Devon Safeguarding Adults Board
Business Plan October 2014 to November 2015
Introduction The Government has set out six principles to govern the actions of adult safeguarding boards:
The Vision for Adult Safeguarding That adults are able to live a life free from harm, abuse or neglect That communities have a culture that does not tolerate abuse, work together to prevent abuse, and know what to do when abuse happens
• Empowerment taking a person-centred approach, whereby people feel involved and informed. • Protection delivering support to people who experience abuse to allow them to take action. • Prevention responding quickly and effectively to suspected cases of abuse. • Proportionality ensuring outcomes are appropriate for the individual.
Under the Care Act new legal requirement have been created for health, social care and police services to work together through Safeguarding Adults Boards to achieve the principles set out in the Government’s Safeguarding Adults Policy 2012. Care Act http://www.legislation.gov.uk/ukpga/2014/23/contents/ enacted/data.htm Government Safeguarding Adults Policy 2012 https://www.gov. uk/government/publications/adult-safeguarding-statement-ofgovernment-policy The Joint Strategic Needs Assessment for Safeguarding Adults has provided information and analysis of needs and trends relating to Safeguarding Adults and compliance with the Mental Capacity Act. The JSNA included the results of consultation with a range of service users and carers. https://new.devon.gov.uk/ devonsafeguardingadultsboard/safeguarding-adults-boardinformation The Safeguarding Adults Board sub group for people who use services and carers has identified their priorities within the wide range of issues and challenges that the Board aims to address. All this information has been used to identify priorities for safeguarding adults and protecting the human rights of people with disabilities and long term health problems.
• Partnership information is shared appropriately and the individual is involved.
The Annual Report 2013/14 reviews progress that the DSAB and its member organisations have made in implementing its previous Business Plan and considered new and continuing challenges and developments in national policy.
• Accountability all agencies have a clear role which they take responsibility for.
The DSAB will work in partnership with the Devon Health and Wellbeing Board and will be overseen by the Scrutiny and Audit functions of Devon County Council.
2 Devon Safeguarding Adults Board Business Plan 2014–2015
Priorities The Devon Safeguarding Adults Board has identified the following priorities for strategic development: 1. Prevention Prevention through quality and safety assurance and support of improvement in health and care services
6. Think Family Promote for joined up risk assessment and integrated responses to families with care and support needs through the Think Family protocol
2. Mental Capacity Act and Deprivation of Liberty Safeguards Complying with Peoples Rights under the Mental Capacity Act
7. Self Neglect Developing strategies for responding to self neglect and people with complex needs who do not engage with services
3. Quality of investigations Improving quality, performance and learning in investigation processes 4. Police Safeguarding Review Role out of Police Safeguarding Review pilot 5. Devon County Council Safeguarding Adults management review Implement recommendations from independent review for improving DCC’s operational functioning and use of resources in safeguarding adults
8. Comply with duties under the Care Act and its statutory guidance relating to Safeguarding 9. Self-Assessment Framework These priorities are informed by and support the Governments Safeguarding Adults Policy and its principles.
3 Devon Safeguarding Adults Board Business Plan 2014–2015
Strategic Objective
What will happen
By when
Who will lead this
1
DCC is strengthening its approach to QA to both become more proactive in assuring quality and to further strengthen its response to identified concerns. The core elements will include:
Revised strategy by December 2015
Devon County Council, in partnership with Provider Engagement Network and CCGs
Prevention Prevention through quality and safety assurance and supporting improvement in health and care services
• Identifying and spreading best practice and supporting sectorbased improvement • Improving use of intelligence and risk profiling to identify issues earlier • More systematic triage and action planning, where risk is identified: • Strengthened support to local managers to address concerns in their area • Strengthened response
to quality concerns which present a greater risk i.e. of failure across a wider geographic area or of a strategically significant provider Increased attention to placements outside of the DCC area.
Additional capacity to support April 2015
•
The Care Act 2014 provides further impetus to this work and the Council is also putting in place a range of measures to facilitate and improve market quality and sufficiency. Further integration with the NHS is also being considered, with an important role for the Care Quality Collaborative to:
• Build the vision for quality with partners (inc. providers) through sector based improvement • Help to define what good looks like • Measure success • Engage meaningfully with people who live,
work and visit care homes and, in time, in other service areas Develop a robust quality assurance and improvement framework Strengthen strategic leadership.
• •
4 Devon Safeguarding Adults Board Business Plan 2014–2015
Strategic Objective
What will happen
By when
Who will lead this
2
Hospital and care providers to apply the Supreme Court Ruling on Cheshire West case and CQCs guidance following this ruling in making applications for authorisations of Deprivations of Liberty.
Continuing until national review of DoLS completed
All hospital and care service providers
Mental Capacity Act and Deprivation of Liberty Safeguards
Devon County Council as the Supervisory Body to implement ADASS guidance on managing and prioritising the major increase in Deprivation of Liberty applications arising from the Supreme Court Ruling on Cheshire West.
Devon County Council
Complying with Peoples Rights under the Mental Capacity Act
Implications of the ruling for use of the Mental Health Act to be considered by Hospitals, care providers and Mental Health Services
Devon Partnership Trust, Hospital providers and care providers
Strategic Objective
What will happen
By when
Who will lead this
3
Implement regionally developed performance indicators for safeguarding adults investigation processes based on timeliness, person centred outcomes and quality audit.
November 2014
Devon County Council
Use performance information to inform improvement strategies
January 2014
Learning and Improvement sub group and Devon County Council
Quality of investigations Improving quality, performance and learning in investigation processes
5 Devon Safeguarding Adults Board Business Plan 2014–2015
Strategic Objective
What will happen
By when
Who will lead this
Evaluation Police Safeguarding Review pilot.
December 2014
Devon and Cornwall Police
Plan potential role out of pilot depending on outcome of evaluation
January 2015
Devon and Cornwall Police
Strategic Objective
What will happen
By when
Who will lead this
5
Develop and implement plan for 18 recommendations from independent review of safeguarding adults in DCC, to improve efficiency and effectiveness of prevention and investigation processes.
Timetable being developed. Timetable is dependent on wider changes in DCC Adult Services changes and on Care Act statutory Guidance
Devon County Council
4
Police Safeguarding Review Evaluation and potential role out of Police Safeguarding Review pilot
Devon County Council Safeguarding Adults management review Implement recommendations for improving efficiency and effectiveness in DCC’s safeguarding adults work
Implementation plan to be part of wider change management program within DCC Adult Services. Take account of the requirements and advice in the Care Act statutory guidance.
6 Devon Safeguarding Adults Board Business Plan 2014–2015
Strategic Objective
6
Think Family Promote for joined up risk assessment and integrated responses to families with care and support needs through the Think Family protocol
Strategic Objective
7
Self Neglect
What will happen
By when
Who will lead this
All member organisations providing services to adults who may be parents of children, to:
December 2014
All statutory Board member organisations
• develop an approach to assessing risk of parental behaviour
that they are aware of, in order ensure to the safety and wellbeing of children. be able to demonstrate that this is understood by relevant practitioners in their services. provide regular performance information that demonstrates compliance with this risk assessment policy for children’s safety and wellbeing, including training for staff.
• •
January 2014
What will happen
By when
Who will lead this
Develop resources and processes for piloting a coordinated response to people with complex needs who do not engage effectively with services. These needs and services involved can include: mental health, drug and alcohol misuse, family breakdown, offending and homelessness.
December 2014
Devon Making Every Adult Matter MEAM Steering Group
Developing strategies for responding to selfneglect and people with complex needs who do not engage effectively with services
7 Devon Safeguarding Adults Board Business Plan 2014–2015
Strategic Objective
What will happen
By when
Who will lead this
Review Policy Procedures and Guidance, training and public information in line with Care Act Statutory Guidance
March 2015
DCC and Learning and Improvement Sub Group
Publish DSAB Business Plan
October 2014
Safeguarding Adults Board
Publish Annual Report
May 2015
Safeguarding Adults Board
Carry out Safeguarding Adults Reviews (formerly known as Serious Case Reviews)
As required
Serious Case Review / Safeguarding Adults Review sup group
Review of Devon’s Safeguarding Adults Policy Procedures and Guidance, training and public information
March 2015
DCC and Learning and Improvement Sub Group
Review of Safeguarding Adults Board TORs and Board member roles
March 2015
SA Board Chair
Strategic Objective
What will happen
By when
Who will lead this
9
All member organisations complete regionally agreed ADASS SW Safeguarding Adults Self-Assessment Framework.
March 2015
All senior representatives of SA Board member organisations
Progress on Actions Plans arising from completed SelfAssessment Framework to be reported on by individual organisations to the SA Board and Learning and Improvement sub group
July 2015
All senior representatives of SA Board member organisations; SA Board Chair; Learning and Improvement sub group
8
Comply with duties under the Care Act and its statutory guidance relating to Safeguarding
Self-Assessment Framework
8 Devon Safeguarding Adults Board Business Plan 2014–2015
Aims of sub groups Mental Capacity Act sub group Support and monitor compliance with Mental Capacity Act and Deprivation of Liberty Safeguards in Devon; Identify and communicate learning from national and local experience and best practice for the MCA and DLS; Protect and promote peoples’ rights and freedoms in decision making under MCA and DLS.
Serious Case Review sub group Ensure the implementation and governance of the Safeguarding Adults Serious Case Review Protocol; Identify and communicate learning through Case Review processes to achieve better outcomes in prevention and investigation for safeguarding adults.
Learning and Improvement sub group Use information on needs and quality to inform learning and improvement actions; Act and plan for learning and improvement in safeguarding adults practice using the following information: Reports on Action Learning Case Reviews / audits Reports on service user and carer experience Data and analysis of activity, performance and outcomes Serious Case Reviews and other incident investigations Reports on training activity, performance and outcomes Information from the Operational sub group Deliver learning and improvement in the following areas of the Safeguarding Adults Boards work: Policy, Procedures and Guidance Training Communication and involvement
9 Devon Safeguarding Adults Board Business Plan 2014–2015
Operational sub group Share experience and promote partnership working at an operational level; Identify and communicate the learning points from safeguarding adults practice leads in member organisations; Agree shared action by practice leads; Refer issues as required to the Board or other sub groups for improvement action; Support the implementation of practice learning needs identified by the Board or other sub groups; Promote reliable and effective Safeguarding operational practice across Devon and Torbay; Help ensure that there are up to date policy procedure and guidance for safeguarding adults practice for all member organisations.
Group for people who use services and carers To advise the Safeguarding Adults Board of the views of people with care needs and of carers, relating to safeguarding adults from abuse. This includes getting people’s views on the following: Risks of abuse that people are concerned about How peoples care needs may make it difficult to protect themselves from abuse What can help to protect people from abuse How abuse is investigated
10 Devon Safeguarding Adults Board Business Plan 2014–2015
Devon Safeguarding Adults Board governance and sub group structure Devon County Council Scrutiny
Serious Case Review sub-group
Director of Adult Services / Strategic Director People
Heath and Wellbeing Board
Community Safety Partnership
Safeguarding Adults Board Executive
Safeguarding Adults Board
Safeguarding Adults Delivery Board
Safeguarding Adults Learning and Improvement sub-group
Safeguarding Adults Operational group
Group for people who use services and carers
Mental Capacity Act sub-group
Appendices Annual Report 2013/14 https://new.devon.gov.uk/devonsafeguardingadultsboard/safeguarding-adults-board-information SA Joint Strategic Needs Assessment https://new.devon.gov.uk/devonsafeguardingadultsboard/safeguarding-adults-board-information
11 Devon Safeguarding Adults Board Business Plan 2014–2015
