Safeguarding

Question 1

What is abuse?

Answer 1

~ Abuse is a violation of an individuals, human and civil rights by another person or persons which results in significant harm.
~ abuse neglect or forms of maltreatment including self neglect
~ abuse can occur in the family institution or community setting
~ somebody may abuse or neglect inflicting harm or failing to act to prevent harm
~ it can be inflicted by those known or unknown to the victim, e.g. the Internet
~ abuse can include:
- Radicalisation
- Domestic abuse
- Child
- Sexual exploitation
- FGM

Question 2

What are the categories of abuse?

Answer 2

Discrimitory
Neglect
Physical
Sexual
Emotional
Modern slavery
Financial
Organisational

Question 3

What’s the definition of an adult at risk?

Answer 3

Anyone over 18 years old who are not able to protect themselves from harm or exploitation who are unable to take care of themselves and is in receipt or in need of community support.

Question 4

What are examples of financial abuse?

Answer 4

Property/ money taken without consent
Theft
Deception
Purchasing cheap food
Failing to put on gas/electricity for heating
Inappropriate expenditure
Lack of basic necessities
Unpaid bills

Question 5

What are examples of institutional abuse?

Answer 5

• Not recognising individuality
• Ignoring rights and choices of individuals
• providing sub standard of care
• signs of lack of food and nutrition
• lack of basic hygiene
• lack of equipment or referral to services

Question 6

What is domestic abuse?

Answer 6

Any incident of controlling, coercive, threatening behaviour, violence or abuse between those 16 or over who are partners or family.
- psychological
- physical
-sexual
- financial
-emotional

Question 7

What is the prevent strategy?

Answer 7

Pursue : to stop terrorist attacks

Prevent : to stop people becoming terrorists or supporting violent extremism

Protect : to strengthen our protection against terrorist attacks

Prepare : where we can’t stop an attack to mitigate its impact

Question 8

What are the 5 principles underpinning capacity?

Answer 8

1. Assume the person has capacity
2. Undertake steps to enable someone to make a decision before a lack of capacity formally assessed
3. Allow people to make unwise decisions
4. If people dont have capacity - make decisions in their best interest
5. Ensure a decision is least restrictive for rights and freedom

Question 9

How is mental capacity assessed?

Answer 9

2 stage assessment (acid TEs)

• capacity is task specific
• unwise does not mean lack of capacity
• dont have to have capacity in all areas

Question 10

What are the 2 stages of the capacity assessment?

Answer 10

1. Is there an impairment or disturbance in the functioning of the persons mind or brain?
2. Is the impairment or disturbance sufficient that the person lacks the capacity to make that particular decision?

Question 11

What a re the point that people have to be able to do to make a decision and therefore have capacity?

Answer 11

~ understand the information relevant to the decision
~ retain information
~ use or weigh that information as part of the deck on making process
~ communicate their decision either by talking or by other means

Question 12

What do you need to consider when making a best interest decision?

Answer 12

Be aware of the persons past and present wishes
Consult with others involved in the persons care
Don’t make assumptions based on age, appearance, condition or behaviour
Consider that the person may regain capacity

Question 13

What are the important safeguards to protect and support people who lack capacity?

Answer 13

Deprivation of liberty safeguards (DOLS)
The court of protection
The public guardian
The independent mental capacity advocate

Question 14

What are some of the legislations and local policies in place?

Answer 14

Children’s act (1989 and 2004)
Care act (2014)
Working together to safeguard children (gov UK 2015)
Mental capacity act (2005) includes deprivation of liberties safeguards (2007)
Safeguarding adults at risk (2015)
PHNT child protection policy / supervision policy (2015)
Safeguards adult alert sticker
SALUS - notification to safeguarding children’s team.

Question 15

How to raise a safeguarding concern?

Answer 15

Contact the authority with patient lives
Tourists are referred to Plymouth city Council
Safeguarding symbols onSALUS
For adults green sticker on the patient’s notes
For children complete SALUS form
Safeguarding referral forms are on trust staff net

Question 16

What is the definition of a child in need?

Answer 16

a) it’s unlikely to achieve or maintain, or have the opportunity of achieving or maintaining, a reasonable standard of health or development without provisions by locals or authority

B) health or development is likely to be significantly impaired or further impaired without provisions

C) they are disabled and family in relationship to child includes anyone who has parental responsibility.