There are some ways to prevent abuse and neglect it’s important that when are in a health and social care setting the staff will receive training on preventing of abuse and neglect. It’s important that you raise awareness’s about abuse and neglect and how people and care workers can protect themselves always have a system in place to identify and share information about people who may pose a risk or people that are close to being harmed in anyway. Also it’s always important to ensure that all members of staff understand the local multi agency public protection arrangements, Such as adult protection coordinator, child safeguarding boards, social services and health services. Always provide resources to raise awareness about and neglect and how people can protect them. Promote empowerment and choice.
Responding to concerns about abuse and neglect is important because of you as a health care professional it’s your job to raise concerns about a patient in a healthcare setting. In the ward 9 NHS Trust, it was the nurse’s job to complain about her concerns about Jason starving at home. This is a sign of neglect nurses have noticed that Jason has been underweight due to is the parents not feeding him at home and he’s complained to the nurses that he’s been hungry. It’s important that the nurse files a complaint their manager so then they can get the authority involved and they can question the parent to why their son is making accusation toward his parents, the parent feel like he’s making it up because of his “learning difficulties” and the nurses shouldn’t listen to him. It’s always important to respond to concerns about abuse and neglect always inform the manager of the organization so they can inform the authority such as health services, social services, police, care quality commission.
In the case study, Jason’s parent showed neglect towards Jason by starving him and not showing any concern for him at all. The duty of care wasn’t shown to Jason and his parent they failed to care for their son outside of the healthcare center and they would starve him. And Jason did state that he will need to ask for permission if he wants to eat. In a healthcare setting, it’s important that every service user is treated respectfully. The nurse was dismissed after making a comment after saying ‘he probably doesn’t understand about eating properly’ which is very inappropriate because she discriminated Jason because of his learning difficulties and assumes that he can’t eat because of his learning difficulties.
The service user will feel safe knowing that they are in the hands of a healthcare professional and they will be protected from harm and anger towards them. Duty of care and complaints procedures are important because it’s a health care professional meet the duty of care towards a service user and also meet their needs meeting the service user’s duty of care when it comes to complaints procedures and it’s your job as a health a care professional to make sure you inform your manager when a service user is filing a complaint and they feel that their needs are not met.
The strengths of duty of care and complaints procedures in promoting safe practice are:
Strengths and Weaknesses
In a healthcare setting, it’s important that you know the safe practice procedures so you are able to prevent situations. That’s why you should be trained for situations like Jason’s so you are able to prevent it and be aware of the danger that might come the series user’s way. Complain policies and procedure will promote safe practice for future preferences. Also, it’s important because it will benefit Jason’s safety as a service user and as a patient that wants their needs to be met.
The nurse would like to file a complaint about her worries for Jason and how his parents are starving him and all the statements that Jason claimed to the nurses. If this does carry on then maybe the manager of the health care center will bring high authorities involved so they can maybe turn this into an investigation because Jason could be at risk of being harm it could lead to depression or maybe self-harm because his parents are letting him eat. Maybe in the future, Jason’s parent should go for therapy so they can learn to communicate with their son especially a son with learning difficulties.
In this case study, the duty of care wasn’t shown to Jason and his parent they failed to care for their son outside of the healthcare center and they would starve him. And Jason did state that he will need to ask for permission if he wants to eat. In a healthcare setting, it’s important that every service user is treated respectfully. The nurse was dismissed after making a comment after saying ‘he probably doesn’t understand about eating properly’ which is very inappropriate because she discriminated Jason because of his learning difficulties and assumes that he can’t eat because of his learning difficulties.
Kevin (the ward manager) claimed that Jason’s stomach was due to overeating, and he accused Jason’s parents of starving their son, but yet Jason’s parents. While the nurses have been taking care of Jason they’ve noticed that Jason is underweight for his height and he complains of being hungry and made more claims that if he wants to eat then he will need permission from his parents.
The significance of a duty of care and complaints procedures in this case study portrayed the importance of promoting safe practice. Jason Brown became ill after eating a portion of cottage pie and he described that it tasted ‘funny’. Jason claimed that he wasn’t fed enough at home and now his parent’s wants to file a complaint and accuse them of neglect because they didn’t care for Jason when he wasn’t feeling well. Nurses have noticed that Jason has been overheating due to his parents starving him, but his parent denies this accusation. As a care worker, it’s important that it’s the service workers duty to be responsible to care for the service user.
Ward 9 at Milton Keynes NHS Trust
In 1998 the data protection act states that ‘personal data’ and sensitive personal data must be monitored and managed in accordance with the law. Also, the human rights act of 1998 gives every individual the rights to be respected for people that want a private family life and home and agreement
It’s important that as a care worker you will have the responsibility to access information that your friends and family who might not be familiar with the care that they might not have. You might know these people that might have friends in common.
If there is information about adult safeguarding issues can be portrayed as sensitive and personal when you use this information then it is governed by the common law duty of confidentiality. It is never acceptable to disclose any source of information to individuals that are not directly involved in the care and concern of the service user.
Reporting and recording procedures
Make sure when an issue isn’t addressed you as a service worker you need to raise your concerns to your manager so they can contact the agencies to investigate allegations
It’s important that you don’t keep it a secret or agree to complete confidentiality. You need to inform the agencies so they can go through the further investigation and hopefully prevent danger toward the service user because you keep it a secret then you won’t do your job as a health care provider to help your service user.
Make sure you do not ask various questions, or else the service user will have the need to repeat the information to the agencies that are investigating the allegation which could cause discomfort towards the service user because going over the information again.
Make sure you stay in a calm manner and not jumping into conclusion because if you do that then you are going to make the service user very worried about the investigation and also you are not making them feel calm themselves.
When an adult is at risk and wants and a disclosure, as a health care you need to follow all the instructions in the disclosure procedure policy of the establishment you work for. Your service user starts to disclose an allegation it’s really important to a health care you need to follow these points. You need to make sure that you take the disclosure and the service user seriously it shows that you are serious about helping the service user and not taking it as a joke.
Responding to disclosure
The child safeguarding includes involving different agencies such as police, the NHS, local authority, youth offending teams and voluntary and community services. all these boards will help provide to train potential service workers that would want to work with children and young people with family. You are trained in safeguarding policies and procedures and making sure you are identifying the signs and symptoms of abuse and neglect and also promoting children’s welfare. It’s always important to prevent harm towards a child or young people because if preventing the issue will decrease then higher authorities will need to involved in the investigation especially when there is evidence of abuse and neglect
Child safeguarding board
The adult protection coordinator makes sure that different regions are following the safeguarding policy and also coordinating between different agencies that are involved in protecting the vulnerable service users. Getting information from different agencies is very important so when the evidence of the abuse and neglect is being recognized by the company then they will make sure that every agency will help that individual from getting harmed by another individual or harming individuals around them. Coordinating different agencies like for example social service and the police. When the social services get the information they need them and they are quality commission will make sure that when the services makes a complaint and feels uncomfortable in the care center then they will transfer their information to the police and then the police will go through further investigated
Adult protection coordinator
Professional roles and legal responsibilities, including the adult protection coordinator and child safeguarding boards
Care Quality Commission (CQC): It’s important that fundamental standards are one of the checks that you do when you are supporting a vulnerable individual when they are unable to reach out when they are in a state where you can’t cope.
Voluntary Organisation: same as the standard check and check for more information held by local police that is considered and make sure you know what you’re applying for it. When the suspect has been committed a crime like abuse and neglect against a vulnerable individual the voluntary take them on in this situation. The voluntary organization must secure people that want to apply and also try to gain access to the vulnerable individual. It’s important that you gain access to the vulnerable individual so you are able to make sure that the individual is safe and make sure the service users will prevent harm.
Police: In abuse and neglect cases, it might be a decision to get the police involved if the evidence that they’ve brought upon the police, they should raise an alert when they have been repeated calls from people that are at risk of abuse and neglect. In other cases, they will share the data (information about the abuse and neglect investigation) and they would share it with other agencies so that they can team up and work together so they can provide a joint response to support the victim in the investigation.
Health services: health services might get involved as well if abuse and neglect are being recognized by the health care center and show evidence that there is abuse being portrayed at the health care center. Sometimes they will provide health care so they can investigate and check if there is something that might raise concern to the carers and the service user’s family members. Providing health services is important so they can make sure they can do further check-ups and make sure that the service user isn’t harmed internally. And also if they find evidence for abuse would be important so that they can give the service user options with what they want to do to prevent it from happening again.
Social services: Social services might get involved in cases where the service user might be treated unfairly or when the health carer fails to care for the service user and feels they will do it in their own time. If a service user may feel uncomfortable or shows signs of abuse and neglect. Every service has the right to complain when they are being mistreated and not being cared with concern. For example if an 18-year-old shows the signs of abuse and neglect then that service user wants to stay in accommodation then social services would need to get involved if that service user wants to move and stay on their own and be independent and shift away from the abuse and neglect. If the health care center sees the evidence of abuse then they will be able to provide help
Different agencies involved, including social services, Health Services, Police, Voluntary Organisations, and Care Quality Commission
Safeguarding is important so then you as a health care can provide safety procedures so you are able to prevent harm on to service users surrounding you and making sure you know what to do when a service user is close to harming themselves, abuse or neglect.
This is one of the reasons why safeguarding policies and procedures are important to recognizing and concerns about abuse and neglect. Staff should be trained and taught about safeguarding in a healthcare setting so the service worker will make the service user comfortable and also they are taught so they can prevent harm, abuse, and neglect towards the service user and the people surrounding them at the healthcare setting.
Another reason why recognizing to evidence and concerns of abuse and neglect is important so they can look into the investigation and they can question the service user and ask them a question, also inform them that the conversation will be confidential and that it will be kept private and they don’t need to worry about. If the company has seen any types of evidence of abuse and neglect they should get the local authority and the police involved so they can go through the further investigation.
Recognising to evidence show a good example of members of staff showing the care and concern towards the situation and they want to look into the problem and find out reasons for why that service user has been experiencing different types of abuse and neglect.
By recognizing and responding to any evidence or concerns to abuse and neglect is very important especially for the safeguarding policies and procedures.
Following safeguarding policies and procedures
Assess the importance of recognizing and responding to evidence or concerns about different types of abuse and neglect in health and social care
There are certain boundaries in a care center when it comes to a relationship, especially professional relationships. Professional relationships are different to a relationship that you normally have with friends and family and also significant others. In some cases, there are ‘professional detachment’ where you become emotionally involved where you can provide care objectively
It’s very important that the service worker meets the best interests of the service user and monitor if the service users could be affected by the actions of others surrounding them which could lead to the duty of care as is defined as a legal obligation. The service worker should not or fail to act, in a manner that could result to harm.
Legal obligation to protect wellbeing and prevent harm
Another agency that is involved in supporting vulnerable adults is health services should investigate and look into the people that are at risk of abuse and neglect and that are vulnerable. Service works need to be trained in the identification of indicators of abuse (symptoms and signs of abuse). This is very important so that the members of staff are able to help and support the service user.
The multi-agency would need to be involved and also monitor the safeguarding system if the service user feels that they are feeling safe and also if the service worker is keeping them safe. This should raise concern to Katie because she doesn’t feel safe and she doesn’t feel able to speak out to other members of staff that are around her.
In this case, Katie’s care worker Sarah was showing poor service they refused to help Katie when she’s in a vulnerable situation where she needs to escape from the potential abuse that’s been happening behind the scenes when her mother’s not around and also the service workers
Social services: social service are always controlled by the care quality commission with checks if service users have made any complaints and also investigate if they feel that that the health care center show poor quality service towards the service user
These are the agencies that should be supporting vulnerable adults.
The local authority should be involved and ask further questions to Katie’s and ask why she’s acting the way she is.
Katie needs an advocate to support and look out for her and make sure she feels safe as a service user and explain the safeguarding procedure to her and tell her step by step so she can feel safe and prevent harm and abuse done to her, at the moment she feels vulnerable because she wants to speak out she refuses to, and it’s the care workers job to keep things confidential and informing her that the discussions between them will be confidential.
You as a service worker if a service user is in danger and wants that to be protected, the safeguarding board like the local authority and the police should be able to prevent any harm that might be done to Katie and the care workers needs to form strategies to work were the abuse may occur in Katie’s case it needs to be investigated in more detail.
How can you ensure you follow safeguarding procedures when balancing individual rights?
They failed to reach out to Katie’s mother
Sarah was making assumptions that Katie was ‘jealous’ of her mother’s boyfriend and saying that she should ‘grow up’ as Katie’s health carer she should be concern of by she’s acting the way she is and why she’s not taking her medication and not caring for herself life washing and cleaning her body and not keeping her clothes clean .
None of the healthcare professionals were concerned about Katie’s lack of daily medication
Katie’s key worker refused to give her accommodation and also said that she’s not vulnerable even though Katie’s at a state were she feels depressed and she’s abused and neglected by her mother and healthcare professionals
They attempted to ask Katie questions and make her feel comfortable
Staffs were aware of this matter and tried to reach out to her in a way she would understand and that she won’t be paranoid.
Sarah Jones has noticed all the things that were wrong with Katie and she tried to help her but not very well.
What are the strengths and weakness of this approach to care?
Katie’s key worker hasn’t met the needs of interest she hasn’t shown any type of concern towards Katie. And her key worker hasn’t shown signs of her trying to solve the situation by helping or prevent ing anything happening to Katie or anything that might happen to her. It’s important if a service user show any signs of lack of daily medication and unkempt and he clothes dirty there is a huge sign showing that there is something wrong with her and as her key worker she needs to meet her best interests by giving the accommodation she wants so there will be a less of chance of her getting abused or neglected.
It says that all service users have the right to decide whether to accept or deny any course of treatment even though Katie doesn’t receive the treatment she receives medication where she’s been denying and not consuming.
Katie doesn’t have a fear of independence she’s very determined to move into an alternative accommodation but it is conflicting with healthcare professionals because they feel that Katie is not vulnerable.
Her symptoms have increased including rapid heartbeats and also and shakiness which could mean that she hasn’t been taking her medication on a daily if she was to take her daily dose she wouldn’t be experiencing these increasing symptoms. Lately, Katie has been wearing long sleeve top in the hot weather after stating that her mother’s boyfriend has been too ‘friendly’ which she refuses to explain what that means. Just thinking of the phrase ‘too friendly’ could mean that her mother boyfriend might be touching her innapproiatly and groping her and making her uncomfortable. And her wearing long sleeved top could determine that her mother’s boyfriend is abusing her physically or she might be self-harming due to much abuse and the reason maybe she refused to speak to her key worker maybes she was threatened not to say anything and if she breaks her silence there could be consequences. That could be my theory of why these actions are made.
In this case study, it has stated that Katie is very hard to challenge she has an anxiety disorder which she needs a prescribed medication or else her symptoms will increase which could be dangerous for her health.
It’s important that all service users have an individual right, and in a healthcare setting, it’s always important, that we never live in isolation and never neglect our service users that are in need of care. On some occasions, an individual’s actions and choices may have an effect on another individual. It can affect them either negatively or positively it can depend on their physical appearance and social communication with others and healthcare professionals surrounding them.
The well-being drop-in center
How important is it to balance individual rights with a duty of care?