"RISK MATRIX - Download as DOC"
Commenced April 2010 – Reviewed June 2010 Risk Identification and Response Tool On receipt of a referral and for continual risk assessment throughout the POVA process. The health and wellbeing of the individual is paramount and support services should not be delayed if there is an immediate risk to life, physical safety or serious abuse to a vulnerable adult or other vulnerable adults. (In all cases consent can be overruled when not acting will put other vulnerable adults or children at risk or an overriding public interest issue exists.) If there are such risks, an individual protection plan can be arranged until a full assessment is completed. Children services are to be contacted if there is a risk to a child. Making defensible decisions. As practitioners, we owe a duty of care to our clients since they have become our clients precisely because a propensity to harm exists. We need to make defensible rather than defensive decisions. ‘Defensive beliefs and reactive approaches to risk (managing the harm once it has occurred) will increasingly be challenged by developments in risk assessment and risk management. The emphasis is moving to decision making processes and their management’. (Carson, D. (1996) ‘Risking Legal Repercussions’ from Good Practice in Risk Assessment and Risk Management, Kemshall and Pritchard) This is a tool and your professional judgement remains the final arbiter. No System can be 100% risk free or guarantee 100% protection. This guidance can also be used for the serious / complex criteria for information to be shared with line manager for POVA referrals. Commenced April 2010 – Reviewed June 2010 Risk Assessment Guidance Assessing risk and priority should be assessed at the point of referral. The initial risks identified and any further risks should also be reviewed and assessed continuously throughout the Protection of Vulnerable Adult (POVA) process. For example: during strategy discussion; strategy meeting and/or case conference. The risks should also be reassessed when a change in circumstance is identified as this may increase the risk. Where possible a multi agency risk assessment should take place following consideration of this guidance and consultation with the relevant agencies involved. It is important that the level of risk is recorded throughout the POVA process and documented in both the VA2/ decision making record and in the minutes of any meetings. This guidance document should not be used in isolation; rather it should support professional judgment and the use of the evidence available. By taking the suggested action, the level of risk should be reduced or removed. . Name / Data base number: Time and Date of Assessment and Priority Rating completed on receipt of referral. Risk assessed for the following reasons and appropriate person consulted to implement safeguards with a view to reduce/remove further risk. (Select from high risk, medium risk, low risk and summarise reasons Allocated D.L. M. Signature Duty Officer. Commenced April 2010 – Reviewed June 2010 RISK MATRIX DECISION MAKING PRIORITISATION FORM NEEDS / RISKS RESPONSE NEEDED TO REDUCE/REMOVE There is / continues to be an immediate risk to health or physical safety. Immediate allocation / response from relevant agencies is required to stabilise the situation, reduce risk or keep people Serious abuse has occurred or is likely to continue with regard to this safe, emergency temporary services may be arranged. Adult Protection Plan to be implemented and reviewed High Risk vulnerable adult or other vulnerable adults. throughout the process. Situation Crisis situation / high-risk situation remains. Police / CSSIW / HIW / Health / Social Services to be consulted with immediately. Immediate referral to Police / CSSIW / HIW. Priority 1 The victim continues to reside in the place where the abuse occurred or Immediate action required i.e. alternative accommodation, escalation policy implemented. continue to have contact with the alleged abuser Imminent risk. Vulnerable Adult lacks mental capacity and there is no one to advocate in Best interest decisions to be made, referral to IMCA The potential his / her best interests or deemed appropriate to do so Consider support from legal services where removal is being considered event has/is likely Vulnerable Adult with capacity refusing safeguarding action (When no other Sign post to appropriate agencies i.e. Police, Domestic Abuse Unit, independent domestic violence advocate, social to happen. risk factors are evident i.e. paid carer, other vulnerable adults at risk etc). services, voluntary agencies or health care services. Impact would be This could be relevant for all risk categories. serious Evidence suggests there is an imminent risk to children or other vulnerable Other information suggestsimmediate child protection referral to be made Crisis situation / high-risk situation remains. significant harm adults. Information sharing at a strategic level regarding Care Providers to be considered. (E.g. need for embargo, consider/implement Provider Performance Monitoring Process / Escalating Concerns ). Individual protection plan for any other vulnerable adult that has been identified as being at risk. Risk to be reviewed and recorded throughout process There is, or may be, significant risk with regard to this vulnerable adult or Allocation needed within the working day case discussion to be held and to decide POVA response. other vulnerable adults. Physical or mental health may be deteriorating. Abuse suggests that a criminal offence has occurred. Police to be consulted as soon as possible. Medium Risk situation Services or equipment in place to manage risk, however, areas of Increased monitoring. Consultation with key agencies to discuss level of risk and appropriate response. unresolved risk remain. Priority 2 Risk highlighted in previous POVA concerns is outstanding. HIW/CSSIW and health/LA Contract monitoring visits to continue routinely and fed back to authority and DL.M. history of related POVA concerns with this provider. Identifiable The victim continues to reside in the place where the abuse occurred or Additional support measures to be considered e.g. Respite. Individual Protection Plan/ care management processes to indicators. continue to have contact with the alleged abuser. However, there is be implemented reviewed and amended in light of change to needs/risk for this vulnerable adult and any other Significant harm increased monitoring / supervision is in place. vulnerable adult that has been identified as being at risk. could happen but Carers continue to experience difficulties and may not be able to continue Offer carers assessment??? Review care package is unlikely to so without assistance. unless there is a Evidence suggests there are concerns for children Links with Child Protection Team needed. change to circumstances. Risk to be reviewed and recorded throughout process There is, or may be, low or no significant risk with regard to this vulnerable Discussion within two working days of the alert with relevant team manager resulting in response needed for adult or other vulnerable adults management of further risk if identified. Risk has been removed either on a temporary or permanent basis. Low Risk . situation No risk to children identified or any risks are being managed by Children’s Involved services / Care manager to monitor situation and report concerns back to DLM. Services. Priority 3 No recent history of POVA referrals Any POVA referrals are unrelated Current evidence No history of concern regarding the alleged perpetrator does not indicate No recent concerns with the care provider Involved services / Care manager to monitor situation and report concerns back to DSO likelihood of significant harm Any concerns regarding other Vulnerable Adults / or care Provider are being Individual Adult Protection Plan In place managed appropriately. Abuse may be likely to occur, but can be managed by care management or Relevant team manager to respond accordingly further information is needed to determine if a POVA. Risk to be reviewed and recorded throughout process Commenced April 2010 – Reviewed June 2010