Monday, March 11, 2019
Principles of safeguarding and protection in health and social care Essay
1. Define the pastime types of pacea. Physical subvertPhysical yell behind include hitting, slapping, pushing, pinching, force feeding, kicking, burning, scalding, misuse of medication or restraint, catheterisation for the thingumabob of ply, inappropriate sanctions, a missionr causing illness or injury to psyche in order to gain attention for themselves ( this might be associated with a condition called fabricated and induced illness ).see more(prenominal) explicate how a clear complaints procedure reduces the likelihood of ridiculeb. Sexual smearSexual hatred includes rape and sexual assault, masturbation, indecent exposure, penetration or attempted penetration of intimate knowledge bases, sexual harassment, involving a vulnerable full-grown in pornography, enforced witnessing of sexual acts or sexual media, participation in sexual acts to which the vulnerable adult has non accorded or could not consent or was pressured into consenting.c. Emotional / psychologica l convoluteThe emotional and psychological abuse includes bullying, threats of harm or abandonment, ignoring, sh forbiddening, swearing, deprivation of contact with others, humiliation, blaming, controlling, intimidation, coercion, harassment, verbal abuse, deprivation of secrecy or dignity, lack of mental stimulation.d. Financial abuseFinancial abuse arse include theft, fraud, exploitation, pressure in connection with leads, property, inheritance or pecuniary transactions, the misuse or misappropriation of property, possessions or benefits.e. Institutional abuseThe key factor in identifying institutional abuse is that the abuse is real or ignored by the organisation, or that it happens because anorganisation has systems and processes that be intentional for its own benefit and not those of the lot using the serving. For example mint in residential backgrounds argon not earnn choice oer day-to-day decisions such as mealtimes or bedtimes. Freedom to go disclose is limi ted by the institutionPrivacy and dignity are not respectedPersonal correspondence is opened by rungThe pruneting is run for the convenience of the staffExcessive or inappropriate doses of drugging / medication are given Access to advice and advocacy is restricted or not allowedComplaints procedures are deliberately made unavailablef. Self neglectfulnessSelf neglect is different from abuse by others, nevertheless it is save a situation that can place people at lay on the line of harm and, potentially, place them in danger. People neglect their own care for a range of reasons of which the most common are Increasing affectionPhysical illness or disabilityMemory and concentration problems afferent handout or difficultyMental illness and mental health problemsLearning difficulties / disabilitiesAlcohol and drug misuse problemsA different set of priorities and perspectivesg. disrespect by othersNeglect by others occurs when either a cut for worker or a family or friend carer fails to meet persons support needs. Neglecting someone you are supposed to be financial support can result from failing to undertake support supporter. Neglect and unsuccessful person to care includesIgnoring health check or physical care needs misfortune to provide access to appropriate health, social care or educational services Withholding the necessities of life, such as medication, adequatenutrition and heating.2. separate the signs and / or symptoms associated with each type of abuse Physical abuse bruise or finger marks, fractures, scratches or cuts, pressure ulcers or sores from wet render or clothing, black eyes or bruised ears, withdrawal or humor changes, reluctance by the vulnerable adult to be alone with the alleged(a) abuser Sexual abuse scratches, abrasions or persistent infections in the anal / genital regions, pregnancy, blood or marks on underwear, abdominal torment with no diagnosable cause, provocative sexual behaviour, promiscuity, prostitution, sex ual abuse of others, aggression, anxiety, tearfulness, refusal to divest for activities such as swimming / bathing. Emotional / psychological abuse cared for person fearful of raised voices, distressed if they feel they whitethorn be in trouble, cared for person being treated like a child, referring to the cared for person in a derogatory way.Financial abuse someone is not allowed to manage own financial affairs, person nort made aware of financial matters, genuinely few or no person-to-person possessions, unexplained famine of money, unexplained disappearance of personal possessions or property, sudden change of a will. Institutional abuse excessive conformity in daily routines by people using the service such as everybody waking up at approximately the homogeneous time, going to bed at around the same time, having too mevery similar activities and having meals at the same time. Neglect medical exam condition deteriorating unexpectedly or not improving as expected, hypotherm ia or person cold or dressed inadequately, unexplained loss of weight, clothes or body dirty and smelly, delays in seeking medical attention3. Describe factors that whitethorn contribute to an exclusive(a) being more vulnerable to abuse Individuals can be more vulnerable to abuse because of an infirmity, mental health issues, memory problems, schooling difficulties, advanced age, financial problems or lack of knowledge about their rights.Outcome 2Know how to respond to suspected or alleged abuse1. formulate the actions to take if there are suspicions that an individual is being handle on that point are four key priorities in responding to concerns aboutabuse anteriority 1 ProtectThe most crucial concern is to ensure that the maltreat person is safe and nourished from both(prenominal)(prenominal) further possibility of abuse. actualize sure that any necessary medical manipulation is provided, and give reassurance and comfort so that the person knows that they are safe . Priority 2 ReportAny abusive situation must be reported to the line manager, or the named person in the workplace procedures for the security measures of vulnerable Adults. There may be formal reporting procedures in place in the organisation, or you may simply make an sign verbal referral. However, it is essential that you make a full, written report as soon as you can after the event. Priority 3Ppreserve keep abreast any evidence. If this is a potential crime scene, you must be very careful not to destroy any potential evidence. Priority 4 Record an referAny information you sop up whether it is simply concerns, sullen evidence or an allegation, must be carefully recorded. The evidence should be written down because verbal information can be neutered and can have its meaning changed very easily when it is passed on.2. let off the actions to take if an individual alleges that they are being abused. The priorities in this courting are the same as in the case of suspicion. H owever the first and most definitive response is that you must believe what you are told. One of the biggest fears of those being abused is that no one will believe them. Confidentiality cannot be always unploughed in these cases. You must always be clear, when someone alleges abuse, that you cannot promise to keep what they tell you confidential.3. line ways to ensure that evidence of abuse is preserved. In case of physical or sexual abuse there is belike to be forensic evidence. These must be preserved by the following actions Do not clear upDo not lick or clean any part of the room or area in which the alleged abuse took place Do not claim beddingDo not remove any clothes the abused person is wearingDo not allow the person to wash, shower, bathe, swing out hair or clean teeth Keep other people out of the room or areaIf financial abuse is alleged or suspected, ensure that you have not thrown away any papers or documents that could be useful as evidence. Neglect loosely con verses for itself, but it is important to preserve living conditions as they were found until they can be recorded and photographed. This does not include the person concerned, any treatment and medical attention needed must be provided.Outcome 3Understand the national and topical anesthetic context of safeguarding and fortress from abuse1. Identify national policies and local anaesthetic systems that relate to safeguarding and protection from abuse There are a arrive of national policies designed to protect vulnerable adults from abuse Criminal jurist modus operandi 1998Civil action by the victimCare Standards process 2000Sexual Offences be progressive 2003Family Law turning 1996Offences Against the Person Act 1861No Secrets ( England ) , In Safe Hands ( Wales )Safeguarding Vulnerable Groups Act 2006 ( England and Wales ) safeguard of Vulnerable Groups Act 2007 ( Scotland )ASPA 2007 ( Scotland )Criminal Injuries Compensation schemeMental Capacity Act 2005Police and Crimi nal Evidence Act 1984Mental Health Act 1983Protection from Harassment Act 1997Theft Act 1968National helper Act 1984Fraud Act 2006Office of the Public Guardian2. let off the roles of different agencies in safeguarding and protecting individuals from abuse Both nationally and locally, the protection of vulnerable adults forms part of the Safeguarding Adults agenda. Local authorities now have Safeguarding Adults Boards. The local boards are responsible for delivering a multi-agency response to safeguarding adults and to ensure that all partner in crime agencies are recognising and acting on safeguarding issues at a strategic and individual level. The Care Quality Commission regulates and inspects health and social care services including domiciliary and protect the rights of people detained under the Mental Health Act 1983. The Care Quality Commission has a role in identifying situations which give rise of concern that a person or person(s) using a regulated service is or has been at risk of harm, or may receive and allegation or a complaint about a service which could indicate risk of harm.The Independent Safeguarding part (ISA) was a non-departmental public body, that existed until 1 December 2012, when it merged with the Criminal Records Bureau (CRB) to form the disclosure and Barring Service (DBS). The DBS enables organisations in the public, private and voluntary sectors to make safer enlisting decisions by identifying candidates who may be unsuitable for certain work, specially that take up children or vulnerable adults, and provides wider access to criminal record information by its disclosure service for England and Wales.3. Identify reports into serious failures to protect individuals from abuse There are a number of failures in care, in the examples bellow in which it is highlited what can happen when a service, or organization fails to protect the persons under their care. The Bichard inquiry into the deaths of Jessica Chapman and Holly Well s. www.bichardinquiry.org.ukYou can access information on this case from the above link, which will inform you of the outline of the case, the reason for the failure of care, and the dubiousness details. This would be adequate to use as an example of failures of care. early(a) points of referenceOfsted Baby P reportAmy Howson ReportAlfie Goddard Report4. Identify sources of information and advice about own role in safeguarding and protecting individuals from abuse Your employer will have their own policies relating to abuse, whistle blowing, etc. These policies are youre working documents, as they inform your practice on how to meet your responsibilities whilst playacting your role. However there are local and national policies relating to abuse, which also have to be considered.Outcome 4Understand ways to reduce the likelihood of abuse1. Explain how the likelihood of abuse may be reduced bya. workings with person centred valuesPerson-centred planning is a process of constant re view, learning and listening. Person-centred planning focuses on the immediate and the future, taking into account the needs, thoughts, concerns and opinions of the individual, and consulting their family and friends and others within their personal network. This person-centred approach helps individuals identify their aspirations, and mobilises those concerned including their personal network, service agents, non-specialist and non- service sources to help people pursue their own personal ambitions. Services should, in theory, become more flexible and encouraging active participation.b. Encouraging active participationThere are a few steps that can be taken to ensure active participation. These are FACILITATE Make contributing easier. Use tasks. Give preparation. INVESTIGATE Find out wherefore people are not contributing, what would make it easier for them to contribute. Encourage the use of optic aids. CLARIFY Clarify expectations and objectives.DEMONSTRATE Show how experience -based learning works.CHANGE channel the dynamics. Create smaller groups. Silence louder group members. Use temporary rules and gimmicks. have-to doe with Consult the group. Give responsibility. Ask the group to come up with solutions. Be open. Usetransparent training.c. Promoting choice and rightsThis gives the service user the choice to speak out and talk about abuse etc.2. Explain the enormousness of an accessible complaints procedure for reducing the likelihood of abuse. By having an accessible complaints procedure, you are encouraging the individuals in your care to speak up, about any issues they may have. They will not feel threatened, inadequate, or guilty, about devising a complaint, with no fear of repercussions if they do complain. If the complaints procedure is easily accessible, the individual will be aware of what to do in the event of a complaint, who to complain to, and what will happen next.Outcome 5Know how to recognise and report unprotected practices1. Descr ibe unsafe practices that may affect the well-being of individuals Unsafe practices that may affect the well being and safety of your service users could include poor working practices This could include not having proper policies to protect the service users, not have correct equipment to perform their role (hoists, ppe, etc). Not working to the menses standards, therefore putting service users at risk. Resource difficulties This could be that staffs are not trained correctly to perform the tasks their role involves. It could be that the kin is understaffed, as the budget is not there to employ more staff.The staff group may use agency staff, repayable to sickness, vacancies etc, and the agency staff are not aware of the needs of the individuals. Necessary facilities/equipment is not purchased due to lack of funds, (wheelchairs, disposable gloves, and correct diet for healthy living, utilities (heating and lighting restricted). working(a) difficulties This could be because of staff shortages, so recommended ratio of staff to service users, are not maintained. The staff group may not work as a team, therefore a continuous service is not maintained, and the service delivery suffers. Inexperienced staff acting up, in a senior role, that may not have the knowledge to perform the role.2. Explain actions to take if unsafe practices have been identified It is your responsibility to report any unsafe practices, straight away, to your line manager. To Blow the Whistle on somebody or something means to report somebody for doing something wrong or illegal, especially within an organization. Your organization may have a Whistle Blowing policy, which will protect you and your employment if you report your concerns. Ask your manager or supervisor, if unsure, but follow your organizations policies regarding reporting different concerns. You can seek advice from the Adult Protection Co- ordinator or lead person for Safeguarding Adults based at your local Authority/Counc il. All concerns should be reported accurately. If your concerns are not taken seriously, you must try another route. You must ask for help if you feel out of your depth with a particular individual or issue.
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