Section 42 Enquiries in Regulated Care Settings
Power to
the People
Demystifying Section 42 Enquiries within
regulated care settings, including hints, tips
and learning themes.
Who
are
we?
Objectives for the session
o
Overview of the safeguarding service
o
Myth busting
o
What a good section 42 enquiry looks
like
o
Incorporating Making Safeguarding
Personal into Section 42 enquiries
o
Themes and learning from recent
enquiries
o
Useful tools and documents
o
Q&A
Safeguarding Adults – how the
service works
Enquiry
Model
Somerset
Picture
Somerset Picture
•
The % of Somerset Care Providers rated ‘Good’ or ‘Outstanding
’
by the CQC in Somerset has risen through 2022 to 87.6%
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Proportionality
Protection
Partnership
Accountability
Top Tips when
completing a
Safeguarding
Enquiry
Report
•
Only complete section 6-10
•
Start by seeking the views
of the individual.
•
Keep it factual.
•
Supply supporting
documentation where
relevant.
•
If you’re not sure – ask us!
•
Do not include personal
information about other
individuals i.e. other
residents.
Learning from Enquiries
Learning from Safeguarding Adult Reviews
•
Eileen Dean (Lewisham) was assaulted by another resident, her injuries sadly led to
her death.
LSAB 7 Minute Briefing - Eileen Dean (safeguardinglewisham.org.uk)
•
Mrs L (Somerset) experienced a significant deterioration in health which was linked to
her not receiving a prescribed medication following a transfer between two care
homes.
Mrs-L-Practice-Briefing-Final-Version-for-Publication.pdf
(safeguardingsomerset.org.uk)
•
Luke (Somerset) died from a diabetic foot ulcer in a Care home.
One-page-briefing-
Luke.pdf (safeguardingsomerset.org.uk)
•
Mr C (Hampshire) had complex care and support needs, had multiple placement
moves, stopped eating and drinking, a hospital admission identified this was
behavioural not physical. Discharged to a nursing home, where he sadly passed away
4 days later.
Serious Case Review | Hampshire Safeguarding Adults Board
(hampshiresab.org.uk)
Useful tools
and
documents
•
Reviews of adults placed in care homes and specialist
hospitals.
Microsoft Word - 20220517 - Reviews One
Page Briefing (safeguardingsomerset.org.uk)
•
Safeguarding and medicines management: Guidance
for providers.
Medication-Management-Guidance-
for-Providers-v1.pdf (safeguardingsomerset.org.uk)
•
South West Region Adult Position of Trust framework:
A framework and process for responding to
allegations and concerns against people working with
adults with care and support needs.
20200122-South-
West-PoT-Framework-Updated-22-02-2020.pdf
(safeguardingsomerset.org.uk)
•
Risk decision tool
Microsoft Word - Draft SSAB Risk
Threshold Tool (safeguardingsomerset.org.uk)
•
Service monitoring checklist
SSAB Service Monitoring
Checklist (safeguardingsomerset.org.uk)
Q&A
•
Please take the
opportunity to ask
us questions and
expand on anything
discussed today!
T
h
a
n
k
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Demystify Section 42 enquiries in regulated care settings with insights, tips, and learning themes. Learn about the safeguarding service, good enquiry practices, incorporating personal safeguarding, recent enquiry themes, tools, and more. Discover how the service works, who can undertake enquiries, and the importance of empowerment, prevention, proportionality, protection, partnership, and accountability in safeguarding practices.
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Presentation Transcript
Power to the People Demystifying Section 42 Enquiries within regulated care settings, including hints, tips and learning themes.
Amy Rogers Adult Social Care Amy.Rogers@somerset.gov.uk Practitioner Amy.Rogers@somerset.gov.uk Who are we? 07811311389 Jessica.Rogers@somerset.gov.uk Jess Rogers Safeguarding Adults Lead Jessica.Rogers@somerset.gov.uk 07811314012
Objectives for the session oOverview of the safeguarding service oMyth busting oWhat a good section 42 enquiry looks like oIncorporating Making Safeguarding Personal into Section 42 enquiries oThemes and learning from recent enquiries oUseful tools and documents oQ&A
Safeguarding Adults how the service works Triage model 4 5 staff members Monday Friday consisting of Adult Social Care Practitioners & 1 Social Worker or Lead practitioner. The Social Worker or Lead practitioner is the decision maker for that day. Workers on triage will gather information to ascertain if the Care Act eligibility for a Section 42 enquiry has been met. If a Section 42 enquiry is required, this may be tasked to the manager of the regulated service where the incident occurred.
Who can undertake an enquiry? 14.1 Although the local authority is the lead agency for making enquiries, it may require others to undertake them. The specific circumstances will often determine who the right person is to begin an enquiry. When a Section 42 enquiry needs to be undertaken in a regulated setting we will consider whether the Registered Manager is best placed to undertake the enquiry. If so we will send a Safeguarding Enquiry Report (SER) for completion. Enquiry Model
Somerset Picture
The % of Somerset Care Providers rated Good or Outstanding by the CQC in Somerset has risen through 2022 to 87.6% Somerset Picture
Empowerment - support & encourage people to make their own decisions & informed consent Prevention take action before harm occurs Proportionality the least intrusive response appropriate to the risk presented What good What good looks like looks like Protection support & representation for those greatest in need Partnership local solutions through services working with their communities Accountability - & transparency in delivering safeguarding
People should be supported and encouraged to make their own decisions. Empowerment Empowerment Making Safeguarding Personal People should be treated with dignity and respect, with practitioners working alongside them as opposed to doing something to or for them. Advocacy support should be offered where needed, whether informally or using advocacy services. No enquiry should be completed without having sought the views of the individual or their advocate.
Recognising the importance of taking action before harm occurs Raising awareness about abuse and neglect within your organisation Prevention Prevention Training Making sure clear and accessible information is available about abuse and how to get support. Learning from others Protection planning
The principle of proportionality means deciding on the least intrusive response appropriate to the risk presented. Services must respect the person, and only get involved as much as needed. Proportionality Practitioners should avoid basing decisions on assumptions about a person s appearance, conditions or behaviour. Safeguarding responses should be balanced and holistic.
Know how to recognise signs of abuse and neglect Know Know what to do if there are concerns an adult has experienced abuse or neglect. Know Protection Know how to offer support for individuals experiencing or at risk of abuse or neglect. Know Organisations must ensure they know what to do when abuse or neglect is identified. Ensure
The principle of partnership recognises that effective safeguarding cannot be delivered in isolation. Safeguarding is best achieved when working with other agencies, and professionals that interact with or impact the individual. Partnership Often, learning from Safeguarding Adult Reviews outline the need to improve multi- disciplinary working and communication.
Safeguarding is everybody s business. Recognising the importance of being open, clear and honest in the delivery of safeguarding. Accountability Everyone must accept that we are all accountable as individuals, services and organisations. Record keeping.
Top Tips when completing a Safeguarding Enquiry Report
Learning from Enquiries Risk Compatibility of residents Recording assessments How to manage an allegation Preserving evidence Poor communication
Learning from Safeguarding Adult Reviews Eileen Dean (Lewisham) was assaulted by another resident, her injuries sadly led to her death. LSAB 7 Minute Briefing - Eileen Dean (safeguardinglewisham.org.uk) Mrs L (Somerset) experienced a significant deterioration in health which was linked to her not receiving a prescribed medication following a transfer between two care homes. Mrs-L-Practice-Briefing-Final-Version-for-Publication.pdf (safeguardingsomerset.org.uk) Luke (Somerset) died from a diabetic foot ulcer in a Care home. One-page-briefing- Luke.pdf (safeguardingsomerset.org.uk) Mr C (Hampshire) had complex care and support needs, had multiple placement moves, stopped eating and drinking, a hospital admission identified this was behavioural not physical. Discharged to a nursing home, where he sadly passed away 4 days later. Serious Case Review | Hampshire Safeguarding Adults Board (hampshiresab.org.uk)
Reviews of adults placed in care homes and specialist hospitals. Microsoft Word - 20220517 - Reviews One Page Briefing (safeguardingsomerset.org.uk) Safeguarding and medicines management: Guidance for providers. Medication-Management-Guidance- for-Providers-v1.pdf (safeguardingsomerset.org.uk) South West Region Adult Position of Trust framework: A framework and process for responding to allegations and concerns against people working with adults with care and support needs. 20200122-South- West-PoT-Framework-Updated-22-02-2020.pdf (safeguardingsomerset.org.uk) Risk decision tool Microsoft Word - Draft SSAB Risk Threshold Tool (safeguardingsomerset.org.uk) Service monitoring checklist SSAB Service Monitoring Checklist (safeguardingsomerset.org.uk) Useful tools and documents
Q&A Please take the opportunity to ask us questions and expand on anything discussed today!
Thank Thank you you
