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'EVERYBODY'S BUSINESS’ LEARNING TOGETHER WORKSHOP 15 June 2010 Farington Lodge

'EVERYBODY'S BUSINESS’ LEARNING TOGETHER WORKSHOP 15 June 2010 Farington Lodge. 1. World Elder Abuse Awareness Day – June 15. INPEA. BACKGROUND / CONTEXT. Themes in care: protection – autonomy p(m)atriarchy – self-determination individual – community / network

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'EVERYBODY'S BUSINESS’ LEARNING TOGETHER WORKSHOP 15 June 2010 Farington Lodge

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  1. 'EVERYBODY'S BUSINESS’ LEARNING TOGETHER WORKSHOP 15 June 2010 Farington Lodge 1

  2. World Elder Abuse Awareness Day – June 15 INPEA

  3. BACKGROUND / CONTEXT Themes in care: protection – autonomy p(m)atriarchy – self-determination individual – community / network personal (bespoke) – block (standardised) language (sense-making): “safeguarding” - “abuse” managing scarce resources systems approach – ecosystems metaphor power 'games' – hidden/ manifest (e.g., blame games between 'players')

  4. Research Systematic Review The prevalence of elder abuse and neglect: a systematic review Claudia Cooper, Amber Selwood and Gill Livingston Age and Ageing 2008 37(2):151-160 1 in 4: “..one in four vulnerable elders are at risk of abuseand only a small proportion of this is currently detected. Ask: Eldersand family and professional caregivers are willing to reportabuse and should be asked about it routinely.”

  5. 'No hiding place...' (Laming) “...it takes a village to raise a child.....”(H. Clinton)- the culture of care

  6. The Safeguarding Project • LCA / LCC Steering Group • Results of Telephone Survey • Results from Focus Groups • A New Partnership between Providers and County Council 6

  7. Developed from Joint Work in 'Social Care Partnership' • New County Safeguarding head • LCA contracted to undertake research into providers' perceptions of how well Lancashire’s Safeguarding Procedures working • 1:5 telephone survey of Residential and Domiciliary providers • ‘Focus Groups’ of providers who have experience of Safeguarding process 7

  8. 97% response rate to the telephone survey - big thank you for those who took part • Most respondents are generally satisfied with key domains assessed for satisfaction: ‘information’, ‘advice and support’, somewhat less on ‘training’, • But domain satisfaction ratings drop substantially for that subgroup who have ‘experience’ of Safeguarding incidents. 8

  9. Ran 2 Groups 1 each for Residential and Domiciliary Managers who had actual experience of Safeguarding process • 6-8 people in each facilitated group • Full write up of key issues have gone into the 'interim report' (in draft). • Note: follow up & future FGs 9

  10. No one expects the Spanish Inquisition......

  11. Providers felt strongly that Safeguarding was everyone's business • Many felt not treated as professionals and there was a structural discrimination against independent providers • Danger of ‘Culture of Blame’ rather than shared agenda for dealing with abuse • 'No Secrets'? Secret Meetings and absence of protocols and time lines for investigations were of great concern to managers • Care workers have rights, too! 11

  12. Impact on team morale, individual staff and small businesses all raised • BUT some examples of good practice and belief that how a Safeguarding issue was handled by Team Manager/Chair of Strategy Meeting was critical to whether seen as Partnership or Spanish Inquisition!! 12

  13. Full review of the need for, and processes involved in, secret 'pre-meetings'. • A truly independent advice line ('phone a friend') to help with defining cases. • Clear and more professional processes laid down to manage Safeguarding – this includes timescales, professionally taken minutes with drafts circulated with an agreed timescale (Note:- Dedicated minute service subsequently is being rolled out across Lancashire) • Objective investigations – some of the principles in the DH document on complaints investigations • 'No Fear' approach: issues around reporting Safeguarding issues (LCC Contracts and CQC) 13

  14. Joint Working has led to:- • [1] “Joint Statement of Principles” • to underpin work on Safeguarding with Providers and • [2] “New Procedures” • Challenge is to ensure consistency across the County and continuity over time • Synergy with Safeguarding Board and Sub Groups 14

  15. Reference Group Dave Wareing, Head of Safeguarding, LCC, Chair Barbara Campbell, NLPCT Marie Hill, Cornmill NH (& Director, LWDP) Dilys MacDonald, LCC Brian Monk, LCC Ann Mylie, LCC Steve Newton, Director, LCA Paul Simic, CEO, LCA also Liz Leung, Mike Walker, Business Support Unit, LCC Admin support: Sarah Luton, LCA; Louise Mansfield, LCC. Survey: Gill Tidmarsh, Deborah Baldwin; Data entry: N. Kasim

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