Principles_of_Safeguarding_and_Protection

1.3 A person who has low self esteem and no sense of self worth. Someone who has been physically and emotionally abused in the past. Someone that has been sexually abused. People who have substance abuse problems. The mentally ill or homeless. Someone who is mentally handicapped or medically dependent people, such as nursing home patients or people with debilitating diseases like MS, Parkinson's, or cancer. The elderly are at risk as are children. This is because they have nobody to protect them and are often abused by people in their lives. They may be less aware of there rights. They may be socially isolated. They may need help with personal care and daily living. Not able to express them selfs freely can be be took advantage off. Limited sex education. Maybe sharing a home with whom they don’t want to share with. Poor housing quality. May not be getting more care that then the carer is giving. May have difficulty in understanding requests and actions. May not know how to complain and the abuser may play on that. May receive support from different carers. Maybe a history of substance abuse which could b played on. A relationship of unequal power. No aids or adaptation in unsuitable housing. May have limited life experiences and not recognise risky situations. 2.1 If you work for a company or agency there should be policies and procedures already in place to follow most would state to report to the appropriate person(s); record the facts on appropriate paperwork; listen and do not judge. Always establish what it is that has occurred and report any suspicions to the appropriate manager. Reassure the individual at all times and take every allegation seriously. Always date the paperwork and have it signed by any witnesses (if any). Take photographs of evidence if possible. Speak clearly and precise and avoid any leading questions. 2.2 If someone tells you they are being abused stay calm and listen, take what they say seriously. The person being abused must be the one to make any decisions about who to contact and mention ordeal that is happening to them and what action to take, provided they have the mental capacity to do so. If a person does not have the mental capacity to make this decision than you should act in their best interest. If a person is in immediate danger, or if the person experiencing abuse is not considered to be a vulnerable adult then contact the police. If a person is considered to be a vulnerable adult then contact social services. If you suspect a person is being abused you can still contact social services or the police. You may want to talk to the person first before making contact. If on active duty and I find out about a case of abuse then I would have to act in the best interest of the client and report it to management and record my finds and get a copy of the report signed but the abused individual for confirmation regardless if they font want anything mentioned, it still needs to be heard by management in regards to safeguarding policies and procedures. 2.3 Record the facts immediately, report immediately to management and do not tamper with evidence. 3.3 An example of this is  Peter Connelly he was born to Tracey Connelly on 1 March 2006. In November, Connellys new boyfriend, Steven Barker, moved in with her. In December, a GP noticed bruises on Peter's face and chest. His mother was arrested and Peter was put into the care of a family friend, but returned home to his mother's care in January 2007. Over the next few months, Peter was admitted to hospital on two occasions suffering from injuries including bruising, scratches and swelling on the side of the head. Connelly was arrested again in May 2007.In June 2007, a social worker observed marks on Peter and informed the police. A medical examination concluded that the bruising was due to abuse. On 4 June, the baby was placed with a friend for safeguarding. Over a month later, on 25 July, Haringey Council's Children & Young People's Service obtained legal advice which indicated that the "threshold for initiating Care Proceedings...was not met".On 1 August 2007, Baby Peter was seen at St. Ann's Hospital in north London by locum paediatrician Dr. Sabah Al-Zayyat. Serious injuries, including a broken back and broken ribs, very likely went undetected (the autopsy report believed these to have pre-dated Al-Zayyat's examination). A day later, Connelly was informed that she would not be prosecuted.The next day, an ambulance was called and Peter was found in his cot, blue and clad only in a nappy. After attempts at resuscitation, he was taken to North Middlesex hospital with his mother but was pronounced dead at 12:20 pm. A post-mortem revealed he had swallowed a tooth after being punched. Other injuries included a broken back, broken ribs, mutilated fingertips and fingernails missing.The police immediately began a murder investigation and Baby P's mother was arrested. So too were Barker, his brother Jason Owen and his 15-year-old girlfriend, who had fled to and were hiding in a camp-site. 3.4 If I was wanting information and advice in regards to finding out more safeguarding and protecting individuals from abuse then there is many sources of information to approach and get information and advice from. These sources of information are: Local authority Adult Services Department (Social Services), company managers, policies and procedures, internet, books, care quality commission, police, the nspcc, local council, Independent safeguarding authority’s. 4.1 Active participation is a way of working that recognises an individual’s right to participate in the activities and relationships of everyday life as independently as possible; the individual is regarded as an active partner in their own care or support, rather than a passive recipient. 1. Person centred values dignity respect choice, to discuss with that person what they want how they want it + when they want it ........for example they may always have a bath but perhaps that day they may want a shower instead......or they may always have a bath Monday, Wednesday and Friday but fancy a bath on a Thursday or in the evening in stead of a morning! It is about choices + ensuring care plans are up dated2. To encourage a resident/ person to participate + make decisions for them selves or with you.....for example by asking them would you like a shower or a bath ' Would you like to have a meal in your room or with others at the dinning room table ' Would you like to wear the blue dress or the red one today' It is good practise to involve the resident with their care plan as their wishes are core to the plan.....if every staff member works in this way then it reduces the risk of abuse + also gives that person the confidence + self esteem to speak up if there is an issue .....good relations3. Promoting choices + rights is all the above ....Empowerment is about taking control of your life even if this is in a small way by deciding what you want for breakfast that morning ....we all make our own decisions in our own homes so why not in a residential home ...by including a resident in their care it allows them to still be an individual to have rights + wishes recognised even if they do not verbally contribute to be included is good practise 4.2 Abuse is reduced by person centred values because institutional abuse often stems from things being done to people because it's convenient for the staff. The individual's feelings and preferences are not considered. So, for example, a person requesting pain relief is left to wait because it isn't time for the medication to be administered or reviewed. Active participation means truly involving that person in their care so that choice, dignity and respect are addressed fully. Promoting choice and rights is also addressed by active participation and an accessible complaints procedure (which should be visible somewhere in the setting or may be included in a service user's 'welcome' pack) backs up that individual's rights. It means that the person knows who they can go to with a complaint or concern about any aspect of their treatment or care. 5.1 You could say that anything that puts another person at risk is an unsafe practice and therefore affects their well-being. Our behaviour can affect others, on a daily basis, not only in our work environment, but also in our homes and our social lives. For example, if we drive our cars too fast we could cause an accident, thus putting others at risk, if we let cases of abuse go unreported, not only could we be subjecting the victim too even more harm but we could be encouraging the abuser to victimise others, it is even believed that if we smoke in public or in the company of others we are affecting their health and thus their well-being. 5.2 You must go to the next superior in position. After you have reported the incident you still have a duty of care to your patient. If you feel that your patient is still at risk then speak with your line manager regarding your concerns. If you feel your line manager is not taking appropriate action, or you suspect your line manager of abusing a patient then most company policies would state that you would need to contact the regional manger. You would also need to contact an inspectorate body. Other actions that can be took when reporting unsafe practices to the immediate supervisor is to then also consider further training to the person that has been reported or the condition remedied to prevent further damage. 5.3 After you have reported the incident you still have a duty of care to your patient. If you feel that your patient is still at risk then speak with your line manager regarding your concerns. If you feel your line manager is not taking appropriate action or you suspect your line manager of abusing a patient then most company policies would state that you would need to contact the regional manger..and if nothing still hasn’t been done to chase up this report then there is 'whistle blowing' that could be done. And the appropriate bodies to go to is..depending in what part of the UK your from:In England, it is the Care Quality Commission (tel. 03000 616161); In Scotland, it is the Scottish Care Commission (tel: 0845 603 0890)In Wales, it is the Care and Social Services Inspectorate for Wales (tel. 01443 848450); and In Northern Ireland, the Northern Ireland Department of Health, Social Services and Public Safety - Social Services Inspectorate (tel. 0289 052 0500).(http://www.elderabuse.org.uk/About%20Abuse/What_is_abuse_signs%20do%20and%20contact_ helpful%20contacts.htm)As part of the process for reporting abuse is to contact the local care standards inspectorate, the person you reported this abuse to should have done this and if they have not, this in itself may be considered abuse (neglect) if it should be the case that abuse or dangerous practice is being carried out.