Helen Wilsdon — BA(Hons) — CQSW — PTLLS — HCPC Registered (Number SW85071) Delivering Specialist Training for Safeguarding Adults

Guidance includes assessment to guide professionals on when to raise pressure ulcers with adult social care services as a safeguarding concern

The chief social worker for adults has issued a national framework setting out when adult social services should consider holding a section 42 enquiry in response to concerns about pressure ulcers.

The guidance from Lyn Romeo highlights how hospital wards, care homes and other settings in England should respond when a service user develops pressure ulcers and when to refer the matter to local authority adult safeguarding services.

“Until now, there has been little, if any, consensus about the right agency, or multi-agency, response to identification of pressure ulcers,” Romeo said of the guidance.

“Pressure ulcers are truly dreadful for those who experience them – and distressing too for their families, friends and carers. The damage cannot be over-stated and they continue to be a major challenge for health and care practitioners across sectors.”

Adult safeguarding

“Most pressure ulcers are, in fact, preventable,” she added.

“But to prevent them we need to ensure all health and care professionals (including social workers) involved in the planning, commissioning and delivering of health and social care can spot the risks and take appropriate speedy action.”

The guidance says all instances of pressure ulcers should be reported to local health services even if the service user is receiving social care services.

It also includes an adult safeguarding decision guide for assessing whether the matter should be referred to the local authority as a safeguarding concern.

For the full article click here

Source http://www.communitycare.co.uk

by  on January 31, 2018 in Adults


Emergency reforms to the Deprivation of Liberty Safeguards are likely to be introduced to ease pressures as plans to replace the system have been shelved for at least two years, Community Care has learned.

Government officials are looking at ways to amend the regulations or the code of practice underpinning the DoLS that would help councils tackle the backlog of more than 100,000 cases that has built up since the Supreme Court’s 2014 ‘Cheshire West’ ruling.

This is because plans drawn up by the Law Commission for a full-scale replacement to the DoLS have been put on hold until at least 2019 because there is no space for it in the government’s programme due to Brexit.

Emergency measures under consideration include relaxing the statutory timescales for DoLS applications and the criteria for DoLS assessors, including best interests assessors (BIAs) and mental health assessors.

Any amendments to the DoLS regulations would have to be laid before parliament and any changes to the code of practice would likely need consultation. Consideration is also been given to piloting elements of the Law Commission reforms that are focused on practice, so would not need legislative reform.

Source http://www.communitycare.co.uk – by  on July 25, 2017 in Adults

For the full article, click here

It is important to be clear about who the formal adult safeguarding process applies to. The Care Act statutory guidance defines adult safeguarding as:

‘Protecting an adult’s right to live in safety, free from abuse and neglect. It is about people and organisations working together to prevent and stop both the risks and experience of abuse or neglect, while at the same time making sure that the adult’s wellbeing is promoted including, where appropriate, having regard to their views, wishes, feelings and beliefs in deciding on any action. This must recognise that adults sometimes have complex interpersonal relationships and may be ambivalent, unclear or unrealistic about their personal circumstances.’

This definition hints at the challenges of safeguarding, but it is important to be clear about which adults we are discussing. A local authority must act when it has ‘reasonable cause to suspect that an adult in its area (whether or not ordinarily resident there):

  • has needs for care and support (whether or not the authority is meeting any of those needs),
  • is experiencing, or is at risk of, abuse or neglect, and
  • as a result of those needs is unable to protect himself or herself against the abuse or neglect or the risk of it.’ (Care Act 2014, section 42)

So safeguarding is for people who, because of issues such as dementia, learning disability, mental ill-health or substance abuse, have care and support needs that may make them more vulnerable to abuse or neglect.

Source Social Care Institute for Excellence  https://www.scie.org.uk/safeguarding/adults/introduction/highlights


Two carers were secretly filmed ‘degrading’ a blind and elderly dementia sufferer.

During the disturbing incident at the care home, they ‘forcibly and unceremoniously’ dumped the woman onto her bed to clean her, the hearing was told.

When she started to complain one worker threatened to ‘break every bone’ in her body, ‘kill’ her and drag her by the head to her bed, prosecutors said. She was also physically abused, being slapped across here face causing her to yelp in pain.

The incident was captured on secret CCTV cameras installed by the victim’s daughter after she became concerned about her mother’s unexplained injuries. In the footage from March 31 the distressed victim is heard repeatedly crying and pleading to God for help.

The incident prompted an unannounced inspection by government watchdogs the Care Quality Commission which has downgraded the home to ‘inadequate’, the court heard. Problems with staffing, training and management contributed to the incident, the court was told. Both defendents claimed their initial training consisted of watching a series of DVDs then answering questions which they never got any feedback on.

One of the accused workers said they felt out of their depth and wrote to managers to say they were not coping and felt bullied.

Following the case, a spokesperson for the home said: “We were shocked and appalled by the actions of these individuals, whose behaviour went against everything we stand for as an organisation. “We have fully supported the police investigation and the successful prosecution of the two offenders, who we are pleased will now be prevented from working in a care setting again. “We are disappointed the recent CQC report was used by the defence – this was a wholly unacceptable act by two rogue individuals that is not representative of the professional, caring and dedicated staff who work at the home.

Sentencing, Judge Simon Berkson said the defendents’ behaviour had ‘degraded’ the victim and was ‘cruel and anything but caring’. He said: “She was verbally abused by both of you. She was slapped in the face by one and the other did not stop it, report it and appeared unconcerned.

They were sentenced to nine months in prison, suspended for two years, and ordered to complete 250 hours’ unpaid work and they must both pay the victim £250 compensation.

Source Manchester Evening News

To read the full article, click here


The Care and Support Statutary Guidance to the Care Act 2014 states that, ‘Safeguarding Adults Boards (SABs) should ensure that relevant partners provide training for staff and volunteers on the policy, procedures and professional practices that are in place locally, which reflects their roles and responsibilities in safeguarding adult arrangements. Employers, student bodies and voluntary organisations should also undertake this, recognising their critical role in preventing and detecting abuse. This should include:

  • basic mandatory induction training with respect to awareness of spotting signs of abuse and the duty to report
  • more detailed awareness training, including training on recognition of abuse and responsibilities with respect to the procedures in their particular agency
  • specialist training for those who will be undertaking enquiries, and managers; and, training for elected members and others for example, healthwatch members
  • post qualifying or advanced training for those who work with more complex enquiries and responses or who act as their organisation’s expert in a particular field, for example in relation to legal or social work, those who provide medical or nursing advice to the organisation or the Board

Training should take place at all levels in an organisation and be updated regularly to reflect current best practice. To ensure that practice is consistent – no staff group should be excluded. Training should include issues relating to staff safety within a Health and Safety framework and also include volunteers. In a context of personalisation, boards should seek assurances that directly employed staff (for example, Personal Assistants) have access to training and advice on safeguarding.

Training is a continuing responsibility and should be provided as a rolling programme. Whilst training may be undertaken on a joint basis and the SAB has an overview of the standards and content, it is the responsibility of each organisation to ensure the effective delivery of safeguarding training to its own staff.’


The Law Commission has delivered its final recommendations to ministers on replacing the Deprivation of Liberty Safeguards, after concluding the current system is “in crisis”.

The commission has now published its final report and draft legislation for a new system to authorise care placements involving deprivation of liberty for people lacking capacity. The commission believes its proposed Liberty Protection Safeguards (LPS) scheme will be less onerous than the DoLS while still offering human rights protections.

The LPS would cover a broader group of people than the DoLS, which is restricted to placements in care homes and hospitals.

Firstly, the LPS would apply to any setting that might give rise to a deprivation of liberty, including shared lives schemes and supported living. Secondly, it would also cover 16 and 17-year-olds, whereas the DoLs only applies to over 18s.

Source and for further information click here:



On 7 July 2015 the Law Commission opened a consultation on the law of mental capacity and deprivation of liberty. The consultation is now closed and they published an interim statement on 25 May 2016 and expect to publish a final report with their recommendations and a draft Bill in March 2017.

The Deprivation of Liberty Safeguards (DoLS) aim to protect people who lack mental capacity, but who need to be deprived of liberty so they can be given care and treatment in a hospital or care home. If a person’s right to liberty needs to be infringed in other settings, an authorisation must be obtained from the Court of Protection.

The DoLS have been criticised since they were introduced for being overly complex and excessively bureaucratic. In March 2014, a House of Lords Select Committee published a detailed report concluding that the DoLS were “not fit for purpose” and recommended that they be replaced. At the same time, a case in the United Kingdom Supreme Court held that far greater numbers of people fell to be dealt with under the DoLS system than had previously been thought. This has placed increasing burdens on local authorities and health and social care practitioners administering the DoLS.

The law commission said

Our consultation paper concluded that the DoLS are ‘deeply flawed’. We provisionally proposed that they be replaced with a new system, to be called ‘Protective Care’. Broadly speaking, protective care had three aspects: the supportive care scheme, the restrictive care and treatment scheme, and the hospitals and palliative care scheme.

During our four month public consultation we attended 83 events across England and Wales. This was one of the most extensive public consultation exercises undertaken by the Law Commission.  We received 583 written responses.

In May 2016 we published an interim statement, summarising the key messages from consultation and setting out some of our initial conclusions.

We are working on our final report with our recommendations and a draft Bill expected to be published in March 2017.

Source and for further information go to:


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