Risk of repeated Are others (adults and/or children) at risk of being abused: Very unlikely? abuse on others Others not at Others at Possibly at risk Less likely if significant changes are made? risk serious risk This perpetrator/setting represents a threat to other vulnerable adults or children. Types of abuse Concerns may be notified to the Authority but Concerns of a significant or critical nature should be referred to the local authority (with consent of and seriousness these are likely to be managed at Initial Enquiry stage the alleged victim where this is relevant and appropriate to do so). They will receive additional only. Professional judgement or concerns of repeated scrutiny, and progress further, under safeguarding adults procedures. Where a criminal offence is low level harm will progress to further stages in the alleged to have been committed, the Police will be contacted. Other emergency services should be safeguarding adults process. contacted as required. Low Significant or critical Physical error causing no/little incident Inexplicable marking or lesions, Covert administration bodily harm/assault harm e.g. friction mark on involving service on cuts or grip marks on a number without proper medical with a weapon leading to skin due to ill-fitting hoist service user. of occasions. authorisation. irreversible damage or death. sling. marking Accumulations of minor Inappropriate restraint. of recurring errors or an events that still meet found on one occasion. incidents. Withholding of food, drinks incident of deliberate criteria for event where users Recurring missed medication or aids to independence. maladministration that results in ‘incident reporting’ accidents. lack capacity. or errors that affect more than Inexplicable ill-health or death. Medication Medication one adult and/or result in fractures/injuries. does not receive missed harm. Assault. prescribed medication medication or Deliberate maladministration (missed/wrong dose) on administration errors that of medications. one occasion no harm cause no harm. – occurs. Sexual incident of teasing verbal sexualised Recurring sexualised touching Attempted penetration by in a relationship (including sexual or low-level unwanted teasing or banter. or isolated or recurring any means (whether or not it characterised by authority exploitation) sexualised attention (verbal masturbation without consent. occurs within a relationship) inequality or exploitation e.g. or touching) directed at one Voyeurism without consent without consent. receiving something in return adult by another whether Being subject to indecent Being made to look at for carrying out a sexual act.
Risk of repeated abuse on others Others not at risk Possibly at risk Others at serious risk Are others (adults and/or children) at risk of being abused: Very unlikely? Less likely if significant changes are made? This perpetrator/setting represents a threat to other vulnerable adults or children. Types of abuse and seriousness Concerns may be notified to the Authority but these are likely to be managed at Initial Enquiry stage only. Professional judgement or concerns of repeated low level harm will progress to further stages in the safeguarding adults process. Concerns of a significant or critical nature should be referred to the local authority (with consent of the alleged victim where this is relevant and appropriate to do so). They will receive additional scrutiny, and progress further, under safeguarding adults procedures. Where a criminal offence is alleged to have been committed, the Police will be contacted. Other emergency services should be contacted as required. Low Significant or critical Physical error causing no/little harm e.g. friction mark on skin due to ill-fitting hoist sling. events that still meet criteria for ‘incident reporting’ accidents. Medication does not receive prescribed medication (missed/wrong dose) on one occasion – no harm occurs. incident involving service on service user. marking found on one occasion. event where users lack capacity. Medication missed medication or administration errors that cause no harm. Inexplicable marking or lesions, cuts or grip marks on a number of occasions. Accumulations of minor incidents. Recurring missed medication or errors that affect more than one adult and/or result in harm. Deliberate maladministration of medications. Covert administration without proper medical authorisation. Inappropriate restraint. Withholding of food, drinks or aids to independence. Inexplicable fractures/injuries. Assault. bodily harm/assault with a weapon leading to irreversible damage or death. of recurring errors or an incident of deliberate maladministration that results in ill-health or death. Sexual (including sexual exploitation) incident of teasing or low-level unwanted sexualised attention (verbal or touching) directed at one adult by another whether verbal sexualised teasing or banter. Recurring sexualised touching or isolated or recurring masturbation without consent. Voyeurism without consent Being subject to indecent Attempted penetration by any means (whether or not it occurs within a relationship) without consent. Being made to look at in a relationship characterised by authority inequality or exploitation e.g. receiving something in return for carrying out a sexual act.
NSAB-Safeguarding-Adults-Risk-Threshold-Tool-1_1.docx