D Skills and Knowledge Book Safeguarding Adults Personal Assistant’s Name: Date of Completion: Employer: Your employer has put your name forward to complete this workbook. When this workbook has been successfully completed it can be recorded in your skills passport. © Moorfoot Learning Centre – April 13 1 © Moorfoot Learning Centre – April 13 2 Safeguarding Adults Guide for Personal Assistants Who is this aimed at? Personal Assistants supporting an Individual Employer. Why do this? This Skills and Knowledge Book provides evidence of your current knowledge and practice and can be included in your Skills Passport. It will show evidence of your learning and development whilst working for your employer. Your employer will discuss the range of training and development options they require you to have. Using this route This Skills and Knowledge Book has a number of written questions that you will need to complete. When this is done your employer will review your work and provide feedback. This book uses the term “your employer” this can mean the person you are supporting or another person who acts on behalf of the person you support. © Moorfoot Learning Centre – April 13 3 Statement of Authenticity Safeguarding Adults I confirm that this Skills and Knowledge Book reflects my current work practice and understanding. Personal Assistant Signature: ....................................................................... Personal Assistant Print Name: .................................................................... Date: ............................................................................................................. I confirm that this Skills and Knowledge Book reflects the current work practice and understanding of my Personal Assistant. Employer Signature: .................................................................................... Employer Print Name: .................................................................................. Date: ............................................................................................................ © Moorfoot Learning Centre – April 13 4 Guidance for completing this Skills and Knowledge Book Complete IN FULL the 12 questions at the back of the book. Answer all questions in your own words. If there are difficulties please discuss with your employer and alternative arrangements can be made Answer every question in as much detail as possible If completing by hand please use black ink and do not use any tippex or stickers to cover up any writing If you need to make any amendments to answers, please put a single line through what you want to cross out then initial it. Your first answer must be visible Answer all questions yourself Any comments the employer records in the Skills and Knowledge Book should be explained and signed © Moorfoot Learning Centre – April 13 5 Safeguarding Adults Guide for Personal Assistants The Safeguarding Adults Skills and Knowledge Book was developed to Develop personal assistants skills to support their employer Safeguard the interests of employers and their staff by setting out standards and good practice guidelines. Clarify the responsibilities of all involved Provide information and guidance to apply the ‘South Yorkshire Safeguarding Adults Procedures’ Ensure appropriate arrangements are in place to safeguard vulnerable adults which includes Ensuring your safeguarding policy is in place Know how and where to access the tools used e.g. safeguarding alert form Being clear of your responsibilities © Moorfoot Learning Centre – April 13 6 Safeguarding Adults Guide Safeguarding Adults is to make sure that vulnerable people are Safe from abuse and neglect Able to be independent and make choices It is also about having a duty of care to protect vulnerable people in our communities to live a life they want to live, which is free from abuse. What is adult abuse? In 2000 the Department of Health produced a document “No Secrets” which says that “Abuse is a violation of an individuals human and civil rights by any other person or persons” Abuse is about power and control that one person has over another. It can be a single act or may continue over months or years. It may be intentional or unintentional but will result in harm to the adult. Unintentional abuse could be when someone isn’t trained properly to do their work and as a result of their poor practice, a vulnerable adult is harmed. All adults should be able to live free from fear and harm. They should be treated with dignity and respect and have their rights and choices respected. Why do I need to know about Safeguarding Adults? Adult abuse can happen every day and can happen anywhere a persons own home a residential setting in supported housing nursing homes hospitals clinics People may be aware of it but don’t know what to do about it. “No Secrets” requires all organisations providing services to vulnerable adults to provide safeguarding training and have procedures in place. Organisations in Sheffield work to the Safeguarding Adults Procedures for South Yorkshire. © Moorfoot Learning Centre – April 13 7 Safeguarding Adults is Everyone’s Business. You may have concerns that someone you know is being abused. You may have been told something or seen something. Don’t ignore it, and make sure you report it. Vulnerable Adults Some adults may find it difficult to make their wishes and feelings known and this could make them vulnerable to abuse. “No Secrets” says vulnerable adults are people who: Are aged 18 years or over Are at risk of harm May be unable to take care of themselves May be unable to protect themselves from significant harm or exploitation A vulnerable adult may or may not have capacity as defined within the Mental Capacity Act 2005. This act provides a statutory framework to empower and protect vulnerable people who are not able to make their own decisions. Individuals must be allowed to make their own decisions as far as possible and supported to make choices. Some people may need support to do this and should be offered advocacy services appropriate to their needs. In Safeguarding procedures we should presume that a person has the mental capacity to make informed choices about their lives. If someone has been assessed as not having capacity, decisions will be made in their best interest as set out by the Mental Capacity Act 2005. Making assumptions about what people want when providing services could make them vulnerable to abuse. Examples include choices about What clothes to wear When to shop What to have for breakfast or dinner © Moorfoot Learning Centre – April 13 8 Types of Abuse There are seven types of abuse listed in the Safeguarding Adults Procedure for South Yorkshire Institutional abuse Physical abuse Neglect or Acts of Omission Financial abuse Psychological abuse Sexual abuse Discriminatory abuse How will I recognise Abuse? You and your employer need to know how you would recognise the signs or symptoms of each type of abuse. Examples of these will now be given. Institutional Abuse This is when an organisation or company mistreat people which happens through their poor practices. It is the failure within an organisation that has poor policies and procedures. It can include all the other different types of abuse. Examples of institutional abuse could be people being excluded, mistreated or denied choices by the bad practices. Adults not being able to choose what to wear or what they would like to eat or how their care is provided. © Moorfoot Learning Centre – April 13 9 Physical Abuse This is deliberate or accidental acts that result in injury to the adult. Examples of physical abuse could be hitting, kicking, hair pulling or biting someone. It may also include force feeding, over medication or shaking someone. Signs of physical abuse could be bruises, cuts, burns, scalds or restraints marks. Neglect or Acts of Omission This is neglect of a person’s physical or emotional need. Signs of neglect could be when a person is left dirty, not having any clean clothes, or not fed properly or not given a drink to keep them well. Adults may be denied access to friends and family, social contact, and outings. Their health or medical needs may not be attended to; they may be over medicated and denied access to aids and adaptations such as hearing aids, walking frames etc. Financial Abuse Financial abuse is the misuse of another person’s money or assets. It involves taking money or property from someone without their consent. Signs of financial abuse could be when a person may be unable to pay bills, buy food and clothing. They may not want to talk about money. A person may request to borrow money when they are receiving all their benefits, pension or wages. It could mean that valuable possessions disappear from their home, visitors only calling on the day their benefits are cashed, and pressure to change a will or make a will. © Moorfoot Learning Centre – April 13 10 Psychological Abuse This is deliberate or unintentional actions which cause emotional harm or distress to the vulnerable adult. Examples include ignoring someone, swearing at someone, being patronised and bullied. As a result of this abuse a person may become withdrawn, tearful, suffer from lack of sleep and nightmares, start with incontinence problems, and become angry or abusive. They may start to drink heavily, use drugs, or develop eating disorders. Sexual Abuse This could be any sexual activity that a vulnerable adult does not want to be involved in or they are unable to give consent to. Signs could include the presence of sexually transmitted diseases, pregnancy, urine infections, bruising and tears to the vagina, penis, anus or mouth and an observation of inappropriate touching. Sexual abuse will often result in changes to the person’s behaviour. Discriminatory Abuse This is when a person is treated unfairly and this could be linked to someone’s race, gender, sexuality or disability. Possible signs may be the presence of hate mail, graffiti and the delivery of unwanted services or goods, being called names in the street or being threatened at home or other places. © Moorfoot Learning Centre – April 13 11 Hate Crime A hate crime is any crime that is targeted at a person because of hostility or prejudice towards that person’s Race or ethnicity Religion or belief Sexual orientation Gender, identity or Disability Hate incidents can include Verbal abuse, threats, insults or nuisance telephone calls, name calling, or other forms of verbal harassment. It can include attacks against someone’s property e.g. insulting graffiti, vandalism, breaking windows, theft, damage or arson. It could also be about publishing and sharing information likely to incite hate crime. One example of this might be inappropriate use of social media sites like facebook or twitter. It you witness hate crime you must report this to the police. The police do not tolerate hate crime; neither should you or your employer. Mate Crime Mate Crime happens when a person is befriended by someone who then goes on to abuse or exploit that relationship. This has lead to people being ripped off, sexually abused, groomed for criminal offences, and even murdered. Mate crime does not start with abuse or bullying, it starts with someone ‘making friends’. But it can go on to include most of the types of abuse. People are very unlikely to disclose Mate Crime and if that person is a vulnerable adult they may not realise it is happening to them. It is up to their, family, friends, neighbours, carers and the community to watch for it and to take action, or support the person to do so. © Moorfoot Learning Centre – April 13 12 Who might abuse a vulnerable adult? Research has shown that the majority of abusers are people known and trusted by the adult. This will also include family members, carers and workers. Some people will deliberately abuse adults who they see as easy targets. No one likes to think that a colleague could be abusing an adult they care for. It seems unthinkable that a family member or neighbour would abuse a vulnerable adult, but it does happen and it is our responsibility to report it. What do I do if abuse is disclosed? If a person discloses information to you, always listen carefully Let the person speak Try not to interrupt or make comments. Do not let your own feelings distract you Do not ask leading questions Reassure the person Always assume that the adult is telling the truth, as all concerns need to be considered before being dismissed Explain that you are going to help, and that this means you cannot keep the information to yourself, even if they ask you to. You must record and report what is said © Moorfoot Learning Centre – April 13 13 Your role in the South Yorkshire Safeguarding Adults Procedure You role in the procedure is to be an alerter. This means you are passing on your concerns to an appropriate person. Anyone can be an alerter it is about reporting any allegation or concern of potential abuse or neglect immediately (on the same day). As an alerter you have the following responsibilities 1. Ensure Safety. If abuse is disclosed, witnessed or suspected your first priority is to ensure the vulnerable adult is safe. To do this it may be necessary to ring emergency services. 2. Preserve Evidence. If there are suspicions that a crime may have taken place the police should be contacted and any evidence should be preserved. Examples include: Not removing the persons clothing No bathing or washing the person Not alerting the suspected abuser (perpetrator) 3. Report You must report all concerns and disclosure even if the adult asks you to “keep it to yourself.” Explain that you cannot keep the information to yourself and that you are going to help. If you observe, witness or suspect abuse is taking place you have a responsibility to report this safeguarding concern immediately to: Adult Social Care Services (Adult Access Team) 0114 2734908 (24 hour number) South Yorkshire Police - 0114 2202020 Police - 999 or 112 (from a mobile) 4. Record Try and record any disclosure using the same language as the person used Record how they appeared e.g. upset or angry. Records should be written as soon as possible with the date, your signature and any actions you took. If records are handwritten the original should be kept for evidence purposes. © Moorfoot Learning Centre – April 13 14 Where do I record a Safeguarding concern? If you suspect, witness or have abuse disclosed to you, you must record this concern on a Safeguarding Alert Form. You may not be able to complete all sections of the form but try and provide as much information as possible. Providing information about the person and situation will help the Safeguarding Office to respond to your concern. Included on the next 4 pages is a copy of the alert form. These forms must be returned within 24 hours of the concern being raised. If you do not have an alert form, record the information, keep this secure and report your concern immediately. © Moorfoot Learning Centre – April 13 15 Safeguarding Alert Form This form can be used by anyone to report concerns about the abuse or neglect of a vulnerable adult or who has had a disclosure of abuse or neglect made to them. You may not be able to complete all sections of the form however providing as much information as possible about the person and their situation will help us respond to your concern. If you are a worker you are required to complete the form on the same working day that you become aware of the concern and pass it to a manager or the named referrer in your organisation– if you do not have a named referrer or this person is not available, Do Not Delay contact the access centre on 2734908 (24 hours) or email adultaccess@sheffield.gcsx.gov.uk. This form must be submitted within 24 hours of the concern being raised. 1. Details of the Vulnerable Adult Name … ……………………………………. Female ………… DOB …………………………………..………………………………………………………………. Address… ………………………………..…………………………………………………………..………………………. Phone …… If living elsewehere , where? ……………………………………………………..……………………… ……………….…………………………………………………………..…………………………………………. .………………………. Ethnicity … ……………………………………………..…………………………. GP & Surgery … ……………………………………………..………………….…………….. Does the person receive community care services? Is the person in residential or nursing care – provide name and address of care home…………………. ……………………………………………………………….. …………………………………………………………..…………………………………………..……………… ………. Is the person aware of the referral? Y/N If No then state why..................................................... ……… …………………………………………………………………………………………………………………….. 2. Details of alleged perpetrator ……………………………………………………………………….……………………………………. Female/ Male …… DOB ………………………………………………………..…………………… Address… Phone …………………………………………………………………………..…………………………… Relationship with Alleged Victim … Ethnicity … ………………………………………………………..……………… Is the person still in contact with the alleged victim? If yes state in what capacity … 3. Details of the alerter/referrer. Name… Address …………………………………………………………..…………………………………………..……………… Contact Tel number…Email… Organisation…… ………. Role … © Moorfoot Learning Centre – April 13 16 Safeguarding Adult Alert Form 4. Cause for Concern Please detail what has happened/has been disclosed including any actions to reduce risk/make the person safe and any supplementary evidence from records to indicate that the concern/disclosure could have taken place. (Please note this should not include interviews of the alleged victim or perpetrator at this stage). Try to be as factual as possible, using the alleged victims own words. Detail any action taken (including medical intervention etc) Date of incident(s) and time(s)… Where did the event occur? Vulnerable adults home Day care Supported living Supported transport Education setting Care setting – nursing/residential care Hospital Public setting Other health setting Alleged perpetrator’s home Details of your concerns. Type of abuse – tick all the types of abuse that may require investigation Physical abuse Financial abuse Sexual abuse Emotional abuse Neglect Discriminatory Institutional Is the person aware that you have raised a concern? Yes 5. Details of the Manager/referrer. Name… Address……………………………………………………………………..…………………………………… ……………………………………………………………………..…………………………………………..… ……………………. Contact Tel number………………………… Fax ……………………………………………………......... Email……………………………………………………………………………………………………………... Organisation…………………………………. Role …………………………………………………………. Additional Information: Please provide details of information gathered……………………………………………………………… From where/whom If not passing to Social Care/Safeguarding please state why and what actions have been taken to keep the individual safe……………………………………………………………………………………..... …………………………………………………………………………………………………………………… Date… © Moorfoot Learning Centre – April 13 17 Safeguarding Adult Alert Form 6. Other Information. Is drug or alcohol use an issue? Alleged victim Y/N if Yes give details…… ………………………………………………………………. Alleged perpetrator Y/N if Yes give details………………………………………………………….. Is there a history of domestic violence Y/N if Yes give details… Has a crime been reported to the police Y/N If Yes: When? ................................................................................................................................................... What was reported? .............................................................................................................................. To whom? (Contact Details).................................................................................................................. ………………………………….. .............................................................................................................. Will the alleged victim require support to give evidence to the police? (Achieving Best Evidence) Y/N – if Yes give details……………………………………………………………………………………….. ……………………………………………………………………………………………………………………. 7. Risks to others (other vulnerable adults or children) If there are risks to other vulnerable adults – e.g. volunteer or worker has access to other vulnerable adults, carer for a vulnerable adult etc or concerns about the safety of a child please detail. 8. Are any other people dependent on the alleged victim or perpetrator (adult and/or child) For both give details of the name of the people who require support, their address if different to the alleged victim/perpetrator. Are they still able and appropriate to provide care? 9. Details of the alerter cont… Are you the person who heard the disclosure/raised the concern? If No who raised the concern? (name/role) … ………. If Yes can you list any other information not covered in the sections above…………………………….. ……………………………………………………………………………………………………………………. Have you passed this onto CQC ? ……………………………. © Moorfoot Learning Centre – April 13 18 Safeguarding Adult Alert Form 10. This form was sent to: (Adult Access/Social Work Team) (Delete as appropriate) Name … Address…………………………………………………………………………………………………………. Organisation… Position ……………………………….…………… Date… ……………….…………… Time… Body Map Please mark on these body maps any bruising/friction marks, burns etc. that the alerter may have seen on the body of the Service User giving rise to the alert. In many cases of physical abuse, injuries are often explained as being accidental but if they are evident in soft parts of the body, i.e. under arms, stomach, genitals, or inner thighs, they are less likely to have happened accidentally: When completed as fully as possible please forward to the designated referral person or a safeguarding manager. Or Adult Social Care Services (Adult Access Team) 0114 2734908 Adsult Social Care © Moorfoot Learning Centre – April 13 19 Good Practice for Alerters If you become aware of abuse or neglect report this to an appropriate person. Adult Social Care Services (Adult Access Team) - 0114 2734908 (24 hour number) South Yorkshire Police - 0114 2202020 Ensure the person is safe Ring emergency services if necessary (999 or 112 for mobiles) Listen carefully to and record carefully any concern using the persons own words Do not ask questions e.g. suggesting any names of who may have abused the person If a person who makes an allegation asks you to keep it to yourself inform the person you respect their right to confidentiality but you are not allowed to keep the matter secret Do not take any action that may alert the suspected abuser Record all factual evidence carefully, using black ink, date and sign Never stop a person from raising concerns or suspicions Do not discuss your concerns with other people. Report your concern to someone in authority. If you suspect a child is being abused or neglected report to your employer or the Safeguarding Children’s Advisory Service, 0114 2053535 What happens next? Adult Social Care Services have a responsibility to take your concern seriously. A decision will be made within 24 hours whether the Safeguarding Adults procedure will be used to investigate your concern. If an investigation is carried out, a Safeguarding Adults Case Conference could be arranged which you may be invited to attend. You can access advice and support about Case Conferences form the Safeguarding Adults office Tel 0114 273 6870 An information leaflet is also available called 'Attending a Safeguarding Case Conference Guide for Workers’. Enclosed on the next page is a flowchart of the Safeguarding Adults Procedures with timescales and responsibilities. © Moorfoot Learning Centre – April 13 20 No Strategy meeting © Moorfoot Learning Centre – April 13 21 Roles and Responsibilities Stage of Procedure Alert Referral Safeguarding Assessment A) Decision to Investigate B) Strategy C) Investigation Plan Review Role Reporting and recording any allegation or concerns about potential abuse or neglect and addressing any immediate protection issues Referring safeguarding concerns on to the safeguarding manager or to a referral agency [police or ‘councils with social services responsibilities’ Deciding whether ‘Safeguarding Adults’ procedures are appropriate to address the concern, or where not identifying alternative responses Formulating a multiagency plan for investigating, assessing risk and addressing any protection needs Co-ordinating and collecting information about the safeguarding concern and the context in which it happened which may also include the use of criminal and/or disciplinary investigations Analysis of the concern raised, the investigation and the context in which it happened is undertaken at a multi-agency Safeguarding Case Conference The safeguarding plan is developed at the Safeguarding Case Conference to address any ongoing risks to the vulnerable adult and identify a core group to monitor them At review case conferences the safeguarding plan is reviewed and adapted to meet the ongoing protection needs of the vulnerable adult until it is agreed on a multi-agency basis that there are no ongoing protection issues © Moorfoot Learning Centre – April 13 Responsibility Everyone Designated staff within organisations Safeguarding Managers Safeguarding Managers Relevant practitioners from Health, Social Care and the Police, with the involvement of others Safeguarding Partners Safeguarding Partners Maximum Time Frame Immediate action to safeguard; concerns to be reported on the same day Within the same working day By the end of the working day following the one on which the referral was made Within ten working days As decided through the Safeguarding Assessment Strategy On the same day as the safeguarding case conference The first review must be held within three months of the initial safeguarding case conference; subsequent reviews must be held within six monthly intervals 22 Useful Contact Details Emergency Services – 999 or 112 from a mobile Adult Access team – 0114 2734908 (24 hour number) Safeguarding Adults Office – 0114 2736870 South Yorkshire Police – 0114 2202020 Safeguarding Children – 0114 2053535 Legislation to support safeguarding adults procedures and help safeguard adults from abuse. Care Standards Act 2000 Sexual Offences Act 2003 Domestic Violence Crime and Victims Act 2004 Mental Capacity Act 2005 Safeguarding Vulnerable Adults Act 2006 References and Support https://www.gov.uk/government/publications/no-secrets-guidance-onprotecting-vulnerable-adults-in-care www.cloverleaf-advocacy.co.uk https://www.sheffield.gov.uk/caresupport/adult/adult-abuse.html www.scolis.co.uk © Moorfoot Learning Centre – April 13 23 Safeguarding Adults Guide All evidence produced for this skills and knowledge book will be used to decide the following: That the learning outcomes have been met That the Skills for Care Common Induction Standards have been met Learning Outcomes: Outline who a vulnerable adult it Describe what abuse it List the types of abuse and explain how you would recognise them Explain what needs to be done if abuse is disclosed, witnessed or suspected Explain your role within the Safeguarding Adults Procedures Common Induction Standards: Standard 6 – Principles of Safeguarding in health and social care Recognise signs of harm and abuse (1.1, 1.2, 1.3, 1.4) Ways to reduce likelihood of abuse (2.1, 2.2) Responding to suspected abuse or disclosed abuse (3.1, 3.2, 3.3) National and local context of protection from harm and abuse (4.1, 4.2, 4.3) You will need to complete all the questions in this book and return this to your employer. Your employer will assess it against the learning outcomes and the common induction standards. © Moorfoot Learning Centre – April 13 24 Safeguarding Questions Please complete the following questions in black ink. 1. What is abuse? …………………………………………………………………………… …………………………………………………………………………… …………………………………………………………………………… 2. Listed below are the 7 types of abuse taken from the South Yorkshire Safeguarding Procedures. Give 2 examples of how you would recognise each type of abuse. The first example has been completed for you. Type of Abuse How would you recognise this type of abuse? Discriminatory Abuse Example 1: being called names…………… Physical Abuse Example 1: ……………………..…………… Neglect or Acts of Omission Example 1: ……………………..…………… Financial Abuse Example 1: ……………………..…………… Psychological Abuse Example 1: ……………………..…………… Sexual Abuse Example 1: ……………………..…………… Institutional Abuse Example 1: ……………………..…………… © Moorfoot Learning Centre – April 13 Example 2: ………………………………….. Example 2: ………………………………….. Example 2: ………………………………….. Example 2: ………………………………….. Example 2: ………………………………….. Example 2: ………………………………….. Example 2: ………………………………….. 25 3. List 2 places where abuse could take place? 1) …………………………………………………………………… 2) ……………………………………………………………………. 4. Name any legislation or procedure that is in place to safeguard adults from abuse …………………………………………………………………………… 5. What actions would you take if you suspect abuse has taken place (give 3 examples) Example 1………………………………………………………………. Example 2………………………………………………………………. Example 3………………………………………………………………. 6. What would you do if you have abuse disclosed to you? (give 2 examples) Example 1………………………………………………………………. Example 2………………………………………………………………. 7. A person begins to disclose information to you and asks you to keep it to yourself. What would you say to them? ……………………………………………………………………………... ……………………………………………………………………………... © Moorfoot Learning Centre – April 13 26 8. Any abuse disclosed to you must be recorded by you. How would you record this information? Please tick the answers you think are correct. In the persons own words……………………………………. Using abbreviations…………………………………………… Legible………………………………………………………….. Factual………………………………………………………….. Date and signature………………………………………….… Using your initials………………………………………….… Clearly…………………………………………………………... Recorded in pencil…………………………………………….. Record how the person appeared upset / angry…………… The next four questions are multiple choice. Please tick the correct answer. 9. When should you report a safeguarding concern? a) On the same day…………………………………………. b) The next day………………………………………………. c) Within 7 days……………………………………………… d) When you are back on duty……………………………… © Moorfoot Learning Centre – April 13 27 10. What do we mean by a safeguarding alert? a) Sharing information with a family member……………… b) Saying nothing……………………………………………. c) Reporting your concern to an appropriate person……... d) Sharing information with a colleague……………………. 11. A person tells you the local people call her a “psycho.” She also tells you she has her windows smashed and they threaten her. What would you do? a) Report it to the police…………………….…………….. . b) Tell her to ignore them………………………………….. c) Report it to your employer……………………………… d) Do nothing, they will soon stop doing it……………….. 12. What do you think your role would be in the safeguarding procedures? a) Alerter……………………………………………………… b) Referrer……………………………………………………. c) Investigate…………………………………………………. d) Attend a case conference……………………………….. © Moorfoot Learning Centre – April 13 28 When you have completed all the questions please return the Skills and Knowledge Book to your employer. They will review your work and provide feedback. It is good practice to refresh your safeguarding knowledge every two years to ensure your practice is up to date. This can be done in the following ways: By attending a half day safeguarding adults taught training session. Details of these training sessions can be accessed in the Employer and Personal Assistants Brochure. Or By completing a Safeguarding Adults e-learning programme. This programme can be accessed by the Social Care Online Site (SCOLIS) – www.scolis.co.uk Part of the Skills and Knowledge Book Collection The following books are also available: Medication Effective Communication Food Safety Health and Safety Personal Care Safeguarding Adults These can be downloaded from https://www.sheffield.gov.uk/caresupport/professionalsproviders/wdt/courses.html © Moorfoot Learning Centre – April 13 29