Understanding Section 42 Enquiries in Regulated Care Settings

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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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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