Safeguarding ppt
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This document provides an overview of safeguarding and the Mental Capacity Act 2005. It discusses who safeguarding protects, types of abuse, indicators of abuse, barriers to reporting abuse, and assessing capacity. The key principles of the Mental Capacity Act are also summarized, including presuming capacity, supporting individuals' decisions, acting in their best interests, and using the least restrictive options.
Safeguarding ppt
- 1. Introduction to Safeguarding & The Mental Capacity Act 2005 PAULA BENNETTS Quinn Centre Training Manager
- 2. SAFEGUARDING WHO DOES SAFEGUARDING PROTECT? CHILDREN
- 4. STAFF
- 5. BACKGROUND Approximately 46,000 children in the UK are known to be at risk of abuse (2010) Neglect is the most common form of abuse (2010)
- 6. 1 in 4 young adults were severely maltreated during childhood (2010)
- 7. 500,000 elderly people are currently experiencing abuse
- 8. 51% of inpatients on mental health wards reported feeling threatened whilst at hospital
- 9. Orofacial trauma occurs in 50% of children diagnosed with physical abuse
- 10. WHO IS A VULNERABLE ADULT? “ a person aged 18 years or over, who is - or may be - in need of community care services by reason of mental or other disability, age or illness” “ a person who is - or may be - unable to take care of him or herself against significant harm or exploitation” ‘ No Secrets’ (Department of Health , March 2000).
- 11. TYPES OF ABUSE Physical
- 12. Sexual
- 14. Financial
- 17. Neglect / Acts of Omission
- 18. INDICATORS - signs & symptoms PHYSICAL Explanation given is not consistent with injuries
- 19. Bruising in unusual areas
- 20. Multiple bruising/fractures not consistent with a fall
- 21. Signs of forced feeding
- 22. Bruised eyes, slap marks
- 23. Torn Frenum in non mobile infant
- 24. Intra-oral injuries inconsistent with explanation given
- 26. INDICATORS - signs & symptoms SEXUAL ABUSE Pregnancy in a person who is not able to consent
- 28. Sudden and unexplained confusion
- 29. Upset / agitated when being touched or looked at - or suggestions of this happening
- 31. Inappropriate sexual behaviour or knowledge
- 33. INDICATORS - signs & symptoms EMOTIONAL Fearful, anxious, withdrawn, non-communicative
- 34. Fearful of caregiver (attachment disorder)
- 35. Name calling, insulting, withholding affection
- 37. Lack of social responsiveness
- 39. Social Immaturity / Poor Growth
- 41. INDICATORS - signs & symptoms NEGLECT Unusual weight loss, malnutrition, dehydration
- 43. Being left dirty or not bathed (ingrained)
- 44. Listless, tired, uninvolved, disinterested
- 45. Failure to thrive / developmental delay
- 46. Withdrawn or inappropriately attention seeking
- 47. Inappropriate clothing, cold/hot weather
- 49. INDICATORS - signs & symptoms DENTAL NEGLECT “ wilful failure of parent or guardian to seek & follow through with treatment necessary to ensure a level of oral health essential for adequate function & freedom from pain & infection.” WILFUL IGNORANCE
- 50. KEEPING STAFF SAFE Touch - appropriate / inappropriate
- 51. Grooming
- 52. Not everyone is as trustworthy as you
- 53. Best Interests
- 54. No Secrets
- 55. Keep “alone” time to a minimum - open door
- 56. Ask yourself - “If someone was watching…”
- 58. What might happen if I do nothing?
- 59. BARRIERS TO REPORTING Self Reporting - difficulties, disability, threat, English not their first language
- 60. Staff - Concern about whistle blowing
- 61. Staff - Concern that reporting will make situation worse
- 62. Staff - Concern that they are wrong
- 63. Staff - Feel they do not have enough evidence to diagnose
- 64. Staff/Victim - Fear of reprisal
- 65. Staff - Not believing victim
- 66. REPORTING YOU ARE NOT ALONE
- 67. FOLLOW PROCEDURE
- 68. MAKE NOTES CLEAR & EXPLICIT (date/time)
- 69. KEEP ALL ROUGH NOTES
- 70. WRITE UP AS SOON AS POSSIBLE - (Don’t delay treatment) IT IS NOT YOUR JOB TO DIAGNOSE - ONLY REPORT CONCERN OR DISCLOSURE
- 71. IF IN DOUBT SEEK ADVICE NO REGRETS … if only...
- 72. THE MENTAL CAPACITY ACT 2005
- 73. THE 5 KEY PRINCIPLES PRESUME CAPACITY
- 74. RIGHT OF INDIVIDUALS TO HAVE SUPPORT TO MAKE OWN DECISIONS
- 75. INCLUDES UNWISE OR ECCENTRIC DECISIONS
- 76. BEST INTERESTS
- 78. WHAT DOES CAPACITY MEAN? The ability to make a decision that affects daily life – such as when to get up, what to wear or whether to go to the doctor when feeling ill – as well as more serious or significant decisions. • It also refers to a person’s ability to make a decision that may have legal consequences – for them or others. Examples include agreeing to have medical treatment, buying goods or making a will. (Code of Practice 2007) “ Capacity is the pivotal issue in balancing the right to autonomy in decision-making and the right to protect from harm” (Lush 2000)
- 79. HOW WOULD YOU KNOW IF A PATIENT HAS THE CAPACITY TO CONSENT? T R I C K !! DON’T MAKE ASSUMPTIONS
- 80. DON’T STEREOTYPE
- 81. DO CHECK
- 82. DO QUESTION
- 83. CHECKING & QUESTIONING To help someone make a decision for themselves, check the following points: Are YOU - Providing relevant information
- 84. Are YOU - Communicating in an appropriate way
- 85. Are YOU - Making the person feel at ease
- 86. Are YOU - Supporting the person YOU NEED TO BE ABLE TO DEMONSTRATE YOU HAVE TRIED ALL REASONABLE MEANS TO AID UNDERSTANDING
- 87. PROTECTING THEIR RIGHTS * Best Interests - at all times - ( emergency ) * Communicate with patient not carer * ALWAYS assume capacity - but check! * If they lack capacity to make decisions - ask about their - Independent Mental Capacity Advocate (IMCA) * Family, Carer, Power of Attorney
- 88. IF THEY SAY NO As long as they have “capacity” they have the right - otherwise they need support to help make decisions eg; Family, IMCA, Power of Attorney
- 89. IF THEY SAY YES As long as they have “capacity” they have the right - otherwise they need support to help make decisions eg; Family, IMCA, Power of Attorney
- 90. CONCERNS ABOUT SOMEONE’S CAPACITY ASSESSING CAPACITY - 2 STAGE TEST 1) Does the person have an impairment of the mind or brain, or is there some sort of disturbance affecting the way their mind or brain works? (It doesn’t matter whether the impairment or disturbance is temporary or permanent.) 2) If so, does that impairment or disturbance mean that the person is unable to make the decision in question at the time it needs to be made?
- 91. CONCERNS ABOUT SOMEONE’S CAPACITY ASSESSING ABILITY TO MAKE A DECISION Use communication / checking ASSESSING CAPACITY TO MAKE MORE COMPLEX OR SERIOUS DECISIONS
- 92. • Is there a need for a more thorough assessment (perhaps by involving a doctor or other professional expert)?
- 93. SUPPORT & ADVICE Department of Health
- 94. Publishes guidance for healthcare and social care staff in England.
- 95. Key publications referenced in the Code include: 0n using restraint with people with learning disabilities and autistic spectrum disorder, see Guidance for restrictive physical interventions www.dh.gov.uk/assetRoot/04/06/84/61/04068461.pdf On adult protection procedures, see No secrets: Guidance on developing and implementing multi-agency policies and procedures to protect vulnerable adults from abuse www.dh.gov.uk/assetRoot/04/07/45/44/04074544.pdf On consent to examination and treatment , including advance decisions to refuse treatment www.dh/gov.uk/consent On the proposed Bournewood safeguards , a draft illustrative Code of Practice - www.dh.gov.uk/assetRoot/04/14/17/64/04141764.pdf On IMCAs and the IMCA pilots www.dh.gov.uk/imca