Practitioner Level
P1 Safeguarding Adults
Part 3: Putting in into Practice
Please complete this workbook after
attending the face to face part of the course.
Signature of person
when completed
Date
Signature of line
manager/colleague when
discussed and completed
Date
NB: This workbook can count as part of your continuing professional
development for re-registration, if applicable.
“The ultimate test of effective training
is whether it benefits service users”
(Horwath and Morrison 1999 p 292)
By now you should have completed half of the practitioner level Safeguarding
Adults Programme: the ‘Getting Ready to Learn’ workbook and the three hour
face to face course. This ‘Putting it into Practice’ workbook is designed to give
you the opportunity to put into practice some of the material you covered on
the face to face course and to reflect on and enhance your learning. You
should discuss it with a colleague or manager when you have completed and
keep it as evidence of your application of learning. The final part of the
programme is the impact analysis. We will email you and your manger three
months after the face to face course with some questions about the impact of
the training programme you have attended on your service users.
‘Reflect on your learning’
When you completed the ‘On the day’ evaluation questionnaire at the end of
the face to face course, you were asked to state 2 areas that you would seek
to improve your practice. What were these?
1.
2.
Explain what you have done to implement this learning and what impact this
has had on your service users.
1.
2.
Describe any barriers there were to you implementing this learning.
Discuss with your manager/colleague how these can be overcome.
Which, if any, areas you are still unsure of?
Discuss with your manager/colleague how you might address these. Look at
the next steps section of this workbook at the end of this workbook.
‘Enhance your Learning: The Law’
On the face to face course, you looked at the some of the legislation that
supports safeguarding activity. This is a complex area but a very accessible
guide to the law has been written to help you protect adults at risk of harm.
There are 20 case studies in the guide, which are based on recent real cases.
It explores the possible legal routes to protecting the person from harm.
Domestic Violence and financial abuse p5
Capacity for personal relationships p8
Hospital discharge p10
Manual handling of man by his parents with
risk of injury p12
Self neglect p14
Protection from local youths anti-social
behaviour p16
Malnutrition and pressure sores in a care
home p17
Petty theft by family member p19
Observations by a hospital social worker p21
Giving money to a carer as a gift p23
Paid carer stealing money from a person’s
own home p23
Allegation of rape p25
Forced marriage p27
Locked room and restraint of young woman
by parents p29
Removal of adult from his adult placement
because of safeguarding concerns about
restraint p31
Disclosing information about a care home
worker’s assault on her own child p33
Standard of care and assisted suicide
comment p34
Sexual exploitation of woman with learning
disabilities and mental health problems p36
Son denying access to his mother p37
Care worker crossing boundaries with a
person who uses services p39
Assisting a woman make a decision about
contraception p40
Choose one or more of the case studies relevant to your role and read it by
clicking on the link:
http://www.devon.gov.uk/scwd-safeguarding-adults.htm
Answer the questions on the next page.
Describe the key issues in the case study you chose.
Explain how you might use the legal summary for that case to better protect
your service users.
Have you identified any new learning needs?
Discuss with your manager/colleague how you might address these. See the
next steps section at the end of this workbook.
‘Enhance your Learning: Care Standards’
On the face to face course, you looked at three Serious Case Reviews from
Devon, which followed the deaths of vulnerable adults in residential care and
a report by the Independent Safeguarding Authority concerning 200 referrals
made to the vetting and barring scheme.
http://www.devon.gov.uk/index/socialcarehealth/older_people/adult-protection/sab-seriouscase-reviews.htm
http://www.isa.homeoffice.gov.uk/pdf/1ISA%20Research%20Report%20Ver%203-11.pdf
Tragically, research shows that the same problems are identified over and
over and over again: not listening to vulnerable adults, not acting on early
warning signs, not taking responsibility and allowing people to slip between
services, poor record keeping, uncertainty about information sharing
protocols, lack of partnership working, limited or ineffective training, poor or
outdated organisational culture and practices, limited supervision and lack of
management oversight. This is basic stuff. Safeguarding is everyone’s
responsibility - in both our professional and our private lives. The big focus for
practitioners now is ‘How can we prevent abuse happening in the first place?’
The Social Care Institute for Excellence has identified some of the most
common safeguarding challenges, analysed some of the underlying causes
and created a prevention checklist, including links to additional resources.
Although the challenges were identified in care homes, many are relevant to
day care, domiciliary care and hospital settings. The most common issues
were: maladministration of medication, pressure sores, falls, rough treatment,
beings shouted at or ignored, poor nutritional care, lack of social inclusion,
institutionalised care, physical abuse between service users and financial
abuse.
Choose one or more of the issues relevant to your service or a service you
work with and read the relevant section by clicking on the link:
http://www.scie.org.uk/publications/guides/guide46/files/guide46.pdf
Work through the prevention checklist and assess how well your chosen
service is performing against each target.
What good practice have you identified?
What, if any, issues have you identified?
Discuss your findings with the manager of the service. The CQC ‘Guidance
about compliance with the Essential Standards of Quality and Safety’ may
assist you in deciding what action to take. Click this link:
http://www.cqc.org.uk/sites/default/files/documents/gac_-_dec_2011_update.pdf
What action have you decided will be taken and by whom? How and when will
you check that this has happened?
If you feel that service users are at risk of significant harm, you should
make a safeguarding alert by calling Care Direct on 0845-1551-007.
‘Next Steps’
You have now completed the practitioner level safeguarding adults
programme. We will be contacting you and your manager 3 months after the
face to face course to ask you some questions about the impact of the course
on your service users.
If you have identified further learning needs whilst completing this workbook,
please discuss how you can address these with your manager or workforce
development team. Some suggestions are listed below.
Social Care Institute for Excellence: www.scie.org.uk
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E-Learning – MCA, Personalisation, Dementia, Risk & restraint, Communication, the
Law, mental health, Inter-agency working….
Social Care TV – challenging behaviour and LD, dementia, end of life care, MCA,
restraint, nutrition, personalisation, prevention, safeguarding, telecare, autism, carers
Good Practice examples – share your good practice ideas and learn from others
Online Portal – easy search facility - get access to social care reports, journal
extracts, book reviews, research briefings, websites
Management Tools – resources on recruitment, leadership and management, health
and safety, risk assessment, wellbeing at work, involving people who use services
Research database – access to information about current and completed research
Ethics Committee – will look at proposals to undertake research
Social Care Information and Learning Services: www.scils.co.uk
Devon County Council has subscribed to this service and you can use it for free once you
have registered. The registration number is 255DEVN – you can then choose your own
username and password, which you will need every time you use the site.
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Learning Materials – search by keyword or by Award & Unit being studied
Qualifications – guide to content of many health and social care related courses
Personal Development Planner – online record of learning
Newsdesk – regular updates
Discussion boards –variety of topics
Q & A page
Links to Useful Websites
Common Induction Standards – resources and evidence booklets
Devon County Council: www.devon.gov.uk
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MCA Practice Guidance – FAQs
http://www.devon.gov.uk/index/socialcarehealth/adultprotection/mentalcapacityact/mca-practice-guidance.htm
Toolkit – resources on MCA
http://www.devon.gov.uk/index/socialcarehealth/adultprotection/mentalcapacityact/mcausefulinfo.htm
Safeguarding Training website
http://www.devon.gov.uk/index/socialcarehealth/scwd/scwd-safeguarding-adults.htm
Course bookings https://www.devon.gov.uk/onlinebookings?url=TrainingAdmin%2DDevon/
The Learning Gallery - E-mail: lgallery@devon.gov.uk Telephone: 01392381655
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Variety of mediums - Books, DVDs, videos, CD-roms, journals, training packs
Variety of subjects – dementia, abuse, ageing, diabetes, law, race, religion,
management, person centred planning, anxiety, depression, community care,
nutrition, training, deafness, sociology, carers, BSL, health and safety, moving and
handling, resources for people with a learning disability and many more…..
Department of Health www.dh.gov.uk
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Leaflets, booklets, posters, reports, legislation, statistics - variety of health and
social care related topics
Codes of practice - MCA and DLS
Training packs
Films available at: http://www.youtube.com/user/departmentofhealth
Nursing and Midwifery Council
http://www.nmc-uk.org/Nurses-and-midwives/safeguarding/
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Films – 4 safeguarding films available to watch online, download or order on DVD
Training Toolkit
Other safeguarding resources
We are constantly striving to improve our
training to better protect the people of Devon.
We would love to hear your feedback.
Please email us at:
safeguardingadultstraining-mailbox@devon.gov.uk