Knowsley SaSafeguardingfeguardingAdults Board Knowsley Safeguarding Adults Board Annual Report 2011/12 ecrets” “No Silence, No S Welcome Welcome to the 2011/12 Annual Report of the Knowsley Safeguarding Adults Board. This is our fifth Annual Report and it details what we have achieved during 2011/12 and our plans for the year ahead. There is still some uncertainty about the future The Board can only operate if it is supported by direction of Adult Safeguarding following the partner organisations, staff and service providers, previous Government’s response to the service users and their families and the wider “No Secrets” Consultation. Although the Coalition community. During the year the Board has further Government has indicated that it is still their strengthened the safeguarding partnership intention to place the work of the Board on a through a range of collaborative working statutory footing, a clear timetable has not yet been arrangements. We have also taken forward the determined. In addition the work of the Law Board’s responsibilities to prevent harm to adults Commission on the legal framework for Adult at risk through the development of a multi-agency Social Care Services may well have implications for approach to assessing and managing risk. the work of the Board. We are fortunate that Board The Board Business Plan for 2012/13 details members continue to demonstrate their how we will be taking this further over the commitment to working together to protect all coming months. adults at risk and are confident that we will be able to implement any future national developments. I hope you find this Annual Report useful, either by There is information from Partner Agencies raising awareness or identifying issues you can throughout the Report detailing their progress in take forward in your own organisation as it is keeping people safe and addressing issues of important that this is a “working document”. concern. There are also a number of case We would also welcome any feedback on how examples describing how agencies have worked we can improve the presentation of this together in practice. information in the future. The Annual Report details much of 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 ence, that we challenge ourselves and each other in “No Sil assessing our effectiveness. No Secrets” Jan Coulter Chair, Knowsley Safeguarding Adults Board Director of Health & Social Care Knowsley Safeguarding Adults Board Annual Report 2011/12 1 Contents Page Joint Planning, Partnerships and Accountability 3 Responding to Abuse and Neglect 7 Prevention and Keeping People Safe 21 Key Issues for the Year Ahead 31 Appendix 1 Board Business Plan 33 2 Knowsley Safeguarding Adults Board Annual Report 2011/12 Joint planning, partnerships and accountability The partnership arrangements for Adult Safeguarding in Knowsley have been developed in accordance with the government guidance for adult protection (No Secrets 2000), best practice standards developed by the Association of Directors of Social Services (Safeguarding Adults 2005) and in response to learning and experience, both locally and nationally. Knowsley Safeguarding Adults Board is proactive • The development of the Multi-Agency Risk in its response to safeguarding adults and Assessment and Management Process. promotes a broad understanding of safeguarding. • The establishment of local Corporate This reflects a strong focus on the prevention of Appointee and Deputy arrangements for abuse or neglect as well as a robust response to safeguarding the finances of people who lack incidents of abuse and the importance of strong capacity to manage this themselves. strategic links with other key partnerships in order to ensure that all our residents are safeguarded There are further details of each of these initiatives both within the community and in residential or elsewhere in this Report. supported living situations. In the last twelve months we have taken further the work that partner and provider agencies are doing to support the work of the Board. Examples of this include: • The adoption of the of the “Care Concerns” process, following a successful pilot period. The Care Concern process places more responsibility on Provider agencies to address issues of compromised care, and report how they will ensure that any lessons are learnt. • The completion of the “Quality of Life” Audits in Residential and Nursing Homes by the Local Involvement Network Knowsley (LINk) with Older People’s Voice. ecrets” “No Silence, No S Knowsley Safeguarding Adults Board Annual Report 2011/12 3 Structure of Knowsley Safeguarding Arrangements Over the last year the Safeguarding Adults Board has continued to strengthen its partnership arrangements, to improve its governance and business arrangements and to improve its operational effectiveness in delivering its Business Plan. The current Knowsley Safeguarding Adults Board structure and business arrangements are as follows: Safeguarding Adults Board Executive Group Safeguarding Adults and Quality Assurance Unit Mental Capacity Act Workforce Serious Incident Quality and Deprivation of Development Review Information Liberty Safeguards Quality Assurance Dignity Champions Network Safeguarding Adults Board Chaired by Jan Coulter Director of Health and • Knowsley Council for Voluntary Service Social Care, Directorate of Wellbeing Services, • Age UK - Knowsley the Board meets three times per year. It has • Knowsley Pensioners Advocacy & Information representation from statutory, voluntary and Service independent sector organisations and partnerships • Knowsley Housing Trust within Knowsley. Membership for 2011/12 includes • Knowsley Safeguarding Children Board representatives from the following organisations: • Safer Knowsley Partnership • Care Quality Commission • Knowsley Council • Representative for Domiciliary Care Providers • NHS Knowsley • Mersey Fire & Rescue • Merseyside Police • Knowsley Disability Concern • St Helens & Knowsley Hospital Trust • 5 Boroughs Partnership NHS Foundation Trust As part of the Review of Policy and Procedures • Mersey Care NHS Trust we will be reviewing membership of the Board • Aintree Hospital NHS Foundation Trust to ensure that it has the broadest possible • Knowsley Carers Centre representation. 4 Knowsley Safeguarding Adults Board Annual Report 2011/12 Safeguarding Adults Board applications to the Court of Protection and the Executive Group responsibilities of acting as an Appointee or a Court Appointed Deputy. The Unit has provided Chaired by Jan Coulter the Director of Health and consultation to over 100 cases/issues in the last Social Care, Directorate of Wellbeing Services, it twelve months. oversees and coordinates the implementation of the Safeguarding Adults Board Business Plan and It also acts as the central point for collecting, performance against it. The Executive meets up to collating and communicating information relating six times per year and is comprised of the Head of to the quality of care through the Quality Safeguarding and Quality Assurance from Health Information Groups and the Management Reviews and Wellbeing and the Chairs of the Sub Groups. and, when requested, will also provide direct input in safeguarding strategy meetings, including chairing complex safeguarding strategy meetings Sub Groups and investigations if necessary. It is the local point Chaired by, either a senior officer from the of contact for the Care Quality Commission. partnership or an officer from the Safeguarding Adults and Quality Assurance Unit, to carry out specific functions identified within the Board Key Achievements in 2011/12 Business Plan and / or emerging priorities Following the launch of the document identified by the Board and the Executive Group. ‘Thresholds for initiating Safeguarding Alerts or The membership of the working groups reflects the Care Concerns: A Guide for Provider Services’ expertise required and involves both operational and after a successful pilot period, we reviewed mangers and frontline practitioners. the thresholds for Care Concerns and Safeguarding Alerts. This process was shared with neighbouring Boards and has been adopted Safeguarding Adults & Quality in several other areas. We have worked with Assurance Unit / Board Support Team Provider agencies to ensure that the learning and The Unit includes the following staff: outcomes are disseminated to all partners; but recognise that there is still more to do in this area. • Head of Safeguarding and Quality Assurance • Safeguarding Adults Co-ordinator We have revised the contents of the Board’s • Quality Manager Training and Workforce Development Programme to ensure all staff and partner agencies are aware • Mental Health/Mental Capacity Development of the importance of the appropriate use of Manager advocacy within the safeguarding process. • Mental Capacity Act Co-ordinator The Strategy Meeting template and the Monitoring Form have also been amended to • Court of Protection Administrator remind incident managers and care management • Business Support Assistant staff of the importance of considering advocacy at the earliest stage of the safeguarding process. The Unit provides dedicated officer capacity to support the Board in the development, delivery We have worked with Board Members to review and administration of its work. It is currently jointly the Safeguarding Policy, Procedures and Practice funded by the council and NHS