Exonerated 1 2.0% 2 5.4%

NotCompleted/On-going 14 27.5% 5 13.5%

Total 51 100% 37 100%


Vulnerable Adult Outcomes

Thisdatawasnotcollectedinthepreviousreportingperiodbutitistheintentiontoreportontheoutcomesforadultswhohavebeenthesubjectofsafeguardingadultprocedures.WhilstthewayinwhichwecollectthisinformationmightchangethedataisessentialtocollectasthiswillinformtheCouncil’slocalaccountforadultsafeguardingandwillhelpdemonstratewhetherpeoplearesaferasaresultofthesafeguardingprocesses.

Outcome No.

Increased Monitoring 24

Moved to Increase/Different Care 9

Community Care Assessment and Services 7

Management of Access to Finances 2

Guardianship/Use of Mental Health Act 2

Application to Court of Protection 1

Referral to Advocacy Scheme 1

Restriction/Management of Access to Alleged Perpetrator 1

Other 5

No Further Action 4

Alleged Perpetrator Outcomes

Thisdatawasnotcollectedintheperviousreportingperiodbutitistheintentiontoreportonthisinthefuture.WhilstthewayinwhichwecollectthisinformationmightchangethedataisessentialtocollectasthiswillinformtheCouncil’slocalaccountforadultsafeguardingespeciallyweretheallegedperpetratorisalsoavulnerableadult.

Outcome No.

Continued Monitoring 12

Police Action 10

Disciplinary Action 7

Management of Access to Vulnerable Adult 4

Action by Contract Compliance 4

Exonerated 3

Action by Care Quality Commission 2

Counselling/Training/Treatment 2

Community Care Assessment 1

No Further Action 8


Section4pPartner Agencies

Calderdale Adults, Health and Social Care (AHSC)

AdultSafeguardinghascontinuedtobeapriorityforAHSCand,togetherwithpartnerorganisations,thisperiodhasdemonstratedourcommitmentandimprovedintelligencearoundthiscomplexareaofsocialcarepractice.

AHSCwillcontinuetoworkwithallinternalandexternalpartnerstoensurethattheMulti-AgencyPoliciesandprocedures,trainingandsupportfunctionsremainfitforpurposeandresponsivetolocalandnationaldevelopments.

ThiswillensureCalderdalecontinuestoprovideaworkforcethatisskilled,knowledgeableandconfidenttodealwiththemostcomplexsituationsandwillhelpensurethat:

p Adultsknowhowtokeepthemselvessafeandhowtomakeasafeguardingreferral.

p Allinformationanddecision-makingiseffectivelyrecordedateachstageofthesafeguardingprocess.

p TheperformanceandqualityactivitywithintheContractsTeamisabletodeliverarobustqualityandcomplianceprocessthathasclearlinesofaccountabilityforsafeguarding.

p Advocacyisprovidedwhenneededtoensurepeopleareempoweredtobeinvolved.

p Allrelevantpartneragenciesareappropriatelybriefedontheoutcomeofadultsafeguardinginvestigations.

CalderdaleMBCprovidedthefollowingadultsafeguardingandrelatedtrainingcoursesduring2011–2012.TheinformationheldwouldallowtheSafeguardingAdultsBoardandassociatedsubgroupstooverseetheeffectivenessofthetrainingstrategyandtodirectresourcestoanypartnersthatarenoteffectivelyrepresented.

Course Title Total

AssessingMentalCapacityandmakingBestinterestDecisions 5

MentalCapacityAct-forCarers 1

MentalCapacityActAwareness 50

MultiAgencyRiskAssessmentConferencingBriefings(MARAC) 3

SafeguardingAdults-ManagersofProviderservices 12

SafeguardingAdults-BasicAwareness 82

SafeguardingAdults-TraintheTrainer 11

SafeguardingVulnerableAdults-CoordinatorsandFieldworkTeamManagers 27

Grand Total 191

Calderdale Metropolitan Borough Council employees


Course Title Total

AssessingMentalCapacityandmakingBestinterestDecisions 14

MentalCapacityAct-forCarers 16

MentalCapacityActAwareness 66

MultiAgencyRiskAssessmentConferencingBriefings(MARAC) 2

SafeguardingAdults-ManagersofProviderservices 12

SafeguardingAdults-BasicAwareness 207

SafeguardingAdults-TraintheTrainer 14

SafeguardingTrainingforAssessorsandManagers 13

Grand Total 344

External workforce (i.e.allthoseemployedintheVoluntary,Privateandindependentsector,NHS,Carersetc)

Safeguarding Adults Board Sub Groups

Update for SAB Annual Report 2012 on work of Prevent Sub Group

Thepreventsubgrouppurposeistoidentifyopportunitiesto‘preventharm’andpromoteSafeguardingAdultswithinCalderdale.ThesubgrouphascrossoverwiththeProtectsubgroupbuthasrefinedexistingpartnershiparrangementstoincorporatethe‘Adultagenda’withinMARACandhasintroducedtheVulnerabilityPaneltointegrateAntiSocialBehaviourandAdultSafeguarding.

ThepolicecontinuetoeffectivelymanagetheMulti-AgencyRiskAssessmentCommittee(MARAC)processesspecificallylinkedtosafeguardingvulnerableadultssubjecttodomesticabuse.NationalIndicator32isusedtoupdateCAADA(Co-ordinatedActionagainstDomesticAbuse)andtheHomeOfficeonaquarterlybasisregardingprogressinCalderdaleandmeetingsareheldonthe3rdWednesdayof

themonth.CalderdaledistrictcurrentlysitsabovethenationalaverageinCalderdaleforournonpolicereferrals.Trainingispreparedanddeliveredtoallpartnersbythepolice.

TheVulnerabilityAntiSocialBehaviour(ASB)PanelisledbyWestYorkshirethePoliceandinvolvesotherkeyCommunitySafetyandSafeguardingpartnersandprovidesaforumtointegrateASB&AdultSafeguarding.Thispanelnowmeetsonaregularbasisandlookstopromoteeffectiveproactiveandpreventativeworkinadultsafeguarding.

Steps for 2012 - 2013

EmergingfromtherecentSeriousCaseReviewwillbeaseriesofrecommendationswhereopportunitieswillexisttopreventharmtoVulnerableAdultsresidentincaresettings.Thepreventsubgroupwillbefullyintegratedindevelopmentsinfuture.


Update for SAB Annual Report 2012 on work of Protect Sub Group

Theprotectsubgroup’sremitistoreviewandupdatepolicies,proceduresandguidanceinordertoenhancetheeffectivenessofsafeguardinginCalderdale.Inaddition,thesubgroupcanidentifylearningfromcaseauditsandindividualcaseswherethereareidentifiedwiderpracticeissues.

Wehavecontinuedtomakeimprovementstothemulti-agencypolicyandproceduresthatwerelaunchedinMay2011.Someofthesearequiteminorchanges,butamoresignificantchangehasbeentoincorporateapolicyonwholeservicesafeguardingsituationsthatrequireadifferentapproachtothoseaffectingindividuals.PlansarebeingimplementedforallincidentsincarehomestobeinvestigatedbytheSafeguardingAdultsTeam.

AfullauditofsafeguardingcasescomingthroughtheCounciltookplaceinsummer/autumn2011.Whilethisfoundthatpracticewassound,itidentifiedissueswithITcompliancethatmeantwewerenotgettingadequatedatafromtheClientInformationSystem.Thiscontinuestobecloselymonitored.AuditsarebeingembeddedintotheworkoftheSafeguardingAdultsTeam,sothatitcanqualityassurethesafeguardingprocess.

Anewstandingmulti-agencymeetingwassetupduringtheyeartoexaminesituationswherevulnerableadultsarevictimsintheircommunities,forexample,duetoanti-socialbehaviour.Thisisensuringthatallagenciesshareinformationandworktogethertofindsolutionsthatbettersafeguardvulnerablevictims.

IthasbeenagreedtodevelopWestYorkshire-widesafeguardingadultspolicyandproceduresthatwillhelptoensureconsistencyacrosslocalauthority

Update for SAB Annual Report 2012 on work of Perform Sub Group

TheperformancegroupisasubgroupoftheCalderdaleSafeguardingAdultsBoard(CSAB)andexiststo:

p Qualityassurethesafeguardingresponseacrossthepartnership,throughanassuranceframeworkforsafeguardingadults

p Monitoringnumbers,outcomesandtrends,andensuringactionistakentoaddressidentifiedconcerns.

Membershipfromstatutorypartners:NHSCalderdale(CalderdaleCCG),CalderdaleandHuddersfieldFoundationTrust,SouthWestYorkshirePartnershipFoundationTrust,WestYorkshirePoliceandAdults,HealthandSocialCare,CalderdaleCouncil.Thegrouphasledto:

p ThedevelopmentofaqualityassuranceframeworkfortheSafeguardingAdultsBoard,includingperformancemanagementframework,Scorecardandriskregister

p MakingproposalstotheSABonarangeofindicatorsforinclusionintheScorecard

p Assistingagenciesindevelopingperformanceindicatorsandmetricsneededtopopulateboththescorecardandthemetrics

p WorkedwithAHSCtotestthefeasibilityofusingCalderdalecouncilperformancesystemtosupportthecollectionandanalysisofthisinformation.

boundaries,particularlyforpartnerorganisationsthathavealargerfootprintthanonelocalauthority.Thisworkhasquitealongtimescale,asitnotduetobeimplementeduntilApril2013andisusingthebroadapproachadoptedinthewellregardedLondon-wideprocedures.


Next steps for 2012 - 2013:

p Concludedevelopmentworkonriskregister

p Supportpartnersinthesection11auditwork(theprocessusedinchildren’ssafeguarding)anddeveloptheprocessforconfirmationandchallenge.

NHS Calderdale (NHSC)

ThepasttwelvemonthshasseensignificantchangesastheNHSreformsareimplementedandtheClinicalCommissioningGroup(CCG)commencedoperatinginshadowformworkinginpartnershipwithNHSCalderdale.

Thereisanamedclinician(GP)ontheClinicalCommissioningExecutivewholeadsonsafeguardingandissupportedintheirrolebytheAssistantDirectorofQualityImprovementSafeguardingAdultstoensuresafeguardingadultswhomaybeatriskisintegraltoallservicesthatarecommissionedandprovided.

AdultssafeguardingisakeypriorityfortheCCGandtheyarestronglycommittedtoactivelycontributingtothepositivepartnershipworkingwithinCalderdale.Evidencetosupportthisisdemonstratedbytheorganisation’scontributiontoarangeofstrategicandoperationalsafeguardingactivitiesworkingacrossthepartnership.Thefollowingareexamples:

p TheworktosupportthequalityimprovementagendawithinnursinghomesthroughthedevelopmentandintroductionoftheQualityPremiumSchemethathasadirectinterfacewiththeMultiagency/Partnershipdevelopmentgroupfornursinghomes.

p ItscommitmentandcontributiontotheSubGroupsoftheSafeguardingAdultsBoard.ThePerformSubGroup,

whichischairedbythePCT’sDeputyofQualityandProfessional,whilsttheTrainingSubgroupisCo-chairedbytheAssistantDirectorofQualityImprovementSafeguardingAdults.

p Theworkundertakentoreducepressureulcers.Pressureulcersarerecognisedasapotentialindicatorofneglect.ThesystematicapproachtodatacollectiononpressureulcersacrossallcaresettingsandcommunityhasinformedtheworkoftheWholeSystemPressureAreaManagementGroup,whichisactivelyworkingtoreducetheprevalence.Thesuccessofthegroupwasrecognisedwhenitwonthe2011NHSCalderdaleCelebratingSuccessAwardforpartnershipworking.

p On-goingfinancialcontributionsaremadetotheCalderdaleSafeguardingAdultspartnership,tosupportthefundingoftheSafeguardingAdultsManagerandanadministratorwhoseroleistoadministertheDeprivationofLibertySafeguardingprocessandprovidesupportfortheSafeguardingAdultsTeamandSafeguardingAdultsBoardandIndependentChair.

TherehasbeenapartnershipapproachbetweentheCCGLeadsforsafeguarding,membersoftheAdults,HealthandSocialCareSafeguardingAdultsTeamandactorsIanBaxterandNarelleSummerstodeliverinnovativescenariobasedmulti-agencysafeguardingtrainingtoindependentcontractorsincludingOptometrists,Pharmacists,Dentists,GPsandtheirpracticestaff.


Numbers of staff trained or booked on training session

Staff Group Number of staff completed training

Optometry 29

Dental Practice 156

Pharmacy 13

GP Practice 68

(142placeshavebeenbookedsofarforfurthertrainingsessionsscheduled)

Feedbackfromcompletedevaluationsheetshasbeenverypositiveandsuggestionsforhowthesessionscanbeimprovedhavebeenincorporatedintothefuturetrainingsessions.AlsoGPpracticesalsohaveaccesstotheQwangoe-learningpackagesthatadultandchildren’ssafeguardingawareness,MentalCapacityActandDeprivationofLibertySafeguards(DoLS).

Todatetherehavebeenatotalof9trainingsessionsheldandafurther7scheduledtotakeplace.

South West Yorkshire Partnership (NHS foundation Trust)

In2011SouthWestYorkshireFoundationTrustacquiredservicesfromNHSBarnsleyanditisnowanorganisationwhichspans4LocalAuthoritiesandhas3,500staff.Ofthese,319staffarebasedinCalderdale.SWYFThasaresponsibilitytoensureachievementoftheCQCEssentialStandardsofQualityandSafetyandprovidesassurancethroughagovernanceinfrastructurewithinSWYFTwhichreportstotheTrustBoardandthroughparticipationinCalderdaleSafeguardingAdultsBoardandSubgroups.

Ourcommitmenttothepeoplewhouseourservicesisthatwewillprovidehighqualityperson-centredserviceswhichproactivelysafeguardindividualsandprovideawellinformed,confident,openworkforcewhoknowwhenandhowtoreportsafeguardingtothelocalauthority.WearenowaSafeguardingTeamincludingsafeguardingchildrenandourcommitmentistothe“thinkfamily”agenda.

Wehaveachievedthatthisyearthrough:

p Training: MandatoryTrainingAttendancehasincreasedfrom64%to87%inCalderdale

p Audit:ClinicalAudithasfocusedonmeasuringtheeffectivenessoftraininginpracticeandacrosstheserviceitdemonstratedthatover85%ofindividualshadseentheapplicabilityoftrainingtopracticeandintherewereexamplesofpracticechangemostlywithregardtoreportingpractice.

p Patient Safety Reporting:Anewsystemforincidentreportingwithintheorganisation(datix)hasincorporatedSafeguardingreferralsandincidentsaffordingtheteammoreopportunityforscrutinyandabilitytosupportstafftosupportserviceusers.

p CQC support visits:TeamsofDirectors,professionalsandserviceuserandcarerrepresentativesvisitclinicalareasandscrutinisecareonarollingprogrammeofunannouncedvisits.TheEssentialStandardsofQualityandSafetyarereviewedincludingpersoncentredcareandpatientexperience,safeguarding.

p Safer Recruitment: AnimplementationplanwasagreedbytheTrustinrelationtotheIndependent


SafeguardingAuthorityprogrammeinAprilPartofthisplanwasengagingwithHRmanagersandClinicalmanagerstoensuretheTrustworkedwithinthelegalframeworkoftheSafeguardingVulnerableGroupsAct.

p Policies and Procedure Development:TheSexualRelationshipsPolicywasreviewedandsignedoffbytheEMTinMay:

• TheDomesticAbuseguidancehasbeenreviewedinlightofaseriouscasereviewthattookplaceinCalderdaleandhasbeendevelopedintoaTrustpolicythatnowincludesariskassessmenttoolandamultiagencyreferralprocessforseriouscasestobetakenforwardtotheMultiAgencyRiskAssessmentConference(MARAC)meetings.

• TheMissingPersonspolicyhasbeenreviewedandsignedoffbytheTrustboardinDecember.ThepolicyincludeslessonslearntfrompreviousincidentsandpartnershipworkingwiththePoliceensuresasafereturnforanyindividualswhogomissing.

• TheSafeguardingAdultsTrustprotocolwasreviewedtoincorporatelearningfrompreviouscases;theprotocolwassignedofbytheEMTinOctober.Themainchangesincludedthestatementthatstaffmustnotfinanciallybenefitfromcontactwithserviceusersotherthantheirsalaries.

AsaresultofonepersonbeingreferredtoISAbecauseoffraudulentlyapplyingforthepostofstaffnurseanaudittookplaceof49furtherjobapplications.Theauditillustratedrobustsystemsarebeingapplied

byHRandManagersinthesaferrecruitmentprocessinordertoprotectserviceusersfromabuse.

p Learning Lessons:AworkshopforstaffworkinginlearningdisabilitiesteamsacrosstheTrusttookplaceinMaytoenablestafftolearnthelessonsfromtheWorcesterSafeguardingAdultsCommittee.

p Partner Agencies:Traininghasbeendeliveredataworkshopattendedbysixtypoliceconstables.ThetrainingwasdeliveredbytheTrustfollowingarequestfromtheWakefieldPoliceSafeguardingUnit.Itwasagreedthatofficersneededtounderstandissuesinrelationtosafeguarding,vulnerability,mentalcapacity,accesstomentalhealthservices,andtheMARACreferralprocess.

Calderdale and Huddersfield Foundation Trust

AspartoftheTransformingCommunityServiceagenda,communityhealthservicesinCalderdalehavenowtransferredtoCalderdaleandHuddersfieldNHSFoundationTrust(CHFT).Subsequently,in2011,thenewSafeguardingChildrenandAdultsTeamwasestablished,nowsittingcorporatelywithintheorganisation.InNovember2011,CHFTappointedanAssociateDirectorforSafeguardingtoleadtheteamandtoprovideastrategicsteerwithintheorganisationandinJan2012aNamedNurseforsafeguardingadultswasappointedtosupporttheworkforceatanoperationallevel.

AkeypriorityoverthepastyearhasbeentoreviewsafeguardingtraininginordertoprovideassurancesaboutstatutorysafeguardingresponsibilitiestobothcommissionersandtoLocal


SafeguardingBoards.Initialworkoverthelastyearhasincluded:

p ReviewingSystemsandprocessesforrecordingsafeguardingtraininginordertoensurearobustsystemisinplace.

p Targetaudienceshavebeenidentifiedclarifyinglevelsoftrainingfordifferentroleswithintheorganisation.

p Internalsafeguardingtraininghasbeenreviewedanddevelopedfurtherandcontinuestobedeliveredacrosstheworkforce.

p Largepercentagesoftheworkforcewhoweretrainedin2009areapproachingtheneedtoupdate,ascurrenttrainingrunsona3yearlycycle.Thiscontinuestobemonitored.

p Releasingstafftoundertakeallmandatoryandessentialtraining,includingsafeguarding,continuestoneedtobalanceagainstmaintainingclinicalserviceswithinthehospitalandcommunitybutthiscontinuestobeapriority.

AllnewstaffcontinuetoaccesstheTrustinductionprogrammeandallstaffarerequiredtoundertakethelevel1training.Alltrainingcontinuestobesupportedbywrittenbriefings..

AnewinhousetrainingprogrammehasbeendevelopedtodeliverthekeysafeguardingmessagesatLevel2(adults),with6sessionsbeingdeliveredeverymonth.Bespokesafeguardingadulttraininghasbeencommissionedandwillbedeliveredbi-monthly,targetingthosewhoarelikelytobeinvolvedinadultsafeguardingstrategymeetings.

Trainingisdeliveredbyfacetofacetaughtsessionsandelearningisalsoavailable.Eveningsessionsarealsocurrentlybeingtrialled.

Othersignificantworkhasincluded:

p InternalworkwithCHFT’sriskdepartmentinrelationtohowsafeguardingconcerns/incidents/complaintsarecategorisedonDATIX.

p Safeguardingsupervisionforstaffhasbeendeveloped.

p TheNamedNurseforAdultSafeguardingnowaccessesprofessionalforumstoprovidesupport,briefingsandupdatesandtoensuresafeguardingremainsapriority.

p JointmeetingswithkeymanagerswithinCHFTandAdultsSocialCareinbothCalderdaleandKirkleeshavebeenestablished.

p CHFThascontributedtotheworkoftheSafeguardingBoardandallitsworkstreams/subgroups.

p Allsafeguardingpoliciesandprocedureshavebeenreviewedandupdate.

p Linesofaccountabilityandorganisationalstructureshavebeenreviewedandupdated.

p Allsafeguardingmeetingshavebeenreviewedandtermsofreferenceupdated.

p Safeguardinglinks(withclearexpectationsoftherole)acrosstheworkforcehavebeenidentifiedwithtwoworkshopsdelivered.

p Postersandleafletshavebeenupdated.


West Yorkshire Police – Calderdale

SafeguardingadultsfromabuseremainsakeypriorityforWestYorkshirePoliceandthededicatedSafeguardingunitcontinuestooverseethesupporttovulnerableadultsinCalderdale.

Themulti-agencypoliciesandproceduresareembeddedwithinthedivisionbutremainunderconstantreviewasaresultoflocalandnationalinfluences.Thishelpsfostereffectivemulti-agencyworkingrelationshipswithpartneragencieswhichwillbebuiltuponbytheoutcomeofWinterbourneViewandthecurrentSeriousCaseReviewinCalderdale.

TheVulnerabilityAntiSocialBehaviour(ASB)PanelisledbyWestYorkshirethePoliceandinvolvesotherkeyCommunitySafetyandSafeguardingpartnersandprovidesaforumtointegrateASB&AdultSafeguarding.Thispanelnowmeetsonaregularbasisandlookstopromoteeffectiveproactiveandpreventativeworkinadultsafeguarding.

ThepolicecontinuetoeffectivelymanagetheMulti-AgencyRiskAssessmentCommittee(MARAC)processesspecificallylinkedtosafeguardingvulnerableadultssubjecttodomesticabuse.NationalIndicator32isusedtoupdateCAADA(Co-ordinatedActionagainstDomesticAbuse)andtheHomeOfficeonaquarterlybasisregardingprogressinCalderdaleandmeetingsareheldonthe3rdWednesdayofthemonth.WeareabovethenationalaverageinCalderdaleforournon-policereferrals.Trainingispreparedanddeliveredtoallpartnersbythepolice.

CalderdaleAHSCandCalderdalepolicehavecontinuedtoworktogethertoprovidejointtrainingforfrontlinestaffandmanagerswhoareinvolvedinthesafeguardingadultsprocess.Thisisseenasavaluableexampleofjointworkingbetweenpartneragencies.

West Yorkshire Probation Trust

InCalderdalewehaveensuredthatmorestaffhaveattendedtheMARACtrainingtoensuresupportforvictimsofdomesticviolence.Lastyearwewereresponsibleformanagingthefutureriskofharmoftheoffenderwhofoundguiltyandimprisonedin2011/12.CalderdaleSABcommissionedaCaseReviewin2010/2011inresponsetothisspecificcase.Theprobationteamalsoplaysakeyroleinthesupervisionoffendersconvictedofdomesticviolenceoffencesandmanagetheirriskinthecommunityasameansofsafeguardingadultsatrisk

Housing

Fromahousingperspectivegenerally,awarenessofsafeguardingisnowmuchhigheroneveryorganisation’sagendaandCalderdale’sHousingAssociationLiaisonMeetings(CHALMs)continuestoprovidetheopportunityfordiscussionandsharinglearningforsocialhousingprovidersworkinginCalderdale.HousingsupportproviderscommissionedbytheLocalAuthorityareallrequiredtocomplywithnationalqualitystandardsonsafeguarding(toLevelBminimum)assetoutintheQualityAssessmentFramework.AllcurrentprovidersoperatinginCalderdalearemeetingorexceedingthesestandards.

Inductiontrainingisprovidedforfrontlinestaffaboutsafeguardingvulnerableadultssothatalertsaremadeifstaffbecomeconcernedaboutpotentialabuse.AreasofserviceincludethetemporaryaccommodationandsupportserviceatRyburnHouseandDoorwayswheremanyofthemostvulnerableadultslivinginthecommunityarefirstseen.

Peoplelivinginprivatesectorhousingmaynotbeseenbysocialorhealthservicesanditbecomesevenmoreimportantthatanysafeguardingissuesarepickedup


byothervisitingofficers.Staffworkingin,forexample,thehandypersonservicedeliversmalladaptationsandrepairstoaround1500householdseachyeartoolderpeopleandpeoplewithdisabilitiesinthecommunity.Thesetypesofservicecanbeanimportantsourceofinformationaboutsafeguardingissues.

SupportingPeopleservicearecommissionedbyAdults,HealthandSocialCare,providersoffersupporttovulnerablegroupsofindividualslivinginthecommunity.Housingsupportisprovidedforpeoplewithlearningdisabilities,mentalhealthissues,olderpeopleintheirownhomesorspecialisthousing,homelessorvulnerablyhousedpeople,ex-offenders,peoplewithaddictionissues.AllservicescommissionedmustsatisfyAdults,HealthandSocialCarethattheyhaveadequatepolicies,proceduresandpracticestosafeguardadults.

FromaPennineHousingperspectivespecifically,thefocusoverthelasttwelvemonthshasbeenupontheembeddingofsafeguardingintoantisocialbehaviour(ASB)andhatecrimeworkingpractices.PennineHousinghasplayedasignificantpartinestablishingtheVulnerabilityASBPanel,ledbyWestYorkshirePoliceandinvolvesotherkeycommunitysafetyandsafeguardingpartners.ThiscameaboutfollowingasuccessfulworkshopeventinDecember,arrangedbyPennineandthePolice,toraiseawarenessoftheneedtointegrateASB&safeguarding.OneofthekeyoutcomesoftheworkshopwastoestablishtheVulnerabilityPanelasamechanismforagenciesworkinginthefieldofcommunitysafetytobetterpreventandprotectvulnerableadultssufferingfromharassmentanddiscrimination.Previously,multi-agencyASBworkhasfocusedonenforcement.ThePanelhasbeenmeetingsinceJanuary2012andisensuringamuchmoreco-ordinated

approachandfocusonvictims.CollectiveresponsibilityandsharedexpertiseofpanelmembersisalsoprovidingmorerobustandbalanceddecisionmakingandgivesvaluedsupportforindividualASBOfficerswhonolongerfeeltheyareworkinginisolationtosupportvulnerablepeople.

Wehavealsostrengthenedproceduresatthe“frontend”ofASBviaidentificationofvulnerabilityandriskassessmentintoinitialASBreportingprocedures.TheseassessmentsarebeingcentrallycoordinatedandmonitoredbyCompany’sInterventionsteamtoensureconsistentapplicationofknowledge.

Additionally,allPennineHousingOfficers,HousingServicesManagers,SupportOfficersandInterventionsTeamattendedtrainingdeliveredbySafetyNettoimproveunderstandingofhate/matecrimefacedbypeoplewithlearningdisabilities.Thisincludedhowhousingstaffcouldbetteraccesssupportforthevictimsandtheirfamilies.Feedbackonthetrainingwasverypositive.

Otherareasofprogressinclude:

p CascadingourlearningandexperiencesofmainstreamingsafeguardingofvulnerableadultsviatheCharteredInstituteofHousing’sPolicyintoPracticeregionalseminarinNov2011.

p ImprovingtheunderstandingofsafeguardingwiththirdsectorserviceprovidersandvolunteersworkinginsupportedhousingviarevisedCauseforConcernprocedure.

p Takingtheopportunitytomoreeffectivelyembedsafeguardingintogeneralcorporatepoliciesasandwhenthesereviewed.PolicyrevisionsoverthelastyearincludeWhistleblowing,CRBchecksandICT.


p Inclusionofsafeguardinganddomesticabuseaspartofthe“SupportingVulnerablePeople”moduleoftheTenantsAcademytrainingprogramme,launchedinthesummer.

p Ongoingawareness-raisingwithallstaffviainclusionofarticlesincorporatestaffbriefingse.g.articleonMATEcrimeduringDisabilityawarenessweek,reinforcingwhistle-blowingresponsibilitiesfollowingtheabuseuncoveredatWinterbourneView.

p InvolvementoftheHeadofSupportedHousingServicesindiscussionsledbytheDepartmentofHealthontheneedtostrengthenlinkagesbetweenhealth/socialcareandhousingonanationallevel.

Voluntary and Community Sector

FromaVCSperspective,awarenessofsafeguardingisnowmuchhigheroneveryorganisation’sagenda.Thesectorhasengagedasawholeandtakesitsresponsibilitiesseriously.

InordertosupporttheVCSasawhole,VoluntaryActionCalderdalehaveadedicatedsafeguardingofficerthatgroupscancontactdirectlyforsafeguardingadvice,thisincludesCRBs,accesstomodelpoliciesandproceduresandaccesstotraining,aswellasthisbeingafeedbackroutedirectlytotheSABandtheSABtrainingsubgroup.

InMay2011,oursafeguardingofficerattendedthe‘trainthetrainer’eventthatlaunchedthenewmulti-agencypolicyandproceduresandhasdeliveredthetrainingtovariousorganisations.Thefeedbackhasbeenextremelypositive.

EarlierthisyearVoluntaryActionCalderdalefacilitateditsfirstsafeguardingconferenceforVCS,thiswasprimarilyaimedatchildrenbutthebigmessagethatcameoutwasoverwhelmingthatgroupswantedtoseemorejointworkingaroundchildrenandvulnerableadults.

During2012-2013,wewillcontinuetoembedthemulti-agencyproceduresthroughoutthesectorbyputtingonregulartrainingsessions.WehopetocontinuetoprovideafreeCRBservice.Thisisextremelyimportanttovoluntarygroups,especiallywithfundingbeinganissue.WiththecurrentongoingchangesaroundCRBsandthemergingoftheservicetobecomethenewDisclosureandBarringService,awarenessneedsraisingandinformationsessionswillberolledfromJanuary2013.


Section5pPriorities for 2012-2013

TheSABhassetitselfthefollowinghighlevelprioritiesduringthecurrentyearwhicharesupportedbyadetailedworkplan:

To safeguard vulnerable adults through further development of the partnership

ThisincludescloserworkingwiththeCalderdaleSafeguardingChildrenBoard,theClinicalCommissioningGroupandwiththenewCalderdaleHealthWatchwhenitisformed.

To ensure continuous improvement in the efficiency and effectiveness of the Safeguarding Adults Board and sub-group infrastructure

Thisworkwillrecognisetheimpactofspendingrestrictionsonpartneragenciesandmovetoa‘taskandfinish’approachtoworkratherthanrelyingtoomuchonstandinggroups.

To ensure effective communication and engagement with staff and the public in respect of the work of the Board and the wider safeguarding agenda

To quality assure the work of the Board and partner agencies in safeguarding and promoting the welfare of vulnerable adults and challenge any areas of practice needing improvement

Thisworkwillincludeimprovingthequalityandavailabilityofdataandinformation;improvingauditactivity;takingactionsbasedonevidence;holdinganotherboardself-assessmentexerciseusingnationalbenchmarkingstandards.

To raise further the profile of safeguarding policy and procedures and to ensure that effective multi-agency and single agency training in relation to how safeguarding is delivered, with a measurement of outcomes on practice being embedded across agencies.


Section6pMental Capacity and Deprivation of Liberty SafeguardsDuring2011–2012CalderdaleMBCreceived47DoLSrequests(datanotrecordedintheAnnualReportfor2010-2011)andofthisfigureonly25wereauthorisedbyCalderdale.

2009 - 2010 2010 - 2011 2011 - 2012

LocalAuthority 14 18 23

Health 3 2 2

Total 17 20 25

TheMentalCapacityAct2005contributestosafeguardingbyprovidingaframeworkfordecisionmakinginrelationtomentalcapacity.TheDeprivationofLibertySafeguards(DoLS)amendmentoftheMentalCapacity2005(MCA)cameintoforceon1stApril2009.TheDeprivationofLibertySafeguards(DoLS)withintheActstrengthenstheprotectionforpeoplewholackcapacitytodecideabouttheircareortreatmentandwhoaredeprivedoftheirlibertytoprotectthemfromharm.

ImplementationoftheMentalCapacityActandDeprivationofLibertySafeguardshascontinuedthroughout2011-2012.WehavecontinuedtoprovidetrainingcoursestotheCouncilstaffandpartneragencieswhichhavebeenwellattended,andthishasresultedinbetterdecisionsforpeoplewholackcapacityandagreaterawareness.

ThisyearwehavemaintainedthenumberofBestInterestAssessors(BIA)atseven,onehavingleftandanotherhavingqualifiedinSeptember.ThedemandingnatureofAssessmentworkhasbeenhighlightedandplansareinplacetoincreasethenumberofBIAsinthenextfinancialyear.

TheSafeguardingAdultsTeamfacilitatesabi-monthlyBIAForum,whichprovidesanopportunityforBIAstoreviewcaseworkanddevelopgoodpractice,todiscussnewcaselawandanyotherrelevantinformationsharingandgroupsupervision.Theforum

providessupporttoBIAsandrecognisestheindependenceoftheassessorsindevelopingtheirskillsandknowledgeandtherequirementsforaDoLSassessmentbecomesclearlyunderstood.ItisintendedthatMentalHealthAssessorsmaybeinvitedtosomeofthesemeetingstodiscusslocalissuesandpractice.

WecontinuetomaintainstronglinkswithcolleaguesacrosstheYorkshireandHumberregionthroughmembershipoftheYorkshireandHumberBestInterestAssessorandMentalHealthAssessorRegionalNetwork(YHBIA/MHA).ThisregionallinkiscrucialinenablingBIAsandMHAstobeconsistentintheirpracticewhendischargingourDoLSresponsibilities.ItsupportsourBIAsandMHAstomeettheirstatutoryrequirementswhichincludeannualtrainingupdatesareundertakenweencouragestafftoattendtheRegionalTrainingConferencesheld4timesayearcommissionedbytheYorkshireandHumberBIA/MHATrainingForumGroup.ThisensuresthattheymaintainthelevelofpersonaldevelopmentrequiredtomaintaintheirBIA/MHAstatus.

TheprofileofMCA/DoLShasbeenraisednationallyin2011-2012bythedevelopmentsincaselawandpractice.TheserecentdevelopmentsinNationalcaselawhavebeenraisedanddiscussedattheYorkshireandHumberBIAs&MHAsRegionalTrainingConferences.


AnexampleofthisistheLondon Borough of Hillingdon v Steven Neary and Ors [2011] EWHC 1377 (COP).ThesehighlightedfailurethroughoutanentireorganisationtounderstandandapplytheMCA.Thejudgesuggestsinhissummarythatpublicbodieshavearesponsibilitytoenablepeopletohavetheirdetentionreviewedinacourt.OneaspectofHillingdon’sfailurewasnottopromptlyinstructasection39DIMCA.Inaddition,thisisthefirsttimeajudgehasmentionedtheroleandresponsibilitiesofthesupervisorybody.

WhilsttheabovecasedidnotoccurwithintheBoroughofCalderdale.ThishasreinforcedtheneedtointroduceregularinternalauditsandupdatepolicyandprotocolslocallytoensurebestpracticeinCalderdaleinthecomingfinancialyear.


Appendix1pSafeguarding Adults National Standards

Standard 1 EachLocalAuthorityhasestablishedaMulti-AgencyPartnershiptoleadtheSafeguardingAdultswork.

Standard 2 AccountabilityforandownershipofSafeguardingAdultsworkisrecognisedbyeachpartnerorganisation’sExecutivebody.

Standard 3 TheSafeguardingAdultspolicyincludesaclearstatementoneachperson’srighttolivealifefreefromabuseandneglectandthismessageisactivelypromotedtothepublicbytheHealthandWellBeingBoard,theSafeguardingAdultsPartnershipanditsmemberorganisations

Standard 4 Eachpartneragencyhasaclear,wellpublishedpolicyofZero-Toleranceofabusewithintheorganisation.

Standard 5 TheSafeguardingAdultsPartnershipoverseesaMulti-AgencyWorkforceDevelopment/TrainingSub-Group.ThePartnershiphasaWorkforceDevelopment/TrainingStrategyandensuresthatisappropriatelyresourced.

Standard 6 Allcitizenscanaccessinformationabouthowtogainsafetyfromabuseandviolence,includinginformationaboutthelocalSafeguardingAdultsprocedures.

Standard 7 ThereisalocalMulti-agencySafeguardingAdultspolicyandproceduresdescribingaframeworkforrespondingtoalladults‘whoareormaybeeligibleforcommunitycareservices’andwhomaybeatriskofneglect.

Standard 8 Eachpartneragencyhasasetofinternalguidelines,consistentwiththelocalMulti-AgencySafeguardingAdultspolicyandprocedures,whichsetouttheresponsibilitiesofallworkerswhooperatewithinit.

Standard 9 Multi-AgencySafeguardingAdultsproceduresdetailthefollowingstages:Alert,Referral,Decision,SafeguardingAssessmentStrategy,SafeguardingAssessment,Safeguardingplan,Review,RecordingandMonitoring.

Standard 10 TheSafeguardingproceduresareaccessibletoalladultscoveredbythepolicy.

Standard 11 Thepartnershipexplicitlyincludesserviceusersaskeypartnersinallaspectsofthework.Thisincludesbuildingserviceuserrepresentationintomembership,monitoring,developmentandimplementofitswork;trainingstrategy;andplanningandimplementationoftheirindividualsafeguardingassessmentandplans.

pp

Board

CalderdaleSafeguarding Adults

Documents

Csab annual report