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Safeguarding Adults Policy & Procedure

​The Rees Foundation aims to support care experienced people thrive. While the Rees Foundation provides a confidential service to care experienced adults throughout the UK, all staff, volunteers, and beneficiaries have a duty and a responsibility to promote and safeguard the welfare of children and adults and must take appropriate action if they become aware of any disclosures, allegations, or concerns about inappropriate behaviour towards adults with care and support needs or towards children and young people from others.
 
The Rees Foundation’s Safeguarding Adults Policy
 
This Policy applies to all staff, including senior managers and the board of directors, Trustees, self-employed consultants, volunteers, or sessional workers; indeed, anyone working or acting in any capacity on behalf of The Rees Foundation.
 
The purpose of this policy is:
 
  • to prevent and reduce the risk of harm to adults from abuse or other types of exploitation, whilst supporting individuals in maintaining control over their lives and in making informed choices without coercion, and;
 
  • to provide all those that work in any capacity with the charity, with the over-arching principles which guide our approach to safeguarding adults.
 
Principles:
 
The Care Act 2014 extends a duty to promote wellbeing when carrying out any care and support functions in respect of an individual. This is sometimes referred to as “The Wellbeing Principle” because it is a guiding principle that puts wellbeing at the heart of all that we do and the care and support we provide.
 
The Rees Foundation’s Safeguarding Adults Policy incorporates the wellbeing principle together with the six principles of safeguarding adults as set out in the Statement of Government Policy on Adult Safeguarding (DoH, May 2015), as follows:
 
  • Empowerment – people being supported and encouraged to make their own decisions with informed consent;
 
  • Proportionality – the least intrusive response appropriate to the risk presented;
 
  • Accountability - the way in which the safeguarding process is conducted should be transparent and consistent;
  • Partnership – people can be satisfied that agencies are working together to make them safe;
 
  • Protection – ensuring that people are safe and that they have support and representation as necessary during the process;
 
  • Prevention – minimising the likelihood of repeated abuse and recognizing potentially the person’s own contribution to this.
 
Lead Responsibility:
 
Melody Douglas, Chief Executive Officer, has lead responsibility for safeguarding arrangements at The Rees Foundation.
 
The Rees Foundation Directors/Trustees have overarching responsibility for ensuring that the safeguarding arrangements at The Rees Foundation are fit for purpose.
 
Legal Framework
 
This policy has been drawn up on the basis of law and guidance that seeks to protect adults with care and support needs and with reference to the West Midlands Adult Safeguarding Board Policy and Procedure (April 2015) in whose area The Rees Foundation is based. Relevant legislation and guidance follows:
 
  • The Care Act 2014
  • Mental Capacity Act 2005 the Mental Capacity (Amendment) Act 2019
  • Human Rights Act 1998
  • Safeguarding Vulnerable Groups Act 2006
 
 
Definitions Used
 
The Care Act 2014, which came into force on 1st April 2015, contains the following definitions which are used throughout this policy:
 
Adults with care and support needs?
 
The adult safeguarding duties under the Care Act 2014 apply to an adult, aged 18 or over, who:
  • has needs for care and support (whether or not the local authority is meeting any of those needs) and;
  • is experiencing, or at risk of, abuse or neglect; and
  • as a result of those care and support needs, is unable to protect themselves from either the risk of, or the experience of abuse or neglect.
 
Care and support is the mixture of practical, financial, and emotional support for adults who need extra help to manage their lives and be independent – including older people, people with a disability or long-term illness, people with mental health problems, and carers. Care and support includes assessment of people’s needs, provision of services and the allocation of funds to enable a person to purchase their own care and support. It could include care home, home care, personal assistants, day services, or the provision of aids and adaptations.
 
Transitions (Care Leavers)
 
Where someone is over 18 but still receiving children’s services such as being in a ‘Staying Put’ arrangement, and a safeguarding concern is raised, this should be dealt with through adult safeguarding procedures. Where appropriate, this should involve the local authority’s children’s safeguarding colleagues as well as any relevant partners (e.g., police or NHS) or other persons relevant to the case. This also applies where someone is moving to a different local authority area after receiving a transition assessment but before moving to adult social care.
 
Abuse
 
Defining abuse is complex and rests on many factors. The term “abuse” can be subject to wide interpretation. However, abuse is often defined as:
 
  • the violation of an individual’s human and civil rights by any other person or persons
 
Abuse may be physical, verbal, or psychological, it may be an act of neglect or occur where a vulnerable person is persuaded to enter into a financial or sexual transaction to which they have not or cannot consent.
 
Please refer to Appendix 2 for the different signs and indicators of adult abuse.
 
The Rees Foundation Safeguarding Adults Procedure:
 
  1. Risk Assessments
The charity is committed to ensuring the safety and well-being of all individuals under its care, with particular focus on safeguarding vulnerable adults. Where appropriate, risk assessments will be carried out to identify, evaluate, and mitigate any potential risks to vulnerable adults.
The findings from these risk assessments will inform the creation and implementation of tailored safeguarding measures and the appropriate services being informed. Staff involved in the process will receive appropriate training to carry out these assessments effectively and in line with legal and regulatory requirements.
By adhering to this process, the charity demonstrates its commitment to proactively identifying and managing risks, thereby upholding the highest standards of care and safeguarding for vulnerable adults.
 
  1. Responding to adults at risk
 
Abuse can take place anywhere and in any relationship.  It may occur when in a person’s own home, whether living alone or with others.  It may occur in a work setting, educational establishment or in the community.   A person may be at risk from a relative or family member or a risk to themselves if their situation appears hopeless to them.
 
The Rees Foundation provides support to care experienced adults, many of whom are facing difficult and emotionally stressful situations, such as mental health difficulties, financial hardship, unemployment, relationship difficulties and face the risk of homelessness.  Therefore, it is not surprising that people may be at risk during these times, either from themselves or from others. The Rees Foundation support may take place over the telephone, or face to face.
 
Any intervention will therefore need to be determined by the environment or the context in which the alleged abuse or perceived risk has occurred, and the wishes and feelings of the person concerned.  Assessment of the environment or context is relevant as it may be important for the person concerned to be interviewed away from the sphere of influence of the alleged abuser or the setting in order to be able to make a free choice as to how they wish to proceed.
 
Consent:
 
It is always essential in adult safeguarding to consider whether the adult has capacity to make informed consent in all aspects of their life.
REMEMBER- It is best practice to always seek the views and wishes of the adult involved at the earliest opportunity as possible, unless it is not safe or if in doing so will increase the risk to the person.
This should help to guide what next steps should be taken and whether the concern should be reported as an adult safeguarding concern or should be dealt with by another means.
 
Safeguarding Log:
 
The Rees Foundation will maintain a log of all concerns raised with them under this procedure, together with a record of the discussion that took place and decisions made.
 
If a Safeguarding referral is made, contact details of the local authority adult services team to whom the referral was made, and the action taken by them will be recorded. The Board will be notified of any safeguarding referrals made.
 
 
How do you decide if a concern should be reported?
 
The possibility of abuse can come to light in various ways, for example:
 
  • an active disclosure of abuse by the adult themselves;
  • a passive disclosure of abuse where someone’s attention is drawn to the symptoms    of the abuse;
  • an allegation of abuse by a third party,
  • a complaint or concern raised by an adult or a third party who doesn't perceive that it is abuse.
  • a suspicion or disclosure that a person is feeling suicidal or may self-harm
  • a growing awareness that "something is not right"
 
If you have any concerns about the welfare of an adult or a child, or a child or an adult makes an allegation of abuse to you, you must share these with your line manager at The Rees Foundation immediately.  Your line manager will decide, in discussion with you and the designated lead for safeguarding, whether the criteria for a safeguarding referral are met. In an emergency you should not wait to contact managers or the duty team but should contact the appropriate emergency service, e.g., police or ambulance and seek immediate assistance.
 
If abuse by a The Rees Foundation employee or a person working with a child or an adult is alleged or suspected, the same procedure should be followed. The Rees Foundation whistleblowing policy and complaints procedure may also apply.
 
 
Good Practice Guide – Responding to Disclosures
 
Remember, it may have taken a great amount of courage for the person to tell you that something has happened or that they are at risk, and fear of not being believed can cause people not to tell.
 
  • Accept what the person is saying – do not question the person or get them to
justify what they are saying – reassure the person that you take what they have
said seriously.
 
  • Don’t ‘interview’ the person; just listen calmly to what they are saying. If the
person wants to give you lots of information, let them. Try to remember what the person is saying in their own words so that you can record it accurately later.
 
  • You can ask questions to establish the basic facts, but try to avoid asking the
same questions more than once, or asking the person to repeat what they have
said- this can make them feel they are not being believed.
 
  • Don’t promise the person that you’ll keep what they tell you confidential.  Explain that you will need to tell another person, but you’ll only tell people who need to know so that they can help.
 
  • Immediately report your concerns to your line manager at The Rees Foundation who will discuss and agree next steps with you.
 
 
 
Good Practice Guide – Recording
 
It is vital that a written record of any incident or allegation of crime is made as soon as possible after the information is obtained. Written records must reflect as accurately as possible what was said and done by the people involved in the incident or concern.
 
The report will need to include:
 
  • when the disclosure was made, or when you were told about/witnessed this incident/s, became concerned
  • who was involved, any other witnesses including other service-users or staff,
  • exactly what happened or what you were told, in the person’s own words wherever possible, keeping it factual and not interpreting what you saw or were told, or your feelings on the issue raised
  • any other relevant information, e.g., previous incidents that have caused you concern.
 
Remember to:
  • include as much detail as possible,
  • make sure the written report is legible if handwritten, but preferably made on a word document to enable electronic transmission as necessary.
  • make sure you have printed your name on the report and that it is signed and dated,
  • ensure the record is retained on The Rees Foundation’s secure database and marked the file as confidential.
 
3.         The Rees Foundation Referral Process - Reporting Concerns
 
3.1 All concerns about the safety or wellbeing of anyone should be reported immediately to your line manager at The Rees Foundation who will discuss and agree next steps with you.
 
3.2 The line Manager at The Rees Foundation will discuss your concerns with the Chief Executive Officer who will consider whether this meets the criteria for a safeguarding referral to the local authority.
 
3.3 If the matter is considered to be a safeguarding issue, the line manager will request a written report from the worker who has reported the concerns and inform that worker of the action to be taken. The concerns, discussion and agreed action will be recorded into The Rees Foundation Safeguarding Log by the line manager.
 
3.4 The line manager at The Rees Foundation will refer the concern/allegation to the relevant adult safeguarding team within 24 hours of the issue being raised with them by the worker. A verbal referral to Adult Social care must be followed up in writing within 24 hours. A record will be made of the name and designation of the person to whom The Rees Foundation passes on the information of concern (referral) and confirmation of any action taken with reference to said referral will be requested.
 
3.5 The adult social care safeguarding team will decide on the appropriate response and will inform the line manager of the action to be taken. If no acknowledgement of the referral is received within 3 days, the line manager will chase the referral.  
3.6 The line Manager will update the Safeguarding Log with action being taken and advise The Rees Foundation worker of any further action or input required from them.
 
3.7. All referrals must follow Data Protection policy and GDPR (General Data Protection Regulations). For more information, please refer to The Rees Foundation’s policy.
 
See Flowchart: Responding & Reporting (WMASB) - Appendix 1: Dealing with Safeguarding Concerns.
 
4.         Allegations or concerns about employees
The Rees Foundation has clear policies in line with West Midlands Adult Safeguarding Policy and Procedures for dealing with allegations or concerns about people who work with adults at risk (persons in a position of trust). Any or all such allegations or concerns will be reported to the Adult Safeguarding Board for Worcestershire within whose jurisdiction The Rees Foundation is located.
5.         Whistleblowing
The Rees Foundation also has a Whistleblowing Policy, which reflects the principles in Sir Robert Francis’s Freedom to Speak Up Review, under which staff can raise concerns about the behaviour of workers or managers, without fear of redress. (https://freedomtospeakup.org.uk)
Anyone employed or deployed by The Rees Foundation, including self- employed workers, volunteers, workers who have concerns about a colleague should report these immediately to Melody Douglas, Chief Executive Officer, for the appropriate action to be taken.
6.         Referral to the Disclosure and Barring Service
If the Rees Foundation removes an individual from post, (paid worker or unpaid volunteer) due to concerns about their behaviour or would have done so if the individual had still been employed, The Rees Foundation will make a referral to the Disclosure and Barring Service.
7.         Safer Recruitment
The Rees Foundation operates Safe Recruitment practices in relation to staff and the deployment of self-employed workers and volunteers. All staff, self-employed workers and volunteers are subject to Disclosure and Barring Service checks, and are subject to application, CV, proof of identity and address, interview and 2 referees, who are contacted directly for verbal confirmation of their reference.
In addition, The Rees Foundation;
  • Provides regular supervision and support of all staff, including safeguarding training.
 
  • Ensures that staff are competent to carry out their responsibilities for safeguarding and promoting the welfare of children and adults, and creating an environment where staff feel able to raise concerns and feel supported in their role.
 
  • Undertakes a mandatory induction process for all staff, which includes safeguarding procedures, whistleblowing procedures, and the procedures to be followed if anyone has concerns about a service user or child.
 
  • Ensures that staff have regular reviews of their practice and development, and that their training needs are met.
8.         Review of Safeguarding Policy and Procedure
The Rees Foundation is committed to reviewing this policy annually. This Policy was created in November 2018 with reference to the Care Act 2014 and the West Midlands Adults Safeguarding Policy and Procedure April 2019. The policy was last reviewed in January 2024.
 
 
Availability of this Procedure:
The Rees Foundation will make this Policy available to all Rees Foundation staff, self-employed workers, volunteers, service users, or other person upon request.
Contact details for The Rees Foundation: General Email: [email protected] - Chief Executive Officer – Melody Douglas – 07970 740085 – [email protected]
 
Contact Details for Worcestershire Safeguarding Board: 
 
Telephone: 01905 768053 (10am-4pm Mon to Friday)
 
Email: [email protected]
 
To make an adult safeguarding referral use this link: Worcestershire Adults Portal
 
If there is a threat to life or immediate risk situation call 999, or 101 for non-immediate risks.
 
References:
West Midlands Adults Safeguarding Policy and Procedures
http://www.worcestershire.gov.uk/downloads/file/5646/west_midlands_adult_safeguarding_policy_and_procedures
 
Freedom to Speak Up: Department of Health (Sir Robert Francis, 2014) (https://freedomtospeakup.org.uk)
 
The Care Act 2014    http://www.legislation.gov.uk/ukpga/2014/23/contents/enacted
Revised Prevent duty guidance: for England and Wales - GOV.UK (www.gov.uk)
Signposting to National agencies:
Domestic abuse: how to get help - GOV.UK (www.gov.uk)
I need help - information and support on domestic abuse (womensaid.org.uk)
Domestic violence and abuse - getting help - Citizens Advice
Let's stop 'cuckooing' | Crimestoppers (crimestoppers-uk.org)
Home - Victim Support
Personal safety | Crimestoppers (crimestoppers-uk.org)
County Lines - National Crime Agency
Protecting children from radicalisation | NSPCC
I hereby confirm that his policy is current and effective, Melody Douglas, Chief Executive Officer
 



Suspicion or concern that something is not right
 

 

Disclosure from a third party
 
 

SAFEGUARDING ALERT
(Timescale – same day)

Is the Adult in immediate danger?

An abusive act is witnessed
 

 Adult makes a disclosure
 
 

Evidence of possible abuse or neglect
 

Take any immediate actions to safeguard anyone at immediate risk of harm, including calling emergency services summoning medical assistance.
 

Has a criminal offence occurred, or be likely to occur?

Contact the police immediately
 

Refer the concern to your local lead agency

Refer to Children’s Services if a child is identified as being at risk of harm
 

Adult Social Care will guide the formation of the assessment strategy, and will inform the referrer of the outcome and next steps

Anyone can become aware of abuse or neglect of adult with care and support needs
 
 

Unless it is not safe, speak to the adult concerned to get their views on the concern or incident and what they would like to happen next.

Appendix 1: Responding & Reporting:

SAFEGUARDING REFERRAL
(Timescale – same day)

 
 
 
 


No

Yes

Yes

No

 

 
 

Appendix 2
Signs and Indicators of Adult Abuse
Indicators are the main signs and symptoms, which suggest that some form of abuse may have occurred, but caution is suggested against establishing adult abuse merely due to the presence of one or more of these indicators without further detailed assessment/investigation. Typically, an abusive situation will involve indicators from a number of groups in combination.
It is important to remember that these signs are not exhaustive and may not always indicate abuse. However, any concerns should be taken seriously and reported in accordance with this policy.
Physical Abuse
Physical injuries which have no satisfactory explanation or where there is a definite knowledge, or a reasonable suspicion that the injury was inflicted with intent, or through lack of care, by the person having custody, charge or care of that person, including hitting, slapping, pushing, misuse of or lack of medical/chemical restraint, or inappropriate sanctions.
Possible indicators of physical abuse
  • History of unexplained falls or minor injuries especially at different stages of healing
  • Unexplained bruising – in well protected areas, on the soft parts of the body or clustered as from repeated striking
  • Unexplained burns in unusual location or of an unusual type e.g. burns caused by cigarettes and rope burns etc.
  • Unexplained fractures to any part of the body that may be at various stages in the healing process
  • Unexplained lacerations or abrasions
  • Slap, kick, pinch or finger marks
  • Injuries/bruises found at different stages of healing or such that it is difficult to suggest an accidental cause
  • Injury shape similar to an object
  • Untreated medical problems
  • History of frequent changing of General Practitioners or reluctance against General Practitioner consultation or visit
  • Weight loss – due to malnutrition or dehydration; complaints of hunger
  • Appearing to be over medicated
  • Accumulation of medicine which has been prescribed for the client but not administered
  • Ulcers, bed sores and being left in wet clothing.
 
 
Domestic Violence and Abuse
Domestic violence and abuse includes physical, psychological, sexual, financial, emotional, and so called “honour” based violence, including female genital mutilation, and forced marriage. Domestic Abuse Act 2021: overarching factsheet - GOV.UK (www.gov.uk) Examples of domestic abuse can involve: undermining an individual’s self-confidence; threats to others including children; controlling behaviour such as isolation from friends and family; restricting access to money, personal items, food, telephone etc.; and stalking.
Possible indicators of domestic violence and abuse
  • Destructive criticism and verbal abuse: shouting/mocking/accusing/name calling/verbally threatening
  • Pressure tactics: sulking, threatening to withhold money, disconnect the telephone, commit suicide, take the children away, report you to welfare agencies, lying to your friends and family about you, telling you that you have no choice in any decisions
  • Disrespect: persistently putting you down in front of other people, not listening or responding when you talk, refusing to help with childcare or housework
  • Breaking trust: lying to you, withholding information from you, being jealous, having other relationships
  • Isolation: monitoring or blocking your telephone calls, telling you where you can and cannot go, preventing you from seeing friends and relatives
  • Harassment: following you, checking up on you, opening your mail, repeatedly checking to see who has telephoned you
  • Threats: making angry gestures, using physical size to intimidate, shouting you down, destroying your possessions, breaking things, punching walls, wielding a knife or a gun, threatening to kill or harm you and the children
  • Sexual violence: using force, threats or intimidation to make you perform sexual acts, having sex with you when you don’t want to have sex
  • Physical violence: punching, slapping, hitting, biting, pinching, kicking, pulling hair out, pushing, shoving, burning, strangling
  • Denial: saying the abuse doesn’t happen, saying you caused the abusive behaviour, being publicly gentle and patient, crying and begging for forgiveness, saying it will never happen again.
Sexual Abuse
Sexual abuse - including rape and sexual assault or sexual acts to which the person has not or could not consent and/or was pressured in to consenting. Other sexual acts which might be abusive include non-contact abuse such as looking, pornographic photography, indecent exposure, harassment, unwanted teasing or innuendo, or contact such as touching or penetration.
Possible Indicators of sexual abuse
  • A change in usual behaviour for no apparent or obvious reason
  • Sudden onset of confusion, wetting or soiling
  • Withdrawal, choosing to spend the majority of time alone
  • Overt sexual behaviour/language by the vulnerable person which is out of character
  • Self-inflicted injury
  • Irregular and disturbed sleep pattern and poor concentration
  • Difficulty in walking or sitting
  • Torn, stained, bloody underclothes
  • Love bites
  • Pain or itching, bruising or bleeding in the rectal or genital area
  • Sexually transmitted urinary tract/vaginal infections
  • Bruising to the thighs and upper arms
  • Frequent infections
  • Severe upset or agitation when being bathed/dressed/undressed/medically examined
  • Pregnancy in a person not able to consent
Psychological or Emotional Abuse
Psychological, or emotional abuse, includes the use of threats of harm or abandonment, verbal or racial abuse, fears or bribes to negate a vulnerable adult’s choices, independent wishes and self-esteem; Cause isolation or over-dependence (as might be signalled by impairment of development or performance) or prevent a vulnerable adult from using services or supportive networks, which would provide help.
Possible Indicators of emotional or psychological abuse
  • Ambivalence about carer
  • Fearfulness expressed in the eyes; avoids looking at the carer, flinching on approach
  • Deference
  • Overtly affectionate behaviour to alleged perpetrator
  • Inability to sleep or tendency to spend long periods in bed
  • Change in appetite – Loss of appetite or overeating at inappropriate times
  • Unusual weight gain/loss
  • Tearfulness
  • Unexplained paranoia
  • Low self-esteem
  • Excessive fears
  • Anxiety, confusion or general resignation
  • Agitation
 
Financial or Material Abuse
Including theft, fraud, exploitation and coercion, financial or material abuse usually involves an individual’s funds or resources being inappropriately used by a third person. It includes the withholding of money or the inappropriate or unsanctioned use of a person’s money or property or the entry of the vulnerable adult into financial contracts or transactions (including that in relation to property, wills, inheritance, possessions or benefits) that they do not understand, to their disadvantage.
Possible Indicators of financial or material abuse
  • Unexplained or sudden inability to pay household shopping or bills etc
  • Unexplained or sudden withdrawal of money from accounts
  • Person lacks belongings or services or living conditions are substandard and unsatisfactory in contrast to adult’s apparent financial position
  • Lack of receptiveness to any necessary assistance requiring expenditure, when finances are not a problem – although the natural thriftiness of some people should be borne in mind
  • Unusual and extraordinary interest and involvement by the family, carer, friend, stranger or door to door salesperson in vulnerable adult’s assets
  • Power of Attorney obtained when the vulnerable adults is not able to understand the purpose of the document they are signing
  • Recent change of deeds or title of property
  • Carer only asks questions of the worker about the user’s financial affairs and does not appear to be concerned about the physical or emotional care of the person
  • The person who manages the financial affairs is evasive or uncooperative
  • A reluctance or refusal to take up care assessed as being needed
  • A high level of expenditure without evidence of the person benefiting
  • The purchase of items which the person does not require or use
  • Personal items going missing from the home
  • Unreasonable and /or inappropriate gifts
 
Neglect / Acts of Omission
Neglect can be both physical and emotional it is about the failure to keep a vulnerable adult clean, warm and promote optimum health, or to provide adequate nutrition, medication, and being prevented from making choices.
Neglect of a duty of care or the breakdown of a care package may also give rise to safeguarding issues i.e. where a carer refuses access or if a care provider is unable, unwilling or neglects to meet assessed needs.
Possible Indicators of neglect
  • Poor condition of accommodation
  • Inadequate heating and/or lighting
  • Physical condition of person poor, e.g. ulcers, pressure sores etc
  • Person’s clothing in poor condition, e.g. unclean, wet, etc.  Clothing may be inappropriate or inadequate, or the person may be kept in night clothes during the day
  • Sensory deprivation, not allowed to have access to glasses, hearing aids etc
  • Vulnerable adult has no method of calling for assistance
  • Apparently unexplained weight loss. Malnutrition – inadequate food or fluids
  • Failure to give prescribed medication or obtain appropriate medical care
  • Failure to ensure appropriate privacy and dignity
  • Carers inconsistent or reluctant to accept contact from health or social care professionals
  • Refusal of access to callers/visitors
  • A person with capacity may choose to self-neglect, and whilst it may be a symptom of a form of abuse it is not abuse in itself within the definition of these procedures.
 
Discriminatory Abuse
Discriminatory abuse is abuse targeted at a perceived vulnerability or on the basis of prejudice including racism or sexism or based on a person’s disability. It can take any of the other forms of abuse, harassment, slurs or similar treatment.
Discriminatory abuse may be used to describe serious, repeated or pervasive discrimination, which leads to significant harm or exclusion from mainstream opportunities, provision of poor standards of health care, and/or which represents a failure to protect or provide redress through the criminal or civil justice system.
Possible Indicators of discriminatory abuse
  • Hate mail
  • Verbal or physical abuse in public places or residential settings
  • Criminal damage to property
  • Target of distraction burglary, bogus officials or unrequested building/household services
  • Tendency to withdrawal and isolation
  • Fearfulness and anxiety
  • Being refused access to services or being excluded inappropriately
  • Loss of self esteem
  • Resistance or refusal to access services that are required to meet need
  • Expressions of anger and frustration
 
 
 
Organisational/Institutional Abuse
Organisational/Institutional abuse happens when the rituals and routines in use, force residents or service users to sacrifice their own needs, wishes or preferred lifestyle to the needs of the institution or service provider. Abuse may be perpetrated by an individual or by a group of staff embroiled in the accepted custom, subculture and practice of the institution or service. It could include repeated instances of poor care of individuals or groups of individuals through neglect or poor professional practice as a result of structures, policies, processes, and practices within an organisation.
Possible indicators of organisational/institutional abuse
  • May be reflected in an enforced schedule of activities, the limiting of personal freedom, the control of personal finances, a lack of adequate clothing, poor personal hygiene, a lack of stimulating activities or a low-quality diet – in fact, anything which treats service users as not being entitled to a “normal” life.
  • Organisations/Institutions may include residential and nursing homes, hospitals, day centres sheltered housing schemes, group or supported housing projects. It should be noted that all organisations and services, whatever their setting, can have institutional practices which can cause harm to vulnerable adults.
  • The distinction between abuse in institutions that results from poor standards of care, lack of knowledge, understanding and training and specific allegations of abuse of one or more named service users by the service or by staff within a service requires careful consideration.
Self-Neglect
 
Self-neglect covers a wide range of behaviour, neglecting to care for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding. Self-neglect it is also defined as the inability (intentional or non-intentional) to maintain a socially and culturally accepted standard of self-care with the potential for serious consequences to the health and well-being of the individual and sometimes to their community.
 
Possible indicators of self neglect
  • Neglecting personal hygiene or living in unsanitary conditions
  • Refusing essential care or medical treatment
  • Hoarding behaviour that affects daily life or health
  • A significant decline in physical or mental well-being
Human Trafficking/Modern Slavery
Human trafficking/modern slavery involves the acquisition and movement of people by improper means, such as force, threat or deception, for the purposes of exploiting them.  It can take many forms, such as domestic servitude, forced criminality, forced labour, sexual exploitation and organ harvesting.  Victims of human trafficking/ modern slavery can come from all walks of life; they can be male or female, children or adults, and they may come from migrant or indigenous communities.
Possible indicators of human trafficking/modern slavery
  • Signs of being controlled or restricted in movement or activity.
  • Fearfulness or reluctance to speak openly.
  • Evidence of working excessive hours for little or no pay.
  • Poor living conditions or dependency on others for basic needs.
The response to adults at risk experiencing human trafficking/modern slavery will always be to report the incident to the Police.
 
Exploitation
Exploitation – includes county lines, cuckooing, hate crime, mate crime, radicalisation. County Lines is where illegal drugs are transported from one area to another, often across police and local authority boundaries (although not exclusively), usually by children or vulnerable people who are coerced into it by gangs – Definition taken from National Crime Agency
Cuckooing is where gangs use violence and abuse to target the homes of vulnerable people and use them as bases for drug dealing. – Definition taken from Crimestoppers
A hate crime is any criminal offence that is motivated by hostility or prejudice based upon the victim's: • disability; • race; • religion or belief; • sexual orientation; • political opinion or gender identity.
Exploitation by radicalisers who promote violence Individuals may be susceptible to recruitment into violent extremism by radicalisers. Violent extremists often use a persuasive rationale and charismatic individuals to attract people to their cause. The aim is to attract people to their reasoning, inspire new recruits, embed their extreme views, and persuade vulnerable individuals of the legitimacy of their cause. The Home Office leads on the anti-terrorism strategy. See Prevent Strategy 2011. – Taken from West Midlands Safeguarding Adults Policy and procedures.
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