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'EVERYBODY'S BUSINESS’ LEARNING TOGETHER WORKSHOP 15 June 2010 Farington Lodge. 1. World Elder Abuse Awareness Day – June 15. INPEA. BACKGROUND / CONTEXT. Themes in care: protection – autonomy p(m)atriarchy – self-determination individual – community / network

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'EVERYBODY'S BUSINESS’

LEARNING TOGETHER WORKSHOP

15 June 2010 Farington Lodge

1



Background context
BACKGROUND / CONTEXT

Themes in care:

protection – autonomy

p(m)atriarchy – self-determination

individual – community / network

personal (bespoke) – block (standardised)

language (sense-making): “safeguarding” - “abuse”

managing scarce resources

systems approach – ecosystems metaphor

power 'games' – hidden/ manifest (e.g., blame games between 'players')


Research
Research

Systematic Review

The prevalence of elder abuse and neglect: a systematic review

Claudia Cooper, Amber Selwood and Gill Livingston

Age and Ageing 2008 37(2):151-160

1 in 4: “..one in four vulnerable elders are at risk of abuseand only a small proportion of this is currently detected.

Ask: Eldersand family and professional caregivers are willing to reportabuse and should be asked

about it routinely.”


No hiding place laming
'No hiding place...' (Laming)

“...it takes a village to raise a child.....”(H. Clinton)- the culture of care


  • The Safeguarding Project

  • LCA / LCC Steering Group

  • Results of Telephone Survey

  • Results from Focus Groups

  • A New Partnership between Providers and County Council

6


  • Developed from Joint Work in 'Social Care Partnership'

  • New County Safeguarding head

  • LCA contracted to undertake research into providers' perceptions of how well Lancashire’s Safeguarding Procedures working

  • 1:5 telephone survey of Residential and Domiciliary providers

  • ‘Focus Groups’ of providers who have experience of Safeguarding process

7


  • 97% response rate to the telephone survey - big thank you for those who took part

  • Most respondents are generally satisfied with key domains assessed for satisfaction: ‘information’, ‘advice and support’, somewhat less on ‘training’,

  • But domain satisfaction ratings drop substantially for that subgroup who have ‘experience’ of Safeguarding incidents.

8


9


No one expects the spanish inquisition
No one expects the Spanish Inquisition...... Managers who had actual experience of Safeguarding process


  • Providers felt strongly that Safeguarding was everyone's business

  • Many felt not treated as professionals and there was a structural discrimination against independent providers

  • Danger of ‘Culture of Blame’ rather than shared agenda for dealing with abuse

  • 'No Secrets'? Secret Meetings and absence of protocols and time lines for investigations were of great concern to managers

  • Care workers have rights, too!

11


12


  • Full review of the need for, and processes involved in, secret 'pre-meetings'.

  • A truly independent advice line ('phone a friend') to help with defining cases.

  • Clear and more professional processes laid down to manage Safeguarding – this includes timescales, professionally taken minutes with drafts circulated with an agreed timescale (Note:- Dedicated minute service subsequently is being rolled out across Lancashire)

  • Objective investigations – some of the principles in the DH document on complaints investigations

  • 'No Fear' approach: issues around reporting Safeguarding issues (LCC Contracts and CQC)

13


  • Joint Working has led to:- secret 'pre-meetings'.

  • [1] “Joint Statement of Principles”

  • to underpin work on Safeguarding with Providers and

  • [2] “New Procedures”

  • Challenge is to ensure consistency across the County and continuity over time

  • Synergy with Safeguarding Board and Sub Groups

14


Reference group
Reference Group secret 'pre-meetings'.

Dave Wareing, Head of Safeguarding, LCC, Chair

Barbara Campbell, NLPCT

Marie Hill, Cornmill NH (& Director, LWDP)

Dilys MacDonald, LCC

Brian Monk, LCC

Ann Mylie, LCC

Steve Newton, Director, LCA

Paul Simic, CEO, LCA

also Liz Leung, Mike Walker, Business Support Unit, LCC

Admin support: Sarah Luton, LCA; Louise Mansfield, LCC.

Survey: Gill Tidmarsh, Deborah Baldwin; Data entry: N. Kasim


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