Safeguarding Adults Board
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6 Annual Conference
Safeguarding Outcomes
Mick Wharton – WDSAB Business Manager
Research in Practice for Adults
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In 2009 Ripfa discussed the distinct lack of
research on the perspectives, views and
experiences of SU subject to adult safeguarding
procedures.
They were suggesting 5 years ago the need to
develop outcome measures for adult
safeguarding
The Adult Social Care Outcomes
Framework 2013/14
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Domain 4: Safeguarding adults whose
circumstances make them vulnerable and need
protecting from avoidable harm
The area of safeguarding is one of the core
priorities of adult social care and the poor
coverage of outcome measures in this domain
reflects the paucity of national data available in
this important area.
Recent Safeguarding
Publications
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LGA, ADASS and SCIE, “Making Safeguarding
Personal,” March 2013
LGA “Safeguarding Adults-learning from peer
challenge”, April 2013
LGA, ADASS, “Adults Safeguarding and
Domestic Abuse”, A guide to support
practitioners and managers, April 2013
DH, Statement of Government Policy on Adult
Safeguarding, May 2013
Recent Safeguarding
Publications
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The clear message of the new publications is that
safeguarding activity needs to develop to become
more outcome focused and person centred thus
supporting and enabling people to make difficult
decisions.
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The system has to work for people and not for
statutory organisations
Recent Safeguarding
Publications
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A further clear message is the need for
organisations to work much more collaboratively
together and to be clear about their response in
any given situation
Being clear on the relationship between and with
contracting/commissioning on performance
assurance and safeguarding
Recent Safeguarding
Publications
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The principles of empowerment, prevention,
protection, proportionality, partnership and
accountability set out the tenets of safeguarding
development and delivery.
Safeguarding adults is about ‘doing with, not
doing to’
Resonates with the principles of the Human
rights Act, Mental Capacity Act and
Personalisation.
Making Safeguarding Personal
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A recent project to deliver some evidence of measuring
outcomes of people’s safeguarding experience.
Funded pilot authorities undertook survey work
Hackney 9 completed surveys
Surrey 25 completed surveys
Southend 35 completed surveys
Most completed surveys at the case conference stage,
some sought outcomes at the beginning of the process
and measured if these outcomes had been achieved.
Your Safeguarding Your Say
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November 2009 – May 2010
Wakefield research project by Rebecca Penn
exploring outcomes in adult safeguarding
Included six questions verified by an ethics
committee.
Involved face to face survey with people subject
to adult safeguarding procedures post the case
conference stage.
Your Safeguarding Your Say
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The survey questions were:
Satisfaction with the procedures
Did they feel safe during the procedures
Were they included
Were their views recognised
Did they feel safer as a result of the procedures
Did the procedures make any difference to their
life.
Wakefield Outcomes Results
2012/13
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Nearly half of everyone subject to the adult
safeguarding procedures are unable to complete
a survey due to:
lack of capacity
Person dies
Person chooses not to take part
Therefore relatives are asked to complete surve’s
on behalf of their loved one’s and this can affect
the survey returns.
Wakefield Survey Results
2012/13
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15 completed surveys
8 unable to be completed due to capacity etc
87% of respondents satisfied or very satisfied
with the safeguarding procedures.
Similar very positive results for the other survey
areas.
Wakefield Survey Results
2013/14
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36 completed surveys
31 returns why survey completion not possible
92% satisfied or very satisfied with the procedures
82% felt safe
78% felt included
89% felt their views were recognised
57% felt safer as a result of procedures (% affected by
surveys completed by relatives.
81% felt it had made a difference to their lives
Survey Comments
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The survey allows free text comments to fully express
how people feel about the procedures:
Fully informed and invited to meetings, Could not have
felt more included.
I feel I am being listened too; I want to be the one in
charge
I/we couldn’t have felt any more included – we were kept
fully informed. In such a stressful situation like this I/we
felt that we couldn’t have been better supported
Conclusion
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The fact that Wakefield can already demonstrate outcome
information places us well ahead of most local authorities.
The person centred approach, including people in
decision making and where ever possible the
safeguarding meetings will maintain / increase
satisfaction.
The survey measures the whole process and different
agencies, not just the local authority.
It is possible a six question outcome survey will form part
of the Safeguarding adult return to the DoH in 2015/16.