Case Study: Develop Health and Safety

These regulations describe the essential standards of laity and safety that people who use health and adult care services have a right to expect. The Care Quality Commission will continuously monitor our service to ensure that we are meeting the essential standards and If they have any concerns that at any time we was not meeting the essential standards of quality and safety they will act quickly, working closely with commissioners and others, and using their enforcement powers to bring about Improvements If our service was poor or to prevent us from carrying out regulated activities.

The Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 Regulation 11 and The Care Quality Commission Essential standards quality and safety Outcome 7 safeguarding people who use services from abuse what these regulations say? 0 As a registered person I must make suitable arrangements to ensure that service users are safeguarded against the risk of abuse by means of: Taking reasonable steps to Identify the possibility of abuse and prevent It before It occurs Responding appropriately to any allegation of abuse.

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C] Where any form of control or restraint is used in carrying on of the regulated activity, the registered person must have suitable arrangements in place to protect revive users against the risk of such control of restraint being: Unlawful Otherwise excessive 0 For the purpose of paragraph 1 “abuse” In relation too service user, means: Sexual abuse Physical or physical or psychological Ill treatment Theft, misuse or misappropriation of money or property Neglect Ana acts AT Nilsson wanly cause unarm or place at rills AT unarm A person who uses care services can be protected from abuse or the risk of abuse when service providers comply with these regulations they will: Take action to identify and prevent abuse from happening in their service

Respond appropriately when it is suspected that abuse has occurred or there is a risk of occurring Ensure that Government and local guidance about safeguarding people from abuse is accessible to all staff and out into practice Make sure that the use of restraint is always appropriate, reasonable, proportionate and Justifiable to the individual Only use De-escalation or restraint in a way that respects dignity and protects human rights. Where possible respect the preferences of people who uses the services Understand how diversity, beliefs and values of people who uses revise may be influence the identification, prevention and response to safeguarding concerns Protect others from negative effect of any behavior by people who use the service Where applicable, only use Deprivation of Liberty Safeguarding when it is in the best interests of people who uses the service and in accordance with the Mental Capacity Act 2005 The rights of vulnerable adults to live a life free from neglect, exploitation and abuse are protected by The Human Rights Act 1998.

Specifically, a vulnerable adult’s right to life is protected (under Article 2) their right to be protected from inhuman and grading treatment (under Article 3) and their right to liberty and security (under Article 5). Vulnerable adults are protected in the same way as any other person against criminal acts.

Where there is reasonable suspicion that a criminal offence may have occurred it is the responsibility of the police to investigate and make a decision about any subsequent action. In the past safeguarding practices was mostly commonly applied to children and young people under the age of eighteen, but due to key aspects of legislation being extended to include similar standards of protection to vulnerable adults.

Our policy acknowledges that all adults have the right to live a life free from neglect abuse and exploitation, it outlines the organizational commitment to uphold these right by creating and maintaining an environment which aims to ensure as far as possible that adults who live at the home are kept free from abuse and exploitation, and is explicit about the organization’s error-tolerance of abuse wherever it occurs. Our safeguarding vulnerable adult policy is supported by robust procedures and guidelines. By having a culture of inclusion, transparency and openness means that we have nothing to hide and that it is open to feedback from vulnerable adults, staff, volunteers with a view it improve how we carry out our activities and deliver our services.

As the manager I have to ensure that the organization operates effectively, I can gain valuable insights or to learn lesions through the support and supervision processes, and from the the feedback from satisfaction survey.

Our safeguarding policy statement is clearly displayed to ensure that every one who is involved with the organization including management staff volunteers vulnerable adults advocates and visitors are aware that the policy exists, what it aims to achieve and the steps that will be taken to achieve those aims. The primary aim of our sequestrating policy Is to manage ten rills AT anuses to vulnerable u Its DAY establishing a culture in which the rights of vulnerable adults are fully respected and by putting in place a range of procedures which supports that culture. By establishing a culture, which is mindful of and has a zero tolerance of abuse wherever it occurs and whoever causes it, and by having in place robust procedures are all part of our organization risk reducing armory.

By properly implementing our safeguarding policy it has the potential to reduce both the likelihood and impact of abuse by: Having a good recruitment and selection practice that prevents unsuitable people from Joining the company All staff/volunteers have to have a DB’S and a SIS before they can start work Ensuring that staff and volunteers are aware of the indicators of vulnerability and risk and the possible signs of abuse Ensuring that staff and oleanders are equipped to respond to concerns about actual, alleged or suspected abuse Ensure that staff and volunteers are properly trained, supported and supervised in their work with vulnerable adults Ensure that staff and volunteers know what constitutes acceptable behavior and good practice and that they are supported when they challenge poor practices Promoting a culture of inclusion, transparency and openness throughout the organization and its services and activities Making sure that staff and volunteers are aware of how information about vulnerable adults should be handled Having in place a good overall management and practice support by the range of policies and procedures In addition to a safeguarding vulnerable adult policy we have a range of organizational policies and procedures aimed at promoting safe and healthy working practices. These are necessary to ensure that my organization is properly managed, that the resources both human and financial are being used efficiently and effectively and that my service will maintain the public confidence.

Some of the relevant policies are: Health and Safety Moving and Handling First Aid Fire Safety Equal Opportunities Handling vulnerable adults money Bullying/Harassment Violence in the workplace Whistle blowing Recruitment and selection of staff/volunteers Recognizing, responding to, recording and reporting concerns about abuse Recording and reporting and reviewing accidents, incidents and near misses assessments and management Risk volunteers Advocates Management of records, confidentially and sharing of information Receiving comments and suggestions and management of concerns and complaints Staff supervision As we provide a service that is regulated we are required to be registered with the Care Quality Commission.

Section 23(1) of the Health and Social Care Act 2008 required the Care Quality Commission to produce guidance about compliance (the Essential standards of quality and safety) to help providers of health and social care to help them comply with the regulations within the Act that govern their activities. The Act, the regulation and the guidance are part of a wider regulatory framework to ensure that people who use services are protected and receive the care, treatment and support that they need. To ensure that everyone is clear what my organization is trying to achieve and what heir particular roles are we have a thorough induction process to ensure that all new staff/volunteers are properly prepared for their work and to reduce their anxieties associated with starting a new post/role.

Induction takes place when a new member of staff or volunteer starts work with us it includes: Information regarding the organizational policies, procedures, guidelines, activities an ethos What is expected and required of them and the boundaries or limits within which they should operate An awareness raising and training on the recognition, recording and reporting abuse Induction is done over a few days as new staff/volunteers can only take in a certain amount of information at a time and to ensure that everything is covered during an induction I use a checklist. All new staff/volunteers have their own training programmer that takes into account their skills, knowledge and experience and then training would be provided where gaps was identify.

Our safeguarding training includes: A basic awareness and understanding of the factors which contribute to vulnerability The possible signs of vulnerable adult abuse How to respond when abuse is disclosed or suspected Recording and reporting procedures Information about confidentiality in the context of adult safeguarding Staff are trained to take concerns about adult abuse seriously How to deal with information about alleged or suspected abuse sensitively Staff know never to make promises to keep secrets Staff know that their role is not to investigate star Know now to report tenet concerns auto allege or suspected anuses Our safeguarding policy is also supported by a code of behavior that has been tailored to my service it is essential to establish a set of ground rules, it contains a tenement about how staff/volunteers are expected to behave towards vulnerable adults. It is specific to certain activities examples: Photography Physical intervention and restraint Physical contact and intimate care Unacceptable behavior Our Code of Behavior is used as a training tool during induction where each element is explained and discussed with new staff and volunteers. I have also used it as a framework for discussion in support and supervision sessions and ongoing training.

Our safeguarding policy procedures, guidelines and Code of Behavior are regular review to ensure that they are fit for purpose. As we work with vulnerable adults it is important to reassure them that we are committed to good practice in keeping them safe from harm and exploitation and upholding their rights that is we would always act in their best interest and with their consent our safeguarding policy sets out how we will do this.

Our practice and our safeguarding policy is underpinned and guided by a number of values and principles which are: Access to information and knowledge Choice Confidentiality Consent Dignity and respect Equality and diversity Fulfillment Independence Privacy Safety Support

It is not easy to identify abuse sometimes the nature of abuse is not visible and/or often the person being abused is afraid to speak out, however there are some more common signs of abuse which if seen, may suggest that abuse has occurred example: Multiple bruising that cannot be easily explained Deterioration of health for no apparent reason Susanne Ana unusual welling loss Inappropriate or inadequate clothing Withdrawal or mood changes A career who is unwilling to allow access to the person A person who is unwilling or unhappy about being left alone with a particular career Unexplained shortage or disappearance of money Any of the above signs may indicate that abuse is happening Types of abuse: Physical including hitting, slapping, kicking, the misuse of medication, restraint or inappropriate sanctions Psychological including threats of harm or abandonment, forced marriage, deprivation of contact, humiliation, blaming, controlling, intimidation. Coercion, harassment, verbal abuse, isolation or withdrawal from services or supportive networks Emotional abuse where there is a persistent lack of love or affection, frequent taunting or being shouted at, experiencing any of the other categories of abuse

Sexual abuse such as rape, sexual assault or sexual acts to which vulnerable adults has not or could not have consented, or to which they were pressurized into consenting Financial abuse such as theft, fraud or exploitation, pressure in connection with wills, property or inheritance, misuse of property, possessions or benefits Neglect such as ignoring medical or physical care needs and preventing access to health, social care or education services or withholding the necessities of life such as food, drink and heating discriminatory abuse such as that based on race or sexuality or a person’s disability and other forms f harassment or slurs Institutional abuse can sometimes happen in residential homes, nursing homes or hospitals when people are mistreated because of poor or inadequate care, neglect and poor practice that affect the whole of that service Bulling is another form of abuse and can take many forms. It is repeated harassment over a period of time, and is done in a way that makes it difficult for the person being bullied to defend themselves Bullying behavior can occur anywhere especially if supervision is inadequate It is an abuse which can take many forms from simple rebel taunts and persistent teasing to humiliation and physical abuse There are three main types of bullying Verbal bullying Physical bullying Indirect bullying All signs of bullying must be taken seriously.