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Adult Safeguarding

Video: https://www.youtube.com/watch?v=UckG7Jyk1sU

What Adult Safeguarding means

Adult safeguarding is about preventing and stopping abuse or neglect of adults with care and support needs, while respecting the adult’s wishes, rights and wellbeing. The aims of Adult Safeguarding are to:

  • Stop abuse or neglect wherever possible.
  • Prevent harm and reduce the risks of abuse or neglect in adults with care and support needs.
  • Safeguard adults in a way that supports them in making choices and having control over how they want to live.
  • Promote an approach that concentrates on improving life for the adult concerned (not just on safety).
  • Raise public awareness, so that communities as a whole, alongside professionals, play their part in preventing, identifying and responding to abuse and neglect.

No form of abuse or neglect is acceptable. If you are worried, speak up and get help.

Who is an ‘adult at risk’?

  • An adult at risk is someone who:  

    • Is aged eighteen years or over.
    • Has care and support needs. 
    • Is at risk of or experiencing abuse or neglect.
    • And as a result of their care and support needs is unable to protect themselves against that (risk of) abuse or neglect.

What do we mean by care and support needs?

  • Care and support is the term used to describe the help some adults need in order that they can live in the best way they can, despite any illness or disability they might have.

    Although by no means an exhaustive list, care and support needs can include help with things like:

    • Getting out of bed      
    • Attending to personal care      
    • Accessing work or education       
    • Cooking or eating meals      
    • Accessing the community or leisure opportunities       

    If someone does not meet the definition of an ‘adult at risk’ but you are still worried about abuse or neglect, the Adult Safeguarding framework might not be the appropriate pathway for this person. If you are unsure, please contact the Adult Safeguarding Hub on 0118 974 6371.

    If you are not concerned about abuse or neglect, but the person you wish to refer may benefit from an assessment of care and support needs, or information, advice or guidance in a more general sense please contact the Health and Social Care Hub on 0300 365 1234.

    What is abuse or neglect?

    Abuse or neglect can take many forms. It may be a single act or repeated acts. It can be active or passive. It can fall under one type or can involve multiple types.

    • Physical abuse
      • Assault, hitting, slapping, pushing, misuse of medication, unnecessary/unjustified restraint, inappropriate physical sanctions.
    • Sexual abuse
      • Rape, indecent exposure, sexual harassment, inappropriate looking or touching, sexual teasing or innuendo, sexual photography, subjection to pornography or witnessing sexual acts, indecent exposure, sexual assault, sexual acts to which the adult has not consented, was pressure into consenting, or is unable to consent.
    • Sexual exploitation
      • Involves exploitative situations, contexts, and relationships where adults at risk (or a third person or persons) receive ‘something’ (e.g., food, accommodation, drugs, alcohol, cigarettes, affection, gifts, money) as a result of them performing and/or another or others performing on them, sexual activities. It affects men as well as women. People who are sexually exploited do not always perceive they are being exploited. In all cases, those exploiting the adult have power over them by virtue of age, gender, intellect, physical strength, and/or economic or other resources. There is a distinct inequality in the relationship.
    • Neglect and acts of omission    
      • Ignoring medical, emotional, or physical care needs, failure to provide access to appropriate health, care and support or educational services, withholding the necessities of life such as medication, adequate nutrition, and heating. Neglect also includes a failure to intervene in situations that are dangerous to the person concerned or to others, particularly when the person lacks the mental capacity to assess risk for themselves.    
    • Organisational abuse
      • Including neglect and poor care practice within an institution or specific care setting such as a hospital or care home, for example, or in relation to care provided in one’s own home. This may range from one off incidents to ongoing ill-treatment. It can be through neglect or poor professional practice as a result of the structure, policies, processes, and practices within an organisation.   
    • Financial or material abuse
      • Including theft, fraud, internet scamming, coercion in relation to an adult’s financial affairs or arrangements including in connection with wills, property, inheritance or financial transactions and the misuse or misappropriation of property, possessions, or benefit. An adult at risk may be persuaded to part with large sums of money/life savings. Such concern should always be reported to the Police and if relevant, local Trading Standards for further investigation. Where the abuse is perpetrated by someone with authority to manage the adult at risks finances, the Office of the Public Guardian should be informed (in relation to Deputies/Attorneys) or the DWP (for Appointees).    
    • Mate crime
      • A ‘mate crime’ as defined by the Safety Net Project is ‘when vulnerable people are befriended by members of the community who go on to exploit and take advantage of them. It may not be an illegal act but still has a negative effect on the individual’. Mate Crime is carried out by someone the adult knows and often happens in private. In recent years there have been a number of Safeguarding Adults Reviews relating to people with a learning disability who were murdered or seriously harmed by people who purported to be their friend.
    • Psychological abuse    
      • Emotional abuse, threats of harm or abandonment, deprivation of contact, humiliation, blaming, controlling, intimidation, coercion, harassment, verbal abuse, cyber bullying, isolation.    
    • Discriminatory abuse
      • Discrimination on the grounds of race, faith or religion, age, disability, gender, sexual orientation, and political views, along with racist, sexist, homophobic or ageist comments or jokes, or comments and jokes based on a person’s disability or any other form of harassment, slur, or similar treatment. Excluding a person from activities on the basis they are ‘not liked’ is also discriminatory abuse.
    • Hate crime
      • Hate Crimes relate to abuse motivated by the protected characteristics of the victim. The Criminal Justice system defines a Hate Crime as “any incident that is perceived by the victim, or any other person, to be racist, homophobic, transphobic or due to a person’s religion, belief, gender identity or disability”. It should be noted this definition is based on the perception of the victim or anyone else and is not reliant on evidence. In addition, it includes incidents that do not constitute a criminal offence.
    • Domestic Abuse
      • Behaviour of a person (“A”) towards another person (“B”) if – A and B are each aged 16 or over and are personally connected to each other and the behaviour is abusive. Behaviour is abusive if it contains any of the following: physical or sexual abuse, violent or threatening behaviour, controlling or coercive behaviour, economic abuse, psychological, emotional, or other abuse.
    • Female Genital Mutilation
      • Involves procedures that intentionally alter or injure female genital organs for non-medical reasons. The procedure has no health benefits for girls or women. The Female Genital Mutilation Act (2003) makes it illegal to practice FGM in the UK or to take girls who are British nationals or permanent residents of the UK abroad for FGM whether or not it is lawful in another country.
    • Forced Marriage
      • A marriage in which one or both of the parties are married without their consent or against their will. A forced marriage differs from an arranged marriage, in which both parties consent to the assistance of a third party in identifying a spouse.
    • Honour Based Abuse
      • Honour Based Abuse is a crime or incident, which has or may have been, committed to protect or defend the Honour of the family and/or community.
    • Modern Day Slavery and Human Trafficking
      • Slavery, human trafficking, forced labour and domestic servitude, traffickers and slave masters use whatever means they have at their disposal to coerce, deceive, and force individuals into a life or abuse, servitude, and inhumane treatment.
    • Self-neglect and/or hoarding
      • This covers a wide range of behaviour neglecting to care for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding. It should be noted that self-neglect may not prompt a section 42 enquiry. An assessment should be made on a case-by-case basis. A decision on whether a response is required under safeguarding will depend on the adult’s ability to protect themselves by controlling their own behaviour. There may come a point when they are no longer able to do this, without external support.

    What to do if you are worried

    • If someone is in immediate danger: call 999.
    • If it is not an emergency: contact the Adult Safeguarding Hub for advice and to report concerns.
    • If you are not sure it is abuse: you can still contact the Hub—staff can help you decide what to do next.
    • If you can, write down key details: what happened, dates/times, who was there, and what you saw or heard.

    How to stay safe

    • Speak up. If something feels wrong, tell someone you trust or a professional.
    • Stay connected. Keep in touch with friends, family, neighbours or support services so you are not isolated.
    • Know your rights. You have the right to be treated with dignity and to say “no”. Trust your instincts.
    • Protect your money and information. Don’t share PINs or passwords; be wary of unexpected callers, messages or visitors.
    • Ask for information in the right format. Request easy read, large print, different languages or an interpreter if needed.
    • Be scam aware. Take your time, check ID at the door, and verify unexpected calls with an official number.
    • Keep important information safe. Store documents (benefit letters, bank cards, tenancy papers) somewhere secure and accessible to you.

    Fire Safety Advice

    The Royal Berkshire Fire Rescue Service have  the following fire safety leaflets/information sheets. The information is available in different languages on their website.

    Carbon Monoxide Information

    Emollients Know the Risks

    Emollients Leaflet

    Extension Cable Check Sheet

    Fire Loading Advice

    Fire Safety in the Home

    Oxygen Users Information

    Survival Guidance Unable to Evacuate

    To see whether you qualify for a safe and well visit and for information about how to reduce the risk of fire in your home, go to the Royal Berkshire Fire and Rescue Service’s website.

    Safer Places scheme

    The Safer Places scheme aims to provide people, and particularly those with a learning disability, with a safe place to go to where help can be summoned if they are feeling scared or upset while out on their own in the community. Vulnerable people can request a card where they can write their name and the phone number of their trusted person. They carry this card with them and if needed, they can show this card to the Safe Place staff who will make the phone call for them to someone they trust, who will either come and collect them or advise them on what they need to do. The Safe Places in the scheme are easily identified by the logo displayed in the front window.

    Report abuse of an adult

    Help is available. By staying informed and speaking up, you can help protect yourself and others. Call 999 if you think a crime has been committed or someone is in immediate danger. The police will respond and ensure the person is safe.

    • You can report concerns in the following ways: Online: use the Report abuse of an adult online form on this website.
    • By phone: call the Wokingham Adult Safeguarding Hub on 0118 974 6371 (office hours). Out of hours, call the Emergency Duty Team on 01344 351999.
    • Who the person at risk is (name, contact details and where they are).
    • What the concerns are (what you have seen or heard, and why you’re worried).
    • Who might be involved in causing harm (if known).
    • Your details (how we can contact you). You can report anonymously, but contact details can help if we need to follow up.

    If you are concerned about an adult at risk, report it using our online form. Speaking up can help stop abuse and get support in place.

    Advocacy

    What is Advocacy?

    “Advocacy helps you to have your say in what happens in your life.
    Advocacy is supporting you in speaking out about your rights, what you need and what is important to you”1

    Types of Advocacy

    Advocacy can be either Statutory or Non-Statutory. Both are important in helping people.

     

    Statutory advocacy

    Statutory advocacy is provided when a person has a legal right to an advocate. This is set out in law, including the Care Act 2014 and the Mental Capacity Act 2005.

    Statutory advocates are independent. They support people who may find it difficult to take part in decisions or express their views because of their circumstances. Their role is to make sure the person is involved, heard, and understands their rights.

    Non-statutory advocacy

    Non-statutory advocacy is not required by law, but it is still an important source of support.

    It is available to people whose situation is not covered by legal duties. Non-statutory advocates help individuals to speak up for themselves and have their voice heard.

    This may include support to:

    • Express views and wishes
    • Write letters
    • Attend meetings
    • Raise concerns or make a complaint

    Non-statutory advocacy can be provided by paid staff or volunteers, and support may be offered for a longer period depending on the person’s needs.

    Legal basis Set out in laws such as the Care Act 2014 and Mental Capacity Act 2005 Not set out in legislation
    Who it is for People who meet specific legal eligibility criteria Anyone who may need support to speak up or be heard
    Purpose To ensure people can take part in decisions and understand their rights To help people express their views and address issues they are unhappy with
    Type of support Support with decision-making, understanding processes, and being involved Practical help such as writing letters, attending meetings, and making complaints
    Independence Always independent Can be independent, delivered by paid staff or volunteers
    Length of support Usually linked to a specific process or decision Can be more flexible and longer-term

     

    When must an Independent Care Act Advocate (statutory advocate) be considered?

    The Local Authority must consider arranging an Independent Care Act Advocate when supporting an adult or carer through:

    • A needs assessment for an adult
    • A carer’s assessment
    • Care and support planning
    • A review of a care and support plan
    • A review of a carer’s support plan
    • Transition assessments for young people moving into adult services
    • Assessments for young carers
    • A safeguarding enquiry
    • A Safeguarding Adults Review

    Who is eligible for an advocate?

    An Independent Care Act Advocate must be arranged if both of the following apply:

    1. The person has substantial difficulty engaging in the process

    This may include difficulty with one or more of the following:

    • Understanding information
    • Remembering information
    • Weighing up or using information
    • Communicating their views, wishes and feelings

    and

    2. There is no appropriate person to support them

    This means there is no one suitable to help the person take part, for example:

    • Family or friends live far away
    • There are no regular visitors
    • Those involved do not have time or do not understand the process
    • The person does not want support from a particular individual

    The person’s wishes must always be respected. If they do not want support from someone, that person cannot be considered appropriate. Paid staff cannot act in this role.

    When is an advocate still required?

    A person may still be entitled to an advocate, even if there is someone to support them, if:

    • A long-term placement is being considered, for example a hospital stay over 4 weeks or a care home stay over 8 weeks
    • There is disagreement between the Local Authority and the person supporting them, and an advocate would help

    What does an Independent Care Act Advocate do? 

    An advocate supports the person to be fully involved and heard. This includes:

    • Helping them understand the process
    • Supporting them to express their wishes, views and feelings
    • Helping them take part in decisions and challenge decisions if needed
    • Explaining their rights
    • Looking at relevant records where appropriate
    • Speaking to others involved, with permission, or in their best interests if they lack capacity
    • Consulting family or others where appropriate
    • Supporting and representing them in safeguarding processes

     

    Statutory Advocacy Service

    The Advocacy People provide statutory advocacy services in Reading Tel: 0330 440 9000

    Website: https://www.theadvocacypeople.org.uk

    Website referral: Make a referral

     

    Click on heading for more information:

    Health Complaints Advocacy

    Mental Health Advocacy

    Care Act (care, support and safeguarding) Advocacy

    Independent Mental Capacity Advocacy

    Healthwatch

    Local Non-Statutory Advocacy Services

    Age UK, Berkshire

    Address: Broad Street Mall, Reading, RG1 4QA

    10am – 3pm, Monday to Friday

    Tel: 0118 959 4242

    Lines are open between 9am- 4.30pm, Monday to Friday.

    Website: www.ageuk.org.uk/berkshire

    Email: info@ageukberkshire.org.uk

    Support for people age 50+ their families/ carers.

    Telephone and face to face support available.

    Areas include benefits, utilities, adult social care, blue badges etc.


    Age UK, Reading

    Address: Office 49, 62 Portman Rd, Reading, RG30 1EA

    Phone number: 0118 950 248

    Email: info@ageukreading.org.uk

    Website: www.ageuk.org.uk/reading

    Non statutory advocacy offered when required.

    Helping older people navigate complex problems and sometimes making representation to agencies on their behalf.


    Berkshire Women’s Aid

    Helpline: 0118 950 4003

    Office hours: Monday - Friday 9- 5pm

    Emergency calls answered out of hours.

    Email: helpdesk@bwaid.org.uk

    Website:www.berkshirewomensaid.org.uk

    Support for any victims/survivors of domestic abuse and their children.

    Telephone and face to face support available.

    Safe accommodation, emotional support, legal remedies, housing finances and benefits with signposting and referrals to other specialist agencies as required.


    British Red Cross Refugee Service

    Address: 90 Eastern Avenue, RG1 5SF

    Email: tvrefugeesupport@redcross.org.uk

    Website: www.redcross.org.uk

    Tel: 0300 333 5393

    Refugees, those seeking asylum and vulnerable migrants.

    Access to asylum support,

    Children and adult social services health and well-being services includes making statutory referrals, follow-up and advocacy.

    Access to emergency provisions.


    Citizens Advice Reading

    Address: 40 Minster Street, Reading RG1 2JB

    Website: https://www.citizensadvicereading.org/

    Get help

    Tel: 0808 278 7819

    Advice with:

    • Benefits
    • Debt and money
    • Energy and ‘cost of living’
    • Employment and Work
    • Family and Relationships
    • Housing
    • Immigration (IAA level 1 only)
    • Legal matters

    CommuniCare

    Address: 233 Kings Road, Reading, Berkshire, RG1 4LS

    Email: office@communicare.org.uk

    Tel : 0118 9263941

    Website: www. communicare.org.uk

    Informal advocacy giving necessary support to the vulnerable and marginalised

    Daily drop-in service at the CommuniCare Advice Centre.

    welfare benefits (applications & appeals), housing & employment.


    Launchpad

    Email: enquiries@launchpadreading.org.uk

    Call:  0118 950 7656

    Address:  Launchpad, The Stables., 1A Merchants Place, Reading, RG1 1DT

    Monday, Wednesday and Friday – 10am to 2pm.

    Housing support

    Finance support

    Signposting to external agencies such as mental health, social services, physical health services.


    Reading Community Welfare Rights Unit

    Address: 135 Cardiff Rd, Reading, RG1 8JF

    Website: readingspecialist.co.uk/

    Contact Us portal on: website.

    Tel: 0118 955 1070 or 07391 554 684

    Assisting clients with welfare benefits issues.

    Will act as a representative to help clients tell their story/express their issue.

    Advising of entitlement to benefits,


    Reading Mencap

    Address: 21 Alexander Street, RG1 5PE

    Website: www.readingmencap.org.uk

    Email: office@readingmencap.org.uk

    Tel: 0118 966 2518

    Informal advocacy with information and advice on all aspects of living with learning disability or autism.


    Reading Refugee Support Group

    Tel: 01189 505 356

    Email: info@rrsg.org.uk

    Monday – Thursday: 10:00am – 4:00pm
    Friday, Saturday & Sunday: Closed

    Monday morning Drop-in or through booking an appointment.

    Representing asylum seekers and refugees with the Home Office, Reading Council, DWP, etc.


    Stepping Forward

    Address: 12A Southview Park, Marsack St, Reading, RG4 5AF

    Website: www.stepping-forward.org.uk/

    Email: info@stepping-forward.org.uk


    Disability Advice & Support

    Assisting clients with welfare benefits issues.

    Will act as a representative to help clients tell their story/express their issue.

    Advising of entitlement to benefits

    Some informal advocacy – attending meetings, doctors, etc as requested.


    Total Communication

    Website: www.totalcommteam.com

    Referrals: via Make a Booking — Total Communication

    Both Statutory and non-statutory advocacy.