Joint Multi-Agency Safeguarding adults Policy Procedures

1 Joint . Multi-Agency . Safeguarding . adults . Policy &. Procedures . BRADFORD, CALDERDALE, KIRKLEES, NORTH. YORKSHIRE, WAKEFIELD, AND YORK. REVISED VERSION. JUNE 2021. OFFICIAL - SENSITIVE. INTRODUCTION. This Joint Multi-Agency Safeguarding adults Policy and Procedures sets out the framework for how agencies across Bradford, Calderdale, Kirklees, North Yorkshire, Wakefield and City of York respond to concerns raised about abuse and neglect of adults at risk. These sit alongside all the support and work across the region to prevent abuse and neglect from occurring. Safeguarding means protecting an adult's right to live in safety, free from abuse and neglect. It is about working together to support adults to make decisions about the risks they face in their own lives, and protecting those who lack the mental capacity to make these decisions. The Joint Multi-Agency Safeguarding adults Policy and Procedures are underpinned by a commitment to being person led and outcome focused, upholding the principles of Making Safeguarding Personal, including sharing learning, expertise, and to develop best practice across a wider region to the benefit of adults at risk of abuse and neglect.

2 An adult at risk is a person aged 18 or over who has needs for care and support (whether or not the local authority is meeting any of those care and support needs), and as a result of those care and support needs is unable to protect themselves from either the risk of, or the experience of abuse or neglect. Safeguarding adults requires organisations to work closely together, in partnership, to support and safeguard adults at risk of abuse and neglect. Strong partnerships are those whose work is based on an agreed Policy with common definitions and a good understanding of partners' roles and responsibilities. Safeguarding adults is however far more than a set of guidance or Procedures ; it is all we do in all our work, in our practice, and our communities to prevent abuse and promote the wellbeing of adults with care and support needs. It includes the preventative work of our care and health services, the support of our neighbourhoods and communities, the courage of everyone who has blown the whistle', and the actions of every individual who looks out for the welfare of their friends and neighbours.

3 This Joint Multi-Agency Safeguarding adults Policy and Procedures seeks to promote strong partnerships arrangements by: A commitment to the six Safeguarding principles; empowerment, prevention, proportionality, protection, partnership working and accountability;. A commitment to the principle of Making Safeguarding Personal;. Providing a framework for Multi-Agency working and partnership;. Providing a framework for recognising and taking action to prevent the abuse of adults at risk;. Defining the responsibilities of partner organisations in responding effectively to Safeguarding adult concerns;. Providing common values, principles and practice that underpin the Safeguarding of adults at risk;. Identifying the different types of abuse, signs, symptoms and indicators;. Setting standards of practice that safeguard adults at risk. i OFFICIAL - SENSITIVE. Local Implementation The Safeguarding adults Board's (SAB's) across Bradford, Calderdale, KIrklees, North Yorkshire, Wakefield and City of York have adopted this Policy and procedure ensuring consistency of approach.

4 Produced by: Bradford Safeguarding adults Board Calderdale Safeguarding adults Board Kirklees Safeguarding adults Board North Yorkshire Safeguarding adults Board Wakefield Safeguarding adults Board City of York Safeguarding adults Board Each local Board may however have additional supporting guidance and forms that support this revised Multi-Agency Safeguarding adults Policy and procedure. These can be accessed from their respective websites. Bradford Click here for the Safeguarding adults pages on Calderdale Click here for the Safeguarding adults pages on Kirklees Click here for the Safeguarding adults pages on North Yorkshire Click here for North Yorkshire Safeguarding adults Board website Wakefield Click here for the Safeguarding adults pages on York Acknowledgement: This Multi-Agency Safeguarding adults Policy and Procedure is based upon the multi - agency Safeguarding adults Policy and Procedures from London and Surrey. Review If any person identifies areas of omission or potential improvements to this multi - agency Safeguarding adults Policy and Procedure, please email your comments to: All comments and suggestions received will be considered within subsequent reviews.

5 Ii OFFICIAL - SENSITIVE. CONTENTS. THE Policy . SECTION 1: WELLBEING, VALUES AND PRINCIPLES 2. Wellbeing 2. Values Supporting adults at Risk of Abuse and Neglect 3. Equality and Diversity 4. Duty of Care 4. Defensible Decision Making 4. Principles 5. Risk Management 6. Co-operation and Information Sharing 6. Confidentiality 7. Accessible Information Standard 8. Information and Advice 8. SECTION 2: ADULT Safeguarding Policy 9. What is Safeguarding ? 9. The Aims of Adult Safeguarding are to: 10. Prevention in Adult Social Care 10. Preventing Abuse and Neglect 10. Workers (including paid carers), Volunteers and Managers 11. Informal or Unpaid Carers ( family, friends, and neighbours) 12. The Public and Community 13. Resilience 13. Who do Safeguarding adults Duties Apply to? 13. Non Statutory Enquiries 13. iii OFFICIAL - SENSITIVE. Children and Young People 14. Transition 15. Children and Young People who Abuse 15. Young Carers 16. Types and Indicators of Abuse and Neglect 16.

6 Patterns of Abuse 19. Who Might Abuse 20. Managing Concerns Involving a Person in a Position of Trust' (PIPOT) 20. Concerns with Employment 20. Action in Relation to the Person(s) Alleged to have Caused Harm and Criminal Enquiries 21. Concerns Arising Outside of Employment 21. Referral to Local Authority Designated Officer (LADO) 22. Information Sharing 22. Referrals to Disclosure and Barring Service (DBS) 22. Abuse by another Adult at Risk 23. Self-Neglect 24. Hoarding 25. Response to Self-Neglect and Hoarding 25. Serious Incidents and Never Events 26. Pressure Ulcers 27. Linked Agendas 27. Domestic Violence and Abuse 27. Forced Marriage 29. Honour-Based Violence 29. Modern Slavery 30. Prevent Agenda: Exploitation by Radicalisers who Promote Violence 31. Hate Crime 32. iv OFFICIAL - SENSITIVE. Mate Crime 32. Anti-Social Behaviour 33. Multi-Agency Public Protection Arrangements (MAPPA) 34. Herbert Protocol 34. People who Live Street Based Lives 34. SECTION 3: ADULT Safeguarding PRACTICE 36.

7 Mental Capacity and Consent 36. Mental Capacity Assessment 36. Control and Coercion 37. Consent in Relation to Safeguarding 37. Reasons to Override Consent 38. Deprivation of Liberty Safeguards (DoLS) 39. Mental Health Act 1983 (amended 2007) and Mental Capacity Act 2005 39. Mental Capacity Act Section 44 Ill-Treatment or Neglect 39. Advocacy and Support 40. Advocacy 40. Support to adults 42. Support for Vulnerable Witnesses in the Criminal Justice System Process 43. Managing Risk 43. Involving the Adult 43. Identifying Risk 44. Risk Assessment 44. Risk Management 45. Reviewing Risk 45. Risk Disputes 46. Recording Actions under Adult Safeguarding 46. Organisational Learning 47. v OFFICIAL - SENSITIVE. Links with Other Reviews and Investigations 47. THE Procedures . SECTION 4: ADULT Safeguarding Procedures 50. Context 50. The Four Stage Process 50. Responsibilities 50. Local Authority and NHS Partnerships 50. Safeguarding Concerns Managers / Leads in all Organisations 51.

8 Safeguarding Adult Reporting Points 51. Lead or Delegated Enquiry Officer 51. Safeguarding Co-ordinator 52. Feedback 52. Sharing Information with People Alleged to have Caused Harm 52. Dealing with Repeat Allegations 53. Dispute Resolution and Escalation 53. Cross-Boundary and Inter-Authority Adult Safeguarding Enquiries 54. The Experience of the Adult at Risk, Section 42 Flowchart, Summary and Timescales 55-57. SECTION 5: STAGE 1 REPORTING A CONCERN 58. Who can Report a Concern? 59. Police Engagement 60. Guidance for Organisations 61. Guidance for Employees and Volunteers 62. In an Emergency or Out of Hours 62. Whistleblowing Public Interest Disclosure Act 1998 63. vi OFFICIAL - SENSITIVE. Role of the Safeguarding Concerns Manager 63. Gather Information 68. Take Action to Ensure the Immediate Safety of the Adult at Risk 68. Deciding Whether to Report an Incident to the Police 69. Preserving Evidence 70. Deciding Whether to Raise a Safeguarding Concern 70.

9 Mental Capacity to Consent 71. Raising a Safeguarding Concern without the Consent of the Adult at Risk 72. Document the Incident and any Actions or Decisions Taken 72. Ensure Key People are Informed 72. Provide Support for the Person Raising the Concern 73. Issues and Concerns regarding Service Provision 73. How to Raise a Safeguarding Concern 74. SECTION 6: STAGE 2 - RESPONDING TO THE CONCERN / INFORMATION. GATHERING 77. Receiving the Safeguarding Concern 77. Safeguarding Concern Received by the Local Authority/ Multi-Agency Safeguarding Hub (MASH) 78. Duty to Make Enquiries 79. Deciding if a Safeguarding Enquiry needs to be Undertaken 79. Poor Practice or Abuse 81. Quality of Service 81. Proportionate Response 82. SECTION 7: STAGE 3 - Safeguarding RESPONSE 84. Safeguarding Response 85. Risk Assessment 87. Role of the Local Authority 87. vii OFFICIAL - SENSITIVE. Criminal Investigations 88. Ill Treatment and Wilful Neglect 88. Desired Outcomes for the Adult 88.

10 Considering How Best to Help the Adult at Risk 89. Points to Consider 89. Objectives (of the conversation to determine the Safeguarding response) 89. Desired Outcomes Identified by the Adult 90. Planning an Enquiry as part of the Safeguarding Response 91. Communication and Actions 91. Support Networks 92. Types of Safeguarding Enquiries 93. Linking Different Types of Enquiries 95. Action against the Person(s) Alleged to have Caused Harm 95. Support for People who are Alleged to have Caused Harm 95. Feedback to People who are Alleged to have Caused Harm 96. Care and Support Provider Duties 96. Local Authority Duties Cross Border Arrangements 96. Providers Undertaking the Enquiry 97. Provider Duties to the Person Alleged to have Caused Harm 98. disciplinary Investigations and Referrals to the Disclosure and Barring Service (DBS) 98. Providers and Duty of Candour 99. Organisational Enquiries 100. Enquiry Reports 100. Standards and Analysis 101. SECTION 8: STAGE 4 OUTCOMES AND CLOSURE (INCLUDING PLAN.)