Raising a Safeguarding Adults
concern in Lewisham
What is abuse?
Abuse can take many forms. It may be physical, mental,
emotional, sexual or financial.
Examples of abuse are:
• lack of food, warmth or personal care
• slapping, hitting or roughly moving a person
• threats, shouting or swearing
• inappropriate touching or sexual activity where a person
has not given consent or is unable to give consent
• theft of money, belongings or property
• Misuse of medication
• Restraint
More Forms of abuse
•
•
•
•
•
Coercion, harassment, cyber bullying
Isolation and deprivation of contact
Modern slavery –forced labour & human trafficking
Discrimination abuse
Organisational abuse –neglect/poor quality practice in
an institution or care setting which can be the result of
structure, policies or practices in an organisation
• Domestic Violence –including so called ‘honour’based
violence
What to look for
Characteristics
• Limited Communication
• Sleep disturbance
• Challenging Behaviour
• Highly Dependant
Impact
• Fear
• Ill health
• Pain and discomfort
• Loss of self esteem
• Failure to thrive
• Death
New language & ways of working
• Alerts are now
Concerns
• Referrals are now
Enquiries under
Section 42 of the Care Act
• The local authority can cause other
organisations to make enquiries on their
behalf
• Making Safeguarding Personal
• Person alleged to be responsible for harm or
neglect
Raising a Concern
Learning
Disability
Duty Team
Telephone
0208 314 6153
Already known
to the LD service
Learning
Disability
Not known to
the LD service
 New
 Not known
 Everyone
else
 If in doubt !
SCAIT
Social Care Advice & Information Team
Telephone 0208 314 7777
scaitgcsx@lewisham.gcsx.gov.uk
Assessment &
Liaison
Service
Age 18-65
Telephone
02032289200
Already known
to the MH
service
Mental
Health
Not known to
the MH service
What happens next
Information gathering the start of the enquiry
Discussion with individual or their representative
(By LA or partner agency)
Is Action needed? Is section 42 applicable?
Local decision making
Confirms cause for concern and agrees outcomes
wanted and action(s) to be taken
issues of neglect or abuse
resolved –no further risk
Section 42 action ends
Other action may be
needed
Further actions needed
LA retains accountability
and oversight of enquiry
and outcomes under
Section 42
Plan of what’s needed by
whom, by when.
Check outcomes
Report to
the
Police
Feedback
to
concern
raiser &
others
involved
What happens next continued
Plan of what’s
needed by whom,
by when.
Check outcomes
Outcomes not
achieved
Section 42 duty
continues
Outcomes
achieved
Section 42 duty
ends.
Agreed by the LA
Other actions?
Further actions
needed if still at
risk of harm
Review
plan
Evaluation of
outcomes &
actions
Continue to Work with
individual & develop
strategies to manage
/reduce risks
Final
evaluation
of outcomes
Safeguarding
plan needed
What you should have in your
Organisation
• Arrangements in place to record information
and make records available when needed
• Local policy and procedures compliant with
the Care act-including how to investigate
• A Designated Adult Safeguarding Manager
(DASM)- required for LSAB members
recommended for others
• Recognition that you may need to attend a
case conference or give evidence
Help & Support
• Training –Jonathon Buckeridge
• Safeguarding & Quality Assurance –Brian
Scouler
• Safeguarding Board and policy & procedure –
Cheryl Spencer
• Any Concerns - SCAIT