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Action on Elder Abuse. 3. Safeguarding 1. Who we are 2. Elder Abuse 4. Personalisation.

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Action on Elder Abuse
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Action on Elder Abuse

3. Safeguarding

1. Who we are

2. Elder Abuse

4. Personalisation

Action on Elder Abuse is a ‘Four Nations’ organisation based in LondonIt was established in 1993 by practitioners from health and social care, academics and voluntary sector representatives, and is now one of the key Adult Protection agencies in the UK.

We are an ABUSE charity focusing upon the needs of older people

What is the whistle blowing helpline?

A unique project which aims to develop partnership working between the charity and the company - to encourage older people, their relatives, representatives and staff to report abuse and bad practice.

An independent and safe means of telling the company when things are going wrong – and when people do not feel confident or are unable to do so in any other way.

The Background to the project

o A fundamental issue in care provision is the relationship between a service user and their care provider: the power imbalance.

o Older people often lack confidence in asserting their rights

o Sometimes things go wrong in even the best care settings: we all know this!

o Formal complaint procedures may not always be adequate to support older people – even if they are the best procedures in existence

2. Elder Abuse

Abuse Abuse is…is…

‘a single or repeated act or lack of appropriate action occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person….

The overall prevalence of abuse, defined by ‘expectation of trust’ in the year preceding the survey was

UK Study of Abuse and Neglect of Older People - 2007

4%

This equates to 342,000 people aged 66 and over, or 1 in every 25 of the population aged 66 and over

Age of victim

78% of abuse occurs after the age of 70 years

0

5

10

15

20

25

30

35

40

45

4

55-64

55-64

1865-69

65-69

22

70-79

70-79

40

80-89

80-89

16

90+

90+

Source: Hidden Voices

Where abuse occurs

0

10

20

30

40

50

60

70

4

Shelteredhousing

4

Other

5

Hospital

23 Care Home

64

At home

Source: Hidden Voices

Prey onVulnerabilities

Isolate From Others and Information

Keep Unaware

Perform Intermittent

Acts ofKindness

Induce Shame and Secrecy

Create Lack of Faith in Own

Abilities

CreateDependencies

Create Fear

Exploitation

Copyright © 2006 YWCA Omaha, Nebraska

3. Safeguarding

It took from February 2008 to October 2008 to draft a discussion and question consultation document.

Reviewing the guidance:

On 15 June 2007 the Minister of State for Care Services, Ivan Lewis, promised a review of No Secrets, with particular regard to the need for legislation.

The consultation was published 14 October 2008 and concluded on 31 January 2009.

And then there was silence ……

Many Forces felt that a change to the wording of vulnerable adult may be an improvement such as the suggested one of ‘adult at risk’. View that people are vulnerable due to the circumstances they find themselves in, not simply because of age, infirmity or disability and that the definition should enable everyone, not just practitioners to understand who would be deemed a vulnerable adult. (Police)

Definitions: one example

Framework legislation addresses the parameters and structures within which safeguarding and adult protection systems and processes are constructed. It establishes powers and duties within which agencies collaborate, share information and work together.Intervention legislation addresses the powers and duties of interaction between adult protection processes and the individual citizen. It potentially could impact upon an individual’s right to choice and control in certain situations.

The fundamental basis

Who thinks we need framework legislation?

The Association of Directors of Adult Social Services The Commission for Social Care Inspection

The Law Society

The Local Government Association

The Care Quality Commission

The London Ambulance Service

Multiple Safeguarding Boards across the country…..

The Association of Chief Police Officers

Action on Elder Abuse

Action for Advocacy Age Concern England and Help the

Aged The Alzheimer’s Society

Counsel and Care The Down’s Syndrome

Association ERoSH sheltered housing body Joseph Rowntree

Foundation

InTouch Mencap

The National Autistic Society

PAVA

The Registered Nursing Homes Association

Scope Voice UK

The United Kingdom Home Care Association

Who thinks we need framework legislation?

Radar

Beth Johnson Foundation

Advocacy Matters

Speaking Up

National Care Association

The English Community Care Association

BASW

BUPA

A Dignified Revolution

CDNA

Ekta

4. Personalisation

The term ʻpersonalisationʼ has been used to refer to a broad range of possible strategies which could be used to reform welfare service by including people in the design of services that suit them better.

AEA’s view is that every person receiving support in every setting, and through whatever mechanism, should have choice and control over their care and support. This should include the ‘cash for care’ model, traditional domiciliary care, residential care, hospital environments, and all other permutations.

Personalisation

‘it should be their choice – the informed choice of ordinary people – who they trust with collecting their pensions, or who they pay to help them take a bath or administer their medication, and it should be their choice if they wish to manage the payments for their personal budgets or if they wish someone else to do it for them’. (No Secrets Review)

Environments of risk

Undue influence

Dynamics of abuseGrooming

‘Abuse in domiciliary settings is the commonest type of abuse, but the most difficult to combat. Contact between victims of abuse and statutory services may be limited, and those abused will often feel under threat, or obligation, to those abusing them. The only measures likely to have much impact here would be ones which increased the climate of awareness of the problem, making health and social care professionals more aware of the issue, and those which empowered older people to report abuse more easily, recognising the reasons for their reluctance to do so’.

Environments of risk

Abuse by neighbours/acquaintances 33%

Environments of risk

Abuse by partners 35% Abuse by other family members 33% Risk factors: Living alone (financial

abuse) Feelings of loneliness Age 85+ years

Bad/Very bad health or depression

Environments of risk

Why does a care worker need:

a CRB and POVA check?be registered with the GSCC?have NVQ training?

be formally supervised?

be required to ‘whistleblow’?

But a Personal Assistant doesn’t!

Either regulation works or it doesn’t. But it sure has cost a lot!

Elder Abuse Helpline 0044 (0)80 8808 8141Action on Elder Abuse 0044 (0)20 8765 7000

WEBSITE: WWW.ELDERABUSE.ORG.UK


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