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Guidance
SAfeguarding Adults Annual Report 2008/9
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Annual Report April 2008 to March 2009
and
Business/Work Plan 2009-11
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Work Plan 2009-2011
Foreword
The Mission Statement of the Surrey Safeguarding Adults Board is ‘To oversee and promote the delivery of quality services that safeguard the people we serve’. Over the past year the Board has been working hard to ensure that a sound structure is in place to deliver on this undertaking. One of the major changes this year has been the introduction of an Executive Group which is charged with assisting the Board in setting strategic and operational priorities and ensuring that sustainable shared funding arrangements are in place. Key partner agencies continue to be represented on the Board and make a vital contribution, not only to the main Board, but also to the five sub-groups and the three local Safeguarding Adults Groups, all of who are accountable to the Board. A notable addition to the sub-groups this year has been the establishment of a Serious Case Review Group who sit to consider whether cases meet the threshold for a Serious Case Review and make recommendations to the main Board. This is an important step in the evolution of the Board and will enable all agencies to improve practice and make Surrey and even safer place for vulnerable adults. Promoting awareness of vulnerable adult issues remains a primary focus of the Board and the annual Safeguarding Awareness Week goes from strength to strength. In fact by the time that this report is published the 2009 week will have already been held although the majority of the planning will have taken place during the period covered by this report. Events such as Awareness Week and other Board activities such as the development of a quarterly newsletter seem to be making a real impact in terms of helping people to recognise situations where abuse might be present. The dramatic increase in the number of alerts and referrals made to Adult Services compared to last year should be seen as a significant achievement for the Board and its constituent members. The coming year will see the launch of ‘Because You Said Something,’ a DVD produced by the Training Sub-Group of the Board. It is designed specifically for induction sessions in both the paid and voluntary sectors to raise awareness of the abuse and neglect of vulnerable adults. This DVD has entailed a considerable amount of planning and development and the quality of the final product is a credit to the team that produced it. In terms of the governance and structure of the Board the coming year should see the appointment of an independent chair. As the title implies the post holder will be independent of any of the constituent agencies of the Board and will therefore add a valuable level of transparency and challenge to Adult Safeguarding. 2 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Work Plan 2009-2011
As the current chair and also member of the Board I am proud of what has been achieved to date but, along with my fellow Board members, know that there is so much more to do. My thanks must go to the members of the Board and the Safeguarding Adults Team for their commitment and hard work over the past year as well as what I know they will contribute over the next twelve months. Thanks should also be extended to the many people who work with or care for vulnerable adults day in day out. They, in my opinion, are the true heroes. We all have a safeguarding responsibility and I am confident that the Board will continue to develop and play a central role in protecting vulnerable adults over the coming year and beyond.
Pete O’Sullivan Acting Chair of Surrey Safeguarding Adults Board
3 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Work Plan 2009-2011
CONTENTS
Page Section 1 Introduction 5
Section 2
Structure of Surrey Safeguarding Adults a) Agencies represented on Board b) Groups reporting to Board
7 8
Section 3
Surrey Safeguarding Adults Vision and Principles
10
Section 4
National Framework No Secrets (2000) a) 2008-9 Statistical information b) Report from the 3 Safeguarding Adults Local Groups c) Report from the Training Sub-Group d) Report from the Communication and Publicity Group e) Report from the Policy and Procedures Group f) Report from the Serious Case Review Group g) Report from Quality Assurance and Audit Group h) Report from the Safeguarding Adults Team I) Report from Police Protection Investigation Unit j) Report from the Surrey and Borders Partnership NHS Trust k) Report from the NHS Surrey l) Report from the 5 Acute Trusts m Report from the South East Coast Ambulance Service n) Report from Surrey Fire and Rescue o) Report from Surrey Coalition of Disabled People p) Report from Action for Carers (Surrey) q) Report from the Districts and Boroughs
11 13 23 26 29 30 31 32 33 35 38 39 41 47 48 49 49 50
Section 5
Section 6
Surrey Safeguarding Adults Board Business/Work Plan 2009/11 (Schedule A) 4 Stop Abuse now – Every day, people say nothing - please say something
55
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Work Plan 2009-2011
Section 1. Introduction
In 2000 The Government published “No Secrets” guidance that required local authorities to set up an inter-agency framework to facilitate joint working to safeguard the welfare and independence of adults. The guidance promotes the establishment of a multi-agency management committee to co-ordinate the work. In 2005, following wide consultation, the Association of Directors of Social Services published a Safeguarding Adults Framework of Standards for good practice . Since 1998, Surrey County Council has worked in partnership with a number of agencies on safeguarding issues and in 2000, formed the Adult Protection Committee. In early 2007 the Adult Protection Committee reviewed its remit and membership and, in line with national guidance, changed its name to the Surrey Safeguarding Adults Board. It has endorsed the ADSS National Framework and is working to implement all 11 Standards. The Surrey Safeguarding Adults Board consists of senior representatives from the statutory agencies as well as representation from users, carers and the voluntary sector. The main aims of the Surrey Safeguarding Adults Board are; To safeguard and promote the welfare and independence of vulnerable adults in Surrey through inter-agency collaboration To coordinate the safeguarding activity undertaken by each organisation represented on the Board To provide strategic direction to partner agencies and organisations in relation to safeguarding activities Safeguarding Adults is a shared responsibility and a high priority for all agencies working in partnership across Surrey and it is important that the message reaches the general public as well as staff working in all public service agencies. Executive Group Membership and Terms of Reference In November 2008, the Surrey Safeguarding Adults Board agreed in principle to the establishment of an Executive group. The first meeting was held on 13th February 2009 and the Terms of Reference and membership were discussed and agreed. Executive Membership The following board members are members of the executive group: 5 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Work Plan 2009-2011
Senior Manager from the Adult Social Care Directorate (Chair) Surrey Police (Deputy Chair) Safeguarding Adults Team representative Surrey PCT Commissioning representative Surrey PCT Provider representative Surrey Community Health Services representative Acute Trusts representative Surrey & Borders Partnership Trust representative District and Boroughs representative Terms of Reference It was agreed that the Executive would not replace the Board and that the full Board would be the decision-making meeting for agencies involved in Safeguarding Adults. The Executive will carry out specific functions on behalf of the Board. These are likely to change over time but over the next six months the main tasks will include the establishment of a shared funding contribution arrangement to support the effective administration of the Board and to cover costs associated with Board activity. The Executive will have an ongoing responsibility to ensure that partner agencies make sufficient contributions both financial and otherwise to the work programme of the Board. The Executive will oversee the administration of shared funding contributions. The Executive will assist the Board in holding agencies to account for good safeguarding practice by developing an effective performance management framework with regular reports to the main Board. The Executive will support the main Board to carry out its functions by undertaking work on behalf of the Board especially in circumstances where there is a need for senior managers of partner agencies to agree changes of policy, procedure or practice in respect of safeguarding vulnerable adults. The Executive will assist the Board in setting strategic and operational priorities.
6 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Work Plan 2009-2011
Section 2. Structure of Surrey Safeguarding Adults a) Agencies represented on Board
Safeguarding Adults Team Adults Social Care Local Safeguarding Adults Group
Legal Services
Service User & Carers
Primary Care and Acute Trusts
SURREY SAFEGUARDING
District and Borough Councils
Surrey and Borders NHS Trust (MH)
ADULTS BOARD
Voluntary Services
Surrey Police & Surrey Probation
Care Quality Commission
Surrey Emergency Services
Surrey County Council Trading Standards Supporting People
Health Care Commission
The Board is establishing effective links with partnerships such as Domestic Abuse, Crime Reduction Partnerships, local family courts, witness and victim support agencies, and MAPPA/MARAC arrangements as appropriate. This will ensure safeguarding issues are 7 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Work Plan 2009-2011
taken account of where necessary and that where contributions are required from relevant parties, the Board is made aware of and kept fully informed. It is also working to establish a pooled budget arrangement to work towards the delivery of the agreed objectives as set out in the Workplan.
b) Teams reporting to Board
To support the work of the Surrey Safeguarding Adults Board, there are three local multi agency local Safeguarding Adults Groups (SAGs), and 5 subgroups which are accountable to the Board as follows; Training Group Communications and Publicity Group Policy and Procedures Group Quality Assurance and Audit Group Serious Case Review Group The Chairs of each SAG and subgroup sit on the Surrey Safeguarding Adults Board to ensure effective two-way communication.
8 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Work Plan 2009-2011
Surrey Safeguarding Adults Board
Surrey Safeguarding Adults Board Safeguarding Adults Team
Executive Group
Training Sub Group Quality Assurance and Audit Group
Serious Case Review Panel
Communication and Publicity Group Policy and Procedures Group
Local Safeguarding Adults Group (SW)
Local Safeguarding Adults Group (NW)
Local Safeguarding Adults Group (SE)
9 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Work Plan 2009-2011
Section 3. Vision and Principles
The Surrey Safeguarding Adults Board mission is:
To oversee and promote the delivery of quality services that safeguard the people we serve
The following principles have been adopted by all agencies and professionals working together to protect vulnerable adults.
1. All vulnerable adults have a right to be protected and their decisions respected even if that decision involves risk. 2. The prime concern at all stages will be the interests and safety of the vulnerable adult. 3. The aim will be to give a professional service to support and minimise distress to any vulnerable adult. 4. Everyone will be treated sensitively at all stages of the investigation. 5. The importance of professionals working in partnership with the vulnerable adult and others involved, will be recognised throughout the process. 6. All services will be provided in a manner that respects the rights, dignity, privacy and beliefs of all the individuals concerned and does not discriminate on the basis of race, culture, religion, language, gender, disability, age or sexual orientation. 7. Adults who have been abused need the same care and sensitivity whoever the alleged abuser. 8. The responsibility to refer the vulnerable adult thought to be at risk rests with the person who has the concern. 9. All agencies receiving confidential information in the context of a vulnerable adult investigation will make decisions about sharing this information in appropriate circumstances.
10. Procedures provide a framework to ensure that agencies work together for the
protection of vulnerable adults. They are not a substitute for professional judgment and sensitivity.
11. Vulnerable adults have the right to have an independent advocate if they wish, at any stage in the process.
10 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Work Plan 2009-2011
Section 4. National Framework
a) “No Secrets” (2000) This guidance document detailed the need for a national policy and multi agency response/framework to ensure that vulnerable adults were protected from abuse. The term Vulnerable Adult refers to any person aged 18 or over “who is maybe, in need of community care services by reason of mental or other disability, age or illness and who is, or may be, unable to take care of himself or unable to protect him or herself from significant harm or serious exploitation” (No Secrets 2000) Local Authority Social Services are identified as the lead agency with responsibility for establishing multi-agency committees: to develop local multi-agency policy procedures and practice guidance for vulnerable adults work. In October 2008, the Department of Health, the Home Office and the Ministry of Justice launched a national consultation on the review of the No Secrets guidance with a response deadline of the end of January 2009. Following discussion at the Surrey Safeguarding Adults Board, it was agreed that 6 sub-groups would be set up to facilitate discussions around specific questions in the No Secrets Consultation document. Key partner agencies were represented and a service user forum was held to ensure that the service users' views were a priority. Each of the six sub groups discussed a specific topic: Leadership and Prevention Empowerment Health Services Communities Legislation Personalisation The key recommendations arising from the six groups in Surrey included: Safeguarding should have a specific training module for all professionals There should be specific legislation for Safeguarding Adults placing Safeguarding Adults Boards on a statutory footing There should be one set of policies and procedures nationally across all agencies There are challenges for two tier authorities There should be a specialised resource accessible to all agencies (safeguarding team) 11 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Work Plan 2009-2011
Information sharing between agencies is critical – enables identification of trends etc There should be a centralised nationally co-ordinated approach to Safeguarding Adults There should be Independent Chairs for Serious Case Reviews as for Children There needs to be strong and consistent governance There is a real need for sign up and accountability at Member and Board level Surrey submitted the co-ordinated responses within the deadline in a report to the Department of Health, and we are now awaiting the formal response from the Government and the Surrey Safeguarding Adults Board will then consider the Government response and how this may affect us in Surrey.
12 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Section 5. a) 2008-9 Statistical information
Data Definitions The following definitions have been used throughout: Alert A safeguarding alert is a feeling of anxiety or worry that a vulnerable adult may have been, is or might be, a victim of abuse. Safeguarding alerts are counted by completed Eforms submitted through the Eform database, for those cases recorded as not progressing to a safeguarding assessment or investigation (ie a Safeguarding Planning meeting, an investigation, a Case Conference or a Senior Strategy meeting). Referral A safeguarding referral is the same as an alert, but gets progressed to a safeguarding assessment or investigation (ie a Safeguarding Planning meeting, an investigation, a Case Conference or a Senior Strategy meeting). Safeguarding referrals are counted by completed Eforms submitted through the Eform database, for those cases recorded as progressing to planning meeting, investigation, Case Conference or Senior Strategy meeting. These definitions have been used exclusively - i.e. a case progressing to a referral is not also counted as an alert. Primary Client Group This is determined by the team responsible for dealing with the Safeguarding Alert. Case Progression Cases are defined as progressing to Planning Meeting, Adults Case Conference, or Senior Strategy Meeting. These categories are exclusive and defined as the furthest stage to which a case progressed.
13 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Trend
300 250 No. of Alerts (per year) 200 150 100 50 0 OP PLD PSD MH
Number of Alerts by Primary Client Group
06/07 total 07/08 total 08/09 total
Analysis There has been a significant increase in the level of alerts on last year (100 alerts in 2007/08 to 578 alerts in 2008/09). For 2008/09: Q1 = 248 alerts Q2 = 110 alerts Q3 = 101 alerts Q4 = 119 alerts
Definition: Number of alerts based on Primary Client Group of the alleged victim. Primary Client Group is determined by the team responsible for dealing with the safeguarding alert.
Source: Esuite Database
14 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Trend
Number of Referrals by Primary Client Group
600 500 No. of Referrals (per Year) 400 300 200 100 0 OP PLD PSD
06/07 total 07/08 total 08/09 total
Analysis Referrals have also increased on last year, from 430 in 2007/08 to 963 in 2008/09. For 2008/09: Q1 = 357 referrals Q2 = 185 referrals Q3 = 196 referrals Q4 = 225 referrals
MH
Definition: Number of referrals based on Primary Client Group of the alleged victim. Primary Client Group determined as for alerts.
Source: Esuite Database
15 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Trend
400 350 300 No. of Referrals (per Quarter) 250 200 150 92 100 50 0 Q1 Q2 08/09 Q3 Q4 182 77 77 102 96 159 16 21 24 103
Referral Progression
Senior Strategy Case Conference Planning Meeting
Analysis Graph shows numbers of referrals (as recorded on the eform) by the furthest stage reached in the Safeguarding Process. For Quarter 1, results displayed for Adult Case Conference may include some that progressed to Senior Strategy Meeting as we were unable to distinguish these cases.
Definition: Numbers of cases progressing to Planning Meeting, Case Conference or Senior Strategy. Individual cases are only counted once under the furthest stage reached.
Source: Esuite Database
16 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Trend
40% 30% 20% 10% 0% Surrey County Council Staff Domiciliary Care Agency Care Home Manager Daycare Staff CPN Another LA EDT Care Home Staff Nursing Home Staff Support Worker CTPLD Staff SF Adults
Referrals by Source of Referral - Social Care Staff Category (%)
06/07 total 07/08 total 08/09 total
Analysis NB. This is a subset of the data presented in the previous graph Data shows breakdown of those cases progressing to referral stage for which the Source of Referral was recorded as 'Social Care Staff'. Consistently, the majority of referrals made by Social Care staff come from Care Home Managers. There was a % increase in referrals being made by Surrey County Council staff, from 12% in 2007/08 to 17% in 2008/09. There was a % decrease in referrals being made by Support Workers, from 13% in 2007/08 to 7% in 2008/09.
17 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Trend
60% 50% 40% 30% 20% 10% 0% 18-64 65-74 75-84 85 and over Unknown
Age band of alleged victim (%)
07/08 total 08/09 total
Analysis Graph shows all safeguarding alerts and referrals broken down by age band of alleged victim. The trend shows a shift towards higher age bands, with a decrease in the proportion of the 18-64 age band from 56% in 2007/08 to 44% in 2008/09.
Definition: All safeguarding cases (alerts and referrals) as a % of Year total, broken down by age band of the alleged victim. Source: Esuite database
18 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Trend
50% 40% 30% 20% 10% 0%
Sexual Emotional / Psychological Unknown Physical Professional Institutional Financial Abuse of Rights Neglect Domestic Abuse
Referrals by Nature of Abuse (%)
06/07 total 07/08 total 08/09 total
Analysis Graph shows those cases progressing to referral stage (investigation) only. The trends show a reducing proportion of physical abuse and increased levels of neglect. Other types of abuse appear relatively stable.
Definition: Referrals (as a % of Year total) broken down by Nature of Abuse. Source: Esuite Database
19 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Trend
40%
Referrals by Location of Alleged Abuse (%)
06/07 total 07/08 total 08/09 total
30%
20%
10%
0% Own Home Day Centre / Service Not Known Other Mental Health Inpatient Setting Care Home with nursing Other Health Setting Public Place Supported Accommodation Respite / Shortterm break Home Alleged Perpetrators Home Care Home Education / Training / Workplace Hospital
Analysis Graph shows breakdown of referrals (cases progressing to investigation) by location of alleged abuse. Reported referrals are most likely to have occurred in a residential or nursing care home (i.e. Care Home or Care Home with nursing - total 38%) with 36% of referrals occurring in peoples' own homes.
Definition: Referrals (as a % of Year total) broken down by location of alleged abuse. Source: Esuite Database
20 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Trend
50% 40% 30% 20% 10% 0% Vulnerable Adult Removed from Property/Service Increased Monitoring Referral to advocacy scheme Civil Action Referral to Counselling/Training Guardianship / Use of Mental Health act Moved to increase / Different Care No Further Action Other Management of access to finances Application to change appointeeship Community Care Asessment and Services Application to Court of Protection Review of SelfDirected Support Restriction or Management of Access 39%
Outcomes of Referrals - Victim (% of Yr total - 08/09 results only)
24% 14% 8% 4% 4% 4% 1% 1% 0%
0%
0%
0%
0%
0%
Analysis Graph shows victim outcomes for those cases that progressed to Adult Case Conference or Senior Strategy Meeting. There was a 6% increase in referrals with an outcome for the victim of 'Community Care Assessment and Services' this year, from 8% of referrals in 2007/08 to 14% in 2008/09. Other outcomes for the victim show no significant change.
Definition: Referrals (as a % of Year total) by victim outcome, for those cases progressing to an Adult Case Conference or Senior Strategy Meeting Source: Esuite Database
21 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Trend
50% 40% 30% 20% 10% 0% Disciplinary Action Not Known Continued Monitoring Action by Healthcare Commission Action under Mental Health Act Management of access to the Vulnerable Adult Removal from Property or Service No Further Action Counselling/Training/Trea tment Action by CSCI Referral to Registration Body Police Action Referred to PoVA List Referral to Court Mandated Treatment Criminal Prosecution Community Care Assessment 13% 8% 7% 4% 3% 3% 3% 3% 3% 2% 2% 2% 0% 0% 0% 47%
Outcomes of Referrals - Alleged Perpetrator (% of Yr total - 08/09 results only)
Analysis Graph shows alleged perpetrator outcomes for those cases that progressed to Adult Case Conference or Senior Strategy Meeting. There was a 4% increase in the proportion of referrals with an outcome for the alleged perpetrator of Community Care Assessment this year, from 4% in 2007/08 to 8% in 2008/09. Other outcomes for the alleged perpetrator following a Case Conference have shown no significant change.
Definition: Referrals (as a % of Year total) by outcome for alleged perpetrator, for those cases progressing to Adult Case Conference or Senior Strategy Meeting. Source: Esuite Database
22 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
b)) REPORT FROM THE THREE LOCAL SAFEGUARDIING ADULT b REPORT FROM THE THREE LOCAL SAFEGUARD NG ADULT GROUPS GROUPS North West Safeguarding Adults Group (NW SAG) – Chair Cynthia Dwyer
Membership of Group Membership of the group is drawn from the statutory, voluntary and private sector and includes Age Concern, Borough Council’s, Just Advocacy, Trading Standards, Surrey Police, Surrey’s Safeguarding Team, Alpha Hospital, Ashford & St Peters Hospital NHS Trust, Surrey Community Health, Surrey & Borders Partnership Trust, Surrey Care Association, Welmede, Owl Housing Ltd, Carers Support Spelthorne, Social Care Teams and managers from services for People with a Learning Disability, Physical Disability and Older People’s services Activities/ Achievements relating to Work Plan (April 2008 to March 2009) There was active participation in Safeguarding Adult Awareness Week. To promote public awareness an event was held with local voluntary groups looking at the needs of carers with regard to safeguarding and those they care for. It was well attend by many agencies including the police and health service staff During the year awareness was raised amongst the members of the group with guest speakers invited to speak on such topics as the Mental Capacity Act, Trading Standards and MARAC. Distribution of publicity material to raise awareness of safeguarding adults in the local community and within the members own organisations. Discussed local case studies (anonymous) where areas of concern were highlighted in relation to agencies working together or where complex issues had arisen. There was learning from the outcomes that could help improve practice and prevention. Through membership of the group links were developed with partner agencies, both voluntary and statutory and the private sector. Future Objectives (April 2009 to March 2010) Participate and undertake events during the Safeguarding Adults Awareness Week June 2009. To facilitate training within partner agencies to promote safeguarding adults awareness.
23 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
To keep members of the group updated regarding developments in relation to the protection of adults both locally and nationally. To review local policies and procedures within each organisation in relation to safeguarding adults as agreed with group members. To ensure that information from the Surrey Safeguarding Adults Board is disseminated to the group including the review of safeguarding activity within the North West Area to identify trends. Raise awareness of the available training courses/workshops including courses available through joint training.
South East Safeguarding Adults Group (SE SAG) - Chair Alan Warren
Activities/ Achievements relating to Work Plan (April 2008 to March 2009) Vetting & Barring arrangements have been explored Trading Standards have demonstrated ways to protect vulnerable people from rogue callers and traders The role of Advocacy was examined and the Mental Capacity process was discussed The Inspection Report of safeguarding in social care was studied The statistics for referrals have been studied Each agency has shown how they respond to initial concerns and report alerts Social care and the police have explained how alerts are investigated A case study of an investigation was examined The items for Safeguarding Awareness Week were planned The feedback from the Surrey Safeguarding Board was discussed as were issues from the subgroups. Future Objectives (April 2009 to March 2010) Each agency to present their key work on safeguarding
24 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Update on Vetting & Barring Memorandum of Understanding for Surrey Fire and Rescue will be explored The promotional DVD will be shown again with a view to onward use The South East Surrey breakdown for the alert, referral and conference statistics will be examined in detail Two way feedback with Safeguarding Board Maintain membership and contacts list Feedback on Serious Case reviews and local incidents Contribute to awareness publicity
South West Safeguarding Adults Group (SW SAG) - Chair Anne Butler
1. Purpose of the Group The South West Local Safeguarding Adults Group reports to the Surrey Safeguarding Adults Board and works on a local basis in parallel with the county safeguarding agenda. The Group covers the Boroughs of Guildford, Waverley and Surrey Heath. 2. Meetings and Membership The Group met on 6 occasions in 2008/09. It has a lively membership drawn from the voluntary sector (e.g. the Red Cross, Action for Carers Surrey, Guildford Action, Just Advocacy), the south west Partnership/Empowerment Board, faith groups, Surrey Police, NHS Surrey (the PCT), Surrey and Borders Partnership Trust, Royal Surrey County Hospital, Guildford, Waverley and Surrey Borough Councils, Home Based Care and Residential Care, Social Care Teams and managers from services for People with a Learning Disability, Physical Disability and Older People’s services and Surrey’s Safeguarding Team. 3. Achievements in 2008/09 Safeguarding Adult Awareness Week – sponsored and hosted conference on Financial Abuse; supported launch of Safeguarding Policy for Charities, which was developed by the South West Group. Review of ‘No Secrets’ Consultation – contributed to discussions as part of Council’s submission to Department of Health. Raised awareness amongst members of: 25 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Vetting and Barring and the Safeguarding Vulnerable Groups Act 2006 IMCAs (Independent Mental Capacity Advocates) Mental Capacity Act and Deprivation of Liberty Safeguards MARAC (Multi-Agency Risk Assessment Conference) Training Strategy – actively participated in development County’s Training Strategy
c)) REPORT FROM THE SAFEGUARDIING ADULTS TRAIINIING SUB c REPORT FROM THE SAFEGUARD NG ADULTS TRA N NG SUB GROUP GROUP
Training Strategy Implementation Progress The partners of the Surrey Safeguarding Adults Board are committed to developing a workforce (paid and voluntary) that has the right knowledge and skills to recognise and effectively respond to abuse. The Board has also expressed a desire to raise the level of public awareness and increase its role in the prevention of abuse and neglect of vulnerable adults. A significant component of achieving these goals is the development of a County wide training programme. This approach is in line with the Department of Health guidance “No Secrets” which says that there must be training for staff and volunteers on “the policy, procedures and professional practices that are in place locally.” In 2007 the Board identified a number of weaknesses in the approach to Safeguarding Adults Training within Surrey. Since then it has been working towards a more unified approach offering greater coverage, quality and consistency. In January 2008 the Board agreed a Surrey Wide, Cross-agency Training Strategy. This Strategy aims to develop an agreed, co-ordinated approach to educational progression and course content and to widen the availability and uptake of training through using a range of approaches, techniques and methodologies. It identifies a multi-level, progressive training programme designed to suit all levels of staff and volunteers and different work roles from the statutory, voluntary and independent sectors. This strategy also identifies training requirements for service users and those who care for them. In February 2008, the Board recruited a new part time Training Development Manager to co-ordinate the development of this work. Since March 2008 the Training sub-group of the Safeguarding Adults Board has been working towards the development and implementation of this strategy through a coordinated programme of training. During February 2008 to March 2009 the Training Subgroup has achieved the following objectives: Revised its terms of reference; Reviewed it’s membership and worked towards achieving wider representation; Agreed a process to be used to implement the Training Strategy and develop the training programme; 26 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Set a work plan for the next 3-5 years; Completed a market analysis; Carried out audits of current training uptake; Clarified the content of the six training levels within the strategy; Organised interim training and bid for funds through Joint Training; Evaluated current Level 1 training provision; Reviewed existing DVD and e-learning resources; Developed a proposal and a business case with costs for a shared finances arrangement for the Board to enable implementation of the Training Strategy; Identified the training components within Level 1; Produced an Induction and awareness DVD within Level 1; Identified the content of Level 1 face-to face training; Outlined the content of an e-tool. Throughout close attention has been paid to the work already carried out within Safeguarding Children and Domestic Abuse within Surrey and within Safeguarding Adults training across the country. However, we have remained aware of the significant differences, particularly in relation to the lower public profile of adult abuse, the different demography of Safeguarding Adults and the specific needs of the population of Surrey. Figure 1 below presents a summary of the training route for staff (paid and volunteers) as it currently stands.
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Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Figure 1 - Training Strategy Implementation
Level 1 – Awareness – In-house and within FE/HE initial training
Certificate completion Induction with DVD 15mins Mandatory for all – free to all self, manager or induction trainer delivery
Certificate attendance
Introduction 2 hours All with public contact Mandatory Face to face
Introduction 4 hours All with public contact Mandatory option Face to face
Introduction 6 hours All with public contact Mandatory Face to face
Bridging Levels 1 and 2
Certificate achievement E-tool/E-learning Process Procedures and policy Laws and guidance 30 mins max – done individually
Level 2 – Supporting the process - cross agency -champion led
Refresher/update 4 hours every 2 years Note taking 1 day Leading, supporting and decision-making 1 day Special roles e.g. service support, advice and complaints 1 day
Strategic integration for executives and councillors 4 hours
Train the Champions 2 day
28 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Levels 3-6 – For specialist practitioners – cross agency – specialist trainer led
Level 3 – Practitioners training 2-3 day Post abuse support 2-3 day Managing safely 1 day Managing the process 2 day Managers Refresher Joint investigation 4 day Achieving best evidence 5 day Legal context 1 day Practitioners Refresher Chairing 1 day The Law for chairs 1 day
Level 4 -
Level 5 Level 6 -
JIT recall JIT recall
Dependent upon the resource levels available the sub-groups objectives for 2009/10 are: 1. Duplication, launch, dissemination, monitoring and evaluation of Level 1 Induction DVD 2. Completion and dissemination of Level 1 Face-to-Face Trainers pack 3. E-tool text development 4. Development and testing of cross agency training on decision making for Safeguarding Adults by practitioners If sufficient resources become available then the group will also start work on: 1. 2. 3. 4. Developing a Train the Champions programme Competency identification across the Training Strategy levels Training and awareness raising for service users and their carers Identification of Level 2 contents
d)) REPORT FROM THE SAFEGUARDIING ADULTS COMMUNIICATIION d REPORT FROM THE SAFEGUARD NG ADULTS COMMUN CAT ON AND PUBLIICIITY GROUP AND PUBL C TY GROUP
This period has not been as successful for the Group as would have been hoped in that there have been ongoing issues regarding gaining multi agency representation at meetings. This has impacted on the ability of the Group to complete identified tasks within the work plan and has prevented the Group from moving forward and developing. The Group now has an identified Chair and Co Chair and with the support of the newly appointed Promotions Officer the Group will be re launched, the work plan will be revised and a clear focus for the group will be established. 29 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Even though there have been difficulties for the Group a number of achievements have been made during this period. The group contributed to Safeguarding Awareness Week in June 2008 by working with the Safeguarding Adult Awareness Week Steering Group to ensure that publicity information was widely available across the County. This information included newly designed leaflets and posters as well as replacement of other materials, and also included the ‘diary of events’, a diary detailing all of the events being held during the week. This was widely distributed across all agencies within the County. There has been ongoing work towards the production of a DVD, scripted, acted and produced by Service Users with a learning disability in conjunction with a production company and the Safeguarding Team, and is due to be released in Autumn 2009. The production of the SSAB Newsletter has been achieved and the first edition of the quarterly Newsletter was circulated to over 3000 people at the end of March. This was also put onto the Safeguarding Adults web page. This has been a welcome achievement in the work of the Group however multi agency involvement is necessary to continue the growth and development of the Newsletter Work continued updating and improving the information on the Website The next year will be a very busy time for the work of the Communications and Publicity Group with the need for there to be consistent multi agency representation. The Group will need to produce a realistic work plan and ensure that objectives are met within the limited funding resources that are available.
e)) REPORT OF THE WORK OF THE POLIICY AND PROCEDURES GROUP e REPORT OF THE WORK OF THE POL CY AND PROCEDURES GROUP
Activities/Achievements relating to Work Plan (April 2008 to March 2009) This has been a difficult year for the Policy and Procedures group due to low attendance and commitment from some partner agencies. Currently the group is looking for a new Chair for the group and as a consequence, meetings have had to be cancelled. However, a number of achievements have been made during this period: • • • • Response to a Serious Case Review undertaken by Croydon concerning a Surrey service user – shared with the Safeguarding Board Discussion around ‘Recognising and Managing Pain – People with Learning Disabilities Pain Audit’ – presented to the Safeguarding Board Discussion re paper written by Margaret Flynn into the death of Stephen Hoskin – local recommendations taken to the Safeguarding Board Discussion about X/Y vs. LB of Hounslow. Implications for Surrey presented to the Safeguarding Board 30 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
• • • • •
Discussion around CSCI’s ‘Raising Voices’ – paper taken to the Safeguarding Board Discussion re the protocols in place regarding the Police Coming to Notice Forms Discussion and actions taken in response to the Valuing People – 3 Year Strategy Document Discussion re the Care Quality Commission consultation document. Finalising the Surrey response to the No Secrets Consultation paper – ratified by the Safeguarding Board
Future agenda items for the group • Revising the Surrey Multi Agency Procedures in the light of changes to the investigation process and national guidance / legislation • Implications of the Laming report on Safeguarding Adults • The Government’s response to the recommendations made by agencies / organisations / services users and carers etc in relation to the No Secrets Consultation paper and the implications for Surrey. • Input into the joint protocol with Surrey Police and mental health services re potentially dangerous offenders. • Input into the Joint Protocol between SABP NHS Trust, Adult Services and Children’s Services • Safeguarding Adults and Personalisation • Update the Safeguarding Adults Information Sharing protocol
ff)) REPORT OF THE WORK OF THE SERIIOUS CASE REVIIEW GROUP REPORT OF THE WORK OF THE SER OUS CASE REV EW GROUP
Activities/Achievements relating to Work Plan (April 2008 to March 2009) The group was set up on 24th July 2008 using the learning and basic concepts of the Children's Serious Case Review process. The group meet bi-monthly to consider cases for a full review, or if these cases do not reach the threshold, a thematic review within individual agencies is undertaken The setting up of the group with sign up from each agency plus the securing of funding for 1 - 2 full reviews has been a significant achievement. The group have so far discussed and considered 8 cases of which 2 have resulted in a full review. A spreadsheet has been set up to identify those cases considered and the result of the discussions. It highlights the cases that reach the threshold for a full review and reasons why. It also highlights those that do not reach the threshold but identifies actions that need to be taken by individual agencies. Finally the spreadsheet highlights the organisational learning and recommendations that result from a full Serious Case Review.
31 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Information sharing has increased as a result of having the main agencies represented on the group. A greater understanding of each others practices and issues has improved learning and the concept of 'working together' Future Objectives (April 2009 to March 2010) To ensure the group continue and are fully committed to safeguarding adults through organisational learning. To improve practice both within each agency and jointly. To improve inter-agency working through organisational learning and greater understanding/awareness of each other's working practices and issues. To track the implementation of recommendations and action plans to ensure that all agencies 'make a difference'. To ensure accountability for safeguarding adults in each agency and jointly. To identify trends/themes/areas in order to be pro-active in reducing risk of harm to vulnerable adults. To organise a Multi-Agency Workshop to share organisational learning from all cases presented to the Serious Case Review Group To ensure full attendance at the bi-monthly Serious Case Review Group Group meetings either through the group members above or a nominated deputy.
g)) REPORT OF THE WORK OF THE QUALIITY ASSURANCE AND AUDIIT g REPORT OF THE WORK OF THE QUAL TY ASSURANCE AND AUD T GROUP GROUP
Activities/Achievements relating to Work Plan (April 2008 to March 2009) This has been an important year for the Quality Audit group with the CSCI inspection and the drive towards improving standards and competencies across all partner agencies, but the work of the group has been hampered by the loss of the Chair halfway through the year with no replacement being identified. This needs to be a priority for the year ahead as the group is currently chaired by the Safeguarding Service Manager. • • • Terms of reference and the work plan were signed off by the Safeguarding Board Communication with the Acute Trusts asking for action plans in relation to the Death by Indifference recommendations Revisit of the recommendations from the Whitepost Serious Case review and further actions taken 32 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
• • • • • • • •
Signing of the Service User audit and cascading the recommendations to front line teams Final sign off by the Safeguarding Board of the Cornwall and Sutton and Merton recommendations Audit/ chronology undertaken on a specific case with learning outcomes for front line teams Recommendations from the HL Serious Case Review updated Discussion re results of Case Conference and Planning meeting participants audit Scrutiny of quarterly safeguarding statistics Input re tools to be used for file audits Input into the Safeguarding Improvement Plan
Future Objectives (April 2009 to March 2010) • Confirm a new Chair for the group and track membership and attendance • Ensure recommendations from ongoing Serious Case Reviews are implemented effectively and evaluated • Agree and implement audit processes and report outcomes to the Safeguarding Board – there are a number of audits that have been identified • Monitor the current reporting arrangements to ensure information from quality assurance programmes inform future plans
h)) REPORT FROM THE SURREY SAFEGUARDIING ADULTS TEAM h REPORT FROM THE SURREY SAFEGUARD NG ADULTS TEAM
The period of April 2008 to March 2009 has seen a further increase in the number of Safeguarding Adult Meetings chaired by Independent Chairs. During this period, 828 Safeguarding Adult Meetings were chaired by the Independent Chairs including 151 Senior Strategy Meetings. This reflects a 22% increase since 2007 – 2008 in the total number of Safeguarding Adults Meetings chaired by the Independent Chairs. The number of Service Users attending Safeguarding Adults Conferences has remained fairly static, however in relation to the increased number of meetings held the number of service users attending is low. Whilst in some cases it is not appropriate for the service user to attend, or if they were invited but felt unable to attend, there is a need for frontline teams to encourage service users or a relative/advocate to attend where possible to ensure that the Safeguarding process is fully inclusive of the service user and that their voice is heard. Meeting the increased demands, particularly over the last quarter, has stretched the resources of the Independent Chairs, particularly during the period leading up to the CSCI Inspection, as the Chairs were required to undertake a significant amount of work undertaking case file audits and this has been a valuable contribution by the Independent Chair within the Safeguarding Improvement Plan. 33 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
In addition to Chairing Safeguarding Adult Meetings the Independent Chairs have fully supported frontline Teams and partner agencies within their ‘attached’ area by: providing advice and information to front line teams and also to partner agencies in relation to Safeguarding issues and points of practice attending front line Team Meetings to update Teams in relation to both the Local and National Safeguarding Adult agenda providing specific Safeguarding Adult Training to Teams and partner agencies focusing on key aspects of the multi agency process supporting the Chair of the Local Safeguarding Adults Group, attending and contributing to those meetings The Independent Chairs have maintained their strong links with partner agencies, both voluntary and statutory and the private sector and in particular with the Public Protection Investigation Units, the Domestic Abuse forums, Community Incident Action Groups, the Partnership Board and local Valuing People groups The Independent Chairs have not had as many opportunities as in previous years to become involved in other development/project work. This has been due largely to the increased number of Safeguarding Meetings and the additional work of case file audits.
Saffeguardiing Team Achiievementts:: Sa eguard ng Team Ach evemen s
Held two county wide conferences o Deprivation of Liberty o Vetting and Barring Held a very successful workshop for Service users with a Learning Disability in relation to Hate crime Supported and contributed to four one day County Area Multi Agency workshops focusing on partnership working with a regard for the findings of the Hounslow judgment Provided training for eighteen one day in-house Introduction to Safeguarding Adults training sessions Undertaken Safeguarding Adult training slots within in-house care manager induction training Provided specific input within the in-house three day practitioners training, the managers training, the chairing skills training and note takers training Provided Safeguarding Adult Refresher training to the majority of front line Teams in preparation for the Inspection Undertaken detailed case file chronologies as part of actions identified by the Serious Care Review Group Presented at County and National events such as the National Care Providers Association Conference at Heathrow Completed a Memorandum of Understanding with SILC and Unison. 34 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Revised the existing Memorandum of Understanding with the Police, Surrey Fire and Rescue, South East Coast Ambulance Service and Trading Standards Begun to work with the Prison Service, Immigration and the Red Cross in agreeing a Memorandum of Understanding Organised the Annual Awareness week undertaking presentations and attending events Supported the work of the Training Sub Group, Policy and Performance Group, Communications and Publicity Group, Serious Case Review Group and Quality Assurance and Audit Group Attended as a member of the SABT and Acute Trusts Safeguarding Boards – where a Board exists Contributed towards the training and assessment for the Joint Investigation and Achieving Best Evidence training Been pivotal in working towards the revision of the Internal Safeguarding Adult procedures as part of the Safeguarding Improvement Plan Audit of Planning Meeting Notes and Senior Strategy Meeting Notes Demand for Conference Secretaries to take notes at safeguarding meetings increased The past year has seen a significant and often exciting development in the work of the Safeguarding Team in line with the Local and National Agenda. With new legislation coming into force, with the outcome of the ‘No Secrets’ consultation pending there will be challenges for us all. It will be more important than ever that members of the Safeguarding Adults Team are effective in working alongside front line practitioners and partner agencies to continue to support them in their work to safeguard vulnerable adults and to ensure that practice standards continue to improve.
ii)) REPORT FROM THE POLIICE PROTECTIION IINVESTIIGATIION UNIIT REPORT FROM THE POL CE PROTECT ON NVEST GAT ON UN T
Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 This year has seen the introduction of Serious Case Reviews for vulnerable adults. Surrey Police played an integral role in setting up the SCR Group, which is chaired by the Detective Inspector from the Public Protection Strategy Unit (PPSU). The review process closely mirrors and picks up on best practice from the work of the Safeguarding Children's SCR group and organisational learning throughout the agencies. Surrey Police hosted the first inter-agency Safeguarding meeting, bringing together the Service Manager from the Safeguarding Adults team, the Vulnerable Adult sergeants from the divisional Public Protection Investigation Units (PPIU) and representatives from the PPSU. The meetings are held three times a year with the aim of capturing best practice and resolving inter-agency challenges and understanding each other's issues. 35 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Surrey Police select officers and staff from the Public Protection teams and other departments to attend the annual Joint Investigation Training with Social Services. This year's course included staff from Criminal Investigation Departments (CID), the Major Crime Investigation Team (MCIT) and Sexual Offence Trained Officers (SOTO's). By sharing the training with other departments, officers from these specialist units are then competent to deal with vulnerable adults in order to achieve best evidence. The PPSU has produced bespoke vulnerable adult training and awareness packages which have been delivered to all new probationer police constables and Police Community Support Officers (PCSO's). All Front Counter staff have been given vulnerable adult awareness sessions. These sessions included how to recognise abuse and strategies to help deal with vulnerable adults, particularly those with mental disorders. This year has seen the first successful prosecution, in Surrey, under Section 44 of the Mental Capacity Act 2005 (Ill-treatment or willful neglect). This was a significant step both in Surrey and nationally, and it is hoped the case will now set thresholds for future prosecutions. Following this success, Surrey Police have met with the Crown Prosecution Service (CPS) to establish single points of contact in this complex and challenging area of business. A joint protocol between Surrey Police and CPS is being produced to aid the charging process and increase the likelihood of a successful prosecution. The response from the CPS in using this piece of legislation has been enthusiastic and encouraging. Safeguarding Statistics March 2008 to April 2009 Eastern 792 308 1320 358 Northern 836 189 1167 270 116 Western 1117 101 1353 249 195 Force 2745 598 3840 877 482
Non Crime Incidents Reported Crime Total Incidents / Crime Victim Support Referrals
Section 136 Detained 171 under the Mental Health Act
Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 During May, June and July there will be vulnerable adult awareness sessions for all Custody staff focusing on mental health and the autism spectrum.
36 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
A Training Needs Analysis survey will be conducted to highlight gaps in training across the force. This will focus on awareness of vulnerable adult abuse and mental health issues. The 'Because You Said Something' DVD will be shown to all new probationer constables and PCSO's, and incorporated into other training packages. The Joint Investigation Training/Achieving Best Evidence (JIT/ABE) training is planned for October 2009. Surrey Police will provide trainers, facilitators and assessors for the course. Attendees from previous Joint Investigation Training courses, including police personnel and social services, have attended a training day to share operational updates, best practice and experience. In June 2009 Surrey Police will support the Surrey Safeguarding Adults Awareness Week. The Vulnerable Adult Force Advisor and colleagues from the Vulnerable Adult teams and Safer Neighbourhood Teams (SNT) will attend meetings and seminars with service users and carers as speakers and representatives across the county. Surrey Police are working with Surrey County Council Mental Health Team and South East Coast Ambulance Service (SECAMB) to complete a Mental Health Act Transport Protocol, to ensure better working practices between the police, SECAMB and Approved Mental Health Professionals (AMHP's). The protocol will cover requests for police attendance at mental health assessments and the safe transportation of patients. Surrey Police are working with SECAMB to produce a Memorandum of Understanding in relation to the use of the Mental Capacity Act ‘Best Interests’, dealing with individuals lacking capacity in life-threatening situations who refuse medical treatment. Surrey Police have secured funding for the delivery of Mental Capacity Act training to front-line staff, which will be delivered during 2009/10. The PPSU Detective Inspector now sits on the Surrey Suicide Prevention Multi Agency Group which looks at various issues around mental health and the learning from each agency to assist on suicide prevention strategies.
37 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
jj)) REPORT FROM THE SURREY AND BORDERS PARTNERSHIIP NHS REPORT FROM THE SURREY AND BORDERS PARTNERSH P NHS TRUST TRUST
Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 Surrey and Borders has developed a safeguarding strategy which covers areas of training, awareness and communication, policy development, data collection and monitoring, working with diversity and inclusion and legislation. The awareness and communication campaign within the Trust is ongoing and as part of this we have developed a web page on the Trust inta-net dedicated to safeguarding which includes links to all policies and training etc. We have supported and organised additional training to our in-patient services via our senior professional lead roles and work closely with SCC Safeguarding Team in developing closer links and improved processes. A leadership event was dedicated to safeguarding within the Trust in September with good turn out and feed back to keep safeguarding on the agenda of the whole organisation. All Serious Case Review action plans now go through the Trust scrutiny panel to ensure that lessons are being learnt across the organisation. Evidence is submitted and checked according to compliance. We have dedicated more resources to domestic abuse awareness and have gained greater appreciation of how the issues affect all vulnerable groups. We have rolled out our Deprivation of Liberty Safeguards with training across the organisation, and developed policies and procedures which have been consulted on and distributed accordingly. People who use services and their carers have been fully involved in this process. We have organised for BIA assessors to assist in some of the scoping work to ensure that services are clear about the criteria. Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 The safeguarding strategy continues to be rolled out and developed across the Trust. We are now having more focus on prevention rather than reaction to when things have gone wrong. We are looking at increasing our named resource and developing better recording and monitoring systems across the organisation. We accept that a cultural change is required across the organisation into looking and considering how safe clients are in the development of all care plans. 38 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
k)) REPORT FROM NHS SURREY k REPORT FROM NHS SURREY
Contribution and updates in relation to Safeguarding Adults April 2008 to March 2009: NHS Surrey (Surrey Primary Care Trust) is committed to supporting the Safeguarding Adults agenda in both its roles as a provider and commissioner of services for the population of Surrey. NHS Surrey signed up to the revised Safeguarding Adults Multiagency Procedures and is embedded in the commissioning process with protection of adults from abuse clauses included in contracts with service providers. Working in partnership with Surrey County Council NHS Surrey established a consistent approach to the implementation of the Deprivation of Liberty Safeguards and appointed a lead manger to facilitate the introduction of the procedures. NHS Surrey through its provider arm continued to be represented on the Surrey Safeguarding Adults Board and all the local multi-agency Safeguarding Adults Groups as well as actively participate in the sub groups of the Surrey Safeguarding Adults Board and events such as Safeguarding Adults Awareness Week. Since the last report, the Internal Safeguarding Adults Board of Surrey Community Health the provider arm of NHS Surrey has become well established within the organisation. The membership includes the nominated link professionals representing different disciplines from the three localities (North West, South West and East). The aim of the Internal Safeguarding Adults Board is to implement the multiagency policy and procedures and raise the awareness of safeguarding adults. The Internal Safeguarding Adults Board reviews and evaluates how the organisation is dealing with and learning from safeguarding incidents by monitoring the number of cases staff are involved in. Each member of the board acts as the lead for safeguarding adults in their locality and is as a source of advice to staff on all issues of safeguarding, ensuring that any action taken is in accordance with the Multiagency Procedures and the Surrey Community Health’s Operational Guidelines that were approved by the Clinical Protocol Approval Group in July 2008. Members of the Internal Safeguarding Adults Board have been invaluable in assisting the Safeguarding Advisor in getting the safeguarding message across to all employees who have direct patient contact. They have assisted in providing basic awareness training and up date sessions which are designed to remind staff about how to identify abuse, their responsibilities and how to deal with cases they may identify. During the year Surrey Community undertook a programme of work to ensure that all staff employed by the organisation that had contact with patients had been subject to an enhanced Criminal Records Bureau check. 39 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
The need to ensure that staff are trained to identify abuse is recognised by the Trust as a priority. Training for staff is available each month as part of NHS Surrey’s ongoing Learning & Development programme with additional sessions provided by the Safeguarding Adults Advisor. Over the past year the training packages have been developed and updated to include information on the Mental Capacity Act An audit across Surrey Community Health to identify training needs and awareness of safeguarding adults was completed and highlighted areas where there were gaps in staff training and awareness of adult abuse. This information was used by the Safeguarding Advisor to target training. Surrey Community Health developed Operational Guidelines for use in conjunction with the Surrey Multiagency Procedures 2008 and both these documents were distributed in hard copy to all areas of the Trust for easy access as well as being available to staff on the internal Extranet system. Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010: Identify a senior commissioning representative to sit on the Surrey Safeguarding Board and Executive Group in recognition of future organisational change within NHS Surrey. To embed safeguarding adults within all the commissioning directorates in the PCT and ensure compliance, assurance and monitoring within all provider contracts. To ensure that NHS Surrey implements and complies with the requirements of the Vetting & Barring scheme. To raise awareness about safeguarding adults within Primary Care by offering access to training and awareness updates. Undertake an audit across Surrey Community Health to check compliance with the Surrey Safeguarding Adults Multiagency Procedures and the Surrey Community Health Operational Guidelines using the results of the previous audit as a baseline to measure improvement and to target training where a need is identified. Training of all staff on basic awareness will remain a priority and new ways of delivering the sessions will be explored. In addition the new DVD being produced will be used to enhance the induction training of all new staff and raise their awareness. Provide staff with ongoing training on the Mental Capacity Act and Deprivation of Liberty Safeguards to continue to raise staff awareness and ensure that the correct procedures are followed. 40 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Contribute and participate in the Safeguarding Awareness Week in June 2009 and ensure that publicity information is widely available across the NHS Surrey’s health service facilities. To reduce number of incident of abuse reported in relation to staff who are temporarily working as either as a bank or agency by reducing the need to rely on bank or agency staff to provide a safe level of care and monitoring the skill levels of staff who work infrequently.
ll)) REPORT FROM THE 5 ACUTE TRUSTS REPORT FROM THE 5 ACUTE TRUSTS Frimley Park Hospital NHS Foundation Trust
Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 The Trust was the only Acute Trust in Surrey to send its Safeguarding leads on Best Interest Assessors DOLS training so that they could provide independent advice to other Trusts The Board of Directors receives an Annual report on how the Trust is supporting and managing vulnerable adults within their care The Director of Nursing or a Deputy attends the Safeguarding Steering Board and there is representation on the various steering groups The Director of Nursing chairs a multi-agency Safeguarding steering group which has representation from all three Social Service departments. This group reviews all patients reported under the Vulnernable Adults Steering group in the previous quarter to see what lessons could be learnt and implemented All staff receive training on Vulnerable Adults at induction and also as part of the annual mandatory updates Safeguarding Statistics March 2008 to April 2009 30 allegations reported throughout the period 10 cases reported to Hospital safeguarding leads by Social Services All cases are reviewed at the internal Safeguarding Adults Steering Group to ensure that any lessons learnt are implemented. Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 • Safeguarding awareness week 15th-19th June 2009 with a programme of events • To continue providing information for all staff through the Trust newsletter on a monthly basis • Ongoing training as part of induction and mandatory training for Trust staff • To continue close working with Social Services and other agencies. 41 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Epsom and St. Helier University Hospitals NHS Trust
Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 Epsom & St. Helier University Hospitals NHS Trust has a governance structure in place that assures the organization and partner organizations that ‘Safeguarding Adults’ is a top priority. The trust has a safeguarding adults committee meeting every 8 weeks and the action plan that is in working progress is reviewed at every meeting. Each directorate go through their actions and updates. Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010
An information leaflet will be attached to all May 2009 payslips regarding the employees responsibilities in regards to Safeguarding Adults and children The trust is developing a page on the intranet that is specifically for Safeguarding Adults. All policies, publications, documents and training information will be held there and accessible for all. There are also resource pack with the policy, referral form and contact details in all wards/departments. A training programme is now in place and has been developed jointly with the external partners so that all staff are given a consistent message. A Safeguarding Week in June 2009, will raise awareness again about this and provide additional training and awareness sessions. The patient experience team are beginning to be involved and patients will start to be more involved in the work of this group, specifically regarding safeguarding adults and work regarding patients with special needs. All job descriptions will now have a paragraph relating to each employee’s responsibilities in regards to Safeguarding Adults/Children. All referrals are kept anonymously on our risk management database. They are recorded as a level 4 and actions incorporated in to safeguarding adults action plan. We don’t currently share data with the partners but a system needs to be put in place to allow us to do this easily.
42 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Royal Surrey Hospital NHS Trust
Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 RSCH continues to engage closely with the safeguarding agenda. Surrey safeguarding board is attended by Associate Head of Nursing who also represents the acute trusts on the executive board. Our quarterly Trust safeguarding meeting continue with reports feeding into the Trust Board 6 monthly. Safeguarding training has been introduced onto all staff updates and is recorded in central training records. This session also highlights the issues around DOLS and MCA. In addition all staff receive an awareness raising session on induction. We have started delivering this training in a joint venture with nursing and social services staff. All senior front line staff had awareness training for DOLs prior to April 1st and we have one trained Best Interest Assessor. Regular meeting continue to be held with our learning disability links to ensure that where there are any planned admissions we can have a good understanding of any issues prior to admission. The Trust has over the last year continued to develop an excellent working relationship with our social services partners and a joined up and pragmatic approach to risk is evident. Safeguarding Statistics March 2008 to April 2009 We have seen 61 cases raised in the last year amounting to approximately 5 per month and 3 out of county alerts. Of these all but 3 have been resolved . 5 have gone to full case conference the majority being resolved at a planning stage. Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 The Trust realises it must work harder to engage in all sub groups feeding into the safeguarding board. Training continues to be a huge agenda item and we have just received confirmed funding to put in place a .6 wte post to lead on training around Safeguarding both adults and children, Mental Capacity Act and Deprivation of Liberty Safeguards. Work is currently underway and will be completed this year around Vetting and Barring and the review of CRB checks for staff
Ashford and St Peters Hospitals NHS Trust
Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 We have strengthened the Trust’s systems and processes to promote the safeguarding and wellbeing of the people we serve. The Trust believes that the welfare of vulnerable 43 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
adults is of paramount importance and work in partnership with patients, their families, carers and other agencies to ensure that it provides a safe environment for all patients. The Trust has Safeguarding Adults training as a two yearly mandatory training for all its employees. To date over 300 front line staff from across the organisation have attended mandatory training – Nurses, ODPs and Therapists In addition Safeguarding Awareness Sessions at Trust Induction – including all disciplines - from Medical Staff, Theatre Staff, Senior Support Managers, Therapists, Porters, Registered Nurses and Health Care Assistants We have reviewed and updated our Trust’s Guidelines and Procedures again in line with the updated Surrey Multi Agency Procedures. Within our local procedures we have updated our Safeguarding Adults Flow Chart The Trust has different members of staff for membership in all the Surrey Safeguarding Adults Committees (see attachment one) We have introduced a Trust’s Safeguarding Adults Steering Group and the membership includes: The Director of Nursing and Governance The Associate Director of Nursing The Head of Nursing Acute Services The Clinical Risk Manager The Head of Quality and Integrated Governance The Lead Nurse Practice Development The Training Manager The Head of Therapy One Medical Consultant Representative The Head of Capacity Management The IT Governance manager The Assistant Service Manager, Social Services The Team Leader, Social services, SPH One Safeguarding Adult Chair We have set up a weekly meeting with our local Safeguarding Adult Assistant Service Manager / Team Leader at St Peter’s Social Services to review all cause for concern forms received by the Trust and discuss safeguarding issues – implement action plans as required. There is now improved understanding / knowledge of matrons and sisters/charge nurses in involving social services and seeking help and support. Matrons now attend SA planning meetings. Mental Capacity Act and Deprivation of Liberty Safeguards Training sessions have been implemented by the Trust Solicitors. We have established the Trust DOLS Process in partnership with the PCT. 44 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
We have the Hospital Communication Book in all areas. We have through the ‘Trust Communication Group’ introduced a Communication Box in all areas. We have Safeguarding Adults and DOLS information on our Trust-net, which staff can assess. Safeguarding Statistics March 2008 to April 2009 The Trust’s Incident Event Form was updated in the summer to include a code for Safeguarding Issues which can be monitored through Datix (Data Software System). 20 recorded incidents with safeguarding issues were highlighted and discussed with social services. Appropriate incidents were followed up by social services. There were three cases of patients admitted with safeguarding issues which were not promptly reported to social services (delay in reporting). The Trust was subject to one Senior Strategy Meeting (SSM) in December 2008 following a few ‘Cause for Concerns’ reports made against the Trust. All cases were investigated and reported to the SSM. This is now closed and action plan has been implemented. Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 To pursue the business case for introducing a dedicated post of Safeguarding Adults Officer in the Trust. To ensure an improved attendance of non clinical staff at the two yearly Safeguarding Mandatory Training sessions. To continue the weekly meeting with our local social services staff to review ‘Cause for Concern Forms’. To undertake a training need analysis to determine the level of training different groups of staff will require (e.g. Secretaries; Porters and other Support Staff.
Surrey & Sussex Healthcare NHS Trust (East Surrey Hospital)
Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 Robust weekly mandatory training in place now for nursing staff. Uptake of training has increased from 29% in Sept 2008 to 80% in March 2009. Other bespoke sessions have been provided for groups such as Portering, Volunteers etc but this is not on a regular basis yet due to resources to date. Successful in acquiring funding for Safeguarding Vulnerable Operational Adults lead, starting June 2009. 45 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Trust has quarterly Safeguarding Committee with external partners invited and internal monthly operational group. Trust intranet webpage updated and DOLs policy in draft. Capsticks, the Trust’s solicitors, have been asked to provide a limited number of sessions specifically for doctors and this is currently underway. Draft policy written specifically for managing allegations involving SaSH staff to compliment safeguarding procedures. Safeguarding Statistics March 2008 to April 2009 From January 2008 to April 2009, Social Services have recorded the following number of alerts January 08 - March 08 - 1 referral April 08 - June 2008 - 6 referrals July 08 to Sept.08 - 1 referral Oct 08 - Dec 09 - 10 referrals Jan 09 - 3 referrals Feb 09 - 6 referrals March 09 - 4 referrals Therefore there were a total of 30 alerts for the period of March 2008 to April 2008 with an increase in the number of alerts, which suggests better reporting, and increased awareness. Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 No information available currently regarding strategy meetings, investigations and case conferences but this is planned for the coming year with the SVA lead post. In addition recording by Trust staff regarding alerts raised is variable and further work is required to record, monitor and embed this process. Further work is required regarding a rolling training programme for doctors and other key staff groups to ensure compliance with Standards for Better Health. The Trust does not yet have a named doctor but plans are in place to look at how to implement this role and ensure that s/he has a designated professional session to enable him/her to lead and provide medical expertise and advice.
46 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
The action plan for the Trust Safeguarding Vulnerable Adults Committee reflects the work required to ensure the standards comply with those set out by the Healthcare Commission and the Department of Health. Clearly as SaSH crosses two PCTs the issue of partnership working and attending boards/meetings is further complicated by both West Sussex and Surrey having different multi agency procedures and the requirement for the Trust to engage with two SSABs and their sub groups. There should be executive involvement in the SSAB from a strategic perspective. This would not have appeared to have happened consistently to date but will be rectified in 2009 with the new SVA lead post providing additional resource for training etc. Plans are in place as above to develop monitoring and recording of data re alerts, case conferences etc. The work of the Safeguarding adults committee will be formally monitored by the Trusts Healthcare Governance Committee and a paper is going to the June 2009 Trust Board.
m)) REPORT FROM SOUTH EAST COAST AMBULANCE SERVIICE NHS m REPORT FROM SOUTH EAST COAST AMBULANCE SERV CE NHS TRUST TRUST
Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 South East Coast Ambulance Service (SECAmb) covers a geographical area of 3,600 square miles which covers the whole of Surrey, Sussex, Kent and a small part of Hampshire. The Trust has a full time safeguarding lead for adults and children, promoting the safeguarding agenda across the region. SECAmb is committed to the multi agency safeguarding process and this is reflected in the policies and procedures adopted by the Trust and by representation on the Adult Safeguarding Board. Safeguarding Statistics March 2008 to April 2009 (if appropriate) During the year 1st April 2008 – 31st March 2009 SECAmb staff submitted 348 adult concern reports in Surrey, this makes up nearly 64% of the total number of adult referrals made across the SECAmb region. Some of these were social care concerns, particularly regarding living conditions; many individuals given the opportunity remain in their homes more safely with support being offered. The safeguarding concerns, where multi-agency investigations have taken place, mainly involved patients from residential care settings, or those with complex health needs, reliant on paid or family carers.
47 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 Over the coming year, work is being undertaken to develop a comprehensive SECAmb wide safeguarding training package reflecting the unique position we hold within the health economy and the challenges of covering several local authority areas. SECAmb is also part of an emerging Ambulance Safeguarding Leads network which is looking towards developing a national safeguarding strategy for ambulance trusts. This will reflect national legislation and guidance and will inform and strengthen governance arrangements, performance indicators and training strategies. Work will continue at a local level to ensure that all SECAmb staff are aware of safeguarding arrangements and their responsibilities within that framework. Work is almost complete on a memorandum of understanding between the Surrey Adult Social Care Directorate and SECAmb which details the arrangements under which referrals should be made. It will strengthen the arrangements within both agencies regarding sharing information including closer involvement in safeguarding investigations when a SECAmb member of staff has raised the concern and meaningful feedback regarding outcomes.
n)) REPORT FROM SURREY FIIRE AND RESCUE SERVIICE n REPORT FROM SURREY F RE AND RESCUE SERV CE
Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 The revised Memorandum of Understanding between Adult Services and Surrey Fire and Rescue Service was signed off in November 2008. Referrals are now being made in both directions – reporting possible vulnerable adults by Surrey Fire and Rescue Services to Adults Services, and Adult Service Teams recognising and referring adults known to them who are at greater risk of fire to Surrey Fire and Rescue Service. Surrey Fire and Rescue Service now have 10 safeguarding officers who operate over the fire service shift system. These officers have received training by members of the Safeguarding Team, and are the first point of reference for fire crews who may believe to have located a vulnerable adult. These officers have also received Domestic Abuse awareness training. Presentations have been made to Adult Social Care Teams where requested, on subjects of Surrey Fire and Rescue Fatal Fires Report 2006-08 and Memorandum of Understanding and associated referral procedures. Safeguarding Statistics March 2008 to April 2009 Number of possible VA referrals made by SFRS to the contact centre, using VA1 form 1st April 08 - 31st March 09 - 28 Number of referrals made by Adult Services to SFRS for Home fire risk check, using VA1 form- (same dates) - 26
48 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 Maintain Surrey Fire and Rescue Service safeguarding officer cover at current levels Incorporate new county Safeguarding Training package at Level 1 throughout Service when resources made available Train Surrey and Rescue Service safeguarding Officers to the appropriate level, indicated by the training guide Continue to support Safeguarding Adults Week with Community Fire Safety vehicle – resources permitting Continue to improve awareness of all Adult Services Teams to recognise persons who are at greater risk of fire, refer to Surry Fire and Rescue Service and work in partnership to reduce and control fire related risks.
o)) REPORT FROM SURREY COALIITIION OF DIISABLED PEOPLE o REPORT FROM SURREY COAL T ON OF D SABLED PEOPLE ((PREVIIOUSLY SUN)) PREV OUSLY SUN
Surrey Coalition comprises of many individuals and organisations that represents the interests of vulnerable people including people with learning disabilities, mental health issues, visual impairment, deaf and hard of hearing and wheelchair users and other types of impairment. Surrey Coalition has a representative on the Surrey Safeguarding Adults Board; a member on the Communication and Publicity Group and another on the Safeguarding Adults Awareness Week Steering Group. It is a fundamental Human Right that everyone, including service users, are fully included in safeguarding and their views and knowledge is heard, this is achieved by their involvement in the Board and Groups. Surrey Coalition will continue to contribute to the Surrey Safeguarding Adults Board and advertise and report events through their Newsletter.
p)) REPORT FROM ACTIION FOR CARERS ((SURREY)) p REPORT FROM ACT ON FOR CARERS SURREY
Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 Carer representation on Safeguarding Adults Board in order to ensure views and experiences of carers in relation to safeguarding are considered in policy development 49 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 Safeguarding Adults Policy and Procedure for organisation to be revised in line with interagency guidelines and implemented Encourage adoption of Model Safeguarding Adults Policy and Procedure by partner Carers Support organisations across Surrey via Princess Royal Trust for Carers network Ensure all Action for Carers Staff attend both induction and regular update training sessions on safeguarding adults Contribute to wider policy development and implementation by carer representation on Safeguarding Adults Board
q)) REPORT FROM THE DIISTRIICT AND BOROUGHS q REPORT FROM THE D STR CT AND BOROUGHS
Elmbridge Borough Council Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 During the last year Elmbridge Borough Council has continued to take forward an active training programme in relation to safeguarding adults. Community Support Services (Centres for Retired People in particular) were actively involved in Safeguarding Adults Week 2008. Coffee mornings/awareness raising events took place at all 6 purpose built Centres for Retired People during the week. Posters and literature were displayed in Centres and across Community buildings. A key focus during the last year has been the development of awareness raising programmes for Community Support Services’ volunteer team. (Community Support Services relies on over 700 volunteers.) A Borough wide training programme was commenced during 2008. This involved awareness raising sessions for volunteers (developed in partnership with the Crime Prevention Officer) and consideration of a range of community issues. Community Support Services staff have been actively engaged in Safeguarding Adults Training, linked to the health and social care joint training partnership. The Head of Community Support Services sits on the Health and Social Care Joint Training Partnership. This Group in turn supports an active safeguarding adults training agenda. Information is cascaded through the Council to staff in Community Support Services and Housing. A priority in the next year is the development of a Training Passport for all staff, with safeguarding issues being recognised as a key element of training for Community 50 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Support Service, Housing Services and frontline staff across the Council. It will be ensured that the Council’s training plan complements Surrey County Council’s training plan. The opportunity was taken in the last year to submit an application to the Health and Social Care Joint Training Group to launch a drama workshop entitled “Someone to Watch Over Me”. Funding was successfully secured. A very successful training event took place in Elmbridge in November 2008. 69 frontline service staff from across Surrey took part. The feedback was excellent and a follow up application was submitted for a further event to take place in the year ahead in Woking. For the last two years the Centre Services Manager has been a member of the North West Surrey Safeguarding Group. The Council has a Safeguarding Adults Policy and recognises this as a priority area of activity. During the last year Elmbridge Borough Council has continued to take forward an active training programme in relation to safeguarding adults. Epsom & Ewell Borough Council Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 In June 2008 we helped raise awareness of the Safeguarding Adults Week by displaying posters and distributing leaflets to public buildings, Council Venues, Libraries, Health Centres, and Retirement accommodations around the borough. We held an awareness day at the Longmead Centre with participation from Adult Social Care, Community Neighbourhood Police, Physiotherapists, Community Nurses, Community Alarm and an Age Concern representative. The event was posted on IRIS and also appeared in the Borough Insight. Relevant staff have attended multi - agency Workshops training on Basic Awareness of Safeguarding Adults and Mental Capacity Act Awareness. We have also hosted two Trickster musical events which are sponsored by Surrey Trading Standards, the show raises awareness of how older people can be conned by tricksters. In October 2008 we worked in partnership with Rosebery Housing to celebrate UK Older Peoples Day, we had workshops for Introduction to computers, Understanding mobile phones, Introduction to complimentary therapies, we had two local schools join us for local history and reminiscence groups. In 2008 we worked in partnership with Age Concern to set up a ten week course aimed specifically at lone men living in and around the borough of Epsom, the class was named 'Fit As A Fiddle' and focused on healthy eating habits and nutritional advice. Basic cookery demonstrations and lessons were given and participants developed an understanding of the many factors which affect nutrition in older age, following the success of the course the men have set up a men's club at the Longmead Centre where they continue to meet and one day a week. In 2008 the local fire service 51 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
attended the Social Centres to raise awareness with the older people on fire safety issues, free smoke detectors were fitted in the homes of many older people. The Social Centres have regular visits from the safer neighbourhood teams which gives older people an opportunity to talk to individual officers. Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 Maintain the high level of awareness the staff have in safeguarding adults. Keep relevant staff informed of new initiatives and training opportunities. Continue to take part in events which raise awareness of safeguarding adults Extend the remit of the Council Child Protection Officer Group to cover safeguarding vulnerable adults. Runnymede Borough Council Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 Runnymede Borough Council introduced its formal policy for Safeguarding Children and Vulnerable Adults. This included departmental guidance on recruitment and clarification of all post requiring CRB checks. Active involvement in Safeguarding Adults Week; displays in centres for older people, coffee mornings in sheltered housing schemes and presentations from local community police officers. In-house training undertaken by In-trac; 80 members of Housing and Community Services undertook Safeguarding Adults Awareness course. Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 Main objective for this year is to identify and agree the training requirements for all levels of Runnymede Borough Council staff, ensure that all staff receive appropriate awareness for their job Spelthorne Borough Council Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 Spelthorne Borough Council hosted a coffee morning during the Safeguarding Awareness Week to highlight the growing issue of abuse vulnerable adults, particularly financial abuse of older people. 13 staff attended external safeguarding training courses with the remaining staff planned to attend this year. 52 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
CRB checks carried out for all staff and volunteers working with vulnerable adults, and reviewed every 3 years. Training of all SBC staff reviewed and work carried out to provide training to everyone regarding safeguarding issues Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 Events planned at all the boroughs community/day centres during Safeguarding awareness week in order to highlight issues. Surrey's safeguarding bus to visit Staines High Street for one day during the week in order to raise the public's general awareness. All new staff to SBC will receive training on Safeguarding adults as part of their induction training. All existing staff will also be provided with training. All staff working directly with vulnerable adults to attend external joint training course Training provided to all members Tandridge District Council Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 Training for all staff awareness for both Adults and Children Training as part of induction for all staff - updated Training including volunteers and voluntary organisations, e.g. Meals on Wheels, ESDAR, local small charitable housing associations. Awareness raising sessions at RSL Forum - offer to join training services and provision of template Safeguarding Procedure & Protocol for small organsiations Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 All appropriate staff and volunteers to be CRB checked Co-ordination of referrals, all held by Richard Woodward and any updates - suggest regularly 6 monthly review with all Safeguarding Officers Attendance on Safeguarding Awareness Week Group and involvement to ensure events happen locally e.g. Fire & Rescue Bus at Leisure Pool and information on web site Waverley Borough Council Contribution and Updates in relation to Safeguarding Adults April 2008 to March 2009 Waverley Borough Council participated in the Safeguarding Adults Awareness week with the use of the corporate display material in community facilities, sheltered accommodation, and at the Council Offices. Leaflets and posters were distributed to partner organisations in the voluntary and community sector for them to use during the week. 53 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
An officer of the Council is a member of the local multi agency Safeguarding Adults group. As a member of the Surrey Officers Group for Community Support services this officer links with other officers across the Boroughs and Districts to share good practice on matters related to services for vulnerable older people. An internal Heads of Service Safeguarding group has been established in Waverley to oversee both safeguarding children and vulnerable adults issues. This means that the Safeguarding agenda is embedded in the management infrastructure of the Council. Waverley has developed internal Safeguarding Vulnerable Adults Guidance which is being adopted across the Council to compliment the SCC multiagency policy. Safeguarding Awareness is a key part of the induction process for every new member of staff at Waverley. Waverley works with its partner organisations in the voluntary and community sector to ensure that they are aware of Safegurding issues. It took a lead role in establishing a Council for Voluntary Services in the area (Voluntary Action SW Surrey). This organisation gives infrastructure support to the voluntary and community sector and has created opportunities for networking and information sharing. The organisation is taking a lead in rasing awareness of Safeguarding issues within the sector. Future Plans and Objectives in relation to developing the Safeguarding Agenda from April 2009 to March 2010 The Safeguarding Guidance will be fully adopted across the Council followed up by some awareness raising and training. Training continues to be a priority, and a focus on raising awareness amongst elected members will also be an objective. We hope to be able to use the new Surrey DVD for induction. Participation in the Awareness week will help to increase levels of understanding within the Council.
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Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Section 6. Surrey Safeguarding Adults Board Business/ Work Plan 2009-11 (Schedule A)
Objective 1. Establish an effective SSAB that is independent, responsive and coordinates work to safeguard and promote the independence and rights of vulnerable adults in Surrey Action Review membership and board structure and monitor attendance targets Ensure there is engagement with the BME community Develop information pack and effect induction of new board members ensuring clear understanding of their role and responsibilities Ensure the Executive Group of the SSAB has clear strategic direction and robust Terms of Reference. Regularly evaluate the effectiveness of the group Work towards the establishment of shared financial arrangements within an agreed partnership framework that will deliver the objectives of the SSAB work plan. Consider where the SSAB should sit in relation to accountability at a strategic level. Responsible Chair of SSAB / Safeguarding Service Manager 09 - 10 10 - 11 Outcomes Members of the SSAB are sufficiently senior to represent their organisation and make multi-agency decisions. Members of the SSAB attend regularly All SSAB members have a clear understanding of their roles and responsibilities
Safeguarding Adults Service Manager
Chair of SSAB /Executive Group members
Chair of the SSAB / SSAB members
The SSAB operates as an effective strategic driver and guardian of safeguarding practice, policies and principles. Identified priorities and objectives within the Partnership agreement will be achieved
Chair of the SSAB / SSAB members
There will be strategic oversight and accountability
55 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
Appoint an Independent Chair of the SSAB and Executive group
Safeguarding Adults Service Manager
Establish reporting mechanisms and relationships between key groups e.g. Local Strategic Partnership, Crime & Disorder Reduction Partnership, Domestic Abuse Commissioning group Regularly report Safeguarding Adults performance statistics to the SSAB and Executive Group Produce a Safeguarding Adults Annual Report in consultation with service users, carers and partner agencies and ensure it is widely distributed through SSAB members. Monitor and update the work plan on a regular basis through SSAB meetings and an annual Away Day. Provide a clear directive framework for the local Safeguarding Adults groups and the sub groups that ensures an effective and coordinated
Chair of the SSAB / SSAB members / Safeguarding Adults Service Manager
Safeguarding Adults Service Manager Safeguarding Adults Service Manager / SSAB members
Chair of the SSAB / SSAB members
With an appropriate, high-level Independent Chair, the Board will accrue additional benefits in relation to its credibility and status. SSAB Plan is endorsed by and clearly linked to LSP, CDRP and referenced in the Local Delivery Plan and the Local Area Agreement. Local groups incorporate Safeguarding Adult issues into local planning and practice Agencies will use the information to inform good practice and commissioning strategies Annual Report and Work Plan produced following wide consultation, which gives a clear direction of travel for Safeguarding Adults groups and sub groups, key priorities and a clear framework within which to operate. Wide distribution will ensure an open transparent approach Local Safeguarding Adults groups and Safeguarding Adults sub groups work plans agreed by the SSAB and progress is monitored on a
56 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
2. Ensure partnership working is robust and effective within the Safeguarding Adults process. Ensure partner agency commissioning strategies take into account the particular needs of adults at risk of abuse/neglect and perpetrators of abuse/neglect
service to vulnerable adults in Surrey. Partner agencies to produce regular update reports for the SSAB in relation to Safeguarding Adults
regular basis All partner agencies The needs of adults at risk of abuse/neglect and perpetrators of abuse/neglect are taken into consideration by all partner agencies when commissioning services Improved communication and understanding between the Adults and Children’s Safeguarding services. Joint initiatives are undertaken
Ensure effective ongoing links with the Safeguarding Children’s Board Formalise the arrangement whereby the Service Managers for Adults and Children sit on both Boards Ensure all partner agencies have robust recruitment checks in place including CRBs. Ensure all partner agencies are compliant with the Safeguarding Vulnerable Groups Act and that staff have attended the appropriate training Ensure key policies/protocols/issues are identified and cascaded to partner agencies through the SSAB so that learning can be embedded in front line practice and incorporated into future
Chair of the SSAB / Safeguarding Adults Service Manager
Chair of the SSAB / SSAB members
All staff recruited to partner agencies have had CRB and other relevant checks prior to appointment
3. Identify, review and disseminate key policies/protocols/issue s from key documents, legislation, research etc that impact on the Safeguarding Adults
Policy and Procedures Group / SSAB members/Quality Assurance and Audit Group
Information is cascaded appropriately and practice is improved at the front line
57 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
agenda
plans Ensure partner agencies audit their own polices and procedures to ensure consistency Regularly revise and update the Surrey Safeguarding Adults Multi-Agency procedures and associated policies in line with local and national agendas Ensure Safeguarding Adults is embedded in the roll out of Self Directed Support Ensure a protocol is in place to address the issues around regulated services in relation to CRILL that evidences a partnership approach inclusive of Health Ensure that recommendations from any Serious Case Review are implemented by all relevant agencies through SSAB members, are widely publicised and are used to improve practice
SSAB members
Policy and Procedures Group
Chair of the SSAB / SSAB members Chair of the SSAB / Adult Social Care Board member
Agency policy and procedures are consistent with Safeguarding Adults policies and multi agency procedures All relevant staff aware of and operating the revised Surrey Multi Agency Procedures. Safeguarding Adults is perceived by all staff as being part of their “core business” Implementation of Self Directed Support and Direct Payments builds in appropriate Safeguarding requirements Placements in residential and nursing care and people receiving home based care packages are appropriately safeguarded Improved practice as a result of the implementation of recommendations from Serious Case reviews
4. Develop a culture of continuous improvement that includes robust performance information and
Chair of the SSAB / SSAB members / Serious Case Review Group
58 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
quality assurance arrangements in place for each agency providing safeguarding Adults services. This should inform future plans and promote the welfare of vulnerable adults by evaluation and continuous improvement.
5. Implement the County Safeguarding Adults Training Strategy that has been ratified by the SSAB. Ensure there is adequate coverage of training and development across providers, operational staff, commissioners, partners and external
Conduct regular audits within a Quality Assurance framework focusing on key priorities agreed by the SSAB. Focus agencies on their own performance in relation to key themes. Qualitative feedback on multi agency practice is collated from Independent Chairs, service users, complaints data, annual reports and other sources Produce statistical information which adequately reports performance across Safeguarding Adults for Executive groups and Scrutiny panels across all agencies as well as for elected members Promote and monitor implementation of the Surrey Safeguarding Adults county training strategy and programme in consultation with users, staff and other professionals. Ensure equality and diversity issues are addressed.
SSAB/Quality Audit group/ Safeguarding Adults Team
Annual audit programme established focusing on key priorities agreed with SSAB
SSAB/Quality Audit group/ Safeguarding Adults Team
Qualitative feedback is used by partner agencies to inform good practice and reinforce the necessity of partnership working Clear accurate recording across operational practice and a robust data base will provide sufficient information to reflect national reporting requirements and inform local practice An increase in single agency and interagency training on Safeguarding Adults provided at a range of levels utilising core training content, meeting local needs and contributing to workforce development. Monitoring and evaluation of all new resources and initiatives to include assessment of access and diversity issues
SSAB members / Adult Social Care Performance Team
Chair of the SSAB / SSAB members / Training Sub Group
59 Stop Abuse now – Every day, people say nothing - please say something
Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
agencies including the voluntary and independent sector Ensure that training materials and courses meet the relevant national occupational standards and are revised to take account of changes in legislation, procedures and research Develop and implement systems to ensure training is delivered to a consistently high standard and trainers are appropriately supported Training Sub Group The integration of training and capacity building frameworks for all partners into the core Training Strategy resources. Up to date training materials used on all courses Start the development of quality assurance and training skills recognition procedures and offering support through dedicated trainer sessions and the newsletter Well-trained workforce with a skill base in relation to appropriately reporting concerns and competently dealing with safeguarding issues as they arise. Consistent Safeguarding training pathway across all agencies Increasing contributions to the newsletter and confirmation of a delivery increase. Increasing number of ‘hits’ on the website.
Training Sub Group
6. Publicise the need to safeguard and promote the independence and rights of adults. Raise awareness of how this can best be
Gain commitment from all agencies for Safeguarding Adults training to be funded through the shared financial arrangements to ensure a consistent approach. All agencies to have access to, and clear pathways for Safeguarding Adults training. Develop, communicate and implement a comprehensive communication strategy to include a quarterly newsletter and regular updates on the Safeguarding Adults website
Chair of the SSAB / SSAB members / Training Sub Group
Communication and Publicity Group
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Surrey Safeguarding Adults Board Annual Report 2008/2009 and Business/Workplan 2009-2011
done and encourage everyone to do so Ensure Safeguarding Adults information is accessible and addresses equality and diversity issues Establish effective means of consulting and involving service users and carers to ensure meaningful participation Organise a Surrey Safeguarding Adults Awareness week on an annual basis. Evaluate the outcomes and share recommendations Communication and Publicity Group Information developed that takes into account equality and diversity issues and is inclusive of black and minority ethnic group needs Higher level of involvement of service users and carers in safeguarding investigations and conferences.
Communication and Publicity Group
Communication and Publicity Group
Increase in awareness of Safeguarding Adults issues across the County and particularly by the general public.
61 Stop Abuse now – Every day, people say nothing - please say something
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