Safeguarding Adults: Shropshire and Telford & Wrekin Safeguarding Adults Board Provider Manager Guidance Notes

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Safeguarding Adults: Shropshire and Telford & Wrekin Safeguarding Adults Board

Provider Manager Guidance Notes

Contents Page Number

 Introduction 3

 Safeguarding Adults Process Chart 4

 Definitions 5

 Provider Process Guidance

. Stage 1 – Alert 6

. Stage 2 – Referral 8

. Stage 3 – Strategy Meeting/Discussion 9

. Stage 4 – Investigation/Assessment 10

. Stage 5 – Case Conference 11

. Stage 6 – Review 12

. Stage 7 – Closure 13

 Appendix

. Appendix 1 – Alert Form 14

. Appendix 2 – Specialist Report Form 19

Introduction

This Provider Manager Guide is a local Shropshire and Telford & Wrekin publication, designed to support provider managers with the successful implementation of the Safeguarding adults: multi-agency policy and procedures for the West Midlands (subsequently referred to as WMP&P).

It is not intended that this guide replaces the WMP&P. Rather, it is designed to be referenced alongside the WMP&P and the organisations own policies and procedures. To assist and support any Adult Social and Health Care Manager with responsibility for undertaking Adult safeguarding investigations, in response to concerns that an adult at risk is or may be a victim of abuse or neglect.

SAFEGUARDING ADULTS PROCESS:

Stage 1—2 Stage 1 Within same working day * ALERT

Safeguarding Contact Point Stage 2 Decision within same Stage 2 working day * REFERRAL

Information Gathering Stages 2-3 Within 5working days * Stage 3

STRATEGY MEETING OR DISCUSSION

Plan, Investigation, Assessment

Stages 1-4 Completed within 4weeks (20 Stage 4 working days) from date of INVESTIGATION referral * /ASSESSMENT

Investigation, Assessment finding Stage 5 Completed within 4weeks (20 Stage 5 working days) from completion of Stage 4 * CASE CONFERENCE

Further Investigation / assessment or monitoring of Stage 6 protection plan Completed within max 6 months Stage 6 after Stage 5 * REVIEW

Stage 7 At any Stage * Stage 7

CLOSURE * MAX GUIDE TIMINGS

Definitions Adult at Risk: If in the course of your work you become concerned that an adult maybe at risk of being abused, you are required to take action and this will involve evaluating risk, and considering any immediate action that is necessary to safeguard the adult at risk (e.g. where appropriate dial 999 for an ambulance or the police if there is reason for emergency action to be taken) and raise a safeguarding alert.

Any person aged 18 years or over, who is or maybe in need of community care services, by reason of mental health, age or illness and is/or: may be unable to take care of themselves or protect themselves against significant harm or exploitation.

Location: Allegations of abuse or neglect taking place within Shropshire or Telford and Wrekin will be investigated by Shropshire or Telford & Wrekin (even if the person at risk is funded by another authority).

Where a concern is raised and the alleged abuse occurred in a location outside of Shropshire or Telford & Wrekin - the Safeguarding Team in that location should receive the Alert and subsequently manage the investigation.

Provider Process Guidance After ensuring that the Adult at Risk (AR) is as safe as they can be (see Stage 1 Alert of the WMP & P). The following process should be followed:

Stage 1 To be raised within one working day of becoming aware of ALERT the concerns.

 Provider Manager as the Alerter will identify safeguarding adult concerns and take any immediate safety action. Assistance with decision making with regard to potential risk of significant harm is available within The West Midlands Safeguarding Adults Threshold Guidance. However doing nothing is not an option and if in doubt an Alert must always be raised.

 If known contact allocated worker or contact one of the following to make an alert:

Telford & Wrekin Shropshire Customer Access Team Service Centre

Tel: 01952 381280 1 Tel: 0345 678 9021

Alerts can be received by Alerts can be received by telephone or by completing telephone or by completing the electronic Safeguarding the electronic Safeguarding Adults Alert Form and Adults Alert Form on line, or emailing to the Access Team sending a completed Alert

form to any Social Work Team. [email protected]

RT firstpointofcontact@shropshire .gov.uk

 A professional discussion will take place between a Local Authority designated Managing Officer and Provider Manager within one working day – whatever the source of the Alert. Reference to The West Midlands Safeguarding Adults Threshold Guidance is likely to assist this discussion.

 Decisions and actions will be agreed – threshold for significant harm and interim protection plan to be recorded by both parties, possibly including alternative services offered if not safeguarding.

Provider Manager Action: Respond appropriately with interim protection plan and: Make the Alert and ensure the safety of the adult at risk. Where appropriate undertake proportionate measures regarding disciplinary action Complete & Send CQC Statutory Notification Inform Insurance Company

Stage 2 REFERRAL Decision within one working day

 Local Authority Managing Officer decision that alert meets the threshold for potential risk of significant harm.

 Sharing and gathering of further information. This may be from provider manager or relevant others.

 Relevant information is shared with Provider Manager by Managing Officer if closed at this stage.

Provider Manager Action: Support and participate in the implementation of the interim protection plan. Where appropriate undertake proportionate measures regarding disciplinary action.

To take place within five working days of the acceptance of Stage 3 the referral. Or if the referral involves allegations against a STRATEGY MEETING paid member of staff/volunteer of an organisation the OR DISCUSSION strategy discussion will take place within one working day.

 Stage 3 may be in the form of a telephone call or physical meeting.

 It is a multi-agency agreed decision on how the investigation will be undertaken.

 Risk assess current and potential risk of harm.

Telford & Wrekin Shropshire

Written copy of the strategy The strategy meeting or and actions agreed provided discussion will be fully minuted by Investigating Worker or and these will be available to Adult Safeguarding Team to the Provider Manager.

the Provider Manager. RT

Provider Manager Action: Support and participate in the update of the interim protection plan.

Stage 4 To be completed within twenty days of the acceptance INVESTIGATION of the referral. /ASSESSMENT

 Investigating Officer will have agreed with the Provider Manager what part they will play in the investigation process, including clarifying: o Actions o Timescales

 This may take the form of a specialist report e.g. outcome of disciplinary investigation, to present at Case Conference.

Provider Manager Action: Support and participate in the investigation and update of the interim protection plan.

Stage 5 To be held within 20 working days of completion CASE CONFERENCE of the investigation.

 Provider Manager or designated competent representative should attend the Case Conference to present their Specialist Report.

 Provider Managers will, along with multi agency professionals at the Case Conference, consider evidence obtained during the investigation and review and update the Protection Plan.

 Provider Managers will, along with multi agency professionals, agree actions and decisions including whether the adult at risk outcomes are met, if relevant.

 Meeting notes will be produced and circulated by:

Telford & Wrekin Shropshire

The Adult Safeguarding The Chair of the Meeting Team RT

Provider Manager Action: Agree actions and decisions along with multi agency professionals, including whether the adult at risk outcomes are met.

Stage 6 Within a maximum of 6 months of the Case REVIEW Conference or date of Protection Plan

 Provider managers, along with multi agency professionals will consider evidence obtained during the investigation and review and update the protection plan.

 Provider managers, along with multi agency professionals will review and update risk of harm assessment.

 Provider managers, along with multi agency professionals will agree actions and decisions including whether the adult at risk outcomes are met, if relevant.

 Provider managers, along with multi agency professionals will agree to close adult safeguarding process or arrange another review Meeting.

 Notes will be produced and circulated by:

Telford & Wrekin Shropshire

The Adult Safeguarding The Chair of the Meeting

Team RT

Provider Manager Action: Review and update the protection plan along with multi agency professionals, including whether the adult at risk outcomes are met.

Stage 7 At any stage CLOSURE

 This marks the conclusion of the safeguarding process.

 A discussion is held with all relevant people, including the Provider Manager. This is recorded along with the rationale for decision making.

 A letter detailing the outcome will be circulated by:

Telford & Wrekin Shropshire

The Managing Officer or The Managing Officer or Adult Safeguarding Chair of the Meeting Team RT

If you have concerns that the Safeguarding Adults procedures have not been applied appropriately or that insufficient regard has been given to the information and outcomes which arose from the investigation, then you can raise your concerns with the following persons:

Telford & Wrekin Council – Dave Robson

Service Delivery Specialist (Safeguarding)

Phone: 01952 381101. Email: [email protected]

Shropshire Council – Pete Clarke

Service Specialist (Adult Safeguarding)

Phone: 01743 255880. Email: [email protected]

Provider Manager Action: Where relevant continue to implement and update the protection plan along with multi agency professionals.

Appendix 1 Shropshire Council and Telford & Wrekin Council Safeguarding Adults SA1. Alert Form

This form is for any agency, organisation or individual, to record the details of what information has been given to either Shropshire or Telford & Wrekin Council regarding safeguarding concerns about the potential abuse of an adult at risk. To raise a concern contact;

Shropshire First Point of Contact Tel: 0345 678 9021 Alerts can be received by telephone or by completing the electronic Safeguarding Adults Alert Form on line, or sending a completed Alert form to any Social Work Team [email protected]

Telford & Wrekin Access Team Tel: 01952 381280 Alerts can be received by telephone or by completing the electronic Safeguarding Adults Alert Form and emailing to the Access Team [email protected]

Further copies of this form and the West Midlands Safeguarding Policy & Procedure can be found at; www.shropshire.gov.uk - then enter Adult Safeguarding and follow the links www.telford.gov.uk

Adult at Risk (AR): (Who are you concerned about?)

First Names: Surname: D.O.B/Age: Gender:

Ethnicity: Preferred language Interpreter Primary Client Group: or method of required? communication:

Home Address:

Tel No: Where is the person you are concerned about now? (if not at home)

Are there any known issues or opinions relating to mental capacity?

If there are other adults at risk or involved; please add their names (if known) and a summary of risk and concerns.

Person/s Allegedly Causing Harm (PaCH): (If more than one add extra details to each box) First Names: Surname: D.O.B/Age: Gender:

Ethnicity: Relationship to adult at risk: Primary Client Group

Home Address:

Tel No:

Has anyone else been involved? If so, please give details if known: (If there are more than 2 individuals alleged to be causing harm, list here)

If the allegation relates to an organisation rather than an individual, please provide details of the organisation:

Suspected abuse details (Type of abuse suspected - tick all that apply)

Financial Physical Emotional/Psychological   Sexual Discriminatory Institutional   Neglect or acts of omission  Describe any incident or what are the concerns or allegations:

Impact on the AR;

Injuries to AR (any bodymap?);

Any witnesses?

When did the concerns/allegations take place?

How and when did you become aware of the concerns/allegations? If you require additional space go to ‘Additional Information’ at the end of the Alert)

Date concern / Type of location where Address of location of suspected allegations first known: suspected abuse abuse: occurred (Care home/Hospital etc.)

Details of immediate actions taken to safeguard the adult at risk or any other action taken:

Does this referral include domestic Is the adult at risk aware of this alert? violence?

Is the adult at risk given their consent to If unable to give consent, please give details: share this information?

Details of person/agency making the alert/referral:

Name: Address: Tel No:

Name of Agency/Organisation:

Relationship/Occupation/Category of person completing this form:

Are you/they willing to be contacted? Details of anyone else you or the AR has spoken to about the incident:

If the person completing this form is not the person named in the box above please give details:

Date of alert: Signature:

Additional Information: (Please use this space to record any further information, including details that will not fit into the sections above.)

For further information on raising appropriate alerts refer to Regional Threshold Guidance or if in doubt please contact a member of the Adult Safeguarding Team.

Appendix 2 – Specialist Report Form

Decision making tool – referrals and disciplinary processes

Purpose - to develop a tool that supported the appropriate gathering of information and records decision making in response to allegations and concerns regarding paid members of staff and adults at risk. This includes:

 Identify Adult/s at risk

 Identify potential risk of harm to adult/s at risk

 Respond appropriately with protection plan including proportionate measures

regarding disciplinary action

 Recording of information and decision making

Should I make a referral in this incidence?

 Identify adult/s at risk

Does the victim meet the following adult at risk definition.

 Aged 18 or over and,

 Is, or may be, in need of community care services by reason of mental or other

disabilities, age or illness, and

 Is, or may be unable to take care of him or herself, or

 Unable to protect him or herself against significant harm or exploitation

Yes No 