Summary of the Annual Report of The Leicester, Leicestershire

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Everyone has the right to live their life free
  from abuse, violence and degrading


On the front cover, there is an important sentence – ‘We believe that everyone has
the right to live their life free from abuse, violence and degrading treatment’. This
sums up our beliefs about the importance of safeguarding adults. We have written
this summary of the Annual Report to give you a flavour of who we are, what we
have done, are doing and will do. If you want to read the full report, you will find it on
the internet by following this link:

                                    WHO ARE WE?

Safeguarding adults is not just one organisation’s job – it needs everyone to work
closely together. The Safeguarding Adults Board has representatives from local
agencies who have responsibilities for supporting vulnerable people, and so it has
senior people from:

Voluntary Sector Providers
Rutland Adult Social Services and Housing
Leicestershire Adult Social Care Services
Leicestershire Probation Service
Leicester City Adults and Housing
Adult Education
Leicester City Primary Care Trust
Independent Sector
Leicestershire Partnership Trust
Leicestershire Police
University Hospitals of Leicester NHS Trust
Commission for Social Care Inspection
Leicestershire County and Rutland County Primary Care Trust

The Board is responsible for policies and procedures, and for setting the future
direction of the work.

WHAT WE DID IN 2007-2008

Safeguarding adults is still a relatively new area, and we have been busy in a lot of
ways trying to improve how we do things. Some examples of this are:

    -   Making sure that the new Mental Capacity Act was introduced properly.
        We did this by arranging training before the Act came in so that people
        responsible for assessments understood their roles.. We have heard that this
        was successful in increasing people’s knowledge and confidence.

    -   Agreeing on how to carry out serious case reviews. These are held after
        serious incidents involving the abuse or neglect of one or more vulnerable

    -   Strengthening resources. For example, the University Hospitals of
        Leicester Trust through funding for a Safeguarding Adults Lead Nurse.
        Funding for multi-agency training has also been secured until 2011.

    -   Running a pilot on individual budgets, completed by Leicester City Council
        in 2007 as part of a national programme. This will help everyone think about
        how best to support vulnerable people who control their own care budgets.

    -   Developing better ways of helping victims of domestic violence were
        introduced by Leicestershire police who lead on the introduction of MARAC,
        involving all agencies.

    -   Increasing the amount of training available, Feedback on the training
        proved very positive. Figure 1 shows a real difference in training attendance
        since 2005.

                             Figure 1: Training Attendance


               1                          876                    2006-2007


                   0          500          1000           1500

Safeguarding in Action: giving time

A care worker stole money from a man with learning disabilities.
The police supported him to make a video statement in a setting
other than the police station. His advocate was present, and he
was given as much time as he needed. He was supported in
communicating in the way he felt most comfortable.

                            SOME FACTS AND FIGURES

In the Annual Report we have analysed the safeguarding work done over the year.
Below we show some important parts of this section of the report.

                              Why are people referred?

       Allegations of physical abuse accounted for a third of all referrals
       Financial abuse prompted nearly a fifth of allegations, as did neglect
       Psychological abuse was next.

Safeguarding in Action : a positive change of environment

Mrs R’s daughter asked for a review of her mother’s
residential placement. She was concerned that Mrs R, an 84
year old Asian woman, was in need of more emotional support
and more practical help. The review was carried out by a
social worker, supported by an interpreter. A CPN provided a
mental health assessment, which found no evidence of
depression or other difficulties. The residential home
manager felt that they could not meet Mrs R’s needs
effectively, and there were clashes between Mrs. R’s beliefs
and those of residential staff, leading to her feeling isolated.
She decided that a different placement would be appropriate.
A new placement was therefore pursued, and Mrs R is now in
a situation where she is able to pursue her religious beliefs
more easily: arrangements have been made for her to attend
local church services. The social worker is also investigating
local voluntary organisations and befriending groups with a
view to ensuring Mrs R is able to communicate socially with
others in her first language. The result of intervention has
been that she now feels more emotionally settled and better

                          OUR PLANS FOR NEXT YEAR

There is a lot of work still to do, even though we have done a lot. Among the plans
for 2008-2009 are:

       Reviewing individual and multi-agency Safeguarding Adults Policy and
        Procedures, including the serious case review protocol;
       Developing better systems to ensure good quality services;
       Promoting greater involvement of service users, communities and agencies;
       Increasing access to training across agencies and for service users;
       Improving preventative services for community safety.

Safeguarding in Action: mental capacity and working

Mr X is a white man in his twenties with a severe learning
disability: he was living at home at the time of the safeguarding
investigation. Mr X at times exhibits challenging behaviour, and
he and his family have been known to social services for a
number of years. The support plan after he left school was for
him to access local authority day services.
A relative, with whom Mr X was staying, got in touch with Adult
Social Care Services alleging that he had been hit by his mother.
An investigation was carried out, involving a social worker and a
police officer. Mr X’s mother admitted assaulting him and she
received a caution. Mr X did not want to return home, and went
into respite accommodation while an assessment was completed.
A strategy meeting was held, following which it was agreed that
Mr X had the mental capacity to make decisions about returning
home, provided he was given time and space. Some financial
protection was agreed on while he was in residential care. Those
agencies who knew Mr X - his former school, day service staff,
respite care, the private residential home - collaborated positively
with the assessment. The respite care providers were very
supportive, ensuring that he had contact with his family. Mr X has
at present decided to stay in his residential placement, where he
is forming friendships, but a return home remains a possibility.