Neglect & acts of Isolated missed Inadequacies in care Recurrent missed home Ongoing lack of care to Failure to arrange access ommission home care visit - no provision leading to care visits where risk of extent that health and to life saving services or harm occurs discomfort - no harm escalates, or one well-being deteriorate medical care Adult is not assisted significant harm e.g. miss where harm significantly e.g. Failure to intervene in with a meal/drink occasionally left wet. occurs pressure wounds, dangerous situations on one occasion and No access to aids for Hospital discharge, no dehydration, where the adult lacks the no harm occurs independence adequate planning and malnutrition, loss of capacity to assess risk harm occurs independence/ confidence Financial or is not recorded Adult not routinely Adult’s monies kept in a Fraud/exploitation relating material abuse safely or recorded involved in decisions joint bank account of property, to benefits, income, – properly about how their money unclear arrangements possessions or benefits property or will Single or one off is spent or kept safe - for equitable sharing of by a person in a Theft incident of missing capacity in this respect interest position of trust or money and/ or is not properly Adult denied access to control. To include belongings where considered his/her own funds or misusing loyalty cards the quality of the possessions Personal finances service user’s life removed from adult’s has not been control affected and little or Adult coerced or misled no distress is into giving over money caused. or property
Neglect & acts of ommission Isolated missed home care visit - no harm occurs Adult is not assisted with a meal/drink on one occasion and no harm occurs Inadequacies in care provision leading to discomfort - no significant harm e.g. occasionally left wet. No access to aids for independence Recurrent missed home care visits where risk of harm escalates, or one miss where harm occurs Hospital discharge, no adequate planning and harm occurs Ongoing lack of care to extent that health and well-being deteriorate significantly e.g. pressure wounds, dehydration, malnutrition, loss of independence/ confidence Failure to arrange access to life saving services or medical care Failure to intervene in dangerous situations where the adult lacks the capacity to assess risk Financial or material abuse is not recorded safely or recorded properly Single or one off incident of missing money and/ or belongings where the quality of the service user’s life has not been affected and little or no distress is caused. Adult not routinely involved in decisions about how their money is spent or kept safe - capacity in this respect is not properly considered Adult’s monies kept in a joint bank account – unclear arrangements for equitable sharing of interest Adult denied access to his/her own funds or possessions of property, possessions or benefits by a person in a position of trust or control. To include misusing loyalty cards Personal finances removed from adult’s control Adult coerced or misled into giving over money or property Fraud/exploitation relating to benefits, income, property or will Theft
OSABThresholdofNeedsMatrix.docx