VULNERABLE ADULT PROTECTION POLICY Leeds Asylum Seekers’ Support Network 1. Introduction Leeds Asylum Seekers Support Network believes that every adult matters and recognises ‘Safeguarding Adults, A National Framework Standards for good practice and outcomes in adult protection work’. We are committed to enabling all our clients who have sought asylum in the UK to retain their independence, well-being and choice, and to access their human right to live free from harm, abuse and neglect. While we recognise that many of our clients might not fit the definition of vulnerable, we will assume relevance and use these guidelines until and unless information suggests otherwise. 2. Aims of the Vulnerable Adult Protection Policy To protect and prevent abuse of vulnerable adults first and foremost To work to the highest standard of good practice To provide a clear framework for action when abuse is suspected To inform staff, trustees and volunteers of their roles and responsibilities, give a clear practice and procedures, and ensure they are protected in their work with vulnerable adults 3. Vulnerable Adult Protection Officers The designated persons with responsibility for Protection of Vulnerable Adults are the Director, Jon Beech, and the nominated trustee, David Cundall. Their roles and responsibilities are listed in Appendix 1. All matters relating to vulnerable adults at LASSN should be referred to them. Contact details: Jon Beech, Director Work number: 0113 3731759 Mobile number: 07845 298047 David Cundall, Trustee Home phone number: 0113 293 8351 Mobile number: 07989 194726 LASSN Vulnerable Adult Protection Policy – November 2014 Page 1 of 15 4. Definition of Abuse The term ‘vulnerable adult’ refers to any person aged 18 years and over who is or may be in need of community care services by reason of mental or other disability, age or illness; and who is or may be unable to take care of him or herself, or unable to protect him or herself against significant harm or serious exploitation. At LASSN we also recognise that the impact of seeking asylum can cause vulnerability due to experiences in the country of origin, or experiences through the asylum system in the UK. Abuse is the harming of another individual usually by someone who is in a position of power, trust or authority over that individual. The harm may be physical, psychological or emotional or it may be directed at exploiting the vulnerability of the victim in more subtle ways. Physical abuse Bodily assaults resulting in injuries e.g. hitting, slapping, pushing, kicking, misuse of medication, restraint or inappropriate sanctions. Bodily impairment e.g. malnutrition, dehydration, failure to thrive Medical/healthcare maltreatment Sexual abuse Rape, incest, acts of indecency, sexual assault Sexual harassment or sexual acts to which the vulnerable adult has not consented, or could not consent or was pressured into consenting. Sexual abuse might also include exposure to pornographic materials, being made to witness sexual acts and encompasses sexual harassment and noncontact abuse. Psychological/emotional abuse includes: Including threats of harm, controlling, intimidation, coercion, harassment, verbal abuse, enforced isolation or withdrawal from services or supportive networks. Humiliation Bullying, shouting, swearing Neglect Including ignoring medical or physical care needs, failure to provide access to appropriate health, social care or educational services The withholding of the necessities of life, such as medication, adequate nutrition and heating. Financial or material LASSN Vulnerable Adult Protection Policy – November 2014 Page 2 of 15 Including theft, fraud, Exploitation, pressure in connection with wills, property or inheritance or financial transactions, or the misuse or misappropriation of property, possessions or benefits. Discriminatory Including race, gender, sexuality, religion, age, a person’s disability, and other forms of harassment, slurs or similar treatment. Abusive Traditional Practices These are cultural practices from countries around the world which may seriously affect a person’s physical and emotional well-being and are against the law in this country. Female Genital Mutilation –. (FGM) includes procedures that intentionally alter or cause injury to the female genital organs for nonmedical reasons. Procedures can cause severe bleeding and problems urinating, and later cysts, infections, infertility as well as complications in childbirth increased risk of newborn deaths. It can occur either in this country or the person’s country of origin. Trafficking – the recruitment, transportation, transfer, harbouring or receipt of persons, by means of the threat or use of force or other forms of coercion, of abduction, of fraud, of deception, of the abuse of power or of a position of vulnerability or of the giving or receiving of payments or benefits to achieve the consent of a person having control over another person, for the purpose of exploitation. Exploitation shall include, at a minimum, the exploitation of the prostitution of others or other forms of sexual exploitation, forced labour or services, slavery or practices similar to slavery, servitude or the removal of organs Forced Marriage –a marriage that is performed under duress and without the full and informed consent or free will of both parties Multiple forms of abuse may occur in an on going relationship or abusive service setting to one person, or to more than one person at a time, making it important to look beyond single incidents or breaches in standards, to underlying dynamics and patterns of harm. Any or all of these types of abuse may be perpetrated as the result of deliberate intent and targeting of vulnerable people, negligence or ignorance. 5. Recognising Abuse Recognising abuse is not easy and may need professional guidance. Even the list below is not comprehensive. More information can be found on the website http://www.leedsadultprotection.net/ LASSN Vulnerable Adult Protection Policy – November 2014 Page 3 of 15 Physical abuse signs Note: Some ageing processes can cause changes which are hard to distinguish from some aspects of physical assault e.g. skin bruising can occur very easily due to blood vessels becoming fragile. A history of unexplained falls or minor injuries Bruising in well protected areas, or clustered from repeated striking Finger marks Burns of unusual location or type Injuries found at different states of healing Injury shape similar to an object Injuries to head/face/scalp History of GP or agency hopping, or reluctance to seek help Accounts which vary with time or are inconsistent with physical evidence Weight loss due to malnutrition, or rapid weight gain Ulcers, bed sores and being left in wet clothing Drowsiness due to too much medication, or lack of medication causing recurring crises/hospital admissions Sexual abuse signs Disclosure or partial disclosure (use of phrases such as ‘It’s a secret’) Medical problems, e.g. Genital infections, pregnancy, difficulty walking or sitting Disturbed behaviour e.g. depression, sudden withdrawal from activities, loss of previous skills, sleeplessness or nightmares, self-injury, showing fear or aggression to one particular person, repeated or excessive masturbation, inappropriately seductive behaviour, loss of appetite or difficulty in keeping food down. Behaviour of others towards the vulnerable adult Psychological/emotional signs: Isolation Unkempt, unwashed, smell Over meticulous Inappropriately dressed Withdrawn, agitated, anxious not wanting to be touched Change in appetite Insomnia, or need for excessive sleep Tearfulness Unexplained paranoia, or excessive fears Low self esteem Confusion Neglect signs Physical condition poor Clothing in poor condition LASSN Vulnerable Adult Protection Policy – November 2014 Page 4 of 15 Inadequate diet Untreated injuries or medical problems Failure to be given prescribed medication Poor personal hygiene Financial or material signs Unexplained or sudden inability to pay bills Unexplained or sudden withdrawal of money from accounts Disparity between assets and satisfactory living conditions Extraordinary interest by family members and other people in the vulnerable person’s assets Discriminatory signs Lack of respect shown to an individual Signs of substandard service offered to an individual Exclusion from rights afforded to others, such as health, education, criminal justice Other signs of abuse Inappropriate use of restraints Sensory deprivation e.g. spectacles or hearing aid Denial of visitors or phone calls Failure to ensure privacy or personal dignity Lack of flexibility of choice e.g. bedtimes, choice of food Restricted access to toilet or bathing facilities Lack of personal clothing or possessions Controlling relationships between care staff and service users People who might abuse: Vulnerable adults may be abused by a wide range of people including Informal carers, family, friends, neighbours Paid staff, volunteers Other service users Neighbours Strangers LASSN Vulnerable Adult Protection Policy – November 2014 Page 5 of 15 6. How to deal with a disclosure or suspicion of abuse All allegations or suspicions are to be treated seriously. No abuse is acceptable and some abuse is a criminal offence and must be reported to the Police as soon as possible. To determine the appropriate action it is important to consider: It is not your responsibility as a worker/volunteer at LASSN to decide if abuse is occurring, but it is your responsibility to act on any concerns you have Risk – does the vulnerable adult, staff member or volunteer understand the nature and consequences of any risk they may be subject to, and do they willingly accept such a risk? Self-determination – is the vulnerable adult able to make their own decisions and choices, and do they wish to do so Seriousness – A number of factors will determine whether intervention is required. The perception of the victim must be the starting point. Factors informing assessment of seriousness will include: The perception by the individual and their vulnerability The extent of the abuse The length of time it has been going on The impact on the individual The risk of repetition or escalation involving this or other vulnerable adults Is a criminal offence being committed Summary The employee or volunteer’s primary responsibility is to protect the vulnerable adult if they are at risk LASSN would seek to offer support to those involved with the vulnerable adult (including staff and volunteers) to help them to do things better Each employee or volunteer has a duty to take action on any suspicion or evidence of abuse or neglect and to pass on their concerns to the responsible person Employees or volunteers should not have to cope alone. REMEMBER IT IS NOT NECESSARY OR ADVISABLE FOR YOU TO DECIDE IF ABUSE IS OCCURRING OR TO SEEK EVIDENCE. By supporting the vulnerable adult and carefully reporting or logging any information given to you at this stage, you will lay the foundations for an effective formal investigation. In situations of immediate danger, take urgent action by calling the relevant emergency services (e.g. Police, ambulance, GP) Remember to have regard to your own safety. Leave the situation if it is not safe for you. Listen to the vulnerable adult, offer necessary support and reassurance. LASSN Vulnerable Adult Protection Policy – November 2014 Page 6 of 15 Issues of confidentiality must be clarified early on. For example staff or volunteers must make it clear that they will have to discuss the concerns with their manager. Where a vulnerable adult expresses a wish for concerns not to be pursued then this should be respected wherever possible. However, decisions about whether to respect the service user’s wishes must have regard to the level of risk to the individual and others, and their capacity to understand the decision in question. In some circumstances the vulnerable adult’s wishes may be overridden in favour of considerations of safety. Decisions to override the vulnerable adult’s wish not to take the matter further should if possible be the product of discussion with appropriate line management. Note your concerns and any information given to you or witnessed by you. Report concerns to the appropriate line manager. Understand the need not to contaminate, or to preserve evidence if a crime may have been committed. LASSN Vulnerable Adult Protection Policy – November 2014 Page 7 of 15 Concerns or suspicion of abuse or neglect Third party tells of abuse Disclosure of abuse by vulnerable adult If Police presence or medical attention is required contact the relevant Emergency Services, 999 Do not encourage disclosure but do record what has been said on the disclosure report record form Discuss with Project Manager and / or LASSN Vulnerable Adult Protection Officer LASSN will offer support to the client, volunteer and staff involved Complete the Cause for Concern Report or Disclosure Report Discuss implications of risk, self-determination and seriousness (see above). If there are still concerns refer to the relevant agency. Complete the Action Taken or not taken form LASSN Vulnerable Adult Protection Policy – November 2014 Page 8 of 15 7. Confidentiality, record retention and destruction Suspicions and disclosures will be kept confidential and will be shared only with the Vulnerable Adult Protection Officer. Written records of causes of concern and subsequent action will be kept in a locked cabinet. Records will be retained in accordance with the requirements of current official guidelines and the principles of the Data Protection Act (1998) will be adhered to at all times. Records will be adequate, relevant and not excessive. Records will be accurate and kept up to date where necessary. Records will not be kept for longer that necessary for their purpose. Personal information will not normally be kept for longer than 6 years after the last contact. When records are kept for more than 6 years they will be clearly marked and the reason for the extension identified. Criminal records Bureau disclosure certificates will not be stored for more than 6 months. Records relating to vulnerable adult concerns against an employee will be kept until the person reaches retirement age, or for 10 years if that is longer. Records will only be accessed by those with appropriate responsibility. Records will be securely destroyed when they are no longer required. 8. LASSN working practices LASSN will follow statutory procedures. Should these change, then the new statutory procedures will supersede those outlined in this policy and LASSN will update the policy to reflect the changes as soon as practicable. LASSN will recruit workers and volunteers to a clear job description. We will obtain at least one written reference about their work or character before appointing a worker or accepting a volunteer. Appropriate Disclosure and Baring Service check will be made for all LASSN workers and volunteers in contact with vulnerable adults and for LASSN Vulnerable Adult Protection Officer. A DBS report dated within the last 6 months will be viewed and accepted alongside appropriate Independent Safeguarding Authority checks All workers will be subject to a 3-month probationary period. Workers and volunteers will recognise that their work gives them privileged access to the lives of vulnerable adults. Workers and volunteers will establish appropriate clear boundaries to relationships with vulnerable adults. All volunteers and workers in contact with vulnerable adults receive appropriate training, support and guidance to ensure they are informed of LASSN’s Vulnerable Adult Protection policy and what to do if they feel a vulnerable adult is at risk. All volunteers must complete initial training which includes Vulnerable Adult Protection issues. LASSN Vulnerable Adult Protection Policy – November 2014 Page 9 of 15 Supervision sessions will be used to check that workers are implementing proper procedures. Concerns about inappropriate behaviour by another worker or another volunteer must be shared with the relevant Co-ordinator, Manager, Director or Trustee. LASSN internet/email/computer facilities will not be used either to view, store or to download pornographic, indecent or offensive images, text or sound files. When working with other agencies LASSN will take all reasonable steps to ensure the safety and well being of the vulnerable adult/family. The Vulnerable Adult Protection Policy will be kept in an accessible place and will be made available as required. The procedures for protection of vulnerable adults will be reviewed periodically in the light of experience, developments about good practice and recommendations from the relevant Safeguarding Board. 9. Further information For current guidance on safeguarding, http://www.leedsadultprotection.net/ Date approved: 11 September 2013 Reviewed: November 2014 Next review date: September 2016 legislation LASSN Vulnerable Adult Protection Policy – November 2014 and resources see Page 10 of 15 Appendix 1 – roles and responsibilities Roles and responsibilities of Vulnerable Adult Protection Officers To be familiar with current legislation and guidelines on safeguarding Vulnerable Adults To understand and implement relevant Vulnerable Adults Protection procedures To take responsibility for organising appropriate training for staff and volunteers To ensure appropriate recruitment and vetting of staff and volunteers To ensure adequate supervision for staff and volunteers working with Vulnerable Adults To establish good communication with agencies working in the field of Vulnerable Adults protection To promptly investigate and refer appropriately any allegations or suspicions of abuse of Vulnerable Adults To maintain appropriate links with the Safeguarding Board Roles and responsibilities of all trustees of LASSN To apply the current legislation and guidelines on safeguarding Vulnerable Adults Roles and responsibilities of all staff of LASSN To work within LASSN’s Vulnerable Adult Protection Policy and guidelines To inform and support the Vulnerable Adult Protection Officer with any concerns or worries regarding Vulnerable Adults’ safety and well being To attend appropriate training on Vulnerable Adults’ Protection To follow agreed procedures for reporting any causes for concern or worries about a Vulnerable Adult If required, to submit a report to any investigation or case conference concerning any causes for concern LASSN staff are to ensure that volunteers are aware of this policy and their responsibilities as volunteers through training and supervision. Roles and responsibilities of Volunteers To work within LASSN’s Vulnerable Adult Protection policy and inform the relevant project manager of any concerns or worries concerning a Vulnerable Adult’s safety and well-being LASSN Vulnerable Adult Protection Policy – November 2014 Page 11 of 15 Appendix 2 – Causes of Concern report Confidential LASSN Vulnerable Adult Protection Causes of Concern Report Adult’s Date of Birth: Name of Adult: Adult’s Home Address: Date form completed: Time form completed: Your name: Signature: Your role at LASSN: Reasons for your concern Continue on separate sheets as necessary Please record Who? the following as factually as possible What? Where? When? Offer an opinion where relevant (how and why this may have happened) Continue on separate sheets as necessary Please continue on separate sheets as necessary LASSN Vulnerable Adult Protection Policy – November 2014 Page 12 of 15 Confidential LASSN Vulnerable Adult Protection Record of Action Taken or not taken Record of all action taken, comments or statements made, agencies contacted and at what time Time/date Action taken/not taken (and reason if appropriate) Initial Continue on separate sheets as necessary Signed: Print Name: Date of report: Please give the completed report to the LASSN Vulnerable Adult Protection Officer LASSN Vulnerable Adult Protection Policy – November 2014 Page 13 of 15 Confidential LASSN Vulnerable Adult Protection Disclosure report record DO NOT encourage further disclosure but do record what has been said. Name of Adult: Adult’s Date of Birth: Adult’s Home Address: Date of disclosure: Time of disclosure: Your name: Your role at LASSN:: Where did the disclosure discussion take place: If anyone else was present please give their name and relationship to the adult if any: The disclosure: Please write as much as you can remember of the conversation you had. Record what the adult has said, their demeanour and actions as soon as possible after the disclosure. The conversation should be recorded as far as possible in the adult’s own words and should clearly note any questions asked by the worker/volunteer. Please continue on separate sheets as necessary LASSN Vulnerable Adult Protection Policy – November 2014 Page 14 of 15 Disclosure Summary: Who the allegations are against? What is there relationship to the adult? What are they alleged to have done? (physical, sexual, neglect or emotional) When did, or is the alleged abuse taking place? To your knowledge is there more than one victim? Yes / No / Don’t know What evidence have you seen to support the allegation (bruises, burns, overt changes in behaviour, etc?) Additional Information: Please use this space to share any other information you may feel is relevant to the disclosure. Signed: ________________________ Date: ________________________ Please give the completed report to the LASSN Vulnerable Adult Protection Officer LASSN Vulnerable Adult Protection Policy – November 2014 Page 15 of 15