s Knowsley SaSafeguardingfeguardingAdults t Board ets” l No Secr nce, u “No Sile d A g n i d r a u Knowsley g e f Board Safeguarding Adults a S Annual Report 2009/10 “No Silence, No Secrets” Welcome Anita Marsland MBE Chair Knowsley Safeguarding Adults Board Chief Executive - NHS Knowsley and Executive Director, Wellbeing Services Welcome to the 2009/10 annual report The Board can only operate if it is of the Knowsley Safeguarding Adults supported by partner organisations, staff Board. This is our third annual report and service providers, service users and and it details what we have achieved their families and the wider community. during 2009/10 and our plans for the During the year the Board has further year ahead. strengthened the safeguarding 2009/10 has been a busy year for partnership through a range of Safeguarding Adults both locally and collaborative working arrangements. nationally. In January 2010 the The Board Business Plan for 2010/11 Government announced that there would details how we will be taking this further be changes to the status of Safeguarding over the coming months. Adults Boards to put them on a statutory I hope you find this Report useful, either footing. This was in response to the great by raising awareness or identifying majority of responses received to the issues you can take forward in your own No Secrets review, including that from organisation as it is important that this is Knowsley, which recommended this a “working document”. We would also change. We are awaiting further welcome any feedback on how we can information but, given the strong improve the presentation of this partnership and firm commitment information in the future. established in Knowsley, we will be well placed to respond to the implementation. The Annual Report details much of that which we can all be proud but we recognise that there is more to do in the future. We need to work together in a supportive and collaborative way, whilst ensuring that we challenge ourselves and each other in assessing our effectiveness. 1 Welcome “No Silence, No Secrets” Contents Page Joint Planning, Partnerships and Accountability 3 Responding to Abuse and Neglect 9 Prevention and Keeping People Safe 33 Key Issues for the Year Ahead 45 Appendix 1 49 Board Business Plan 2 Contents “No Silence, No Secrets” Joint Planning, Partnership and Accountability The partnership arrangements for establishing an Inter Departmental safeguarding adults in Knowsley has Group and issuing guidance for key been developed in accordance with the workers such as nurses and police government guidance for adult protection officers. The Board recognises that there (No Secrets 2000), best practice standards is a challenging political agenda at all developed by the Association of Directors levels but anticipates that there will need of Social Services (Safeguarding Adults to be further work to meet these 2005) and in response to learning and commitments. The Board will respond to experience both locally and nationally. all further developments as a priority. Knowsley Safeguarding Adults Board is proactive in its response to safeguarding adults and promotes a broad Structure of Knowsley understanding of safeguarding. Safeguarding Arrangements This reflects a strong focus on the Over the last year the Safeguarding prevention of abuse as well as a robust Adults Board has continued to response to incidents of abuse and the strengthen its partnership importance of strong strategic links with arrangements, to improve its governance other key partnerships in order to ensure and business arrangements and to that all our residents are safeguarded improve its operational effectiveness in both within the community and in delivering its Business Plan. supported living situations. This year has seen a strong focus on In January 2010 the Government issued a promoting Dignity & Respect and the Ministerial Statement in response to the Board has strengthened its business Review of No Secrets. This gave a arrangements in order to effectively commitment to strengthen arrangements deliver this important agenda. to safeguard vulnerable adults with a The current Knowsley Safeguarding number of specific actions, including Adults Board structure and business placing the work on a statutory footing, arrangements are as follows: Safeguarding Adults Board Executive Group Safeguarding Adults and Quality Assurance Unit Dignity Steering Mental Capacity Communication Workforce Serious Case Suicide Quality Group Act and and Engagement Development Review Prevention Information Deprivation of (strategic and Group Liberty operational) Safeguards Dignity Quality Champions Assurance Network 3 Joint Planning, Partnership and Accountability “No Silence, No Secrets” Safeguarding Adults Board Safeguarding Adults Board Chaired by Anita Marsland MBE Chief Executive Group Executive of NHS Knowsley and Chaired by Jan Coulter the Director of Executive Director Wellbeing Services, Health and Social Care, Directorate of the Board meets three times per year. Wellbeing Services, it oversees and It has representation from statutory, coordinates the implementation of the voluntary and independent sector Safeguarding Adults Board business plan organisations and partnerships within and performance against it. The Executive Knowsley, including: meets up to six times per year and is • Knowsley Council comprised of the Head of Safeguarding and Quality Assurance from Health and • NHS Knowsley Wellbeing, the Board Business Manager • Merseyside Police and the Chairs of the Sub Groups. • St Helens & Knowsley Hospital Trust • 5 Boroughs Partnership NHS Sub Groups Foundation Trust Chaired by, either a senior officer from • Mersey Care NHS Trust the partnership or an officer from the • Aintree Hospital NHS Foundation Safeguarding Adults and Quality Trust Assurance Unit, to carry out specific functions identified within the Board • Knowsley Carers Centre Business Plan and / or emerging • Knowsley Council for Voluntary priorities identified by the Board and the Service Executive Group. The membership of the • Age UK - Knowsley working groups reflects the expertise required and involves both operational • Knowsley Pensioners Advocacy & mangers and frontline practitioners. Information Service • Knowsley Housing Trust • Knowsley Safeguarding Children Safeguarding Adults and Board Quality Assurance Unit / Board Support Team • Safer Knowsley Partnership The Safeguarding Adults and Quality • Care Quality Commission Assurance Unit provide dedicated officer • Representative for Domiciliary Care capacity to support the Board in the Providers development, delivery and administration of its work. It is currently jointly funded • Mersey Fire & Rescue by the council and NHS Knowsley which • Knowsley Disability Concern reflects the close integration of health 4 Joint Planning, Partnership and Accountability “No Silence, No Secrets” and wellbeing services across the • The Board has engaged in a number Borough. The unit provides the Business of bespoke awareness raising events and Quality Assurance capability for the to strengthen the engagement and Board and acts as a central point for involvement of service users, carers, specialist advice and guidance in relation and members of the public. These to safeguarding, mental health, mental have included the first successful capacity and deprivation of liberty public Open Day in May 2009 and safeguards. It also provides, where participation in other events with the necessary direct input in safeguarding Safeguarding Children’s Board and strategy meetings and chairs complex the Safer Knowsley Partnership. A safeguarding strategy meetings and regular Safeguarding Adults investigations as required. Newsletter has been established and we will shortly be circulating the third edition. Key Achievements in 09/10 • The integration of health and social • We have reviewed the resources care services in Knowsley has available to support the delivery of supported the establishment of the safeguarding adults work and have Quality Assurance Framework and developed the basis of a pooled strengthened both the quality of the partnership budget. Partner information received and the support agencies are working with the Board offered to providers where concerns to identify appropriate contributions. have been identified. • Closer working relationships have • The active partnership of service been established with the providers across the statutory, Safeguarding Children Board and its private, voluntary and independent Business Unit, the Safer Knowsley sectors has been enhanced through Partnership and NHS Knowsley; work the establishment of the Dignity has included: the implementation of Champions Network and revised role safer recruitment in line with the of the Quality Assurance Group to introduction of the Independent establish a process for multi agency Safeguarding Authority; the expansion audits. of the role of the incident manager; participation in the development of • Links with advocacy services have the Domestic Abuse Reduction Board; been further developed including the establishment of the Hate Crime providing joint training events with Multi Agency Risk Assessment the Independent Mental Capacity Conference (MARAC) and a joint Advocacy Service (IMCA). project to understand and support the needs of vulnerable families. 5 Joint Planning, Partnership and Accountability “No Silence, No Secrets” Safeguarding Adults Board Open Day 2009 In May the Safeguarding Adults Board hosted its first annual Open Day with