Safeguarding Adults Policy
This policy details the safeguarding procedures to be followed and has been updated at Section to include governance roles and amended at section . For these changes to reflect in the policy, the system details questionnaire will need to be updated. Underpinning knowledge references and Further Reading links have also been checked and updated.

The Care Act 2014
Care Quality Commission (Registration) Regulations 2009
Equality Act 2010
The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
Human Rights Act 1998
Mental Capacity Act 2005

UK GDPR
Protection of Freedoms Act 2012 (Disclosure and Barring Service Transfer of Functions) Order 2012

Public Interest Disclosure Act 1998
The criminal Justice and Courts Act 2015 Section 20-25
Anti-social Behaviour, Crime and Policing Act 2014
The Modern Slavery Act 2015
The Counter Terrorism and Security Act 2015
Domestic Violence, Crime and Victims Act 2004
Serious Crime Act 2015 Section 76
FGM Act 2003
Sexual Offences Act 2003
Data Protection Act 2018
Author: The Care Quality Commission, (2025), Regulation 13: Safeguarding Service

Users from Abuse and improper Treatment Available from: https://www.cqc.org.uk/guidance-regulation/providers/regulations-service-prov… managers/health-social-care-act/regulation-13

Author: Royal college of Nursing, (2024), Adult Safeguarding: Roles and Competencies for Health Care Staff Available from: https://remedy.bnssg.icb.nhs.uk/media/ igekotxo/intercollegiate-documents-for-adults-_2024_.pdf

Author: SCIE, (2025), Safeguarding Adults Available from: www.scie.org.uk/safeguarding/adults/

Author: GOV.UK, (2025), Pressure Ulcers: how to safeguard adults Available from: https://www.gov.uk/ adults

Author: Social Care Institute for excellence, (2019), Safeguarding Adults: Sharing information Available from: https://www.scie.org.uk/safeguarding/adults/

practice/sharing-information/

Author: Local Government Association, (2025), Making Safeguarding personal

Available from: https://www.local.gov.uk/ health-improvement/making-safeguarding-personal

Author: Department of Health and Social Care, (2025), Care and Support Statutory

Guidance Available from: https://www.gov.uk/ act-statutory-guidance/care-and-support-statutory-guidance

Author: Department of Health and Social Care, (2025), NHS Prevent Training and Competencies Framework Available from: https://www.gov.uk/government/ publications/nhs-prevent-training-and-competencies-framework/nhs-prevent-training- and-competencies-framework

This policy should be shared with all relevant staff

The Registered Manager, and nominated individual of Care Clarity Support & Advocacy Ltd, have overall management responsibility for this policy and procedure and for ensuring the proper governance of Care Clarity Support & Advocacy Ltd. The Registered Manager role is held by: Linda Akli The nominated individual role is held by: Linda Akli

The organisation is managed and governed appropriately
Suitable systems are in place to effectively assess, monitor and improve the service
Records are completed accurately and stored safely and securely
That the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act

2018 are met

Care and support delivered is consistent, safe and of high-quality

To ensure that this policy includes and refers to Rutland County Council’s policy and procedures and details clearly who is responsible and accountable for managing safeguarding concerns within Care Clarity Support & Advocacy Ltd: overall accountability for managing safeguarding concerns: Linda AkliLinda Akli is responsible for the governance and authorisation of this policyLinda Akli can be contacted, including in an emergency or out of hours, on:

Telephone: 0333 335 5869Safeguarding Lead at Care Clarity Support & Advocacy Ltd: Linda AkliLinda Akli can be contacted, including in an emergency or out of hours, on:
Telephone: 0333 335 5869Email: [email protected] Clarity Support & Advocacy Ltd Contact Details: 0333 335 5869
- Local Authority: Rutland County Council
- Local Authority Main Contact Details: 01572 722577
There is a designated Deputy Safeguarding Lead to ensure consistency and best practice in the absence of Linda Akli, Safeguarding Lead at Care Clarity Support & Advocacy Ltd.

Celebrating 10-year anniversary of business operation. Consistent CQC rating of “good” to all Key Lines of Enquiry, resulting in no action required and no recommendations.

The company aims to

*Offer skilled care to enable people supported by us to achieve their optimum state of health and well-being. *Treat all people supported by us and all people who work here with respect at all times. *Uphold the human and citizenship rights of all who work and visit here and of all Clients. *Support individual choice and personal decision-making as the right of all Clients. *Respect and encourage the right of independence of all Clients. *Recognise the individual uniqueness of Clients, staff and visitors, and treat them with dignity and respect at all times. *Respect individual requirement for privacy at all times and treat all information relating to individuals in a confidential manner. *Recognise the individual need for personal fulfilment and offer individualised programmes of meaningful activity to satisfy that need of Clients and staff. To set out the key arrangements and systems that Care Clarity Support & Advocacy Ltd has in place for safeguarding and promoting the welfare of adults at risk and to ensure compliance with local policies and procedures. Adults are those aged 18 years and over. Care Clarity Support & Advocacy Ltd has a separate Safeguarding Children and Child Protection Policy and Procedure in place that provides detailed guidance in this area.

This policy aims to safeguard Clients from abuse and improper treatment by implementing robust procedures for prevention, identification, and response. Staff are trained to recognise signs of abuse and are equipped with clear reporting mechanisms to address any concerns promptly and effectively.

This policy dovetails with the following policies
- Deprivation Of Liberty in Community Settings Policies and Procedures
- Mental Capacity Act (MCA) 2005 Policy and Procedure
- Duty of Candour Policy and Procedure
- Raising Concerns, Freedom to Speak Up and Whistleblowing Policy and Procedure
- Restrictive Practices Including Restraint and Physical Interventions Policy and Procedure
To support Care Clarity Support & Advocacy Ltd in meeting the following Quality Statements:
Relevant Legislation
- The Care Act 2014
- Care Quality Commission (Registration) Regulations 2009
- Equality Act 2010
- The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
- Human Rights Act 1998
- Mental Capacity Act 2005
- UK GDPR
- Protection of Freedoms Act 2012 (Disclosure and Barring Service Transfer of Functions)
Order 2012
- Public Interest Disclosure Act 1998
- The criminal Justice and Courts Act 2015 Section 20-25
- Anti-social Behaviour, Crime and Policing Act 2014
- The Modern Slavery Act 2015
- The Counter Terrorism and Security Act 2015
- Domestic Violence, Crime and Victims Act 2004
- Serious Crime Act 2015 Section 76
- FGM Act 2003
- Sexual Offences Act 2003
- Data Protection Act 2018
Roles Affected
- all Staff
People Affected
- Clients
Stakeholders Affected
- Family
- Advocates
- Representatives
- Commissioners
- external health professionals
- Local Authority
- NHS
- Housing Provider Partners
This policy aims to safeguard Clients from abuse and improper treatment by implementing robust procedures for prevention, identification, and response. Staff are trained to recognise signs of abuse and are equipped with clear reporting mechanisms to address any concerns promptly and effectively. This policy aims to safeguard Clients from abuse and improper treatment by implementing robust procedures for prevention, identification, and response. Staff are trained to recognise signs of abuse and are equipped with clear reporting mechanisms to address any concerns promptly and effectively. To ensure that the Rutland County Council Safeguarding Policy and Procedure is understood by all staff at Care Clarity Support & Advocacy Ltd and that the Rutland County Council safeguarding procedures dovetail with the policy and procedure of Care Clarity Support & Advocacy Ltd. To ensure that all staff working for, or on behalf of, Care Clarity Support & Advocacy Ltd, understand their responsibilities in relation to safeguarding adults at risk and know who to escalate concerns to within Care Clarity Support & Advocacy Ltd and externally if needed and appropriate to do so. To protect the Client’s right to live in safety, free from abuse and neglect. To have a clear, well publicised policy of zero-tolerance of abuse within Care Clarity Support & Advocacy Ltd. To identify lessons to be learnt from cases where Clients have experienced abuse or neglect.

Where required, Care Clarity Support & Advocacy Ltd will be registered with the CQC for regulated activities, service types and service user bands as defined in the CQC Statement of Purpose. This will ensure that Care Clarity Support & Advocacy Ltd provides services that are safe, effective, caring, responsive and well-led in line with the CQC’s published quality statements, regulatory framework and associated best practice guidance. Domiciliary care service, personal Care

Care Clarity Support & Advocacy Ltd provides care and support to Clients with a range of needs in a person-centred, safe, and lawful way. all staff must follow the guidance within this policy and the Client’s Care Plan, ensuring that assessed needs, reasonable adjustments and individual preferences are met.
- Every Client is treated equally and with dignity and respect
- Care and support are tailored to individual needs, preferences and desired outcomes
- Staff follow legal, regulatory, and professional guidance at all times
- Person-centred approaches are used to promote independence, choice, and wellbeing
To support this approach, staff will also follow the policies and procedures below where applicable:
- Person-Centred Care and Supporting Planning
- Raising Concerns, Freedom to Speak Up and Whistleblowing
- Mental Capacity Act (MCA) 2005
- Deprivation Of Liberty in Community Settings
- Equality, Diversity and Human rights
- Overarching Medicines Management
- Positive Behaviour Support Including challenging Behaviour
- Restrictive Practices Including Restraint and Physical Interventions
- Sex, Sexuality and Relationships
This list is not exhaustive and there will be additional policies and procedures in place to support specific Client needs. Staff must seek clarification from their line manager or the Registered Manager, Linda Akli, if there is any uncertainty. Staff supporting any specialist area of need will receive appropriate induction and training. They will complete competency assessments, where required, to meet the needs of Clients as outlined in the Training Policy and Procedure at Care Clarity Support & Advocacy Ltd. To ensure Clients receive person-centred care and support from Care Clarity Ltd, staff must adhere to the following: Care Clarity Support & Advocacy Ltd recognises the definition of ‘safeguarding’ as the actions taken to keep Clients safe from harm and neglect.

The Care Act 2014 sets out that adult safeguarding duties apply to any adult who:
- Has care and support needs, and
- Is experiencing, or is at risk of, abuse and neglect, and
- As a result of those care and support needs is unable to protect themselves from either the risk of, or the experience of, abuse or neglect
Safeguarding adults includes
- Protecting their rights to live in safety, free from abuse and neglect
- people and organisations working together to prevent the risk of abuse or neglect, and to stop them from happening
- Making sure people’s wellbeing is promoted, taking their views, wishes, feelings and beliefs into account
- This must recognise that adults sometimes have complex interpersonal relationships and may be ambivalent, unclear or unrealistic about their personal circumstances Care Clarity Support & Advocacy Ltd should always promote the Client’s wellbeing in its safeguarding arrangements. Clients have complex lives and being safe is only one of the things they want for themselves. Staff should work with the Client to establish what being safe means to them and how that can be best achieved. Staff should not be advocating
‘safety’ measures that do not take account of individual wellbeing. Employees at Care Clarity Support & Advocacy Ltd understand that the Clients it supports can be extremely vulnerable to abuse and neglect, especially if they have care and support needs. Abuse is a violation of an individual’s human or civil right by any other person. It is where someone does something to another person, or to themselves, which puts them at risk of harm and impacts on their health and wellbeing. Abuse can have a damaging effect on the health and wellbeing of Clients. These effects may be experienced in the short and long term and can sometimes be lifelong. The signs of abuse are not always obvious, and a victim of abuse may not tell anyone what is happening to them. Sometimes they may not even be aware they are being abused. The robust governance processes at Care Clarity Support & Advocacy Ltd will make sure that staff working for, and on behalf of, Care Clarity Support & Advocacy Ltd, recognise and respond to the main forms of abuse which are set out in the Care Act 2014 Statutory Guidance Chapter

14.

The local authority is the lead agency for adult safeguarding and should be notified whenever abuse or neglect is suspected. It will decide whether a safeguarding enquiry is necessary, and if so, who will conduct it. The decision to conduct an enquiry depends on the criteria set out in the Care Act 2014, and not on whether the Client is eligible for, or receiving, services funded by the local authority Everybody has the right to live a life that is free from harm and abuse. Care Clarity Support & Advocacy Ltd recognises that safeguarding adults at risk of abuse or neglect is everybody’s business. Care Clarity Support & Advocacy Ltd aims to ensure that all adults at risk of abuse or neglect are enabled to live and work, be cared for and supported in an environment free from abuse, harassment, violence or aggression. The safeguarding policies and procedures of Care Clarity Support & Advocacy Ltd will dovetail with the Rutland County Council multi-agency policy and procedures, which we understand take precedence over those of The Care Clarity Support & Advocacy Ltd. Care Clarity Support & Advocacy Ltd will ensure that the Rutland County Council policies and procedures are reflected within its own policy and procedure, that this is shared with all staff and is accessible and available for staff to follow. Care Clarity Support & Advocacy Ltd aims to provide services that will be appropriate to the adult at risk and not discriminate because of disability, age, gender, sexual orientation, race, religion, culture, or lifestyle. It will make every effort to enable Clients to express their wishes and make their own decisions to the best of their ability, recognising that such self- determination may well involve risk. Care Clarity Support & Advocacy Ltd will work with Clients and others involved in their Care to ensure they receive the support and protection they may require, that they are listened to and treated with respect (including their property, possessions and personal information) and that they are treated with compassion and dignity. A chaperone, if appropriate, is always present when the Client needs treatment, and missed healthcare appointments must be monitored to consider signs of abuse or neglect. These must be followed up with the healthcare provider and information shared in the best interests and safety of the Client.

Care Clarity Support & Advocacy Ltd will follow the six principles as set out in guidance to the Care Act 2014 and this will inform practice with all Clients:

people being supported and encouraged to make their own decisions and informed consent

It is better to take action before harm occurs

– The least intrusive response appropriate to the risk presented

– Support and representation for those in greatest need

– Local solutions through services working with their communities.

Communities have a part to play in preventing, detecting and reporting neglect and abuse

- Accountability and transparency in delivering safeguarding
Care Clarity Support & Advocacy Ltd is commifitted to the principles of ‘Making Safeguarding personal’ and aims to ensure that safeguarding is person-led and focused on the outcomes that Clients want to achieve. It will engage Clients in a conversation about how best to respond to their safeguarding situation in a timely way that enhances involvement, choice and control as well as improving quality of life, wellbeing and safety. Care Clarity Support & Advocacy Ltd understands the importance of working collaboratively to ensure that:
- The needs and interests of adults at risk are always respected and upheld
- The human rights of adults at risk are respected and upheld
- A proportionate, timely, professional and ethical response is made to any adult at risk who may be experiencing abuse
- all decisions and actions are taken in line with the Mental Capacity Act 2005 to ensure the best interests of the Client
- Each adult at risk maintains:
- Choice and control
- Safety
- Health
- Quality of life
- Dignity and respect
Care Clarity Support & Advocacy Ltd has a clear Raising Concerns, Freedom to Speak Up and Whistleblowing Policy and Procedure in place which staff are frequently reminded about and with which they must be familiar. They must also understand how to escalate and report concerns. Whistleblowing is an important aspect of the support and protection of adults at risk of harm where staff are encouraged to share genuine concerns about safety or wrongdoing within The Care Clarity Support & Advocacy Ltd.
- To be able to recognise and respond to suspected abuse and substandard practice
- To report concerns of harm or poor practice that may lead to harm
- To remain up to date with training
- To read and follow the policy and procedure
- To know how and when to use the whistleblowing procedures
- To understand the Mental Capacity Act 2005 and how to apply it in practice, including consent and best interests decisions.
- To establish the facts about the circumstances giving rise for concern
- To identify sources and level of risk
- To ensure that information is recorded and that the Rutland County Council Adult
Safeguarding Team is contacted to inform them of the concern or harm
- If the Client is at immediate risk of harm, the Registered Manager will contact the police.
The CQC will also be informed

In all cases of alleged harm, there will be early consultation between Linda Akli,
Rutland County Council and the police to determine whether or not a joint investigation is required. Care Clarity Support & Advocacy Ltd understands that it may also be necessary to advise the relevant power of Attorney if there is one appointed. In dealing with incidents of potential harm, people have rights which must be respected and which may need to be balanced against each other
- The wishes of the person harmed will be taken into account whenever possible. This may result in no legal action
- Documentation of any incidents of harm in the Client’s le and using body maps to record any injuries
- Follow Rutland County Council policy guidelines where applicable
- Report any incidents of abuse to the relevant parties
- Work with multi-agencies
- Advise and support staff
- Ensure staff are trained during induction, assess knowledge annually and run refresher training if needed
- Actively promote the whistleblowing policies
Ensure that agency staff working at Care Clarity Support & Advocacy Ltd have completedthe necessary safeguarding training for their role
- Participate in local Safeguarding Adults Board arrangements for sharing experiences about managing safeguarding concerns
- Share relevant information from Safeguarding Adults Board meeting minutes and reports with staff
- We will have robust recruiting and safer staffing policies in place to make sure that our staff are t to work with adults at risk and are compliant with national, safe recruitment and employment practices, including the requirements of the Disclosure and Barring
Service
- A named safeguarding lead will be in place who is responsible for embedding safeguarding practices and improving practice in line with national and local developments. At Care Clarity Support & Advocacy Ltd, this person is Linda Akli
- Any staff member who knows or believes that harm is occurring will report it to their line manager as quickly as possible, or if they feel they cannot follow the regular reporting procedure, they must use the whistleblowing process Care Clarity Support & Advocacy Ltd will work collaboratively with other agencies, includingliaison in relation to the investigation of allegations and will ensure its procedures dovetail with the Rutland County Council multi-agency procedures Care Clarity Support & Advocacy Ltd will use incident reporting, root cause analysis, lessonslearned and auditing to determine themes to improve Care practice Care Clarity Support & Advocacy Ltd will have a learning and development strategy which cally addresses adult safeguarding. Care Clarity Support & Advocacy Ltd will providespeci training on the identification and reporting of harm, as well as training on the required standards in relation to procedures and processes should something need to be reported Care Clarity Support & Advocacy Ltd recognises its responsibilities in relation toconfidentiality and will share information appropriately Care Clarity Support & Advocacy Ltd will have zero tolerance to harmCare Clarity Support & Advocacy Ltd will work in partnership with other agencies to ensurethat concerns or allegations of abuse are appropriately referred for investigation to the most appropriate agency Care Clarity Support & Advocacy Ltd will ensure that any action that is taken is assessed,
- proportionate and reflective of the risk presented to the people who use the services Care Clarity Support & Advocacy Ltd will report any incidents in line with its regulatoryrequirements Care Clarity Support & Advocacy Ltd will adhere to the Code of Conduct for Care Workers
- There is a clear, well publicised Raising Concerns, Freedom to Speak Up and Whistleblowing Policy and Procedure in place that staff know how to use
Linda Akli is responsible for providing leadership. good governance in safeguarding will follow where it is seen as an integral part of Client care and all staff take responsibility. Risks of neglect, harm and abuse will be reduced where there is strong leadership and a shared value base where:
- The Client is the primary concern
- Clients and staff are partners in their care
- Quality is prioritised and measured
- Staff understand the risks of neglect, harm and abuse
- There is a culture of learning and improvement
- There is openness and transparency, and all staff are listened to Care Clarity Support & Advocacy Ltd will support Clients by providing accessible, easy tounderstand information on what abuse is and what signs to look out for
- A Safeguarding leaflet can be found in the Forms section of this policy, and links to support can be found in the Further Reading section Care Clarity Support & Advocacy Ltd will comply with the Accessible Information Standard

all Clients will receive a copy of the Service User Guide, have access to the Complaints,

Suggestions and Compliments Policy and Procedure and be given information on how to escalate any concerns to the Commissioner, CQC, advocacy or Local Government and Social Care Ombudsman should they not be satisfied with the approach taken by The Care Clarity Support & Advocacy Ltd or at any time they wish

Staff will need to be trained and understand the different patterns and behaviours of abuse as detailed in the Care Act 2014, Chapter 14 and Care Clarity Support & Advocacy Ltd will ensure that it is able to respond appropriately Care Clarity Support & Advocacy Ltd will ensure that all staff are trained on the RaisingConcerns, Freedom to Speak Up and Whistleblowing Policy and Procedure and the Mental Capacity Act (MCA) 2005 Policy and Procedure

During induction training, all employees will complete the ‘understanding Abuse’

workbook, as part of the Care Certificate

Care Clarity Support & Advocacy Ltd understands that some Clients may take in and retain information in different ways. To support full understanding and engagement, this policy is available in accessible formats. The accessibility tools tool has various ways of making this policy accessible by providing this policy in:

Audio
Large print
Multiple languages

This policy can also be made available in

Easy-read versions
Simple-policy view to reduce navigation and complexity

These options are in place to help Clients to understand and engage with this policy more easily. Forms of Abuse and Neglect High Risk Groups Prevention of Abuse Who Abuses and Neglects? Incidents of Abuse Concerns Staff who Consider or Suspect Abuse or Neglect responding to a Disclosure or Suspicion of Abuse or Neglect Documenting a Disclosure

Response by Linda Akli or Safeguarding Lead to Reports of Abuse or Neglect 5.12

Consent Referral to the Rutland County Council Safeguarding Adults Team Local Authority Safeguarding Enquiry Involve the Client Concerned Throughout the Enquiry After an Enquiry If a Safeguarding Concern is Not Agreed Informing the Relevant Inspectorate Support and Supervision confidentiality and Information Sharing Staff alleged to be Responsible for Abuse or Neglect Disclosure and Barring Service (DBS) Referral Abuse by Another Adult at Risk Management of allegations Against people in Positions of Trust (PiPoT) Safeguarding Concerns about the Registered Manager, Nominated Individual and or

Linda Akli

allegations Against people who are Relatives or Friends Pressure Ulcers Medication Errors Exploitation by Radicalisers who Promote Violence Self-neglect and Refusal of Care Restrictive Practices Including Restraint and Physical Interventions Abuse and Sexual Safety criminal Offences Risk Assessment and Management Training and Competence Deprivation Of Liberty in Community Settings Audit and Compliance Sharing of Information

There are different types of abuse and signs and indicators for each. While indicators are not proof of abuse or neglect, they should alert staff to follow the Safeguarding Policy. It is important that staff at Care Clarity Support & Advocacy Ltd are aware of the signs of abuse and what to look out for.

Physical abuse includes

Being hit, slapped, pushed or restrained
Being denied food or water
Not being helped to go to the bathroom when you need to
Misuse of medication
Restraint
inappropriate physical sanctions

Signs and indicators of physical abuse include

No explanation for injuries or inconsistency with the account of what happened
Injuries are inconsistent with the person’s lifestyle
Bruising, cuts, welts, burns and/or marks on the body or loss of hair in clumps
Frequent injuries

Unexplained falls
Subdued or changed behaviour in the presence of a particular person
Signs of malnutrition
Failure to seek medical treatment or frequent changes of GP

Domestic violence or abuse

This is typically an incident or pattern of incidents of controlling, coercive or threatening behaviour, violence or abuse by someone who is, or has been, an intimate partner or family member, and can be:

Psychological
Physical
Sexual
financial
emotional
So-called ‘honour’ based violence, female genital mutilation and forced marriage

Signs and indicators of domestic violence or abuse include

low self-esteem
Feeling that the abuse is their fault when it is not
Physical evidence of violence such as bruising, cuts, broken bones
Verbal abuse and humiliation in front of others
Fear of outside intervention
Damage to home or property
Isolation – not seeing friends and family
Limited access to money

Sexual abuse includes

Indecent exposure
Sexual harassment
inappropriate looking or touching
Sexual teasing or innuendo
Sexual photography
Being forced to watch pornography or sexual acts
Being forced or pressured to take part in sexual acts
Rape

Sexual assault

Signs and indicators of sexual abuse include

Bruising, particularly to the thighs, buttocks and upper arms and marks on the neck
Torn, stained or bloody underclothing

Bl di i it hi i th it l

Bleeding, pain or itching in the genital area
Unusual difficulty in walking or sitting

Infections, unexplained genital discharge, or sexually transmifitted diseases
Pregnancy in a woman who is unable to consent to sexual intercourse
The uncharacteristic use of explicit sexual language or significant changes in sexual behaviour or attitude

Incontinence not related to any medical diagnosis
Self-harming
Poor concentration, withdrawal, sleep disturbance
Excessive fear/apprehension of, or withdrawal from, relationships
Fear of receiving help with personal care
Reluctance to be alone with a particular person

Psychological or emotional abuse include

Threats to hurt or abandon
Deprivation of contact
Humiliating
Blaming
Controlling
Intimidation
Harassment
Verbal abuse
Cyberbullying
Isolation
Unreasonable and unjustified withdrawal of services or support networks

Signs and indicators of psychological or emotional abuse include

An air of silence when a particular person is present
withdrawal or change in the psychological state of the person

Insomnia
low self-esteem
uncooperative and aggressive behaviour
A change of appetite, weight loss/gain

Signs of distress: tearfulness, anger
Apparent false claims, by someone involved with the person, to attract unnecessary treatment

financial or material abuse include

Theft
Fraud
Internet scamming
Coercion in relation to the Client’s financial affairs or arrangements, including in connection with wills, property, inheritance or financial transactions

Misuse or misappropriation of property, possessions or benefits

Signs and indicators of financial abuse include:

Missing personal possessions
Unexplained lack of money or inability to maintain lifestyle
Unexplained withdrawal of funds from accounts
power of attorney or lasting power of attorney (LPA) being obtained after the person has ceased to have mental capacity

Failure to register an LPA after the person has ceased to have mental capacity to manage their finances, so that it appears that they are continuing to do so

The person allocated to manage financial affairs is evasive or uncooperative
The family or others show an unusual interest in the assets of the person
Signs of financial hardship in cases where the person’s financial affairs are being managed by a court appointed deputy, attorney or LPA

Recent changes in deeds or title to property
Rent arrears and eviction notices
A lack of clear financial accounts held by a service
Failure to provide receipts for shopping or other financial transactions carried out on behalf of the person

Disparity between the person’s living conditions and their financial resources, e.g.

insufficient food in the house

Modern slavery includes

Slavery
Human tracking

Trackers and slave masters using whatever means they have at their disposal to coerce deceive and force individuals into a life of abuse servitude and inhumane

coerce, deceive and force individuals into a life of abuse, servitude and inhumane treatment

Signs and indicators of modern slavery include

Signs of physical or emotional abuse
Appearing to be malnourished, unkempt or withdrawn
Isolation from the community, seeming under the control or influence of others
Living in dirty, cramped or overcrowded accommodation and or living and working at the same address

Lack of personal effects or identification documents
Always wearing the same clothes
Avoidance of eye contact, appearing frightened or hesitant to talk to strangers
Fear of law enforcers

Discriminatory abuse includes

Some forms of harassment, slurs or unfair treatment because of

Race
Sex
Gender and gender identity
Age
Disability
Sexual orientation
Religion

Signs and indicators of discriminatory abuse include

The person appears withdrawn and isolated
Expressions of anger, frustration, fear or anxiety
The support on offer does not take account of the person’s individual needs in terms of a protected characteristic

Organisational or institutional abuse

Including neglect and poor care practice within an institution or specific care setting, or in relation to care provided in the Client’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 Care Clarity Support & Advocacy Ltd:

Discouraging visits or the involvement of relatives or friends
Run-down or overcrowded establishment
Authoritarian management or rigid regimes

Lack of leadership and supervision
Insufficient staff or high turnover resulting in poor quality care
Abusive and disrespectful attitudes towards people using the service
inappropriate use of restraints
Lack of respect for dignity and privacy
Failure to manage residents with abusive behaviour
Not providing adequate food and drink, or assistance with eating
Not offering choice or promoting independence
Misuse of medication
Failure to provide care with dentures, spectacles or hearing aids
Not taking account of individuals’ cultural, religious or ethnic needs
Failure to respond to abuse appropriately
Interference with personal correspondence or communication
Failure to respond to complaints

Signs and indicators of organisational abuse include

Lack of flexibility and choice for people using the service
Inadequate staffing levels
people being hungry or dehydrated
Poor standards of care
Lack of personal clothing and possessions and communal use of personal items
Lack of adequate procedures
Poor record-keeping and missing documents
Absence of visitors
Few social, recreational and educational activities
Public discussion of personal matters
Unnecessary exposure during bathing or using the toilet
Absence of individual care plans
Lack of management overview and support

Neglect or acts of omission include

Ignoring medical emotional or physical care needs
Failure to provide access to appropriate health, care and support or educational services
Withholding of the necessities of life such as medication adequate nutrition and

Withholding of the necessities of life, such as medication, adequate nutrition and heating

Failure to administer medication as prescribed
Not taking account of individuals’ cultural, religious or ethnic needs

Signs and Indicators of neglect or acts of omission include

Poor environment – dirty or unhygienic
Poor physical condition and/or personal hygiene
Pressure ulcers
Malnutrition or unexplained weight loss
Untreated injuries and medical problems
Inconsistent or reluctant contact with medical and social care organisations
Accumulation of untaken medication
Uncharacteristic failure to engage in social interaction
inappropriate or inadequate clothing

Self-neglect includes: 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 Client’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.

Lack of self-care to an extent that it threatens personal health and safety
Neglecting to care for one’s personal hygiene, health or surroundings
Inability to avoid self-harm
Failure to seek help or access services to meet health and social care needs
Inability or unwillingness to manage one’s personal affairs

Signs and indicators of self-neglect include

Very poor personal hygiene

Certain groups of people may be at higher risk of abuse or neglect, including:

Unkempt appearance
Lack of essential food, clothing or shelter

Those with care and support needs, such as older people or people with disabilities.

They may be seen as an easy target and may be less likely to identify abuse themselves or to report it

Malnutrition and/or dehydration
Those with communication difficulties because they may not be able to alert others
Living in squalid or unsanitary conditions
Neglecting household maintenance
Those with a cognitive impairment, as they may not even be aware that they are being abused

Hoarding

collecting a large number of animals in inappropriate conditions

Care Clarity Support & Advocacy Ltd recognises that it is very important to establish a positive

Inability or unwillingness to take medication or treat illness or injury culture where abuse is not tolerated and ways of working and supporting the Client are focused on providing compassionate, person-centred care and reducing the opportunity for abuse or abusive practice to occur.

This is encouraged by

understanding this safeguarding policy and following the wide range of other policies available within the management system

Robust and effective recruitment and induction practices
Ongoing supervision, observation and support for staff on best practice
Training for staff
Completion of detailed assessments and Care Plans that provide information about how to effectively support the Client

identifying any Clients that are at increased risk of abuse to ensure that monitoring and support are effective to reduce the chance of abusive situations developing Anyone in contact with the Client can perpetrate abuse or neglect, including:

Volunteers
Family members
Friends
people who deliberately exploit adults they perceive as vulnerable to abuse
Staff
professionals
Other Clients

patterns of abuse vary and include

Serial abuse – in which the person alleged to have caused the harm seeks out and

‘grooms’ individuals. Sexual abuse sometimes falls into this pattern as do some forms of financial abuse

Long-term abuse – in the context of an ongoing family relationship such as domestic violence between spouses or generations, or persistent psychological abuse

opportunistic abuse – such as theft occurring because money or jewellery has been left lying around Abuse may be one-off or multiple and affect one Client or more. Staff should look beyond single incidents or Clients. Care Clarity Support & Advocacy Ltd should have systems in place to track and monitor incidents, accidents, disciplinary action, complaints and safeguarding concerns, to identify patterns of potential harm.. Repeated instances of poor care may be an indication of more serious problems (organisational abuse). In order to see these patterns, it is important that information is recorded and appropriately shared.

A concern might arise from

Something you observe (for example: bruises, a marked change in behaviour)
An allegation that is made (for example, you are told that someone has behaved inappropriately or put the Client or colleague at risk)

A disclosure where the Client tells you something about themselves or their circumstances that lead you to believe that they are being abused or are at risk of abuse

Staff must be able to

Identify that the Client at risk may be describing abuse, even when they may not be explicitStay calm, listen and show empathyWrite up notes of the conversation clearly and factually as soon as possiblein a timely manner to the appropriate people and organisations At Care Clarity Support & Advocacy Ltd the person responsible for safeguarding is:

They can be contacted on or
We report our concerns to Adult Duty. Rutland County Council. Catmose Road. Oakham. Rutland. LE15 6HP. 01572 722577 You can also contact the CQC if you feel that you cannot use the Raising Concerns, Freedom to Speak Up and Whistleblowing Policy and Procedure at Care Clarity Support & Advocacy Ltd.

The CQC can be contacted by using the following methods

03000 616161 [email protected] CQC national Correspondence, Citygate, Gallowgate, Newcastle upon Tyne, NE1 4PA

If staff observe something that causes concern, they should ask the Client what happened, unless this would be inappropriate or cause further distress. If the Client does not communicate with speech, they should help them explain what has happened as far as possible. The staff member should document what they have seen or been told and report to the Registered Manager and the Safeguarding Lead, Linda Akli. If staff are unsure if there is an indicator of abuse or neglect with the Client, they should discuss this with the Registered Manager and the Safeguarding Lead, Linda Akli at Care Clarity Support & Advocacy Ltd. The Registered Manager and the Safeguarding Lead, Linda Akli, will decide whether to make a safeguarding referral or to seek further advice form Rutland County Council. Staff who suspect abuse or neglect must act on it; staff must not assume that someone else will do this. If someone makes an allegation to a member of staff about them or another member of staff or volunteer, that staff member must listen carefully and explain that they will need to pass these concerns to the Registered Manager and the Safeguarding Lead, Linda Akli, reassuring them that their concerns will be taken seriously. If the allegation is made by a family member or a worker from another agency, the staff member should take their name and contact details and assure them that the Registered Manager and the Safeguarding Lead, Linda Akli, will contact them as soon as possible. The staff member must pass the information to the Registered Manager and the Safeguarding Lead, Linda Akli, immediately.

If the Client discloses potential or actual abuse, staff will:

straight away

Remain calm and non-judgemental
Try not to show shock or disbelief
Not interrupt the Client who is freely recalling significant events, allow them to tell you whatever they want to share

Some Clients may simply be telling a story and not realise that they are subject to abuse. It is important to keep this in mind and be thoughtful in response

Take whatever action is required to ensure the immediate safety or medical welfare of the Client(s) at risk

Where appropriate, call 999 for the emergency services if there is a medical emergency, other danger to life or risk of imminent injury, or if a crime is in progress. Where a crime is suspected of being commifitted, leave things as they are wherever possible

call for medical assistance from the GP or NHS 111 if there is a concern about the Client’s need for medical assistance or advice, when the situation is not life- threatening or is out of hours

Reassure the Client that they are right to share this information with you; show empathy with them

Do not press for more detail
Do not make promises that cannot be kept
Remain sympathetic and attentive

Then

Listen carefully and reflect back what you are being told to ensure you have correctly grasped what is being said

Use simple and open questions, do not ask leading questions, (e.g. ‘So was it Peter who did that?’) or attempt to ‘investigate’ in any way

Explain carefully that what they have said is worrying and that you have to share that with your line manager

Explain the safeguarding process to the Client and discuss the next steps

Explain that your manager may contact the Rutland County Council Safeguarding

Adults Team and/or the Police

Seek the Client’s consent to share this information
As soon as you can, write down an account of your conversation, try to use the words/

phrases that the Client used. Sign and date your record phrases that the Client used. Sign and date your record

Preserve evidence (physical evidence – for example, ask the Client to not wash or bathe)

Inform the Registered Manager or the Safeguarding Lead, Linda Akli, as soon aspossible to inform them of the incident or concern The Registered Manager, Linda Akli, will be contacted on 0333 335 5869The Safeguarding Lead, Linda Akli, will be contacted on 0333 335 5869

Do not share this information with anyone else
Do not contact the person alleged to have caused the harm about the incident yourself,

unless this is essential (for example, if Linda Akli needs to immediately suspend a member of staff)

The Client may feel frightened, so ask whether they want someone they feel comfortable with to stay with them Staff must inform the Registered Manager or Safeguarding Lead, Linda Akli, unless they are the person alleged to have caused the harm; if this is the case, then support should be sought directly from another manager, Care Clarity Support & Advocacy Ltd. or Rutland County Council. Staff must also take action without the immediate authority of the Registered Manager or Safeguarding Lead, Linda Akli:

If a discussion with them would involve a delay in an apparently high-risk situation
If they have raised concerns with the Registered Manager or Safeguarding Lead, Louise

Hewitt-will, and they have not taken appropriate action (whistleblowing) There should be effective and well publicised ways of escalating concerns where the Registered Manager or Safeguarding Lead, Linda Akli, does not take action in response to a concern being raised. The Registered Manager or Safeguarding Lead, Linda Akli, will:

Listen to any staff member if they speak up about abuse or neglect, take them seriously and act accordingly

Consider if there are other adults or children with care and support needs who are at risk of harm and take appropriate steps to protect them

Support and encourage the Client to contact the police if a crime has been, or may have been, commifitted When responding to indicators of abuse and neglect, staff must:

Follow the principles of the Making Safeguarding personal Framework:

Ensure that any actions are guided by the wishes and feelings of the Client
Be aware that Clients experiencing abuse or neglect may be influenced, coerced or controlled by someone else

Be aware that duties of care and public interest can override personal preference,

for example, there is a risk that a person alleged to have caused the harm could abuse again – this needs to be addressed and prevented

Staff must also follow the principles of the Mental Capacity Act 2005 if the Client lacks capacity Care Clarity Support & Advocacy Ltd must ensure that staff:

Record what the Client actually said, using their own words and phrases
Describe the circumstance in which the disclosure came about
Note the setting and anyone else who was there at the time
When there are cuts, bruises or other marks on the skin, use a body map to indicate their location, noting the colour of any bruising

Record information that is factual
Use a pen with black ink so that the report can be photocopied
Keep writing clear
Sign and date the report, noting the time and location
Are aware that the report may be needed later as part of a legal action or disciplinary procedure Linda Akli must ensure they preserve any evidence relating to a safeguarding concern, including care records, as these may be required in future for local authority enquiries or police investigations. For further information please refer to the Record Keeping policy and procedure.

The Registered Manager and the Safeguarding Lead, Linda Akli, at Care Clarity Support & Advocacy Ltd should treat any report of abuse or neglect as a safeguarding concern and:

Ask the Client at risk what they would like to happen next
Ensure that they have access to communication support
Explain that they have a responsibility to report concerns to Rutland County Council, and tell the Client who they will report to, why, and when The Registered Manager or Safeguarding Lead, Linda Akli, will lead on decision- making. When considering if a safeguarding concern needs to be completed, the Registered Manager or Safeguarding Lead, Linda Akli, must consider the three duties in Section 42 (1) of the Care Act 2014:

Does the person have needs for care and support (whether or not the authority is meeting any of those needs)?

Are they experiencing, or at risk of, abuse or neglect? and
As a result of those needs, are they unable to protect themself against the abuse or neglect or the risk of it? When using professional judgement to determine whether an incident is reported to the local authority safeguarding adults team/police, the Registered Manager or Safeguarding Lead, Linda Akli, should consider the following:

The consequences to the alleged victim and the equality of the relationship between the person alleged to have caused the harm and the alleged victim

The ability of the alleged victim to consent
The mental capacity of the person alleged to have caused the harm to understand the consequences of their decision to act in the way that is alleged

The intent of the person alleged to have caused the harm
The frequency of this and similar allegations regarding the person alleged to have caused the harm

The alleged victim considers the actions against them to be abusive

The alleged victim or carer is distressed, fearful or feels intimidated by the incident
You believe that there is a deliberate attempt to cause harm or distress
Incidents are repetitive and targeted to either the Client or others

Th ti lt d i h i l i j

The action resulted in a physical injury
A crime has been committed
The incident involves a member of staff
If any other people (including children) are at risk as well as the Client you are concerned about In the decision-making process, they must evidence the following:

Why does this adult(s) need safeguarding – what are the risks?
What actions need to be taken to reduce that risk?
Do they consent to this action?
Are others potentially at risk?

The Registered Manager or Safeguarding Lead, Linda Akli, will document their decision-making process. If the Registered Manager or Safeguarding Lead, Linda Akli, is not sure whether to make a safeguarding referral to Rutland County Council (because they are not sure whether they suspect abuse or neglect), they should discuss this with Rutland County Council. If a Client does not want any safeguarding actions to be taken, but abuse or neglect is suspected, a safeguarding referral must still be made. Care Clarity Support & Advocacy Ltd will ensure that staff are aware of the Rutland County Council reporting procedures and timescales for raising adult safeguarding concerns. If a referral is made but the Client at risk is reluctant to continue with an investigation, this must be recorded and brought to the attention of the Rutland County Council safeguarding adults team. This will enable a discussion on how best to support and protect the Client at risk. When reporting information that directly concerns the safety of an adult at risk of harm, consent from the Client is not required. however, informing the Client of your concerns and your referral is good practice unless it would put you or your colleagues at risk or it would put the adult at further risk. When reporting allegations or concerns about an adult at risk of harm to the Local Authority, the Local Authority must be informed whether or not the Client is aware of the report. The Client lacks capacity if their mind is impaired or disturbed in some way, and this means the Client is unable to make a decision at that time.

Where a mental capacity assessment identifies that the Client lacks the mental capacity to give valid consent, consent will be sought from the Client’s legally authorised representative (such a person having Lasting power of Attorney)

The assessor will consider whether the lack of capacity is temporary or permanent and

consider if there are occasions when capacity fluctuates Care Clarity Support & Advocacy Ltd must ensure that the Rutland County Council safeguarding are able, in decisions with regard to safeguarding referrals adult referral process is followed and must collect the following information to assist with the It may be that Care Clarity Support & Advocacy Ltd works in partnership with other professionals such as a social worker, GP or psychologist to arrange a formal assessment for complex hours, where staff can access the information. decision making. Where the Integrated Care Board is the commissioner they must also be informed. Care Clarity Support & Advocacy Ltd ensures that staff receive training and understand the 5 The referral information will also be required for some of the CQC notification of abuse

Principles of the Mental Capacity Act to implement in their service: documentation. Care Clarity Support & Advocacy Ltd must use any up-to-date Care Plan information where possible and have the following information available where possible:

Clients are supported to make their own decisions
Contact details for the adult at risk, the person who raised the concern and for any other relevant individual, and next of kin

Clients can make unwise decisions
Best interest decisions
Basic facts, focusing on whether or not the Client has care and support needs including communication and ongoing health needs

Least restrictive option
Factual details of what the concern is about; what, when, who, where?

More detailed information can be found in the Mental Capacity Act (MCA) 2005 Policy and Procedure, which staff adhere to.

Immediate risks and action taken to address risk
Preferred method of communication

In reporting all suspected or confirmed cases of harm, an employee has a responsibility to act in the best interest of the Client but still operate within the relevant legislation and the

If reported as a crime, details of which police station/ocer; crime reference number parameters of the codes and standards of their practice.

Whether the adult at risk has any cognitive impairment which may impede their ability to protect themselves

Any information on the person alleged to have caused harm
Wishes and views of the adult at risk, in particular consent
Advocacy involvement (includes family/friends)
Information from other relevant organisations, for example, the CQC
Any recent history (if known) about previous concerns of a similar nature or concerns raised about the same person, or someone within the same household

Names of any staff involved

Rutland County Council may well be reassured by the response of Care Clarity Support & Advocacy Ltd so that no further action is required. however, Rutland County Council would have to satisfy itself that the response of Care Clarity Support & Advocacy Ltd has been su cient to deal with the safeguarding issue and, if not, to undertake any enquiry of its own. This will identify if action needs to be taken and who needs to take that action.

Could be an informal conversation with the Client at risk
Could be a more formal multi-agency discussion
Does not have to follow a formal safeguarding process

The objectives of an enquiry are to

Establish facts
Ascertain the Client’s views and wishes
Assess the needs of the Client for protection, support and redress and how they might be met

Protect from the abuse and neglect, in accordance with the wishes of the Client
Make decisions as to what follow-up action should be taken with regard to the person or organisation responsible for the abuse or neglect

Enable the Client to achieve resolution and recovery

If Rutland County Council decides that Care Clarity Support & Advocacy Ltd should make the enquiry, then Rutland County Council should be clear about timescales, the need to know the outcomes of the enquiry and what action will follow if this is not done. What happens as a result of an enquiry should reflect the Client’s wishes wherever possible, as stated by them or by their representative or advocate. If they lack capacity, it should be in their best interests if they are not able to make the decision, and be proportionate to the level of concern. The Client should always be involved from the beginning of the enquiry. Staff will follow the Mental Capacity Act Policy and Procedure with regards to consent.

Following the investigation or at any time during the process, a case conference with all relevant agencies may be called to make decisions about future action to address the needs of the Client

Any agency involved in the case may ask for a case conference to be held but the final decision to hold a conference is with the Rutland County Council Safeguarding Adults

Team Manager

Care Clarity Support & Advocacy Ltd must ensure that it attends this meeting when invitedand that all relevant information about the incident is available. A timeline of events is a f l d t t i l useful document to prepare in complex cases

Boards with the purpose of promoting learning and improving safeguarding practice

A safeguarding adults review must be arranged by a Safeguarding Adults Board if:
There is reasonable cause for concern that partner agencies could have worked more effectively to protect an adult and

Serious abuse or neglect is known or suspected and
Certain conditions are met, in line with section 44 of the Care Act 2014 and related statutory guidance

The process must be explained to the Client in a way they will understand and their consent to proceed with the enquiry obtained, if possible

Arrangements will be made to have a relative, friend or independent advocate present if the Client so desires. The relative, friend or independent advocate must not be a person suspected of being in any way involved or implicated in the abuse

A review of the Client’s Care Plan and risk assessments must be undertaken to ensure individualised support following the incident The Client will be supported by Care Clarity Support & Advocacy Ltd to take part in thesafeguarding process to the extent to which they wish, or are able to, having regard for their decisions and opinions. They must be kept informed of progress The desired outcome by the Client at risk must be claried and confirmed:

To ensure that the outcome is achievable
To manage any expectations that the Client may have
To give focus to the enquiry

Linda Akli will support Clients at risk to think in terms of realistic outcomes butmust not restrict or unduly influence the outcome that the Client would like. Outcomes must make a difference to risk and, at the same time, satisfy the Client’s desire for justice and enhance their wellbeing

The Client’s views, wishes and desired outcomes may change throughout the course of the enquiry process

There must be an ongoing dialogue and conversation with the Client to ensure that their views and wishes are gained as the process continues and enquiries re-planned if the

Client changes their views

The Client will be informed of the outcome of any investigation, but guidance will be sought from the Rutland County Council Safeguarding Adults Team before any outcome i h d

is shared Once an initial enquiry has been undertaken, discussions should be had with the Client as to whether a further enquiry is needed and what further action could be taken. That action could include disciplinary, complaints or criminal investigations or work by contracts managers and CQC to improve care standards. Rutland County Council must determine what further action is necessary. One outcome may be the formulation of agreed action or a safeguarding plan for the Client which should be recorded in their Care Plan. This will be the responsibility of the relevant agencies to implement. This will entail joint discussion, decision taking and planning with the Client for their future safety and wellbeing. In relation to the Client, this could set out:

What steps are to be taken to assure their safety in future
The provision of any support, treatment or therapy including ongoing advocacy
The need for fuller assessments by health and social care agencies
Any modifications needed in the way services are provided (for example, same gender care or placement; appointment of an flopG deputy)

how best to support the Client through any action they take to seek justice or redress
Any ongoing risk management strategy as appropriate
Any action to be taken in relation to the person or organisation that has caused the concern

If Rutland County Council decides not to investigate, staff must ensure the continual safety of Clients.

Staff should

Evaluate existing risk assessments and Care Plans. Ensure that there is clear,

documented evidence that this has occurred

If the existing risk assessments and Care Plans do not cover the current risk(s), staff must implement new ones to ensure measures have been put in place to reduce future risk

Staff can consider other referral options (this list is not exhaustive):
Human resources (capability/disciplinary routes)
Health and safety
Complaints
Rutland County Council care management, request review of current Care Plan,

request for a case conference

NHS continuing care team, request a review
Request for a best interest meeting

By law, Care Clarity Support & Advocacy Ltd must notify the Care Quality Commissionwithout delay of incidents of abuse and allegations of abuse, as well as any incident which is reported to, or investigated by, the police Care Clarity Support & Advocacy Ltd must notify CQC about abuse or alleged abuseinvolving a person(s) using the service, whether the person(s) is/are the victim(s), the abuser(s), or both Care Clarity Support & Advocacy Ltd must also alert the relevant local safeguardingauthority when notification is made to CQC about abuse or alleged abuse

The forms are available on CQC’s website

If a concern is received via the whistleblowing procedure, Care ClarityLtd must inform the Rutland County Council Safeguarding Team and CQC

Care Clarity Support & Advocacy Ltd will recognise that dealing with situations involving abuse and neglect can be stressful and distressing for staff and workplace support should be available. During safeguarding enquiries, Linda Akli should:

Be aware of how safeguarding allegations can affect the way other staff and Clients view the Client subject to a safeguarding enquiry

If staff are concerned about working with the Client who has made allegations, Louise

Hewitt-will should provide support, additional training and supervision to address these concerns and ensure that the Client is not victimised by staff

acknowledge that enquiries are stressful and that morale may be low
Think of ways to support staff (such as one-to-one supervision and team meetings)
Provide extra support to cover absences as part of the enquiry, and to help staff continue providing consistent and high-quality care

Direct staff to sources of external support or advice if needed

Regular face-to-face supervision and reflective practice from skilled line managers is essential to support staff, and to enable staff to work confidently and competently with difficult and sensitive situations. Linda Akli has a central role in ensuring high standards of practice at Care Clarity Support & Advocacy Ltd and that staff are properly equipped and supported. In seeking to share information for the purposes of protecting adults at risk, Care Clarity Support & Advocacy Ltd is commifitted to the following principles

personal information will be shared in a manner that is compliant with the statutory responsibilities of Care Clarity Support & Advocacy Ltd

Adults at risk will be fully informed about information that is recorded about them and,

as a general rule, be asked for their permission before information about them is shared with colleagues or another agency. however, there may be justifications to override this principle if the adult or others are at risk

Staff will receive appropriate training on Client confidentiality and secure data sharing

Care Clarity Support & Advocacy Ltd must never be allowed to con

The principles of confidentiality designed to protect the management interests of the ict with those designed to promote the interests of the adult at risk Staff will follow policies at Care Clarity Support & Advocacy Ltd on UK GDPR, dataprotection, confidentiality and comply with the Caldicott principles

Care Clarity Support & Advocacy Ltd does not only have a duty to the Client, but also a responsibility to take action in relation to the employee when allegations of abuse are made against them. Care Clarity Support & Advocacy Ltd should ensure that their disciplinary procedures are compatible with the responsibility to protect adults at risk of abuse or neglect. When a member of staff is subject to a safeguarding enquiry, Linda Akli should:

tell them about any available Employee Assistance Programme
tell them about professional counselling and occupational health services (if available)
Make them aware of their rights under employment legislation and any internal disciplinary procedures

Nominate someone to keep in touch with them throughout the enquiry (if they are suspended from work)

They should be able to request that the nominated person be replaced, if they think there is a conict of interest

The nominated person should not be directly involved with the enquiry
If the police are involved, tell them who the nominated person is

For members of staff who return to work after being suspended, Linda Akli should:

Arrange a return-to-work meeting when the enquiry is nished, to give them a chance to discuss and resolve any problems

Agree a programme of guidance and support with them

Where appropriate, Linda Akli should report staff to the statutory and other bodies responsible for professional regulation such as the Nursing and Midwifery Council. If Linda Akli is subject to a safeguarding enquiry, Care Clarity Support & Advocacy Ltd. should put an acting manager in their place if required. There is a statutory requirement for providers of Care to refer workers to the DBS for inclusion on the DBS Vetting and Barring scheme list if they consider that the person is guilty of misconduct such that an adult at risk was harmed or placed at risk of harm. The legal duty to refer to the Disclosure and Barring Service also applies where a staff member leaves their role to avoid a disciplinary hearing following a safeguarding incident and Care Clarity Support & Advocacy Ltd feels they would have dismissed the person based on the information they hold. Please see the DBS/Disclosure Policy and Procedure for further procedures regarding initial employment and referral.

Care Clarity Support & Advocacy Ltd recognises that they may also have responsibilities towards the person causing the harm, and certainly will have if they are both in a care setting or have contact because they attend the same place (for example, a day centre). The person causing the harm may themselves be eligible to receive an assessment. In this situation, it is important that the needs of the Client at risk who is the alleged victim are addressed separately from the needs of the person causing the harm. It will be necessary to reassess the adult allegedly causing the harm. Under the Mental Capacity Act 2005, people who lack capacity and are alleged to be responsible for abuse, are entitled to the help of an Independent Mental Capacity Advocate to support and represent them in the enquiries that are taking place. This is separate from the decision whether or not to provide the victim of abuse with an independent advocate under the Care Act. A relationship of trust is one in which one person is in a position of power or influence over the other person because of their work or the nature of their activity. Any allegation against a person who works with adults with care and support needs must be reported immediately to Linda Akli. When an allegation is made against a PiPoT, Care Clarity Support & Advocacy Ltd will refer this to Rutland County Council as part of the safeguarding process. For sensitive information, it may be necessary to contact the Adult Local Authority Designated Officer directly and Care Clarity Support & Advocacy Ltd will ensure this information is readily available as well as the Rutland County Council policy itself which outlines the local protocol in this instance. Where the person alleged to have caused the harm or neglect is a volunteer or a member of a community group, Care Clarity Support & Advocacy Ltd must work with adult social services to support any action under this policy. Where the person alleged to have caused the harm is a neighbour, a member of the public, a stranger or a person who deliberately targets vulnerable people, the Client at risk should receive the services and support that they may need. In all cases, issues of consent, confidentiality and information sharing must be considered.

Care Clarity Support & Advocacy Ltd takes safeguarding concerns about the Registered Manager or Linda Akli seriously. As a result, the following process applies:
Alternatively the following can be contacted

Rutland County Council

Contact: Adult Duty. Rutland County Council. Catmose Road. Oakham. Rutland.

LE15 6HP.

Telephone: 01572 722577

– Address: Citygate, Gallowgate, Newcastle upon Tyne NE1 4PA

– Email: [email protected]

Telephone: 03000 616161
Report online: https://www.cqc.org.uk/give-feedback-on-care

– If the safeguarding concerns involve criminal activity, such as physical or sexual

abuse or if someone is in immediate danger, the matter should be reported to the police. They can investigate and take immediate action if needed In cases where the Registered Manager or Linda Akli are suspended due to a pending investigation, the Discipline Policy and Procedure will be followed. In these instances, The Care Clarity Support & Advocacy Ltd. or another representative instructed by Care Clarity Support & Advocacy Ltd will be responsible for this process. There is a clear difference between unintentional harm caused inadvertently by a relative or friend and a deliberate act of either harm or omission, in which case the same principles and responsibilities for reporting to the police apply. In cases where unintentional harm has occurred, this may be due to lack of knowledge or due to the fact that the relative’s own physical or mental needs make them unable to care adequately for the adult at risk. The relative may also be an adult at risk. In this situation, the aim is to protect the adult from harm, work to support the relative to provide support and to help make changes in their behaviour in order to decrease the risk of further harm to the person they are caring for. A carer’s assessment will take into account a number of factors and a referral to Rutland County Council will be made as part of the safeguarding process.

Care Clarity Support & Advocacy Ltd must follow local safeguarding reporting requirements and the Department of Health and Social Care (DHSC) guidance ‘Pressure Ulcers: how to Safeguard Adults’ (a link can be found in the Underpinning knowledge section of this policy) with regards to pressure ulcers. The aim of the DHSC guidance is to provide a national framework, identifying pressure ulcers as primarily an issue for clinical investigation rather than a safeguarding enquiry led by the local authority. Indicators to help decide when a pressure ulcer case may additionlly need a safeguarding enquiry are included. ‘It is the responsibility of the designated safeguarding lead in each setting to appropriately triage any safeguarding concerns and ensure that referrals to the local authority for consideration of a section 42 (2) enquiry are appropriate.’ (GOV.UK 2025) The DHSC guidance contains the following appendices that are used in the decision making:

Appendix 1: Adult safeguarding decision guide
Appendix 2: Body map
Appendix 3: Adult safeguarding concern proforma regarding pressure ulceration
A history of the development of the skin damage should first be obtained by a clinician,

usually a nurse

Where there is concern from the clinician assessing the pressure ulcer that there has been abuse or neglect that can be directly associated with the pressure ulcer, there is a need to raise it as a safeguarding concern within Care Clarity Support & Advocacy Ltd

In some cases it may warrant raising a safeguarding concern with Rutland County

Council

If the Client’s care has recently been transferred, this may require contact being made with former care providers for information to seek clarification about the cause and timing of the skin damage. This is the responsibility of Care Clarity Support & Advocacy Ltd and a concern should not be raised with Rutland County Council until this has been done If a concern is raised that the Client has severe damage, Linda Akli should:

Complete the adult safeguarding decision guide

Raise an incident immediately as per the policy of Care Clarity

Ltd

(Severe damage in the case of pressure ulcers may be indicated in some cases by multiple category 2 or single category 3 or 4 ulcers, but could also be indicated by the impact the pressure damage has on the Client affected (for example, pain)

The decision guide should be completed by a qualified member of staff who is a

The decision guide should be completed by a qualified member of staff who is a practising registered nurse (RN) with experience in wound management and not directly involved in the provision of care to the Client at the time the pressure ulcer developed

The adult safeguarding decision guide should be completed immediately or within 48 hours of identifying the pressure ulcer of concern. In exceptional circumstances this timescale may be extended but the reasons for extension should be recorded

The outcome of the assessment should be documented on the adult safeguarding decision guide. If further advice or support is needed with regards to making the decision to raise a concern to Rutland County Council, the Registered Manager or the Safeguarding Lead, Linda Akli, should be involved Where the Client has been transferred into the care of Care Clarity Support & Advocacy Ltdit may not be possible to complete the decision guide. Contact should be made with the transferring organisation to ascertain if the decision guide has been completed or any other action taken

Following this, a decision should be made whether to raise a safeguarding adults concern with Rutland County Council, in line with agreed local arrangements

The decision as to whether there should be a Section 42 enquiry will be taken by the local authority, informed by a clinical view. A summary of the decision should be recorded and shared with all agencies involved

Where an internal investigation is required, this should be completed by the organisation that is, or was, taking care of the Client when the pressure ulcer developed, in line with the local policies

The local authority needs to decide or agree after completion of the internal investigation if a full multi-agency meeting (virtual or face to face) needs to be convened to agree findings, decide on safeguarding outcomes and any actions

The safeguarding decision guide assessment considers 6 important questions that together indicate a safeguarding decision guide score. This score should be used to help inform decision making regarding escalation of safeguarding concerns related to the pressure ulceration. It is not a tool to risk assess for the development of pressure damage

The threshold for raising a concern is 15 or above in most instances. however, this should not replace professional judgement

Photographic evidence to support the report should be provided wherever possible.

Consent for this should be sought as per local policy but great sensitivity and care must be taken to protect the identity of the individual

A body map should be used to record skin damage and can be used as evidence, if necessary, at a later date. If 2 workers observed the skin damage, they should both sign the body map where possible

Documentation of the pressure ulcer should include as a minimum:
Site

Size (including its maximum length, width and depth in centimetres)
Tissue type

Where the decision guide score is 15 or higher, or where professional judgement determines safeguarding concerns, copies of the completed decision guide and safeguarding concern proforma should then be sent to the adult safeguarding team within Rutland County Council. copies of both should also be retained in the Client’s

Care Plan

Where there is no indication that a safeguarding concern needs to be raised, the completed decision guide should be retained in the Client’s Care Plan Care Clarity Support & Advocacy Ltd must follow local safeguarding reporting procedures for medication errors and ensure that notifications are made to the CQC in line with statutory requirements. Care Clarity Support & Advocacy Ltd will have an open and transparent approach to medication incidents, ensure that staff follow the Medication Errors and Near Misses Policy and Procedure at Care Clarity Support & Advocacy Ltd and understand their duty of candour responsibilities. Individuals may be susceptible to exploitation into violent extremism by radicalisers. Staff will be expected to follow the Protecting Adults at Risk from Radicalisation Policy and Procedure in place at Care Clarity Support & Advocacy Ltd. Care Clarity Support & Advocacy Ltd must ensure that staff understand the importance of delivering care as detailed in the Care Plan. Where the Client refuses Care, this must always be documented. Where refusal occurs repeatedly, it must be escalated by Care Clarity Support & Advocacy Ltd as a safeguarding concern and a request for a review of the Client’s Care will be instigated.

The Restrictive Practices Including Restraint and Physical Interventions Policy and Procedure must always be followed to prevent the unauthorised and potentially abusive use of restraint, physical interventions or restrictive practices at Care Clarity Support & Advocacy Ltd. At all times if restraint/physical intervention is used it:

Must be only used when absolutely necessary, be proportionate in relation to the risk of harm and the seriousness of that harm to the person using the service or another person

Takes account of the assessment of the person’s needs and their capacity to consent to such treatment

Follows current legislation and guidance

Care Clarity Support & Advocacy Ltd will regularly monitor and review the approach to, and use of, restraint and restrictive practices. If any aspect of the restraint policy is not followed it is recognised that there may be abuse and in those situations this safeguarding policy will be used to assess, manage and define any actions taken. We recognise that culture, environment and processes support the Client’s sexuality and keep them and staff safe from sexual harm. As such, Care Clarity Support & Advocacy Ltd will ensure that sexuality is discussed as part of the Care Plan process and is addressed positively to support people to raise concerns where necessary. The CQC publication on sexuality and sexual safety can be referred to for further guidance in this area. Everyone is entitled to the protection of the law and access to justice. Behaviour which amounts to abuse and neglect, for example physical or sexual assault or rape, psychological abuse or hate crime, wilful neglect, unlawful imprisonment, theft and fraud and certain forms of discrimination also often constitute specific criminal offences under various pieces of legislation. Rutland County Council has the lead role in making enquiries. however, where criminal activity is suspected, the early involvement of the police should take place.

Achieving a balance between the right of the Client to control their Care package and ensuring that adequate protections are in place to safeguard wellbeing is a very challenging task. The assessment of the risk of abuse, neglect and exploitation of Clients will be integral in all assessment and planning processes. Assessment of risk is dynamic and ongoing, especially during the adult safeguarding process, and must be reviewed throughout so that adjustments can be made in response to changes in the levels and nature of risk. Care Clarity Support & Advocacy Ltd has a robust training programme relating to safeguarding, ensuring that staff understand the different types of abuse and how to recognise and respond to incidents, allegations or concerns of abuse or harm. Care Clarity Support & Advocacy Ltd will benchmark its training and competencies within the service with the framework outlined in the Royal college of Nursing intercollegiate Guidance, ‘Adult Safeguarding: Roles and Competencies for Health Care Staff'(2024), which it recognises applies to social care staff also, and does not replace any local or contractual requirements but acts as a minimum benchmark. Care Clarity Support & Advocacy Ltd will also refer to the ‘NHS Prevent Training and Competencies Framework’ for more specific training requirements in relation to the Prevent strategy. Staff, including volunteers at Care Clarity Support & Advocacy Ltd, are trained in recognising the symptoms of abuse or neglect, how to respond and where to go for advice and assistance. Training takes place at all levels in Care Clarity Support & Advocacy Ltd and is updated regularly to reflect current best practice. To ensure that practice is consistent, no staff group is excluded, including the Registered Manager and the Safeguarding Lead, Linda Akli at Care Clarity Support & Advocacy Ltd.

Linda Akli is su ciently qualified to hold such a role and has at least a Level 3 Safeguarding qualification which is refreshed at least every 2 years as a minimum. Linda Akli will cascade safeguarding information about adults at risk to appropriate staff members. Linda Akli will undertake and provide internal training and attend local safeguarding partnership updates, education and development sessions including regular group-based supervision. Training needs to make a difference to the understanding, confidence and competence of staff. Assess what changes it has prompted through regular supervision sessions as well as annually during appraisals. Arrange refresher training if the annual check indicates this is needed.

Where a person lacks mental capacity to consent to the arrangements for their care or treatment, including depriving them of their liberty, Care Clarity Support & Advocacy Ltd will follow a best interest process in accordance with the Mental Capacity Act 2005, including the use of the Mental Capacity Act 2005 Deprivation Of Liberty in Community Settings. The Deprivation Of Liberty in Community Settings Policy and Procedure for Care Clarity Support & Advocacy Ltd will always be followed to ensure that where a person’s liberty is controlled, this is only done when they are assessed as not having capacity, when it is in their best interests and an appropriate application has been made to the Local Authority. It is recognised that if the Client has their liberty denied, and they have capacity, this is abuse and this safeguarding policy will be used to define the actions to be taken. It is essential that the implementation of this policy and associated procedures is audited to ensure that Care Clarity Support & Advocacy Ltd is doing all it can to safeguard those receiving its services. The audit of this policy will be completed through a systematic audit of:

Recruitment procedures and disclosure and barring checks
Incident reporting, frequency and severity
Training processes, including reviews of uptake of training and evaluations

Safeguarding concerns and incidents will be reviewed by the senior management team as part of a root cause analysis with the following terms of reference:

Reports from the lead responsible for safeguarding within Care Clarity

Ltd

Look in detail at specific cases to determine learning or organisational learning
Ensure implementation of the Safeguarding Adults Policy and Procedure

Care Clarity Support & Advocacy Ltd should maintain and regularly audit care records (in addition to external checks, such as audits or Care Quality Commission inspections) and ensure that they are complete and available in case they are needed if a safeguarding concern is raised. Care Clarity Support & Advocacy Ltd will also ensure that as part of lessons learnt duty of candour is always followed.

Care Clarity Support & Advocacy Ltd acknowledges that the sharing of information may be required when dealing with Safeguarding concerns. Information will be made accessible to health professionals, advocates, families, legal representatives acting on behalf of Clients, and those close to them. The process for sharing information will follow the steps set out within the Data Protection and UK GDPR Policies and Procedures at Care Clarity Support & Advocacy Ltd.

According to the Care Act 2014: an older person, a person with a physical disability, a learning difficulty or a sensory impairment, someone with mental health needs, including dementia or a personality disorder, a person with a long-term health condition, someone who misuses substances or alcohol to the extent that it affects their ability to manage day-to-day living

Investigation is a process that focuses on gathering ‘good evidence’ that can be used as a basis for the decision as to whether or not abuse has occurred

It must be a rigorous process and the evidence must be capable of withstaffing close scrutiny as it may later be required for formal proceedings

Referral is when information regarding a possible safeguarding incident is passed on to another person for their direction. In the case of this policy, from the Provider to the

Adult Social Care Team

Sometimes this may be referred to as ‘reporting’
More than one agency coming together to work for a common purpose
This could include partners of the local authority such as: Integrated Care Boards (ICBs),

NHS trusts and NHS foundation trusts, Department for Work and Pensions, the police, prisons, probation services, and/or other agencies such as general practitioners, dentists, pharmacists, NHS hospitals, housing, health and care providers

The Caldicott Principles were developed in 1997 following a review of how patient information is protected and only used when it is appropriate to do so

Since then, when deciding whether they needed to use information that would identify an

individual, an organisation must use the Principles as a test

The Principles were extended to adult social care records in 2000
The Principles were revised in 2013
Adults at risk means adults who need community care services because of mental or other disability, age or illness, and who are, or may be, unable to take care of themselves against significant harm or exploitation

The term replaces ‘vulnerable adult’
Making Safeguarding personal is about person-centred and outcome-focused practice
It is how professionals are assured by adults at risk that they have made a difference to people by taking action on what matters to people and is personal and meaningful to them

The terms ‘honour crime’, ‘honour-based violence’, and ‘izzat’ embrace a variety of crimes of violence (mainly but not exclusively against women), including physical abuse, sexual violence, abduction, forced marriage, imprisonment and murder where the person is being punished by their family or their community

They are punished for actually, or allegedly, ‘undermining’ what the family or community believes to be the correct code of behaviour

In transgressing this, the person shows that they have not been properly controlled to conform by their family and this is to the ‘shame’ or ‘dishonour’ of the family

‘Honour crime’ may be considered by the person(s) alleged to have caused the harm as justified to protect or restore the ‘honour’ of a family

The Anti-Social Behaviour, Crime and Policing Act 2014 protects people from being forced to marry without their free and full consent as well as people who have already been forced to do so

We will ensure that staff are reminded of the

: i.e. our employees may only have one chance to speak to a potential victim of forced marriage and, therefore, only one chance to save a life abuse including being held unlawfully captive, assaulted and raped

law enforcement agencies will also be able to pursue person(s) alleged to have caused the harm in other countries where a UK national is involved under powers defined in legislation

An advocate appointed to act on a person’s behalf if they lack capacity to make certain

decisions

Refer to the Mental Capacity Act (MCA) 2005 Policy and Procedure

– Female Genital Mutilation (FGM) is illegal in England and Wales under the FGM Act 2003

(‘the 2003 Act’) Care Clarity Support & Advocacy Ltd has a mandatory duty to report known cases of FGM inunder 18-year-olds to the police via the non-emergency number 101. ‘known’ means that you have either visually identified that FGM has been carried out, or you have had direct verbal disclosure from the person affected

Other ways to report FGM include:
The national FGM helpline on 0800 028 3550
The social care team at your local council
Crimestoppers, confidentially and anonymously
The Care Act 2014 required each local authority to set up a Safeguarding Adults Board
This includes the local authority, the NHS and the police. They should meet regularly to discuss and act upon local safeguarding issues

They develop shared plans for safeguarding, working with local people to decide how best to protect adults in vulnerable situations

The act of reporting a concern about safety, malpractice or wrongdoing within an organisation to formal authorities

Deprivation of Liberty Safeguards (DoLS) are the legal protections under the Mental

Capacity Act 2005 that apply where a person lacks capacity to consent to their care or treatment arrangements and those arrangements amount to a deprivation of their liberty, as defined by the Supreme Court “acid test”

In residential and nursing homes, deprivation of liberty is authorised under the DoLS framework by the relevant Supervisory Body

In community settings, including domiciliary care and supported living, any deprivation of liberty must be authorised by the Court of Protection

Any restrictions must be necessary, proportionate, and the least restrictive option, and individuals and their representatives must be supported to understand and exercise their rights

The Client to whom the incident has happened will be consulted and supported to be involved in the safeguarding process and provided with information they understand throughout Care Clarity Support & Advocacy Ltd is commifitted to supporting and protecting thewellbeing of Clients by preventing harm and reporting and dealing with incidents of abuse through a proper process

If the alleged victim requires immediate removal from harm or medical attention, this will be done immediately Care Clarity Support & Advocacy Ltd will be led by the Local Authority Adult SafeguardingTeam as to ‘next steps’ such as enquiries

If it is suspected that a crime has taken place, the reporter of the incident must call the police immediately The Registered Manager or Linda Akli will refer safeguarding concerns to the

Local Authority Safeguarding Adults Team

Staff of Care Clarity Support & Advocacy Ltd will report safeguarding concerns to the
Registered Manager or Linda Akli concerns to the local Safeguarding Adults Team Care Clarity Support & Advocacy Ltd will have reviewed your Care Plan and worked with youto support you through the enquiry process and moving on in the future

When the facts are brought together and a way forward has been decided with your input if possible, you will be talked through the findings Care Clarity Support & Advocacy Ltd has a duty to safeguard the people using its service

If it seems a crime has taken place, the police will be called immediately

Other agencies may be involved in getting to the facts of the incident
If you need extra support such as an advocate, one will be provided for you
If something happens that may be a safeguarding incident which involves you, the Care Clarity Support & Advocacy Ltd will make sure that you understand your choices and the

next steps, and that you are included as much as you want and can be Care Clarity Support & Advocacy Ltd will provide information and Care Plans to help youunderstand safeguarding and what to look out for As well as the information in the ‘Underpinning knowledge’ section of the review sheet, we recommend that you add to your understanding in this policy area by considering the following materials. https://www.scie.org.uk/training/safeguarding/adults-managers/ https://assets.publishing.service.gov.uk/media/5a8086f2ed915d74e33faefc/ FGM_Mandatory_Reporting_-_procedural_information_nov16_Final.pdf https://www.gov.uk/ adults-county-lines https://www.cqc.org.uk/sites/default/files/20200225_sexual_safety_sexuality.pdf https://www.elearning.prevent.homeoffice.gov.uk/edu/screen1.html https://www.safeguardingworcestershire.org.uk/ Trust-Protocol-Final-Version-v2.1.pdf https://hillingdonsab.org.uk/ Process-2024-2026-1.pdfhttps://wearehourglass.org/

https://www.nhs.uk/conditions/ social-care-and-support-guide/help-from-social-services-and-charities/helplines-and- forums/
https://www.nhs.uk/ care-and-support-guide/help-from-social-services-and-charities/someone-to-speak-up- for-you-advocate/
https://www.mind.org.uk/ information-support/guides-to-support-and-services/abuse/
https://www.citizensadvice.org.uk/ violence/domestic-violence-and-abuse/ https://cks.nice.org.uk/topics/safeguarding-adults-in-care-homes/ To be “outstanding” in this policy area you could provide evidence that:
- The wide understanding of the policy is enabled by proactive use of the policy documents
- Clients report that if they are involved in a safeguarding incident, then they are supported to be involved as much as they would like
- Staff report that the service is fully aware of its responsibilities with regard to safeguarding, that they are encouraged to report incidents and are fully supported through the process
- The same issues do not reoccur and robust measures and systems have been put in place to address the original safeguarding concern
- Records are kept in regard to safeguarding and are extremely clear, transparent and well-
ordered with all incidents reviewed and learning disseminated. Training materials are updated to reflect any learning
- Care or support planning includes tailored information to support Clients to make safe choices to promote independence and wellbeing. people report that they feel safe and well supported
The following forms are included as part of this policy
Safeguarding Incident Log Whena safeguarding concern or incident arises.

County Lines and Cuckooing – CR74 To raise awareness of different types of abuse.

Safeguarding Adults Statement – CR74

For display in the office.

Safeguarding Adults flowchart

As a flowchart personalised with local contact information.

Use additional sheets if necessary

One copy of this form to be held in the Client’s personal le, one copy in the Safeguarding Incident le.

Use additional sheets if necessary

Cuckooing and County Lines Fact Sheet

What are County Lines? County lines is a term used to describe gangs and organised criminal networks involved in exporting illegal drugs into one or more importing areas within the UK, using dedicated mobile phone lines or other form of ‘deal line’. They are likely to exploit children and vulnerable adults to move and store the drugs and money and they will often use coercion, intimidation, violence (including sexual violence) and weapons. County lines activity and the associated violence, drug dealing and exploitation has a devastating impact on young people, vulnerable adults and local communities. Gangs typically use children and adults at risk of harm to transport and/or deal drugs to customers. These victims are recruited using intimidation, deception, violence, debt bondage or grooming. During this process, the ‘victims’ are likely to commit criminal offences. Who does it affect? The term ‘vulnerable adults’ is used here in the context of ‘vulnerable to harm or abuse’. They do not need to be receiving social care or support to be vulnerable. Some vulnerabilities are outlined in this fact sheet.

County lines exploitation

Can affect any child or young person (male or female) under the age of 18 years
Can affect any vulnerable adult over the age of 18 years
Can still be exploitation even if the activity appears consensual

Can involve force and/or enticement-based methods of compliance and is often accompanied by violence or threats of violence

Can be perpetrated by individuals or groups, males or females, and young people or adults and

Is typified by some form of power imbalance in favour of those perpetrating the exploitation. Whilst age may be the most obvious, this power imbalance can also be due to a range of other factors including gender, cognitive ability, physical strength, status, and access to economic or other resources. One of the key factors found in most cases of county lines exploitation is the presence of some form of exchange (e.g. carrying drugs in return for something). Where it is the victim who is offered, promised or given something they need or want, the exchange can include both tangible (such as money, drugs or clothes) and intangible rewards (such as status, protection or perceived friendship or affection). Some of the factors that heighten a person’s vulnerability include:

Having prior experience of neglect, physical and/or sexual abuse
Lack of a safe/stable home environment, now or in the past (domestic violence or parental substance misuse, mental health issues or criminality, for example)

Social isolation or social difficulties
Economic vulnerability
Homelessness or insecure accommodation status
Connections with other people involved in gangs
Having a physical or learning disability
Having mental health or substance misuse issues
Being in care (particularly those in residential care and those with interrupted care

histories)

Being excluded from mainstream education, in particular attending a Pupil Referral

Unit

What happens?

Once in debt to a dealer, they will be encouraged to sell drugs to pay the debt off
The gang will ensure the debt is never fully paid off and the victim can quickly become trapped in a cycle where their only option is to commit further crime

The more crime they commit, the less likely they are to tell someone what is happening or seek help

They will be dispatched to travel to other parts of the country where they are not known to police or social services and can essentially fly under the radar

During this time away from home they are highly at risk of coming to further harm at the hands of people they are dealing to or rival local drug dealers

Older people may become exploited to also traffic drugs, weapons and cash but additionlly their homes might get taken over by gangs needing somewhere to hide drugs or deal from

Adults with mental or physical disabilities, adults with addictions or adults who are particularly elderly may experience ‘cuckooing’ where a gang takes over their home

Other victims include the relatives of the exploited person who ‘lose’ their loved one to a criminal gang, and the communities where the drug dealing and associated violence is exported to What are the signs in adults? In adults, signs of ‘cuckooing’ can include:

A loved one or neighbour not being seen for some time
unknown visitors and vehicles to their house at unusual times

Exchanges of cash or packages outside their home
open drug use in the street; damage and deterioration to the appearance of their home

A change in their own personality or behaviour and appearing nervous, worried or intimidated What should you do? If you are worried that a person is at immediate risk of harm, you should also contact the police, your local safeguarding team or, in the case of a child, your local safeguarding partner (the group of Local Authority, ICB and police. Refer to ‘Working Together to Safeguard Children 2018’ for more information.)

References

Serious Violence Strategy April 2018: Safeguarding is described as ‘protecting an adult’s right to live in safety, free from abuse and neglect’. Adult safeguarding is about preventing and responding to concerns of abuse, harm or neglect of adults. Individuals who are vulnerable may be unable to take care of themselves or protect themselves against significant harm or exploitation. This means that they may be at risk of abuse or neglect due to the actions (or lack of action) of another person. In these cases, it is vital that Care Clarity Support & Advocacy Ltd works together to identify people at risk and put steps in place to help prevent abuse or neglect. Safeguarding adults is a priority for Care Clarity Support & Advocacy Ltd. The activities carried out by Care Clarity Support & Advocacy Ltd mean that there are a range of staff and people working on our behalf who may come into contact with people who are at risk of harm.

What action must you take if you have concerns? Care Clarity Support & Advocacy Ltd follows Rutland County Council safeguarding procedures and its own policy and procedure details the responsibilities and action required by all staff. If you have any concerns that someone is at risk of harm or abuse, is being harmed or abused, you must take action.

Ensure your own safety – leave the situation if you are at risk of harm
Where there is clear evidence of harm or an imminent danger, call the emergency services immediately

Treat all allegations of abuse seriously
Report concerns to your line manager as soon as possible

Who do you report your concerns to? At Care Clarity Support & Advocacy Ltd the person responsible for safeguarding is:

Linda Akli

0333 335 5869 [email protected]

They can be contacted on or
Escalating Concerns

We report our concerns to Rutland County Council

Adult Duty. Rutland County Council. Catmose Road. Oakham. Rutland. LE15 6HP. 01572 722577

Raising a Concern to the CQC

You can also contact the CQC if you feel that you cannot use the Raising Concerns, Freedom to Speak Up and Whistleblowing Policy and Procedure at Care Clarity

Care Clarity Support & Advocacy Ltd. The CQC can be contacted by using the following methods: Phone: 03000 616161 Email: [email protected] Post: CQC national Correspondence, Citygate, Gallowgate, Newcastle upon Tyne. NE1 4PA This statement and our full Safeguarding Adults Policy and Procedure is available online and in other languages by accessing www..co.uk

No one should have to live with abuse
By reporting abuse, you can help bring it to an end
You may feel completely alone but you are not
There are people who can help and it is important to get in touch with them
Abuse can be very confusing especially if you look up to the person hurting you or if they are a friend or a member of your family

You might not want to talk to someone you know and might prefer to speak to or email someone at one of the services in this factsheet

These services have people who are trained to help and support you and they will not be shocked or surprised at what you say. They will listen to you and help you decide what to do

Linda Akli

In an Emergency: 999 0333 335 5869 In a non-emergency: 101 [email protected]

Website

Phone: 03000 61 61 61 confidential 24-Hour Helpline Web: https://www.cqc.org.uk/ Phone: 0800 4 70 80 90 Web: https://www.thesilverline.org.uk/ Adult Duty. Rutland County Council. Catmose Road. Oakham. Rutland. LE15 6HP. 01572 722577

Adult abuse can happen to anyone
Adult abuse is when someone hurts or scares you on purpose

They might say, ‘Don’t tell anyone’
You need to know what to do if it happens to you or to someone you know

At home
A partner or relative
A friend or neighbour
In a community setting or residential service

In hospital
Sometimes a person pretends to be your friend so they can abuse you. This is called ‘Mate Crime’

In a day service, work, school
A paid or volunteer carer
On the internet or phone
Other Clients
Public place/in the community
Someone in a position of trust
A stranger
Being hit, slapped, kicked, or hurt in another way

Being pushed
This is when you do not get the help you need. It might include not getting help with your medication, or your care needs, or not giving you enough food

Being restrained

This is when someone touches your
This is when someone treats you

private parts when you don’t want them to, or makes you touch them badly because you are different to them. This is sometimes called ‘Hate Crime’

It is also when someone talks to you about sex when you don’t want them to

This could be because of your age or gender; sexuality or disability; race or religious belief

This is when someone takes something that belongs to you without asking, or makes you give them things

If abuse is caused by an organisation,

it is often called ‘Organisational Abuse’. This is where you are not being cared for properly. It is where your own choices are ignored

This is when someone might come to harm because they do not look after themselves

This is when someone is forced to work with little or no pay, or threatened with violence if they do not work

This might be not eating or taking their medication or looking after their personal hygiene

When abuse occurs between partners or family members, it is often called ‘Domestic Violence and Abuse’

This is when someone tries to control or hurt you emotiofinally with what they say or do

It could be name calling, threats,

silence, humiliation, bullying

Safeguarding Adults Policy

Relevant Legislation

Roles Affected

People Affected

Stakeholders Affected