Organisation Name ......

Safeguarding Adults Assurance Framework Document 2015/16

Contents

Item / Page
  1. Guidance
/ 4
  1. Partnership and collaborative working
/ 5
  1. Safeguarding Adults at Risk
/ 7
  1. Training and Staff Development
/ 10
  1. Patient Safety Initiatives
/ 12
  1. Implementation of the Mental Capacity Act and Deprivation of Liberty Safeguards
/ 15
  1. Making Safeguarding Personal
/ 19
  1. Associated Work-streams
/ 21

“Health providers are required to demonstrate that they have safeguarding leadership, expertise and commitment at all levels of their organisation and that they are fully engaged and in support of local accountability and assurance structures, in particular via the LSCBs, SABs and in regular monitoring meetings with their commissioners” (NHS England Accountability and Assurance Framework).

“As commissioners, CCGs should be challenging ALL providers to demonstrate that they have the necessary competence and capacity in place to provide leadership, guidance and supervision across the workforce. This should include demonstrating a network of expertise across the service rather than reliance on the safeguarding adults lead” (Safeguarding Adults : An Aide Memoire for Clinical Commissioning Groups).

  1. Guidance

As part of this Self-Assessment process respondents should honestly and realistically evaluate their performance against each Safeguarding category.

For the purposes of the assessment we would envisage Providers compile a folder of evidence (hard-copy) which will be presented to the CCG Adult Safeguarding team prior to theSAAF review meetings.

For the purposes of this SAAF please rate your current level of attainment on a red, amber or green basis (RAG rating).

RATINGS

Red =Urgent/remedial action required

Amber=Working towards

Green=Achieving/excelling

2.Partnership and Collaborative Working

Self-Assessment Rating / Clinical Commissioners Rating

Rationale – for Adult Safeguarding to be effective it requires collaboration and co-operation between all care providers and stakeholders. It is imperative that NHS Trusts work closely with partner agencies to influence and shape local Adult Safeguarding strategies.

Please tick(where appropriate) the register below to indicate your attendance and degree of activity in supporting the work of Local Safeguarding Adult Boards and other NHS agencies.

Meeting Attendance Record – 2015/16

Meeting / Apr / May / June / July / Aug / Sept / Oct / Nov / Dec / Jan / Feb / March ‘16
City LSAB
County LSAB
ARC-H (Adults at Risk Committee – Health
City and County MCA/DoLS
City and County Learning and Development Sub Group
County Operational and Leadership Sub Group
City Action Learning Sub Group
City Performance Improvement Sub Group
County Quality Assurance Sub Group
MARAC (Multi Agency Risk Assessment Conference)
City Customer Inclusion Sub Group
Meeting / Apr / May / June / July / Aug / Sept / Oct / Nov / Dec / Jan / Feb / March ‘16
Domestic and Sexual Violence Co-ordinationGroup
Domestic Abuse Action Group
VARM (Vulnerable Adult Risk Management Meeting)

Please list below any other Adult Safeguarding meetings attended, relevant to your organisation.

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3.Safeguarding Adults at Risk

Self-Assessment Rating / Clinical Commissioners Rating

Rationale - People are protected from abuse, or the risk of abuse, and their human rights are respected and upheld at all times.

  • How do you get assurance that Adult Safeguarding Policies and Systems are effective andincorporated across the Trust?
  • Please describe your internal governance structure and case referral pathway.
  • Explain what methods are used in order to evidence that patients are kept safe from abusive behaviour.
  • Provide 4 case examples that demonstrate effective practice when responding to a disclosure of abuse.
  • Provide evidence of learning from Adult Safeguarding allegations made against your Trust.

Safeguarding Adults at Risk

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Safeguarding Adults at Risk

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4.Training and Staff Development

Self-Assessment Rating / Clinical Commissioners Rating

Rationale - Employers are responsible for ensuring that their staff are competent to carry out their responsibilities for safeguarding adults at risk. Effective training is offered to all staff commensurate with their role and in accordance with relevant competencies.

Training Activity - Training Figures2015/16

(provide numbers of staff trained per quarter only)

Quarter / 1 (Apr – June ’15) / 2 (July – Sept ’15) / 3 (Oct – Dec ’15) / 4 (Jan – March ’16)
Corporate Induction
Alerters
Enquiries
Senior Managers
PREVENT
MCA DoLS
Domestic Violence

Please list below any other Adult Safeguarding trainingprovided, relevant to your organisation.

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  • What methods are used to evaluate the efficacy of your staff training programme?
  • Provide examples of how the content of the training programme has altered in light of the Care Act 2014.

Training and Staff Development

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5.Patient Safety Initiatives

Self-Assessment Rating / Clinical Commissioners Rating

Rationale - The Public and Patient Safety agenda has expanded considerably since No Secrets (2000). Responsibilities given to Adult Safeguarding Teams nowthrough the Care Act 2014 and theCounter-Terrorism and Security Act 2015include PREVENT, Domestic Abuse, Modern Slavery etc.

In light of the above can you detail how you have gained assurance that your Trust is compliant with-:

1.PREVENT duty and raising PREVENT awareness for all staff;

3.The existence of clear Domestic Abuse referral pathways;

4.Increasing staff awareness in order to recognise and report concerns regarding modern slavery.

Associated Work-streams

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Associated Work-streams

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6.Implementation of the Mental Capacity Act and Deprivation of Liberty Safeguards

Self-Assessment Rating / Clinical Commissioners Rating

Rationale - Organisations should have in place policies and processes in accordance with the Mental Capacity Act and Deprivation of Liberty Safeguards legal framework.

MCA Referral Activity 2015/16

Month / Apr / May / Jun / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar
Requested Applications to Supervisory Body
Authorisations granted
Authorisations not granted
  • Provide a copy of your current MCA/DoLSpolicy.
  • How do you gain assurance that front line staff understand their roles and responsibilities re: MCADoLSincluding capacity, best interests, consent and decisions?
  • How do you gain assurance that your organisation can demonstrate that the use of restraint is always appropriate, reasonable, proportionate and justifiable.
  • Detail your system for monitoring and ensuring that DoLS authorisation requests are completed by the relevant Supervisory Body in a timely fashion.
  • How do you gain assurance that your staff know when a patient should have access to an Independent Mental Capacity Advocate, how they access this service, and where the responsibility for doing so lies.
  • Detail your system for collecting data on IMCA referral numbers as part of ensuring all patients lawfully entitled to the support of an IMCA in respect of a serious medical treatment decision receive advocacy support.
  • What data and information on compliance with the Act is collected and how are trends and performance reported to Board level and at what frequency? Who is responsible for this and how are recommendations and action plans prepared? (E.g. provide copy of governance report from MCA Lead detailing compliance with Act).

Implementation of the Mental Capacity Act and Deprivation of Liberty Safeguards

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Implementation of the Mental Capacity Act and Deprivation of Liberty Safeguards

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7.Making Safeguarding Personal

Self-Assessment Rating / Clinical Commissioners Rating

Rationale –The Care Act (2014) places emphasis upon the importance of ensuring the Adult Safeguarding intervention is guided by the Adult at Risk. It is therefore imperative that patients are placed at the heart of the safeguarding operational process and the outcomes reflect both their needs and wishes.

  • What has been done to improve patient understanding of Adult Safeguarding (e.g.what constitutes abusive practice, and how to report a concern?)
  • How would you know if this has been effective?
  • Please give 4 case examples where there is evidence that the patient’s wishes have been identified and adhered to, prior to referral.

Making Safeguarding Personal

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8.Associated Work-streams

Self-Assessment Rating / Clinical Commissioners Rating
  • What have you done to ensure that patients are treated with Dignity and Respect at all times?
  • Please provide a copy of your most recent Adult Safeguarding Annual Report as stipulated within Section 14 Care Act 2014.
  • What are your 3 key priorities for the next 12 months?
  • Detail key changes in your Trusts approach to Safeguarding Adults since the last SAAF return.
  • Please provide 4 case examples/referrals which demonstrate staff awareness of Adult Safeguarding and which also reflect best practice and recording.

Associated Work-streams

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Associated Work-streams

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