The following Guidance may be used to assist in distinguishing between poor practice i.e. failure to meet a service user’s care needs, which should be managed by a provider and addressed as a Provider-led concern and abuse which should trigger the reporting of a Safeguarding Concern. The following table illustrates examples of circumstances which can be managed by reporting a Provider-led Concern and those which should be reported as a Safeguarding Concern; please note this is not an exhaustive list. Area of concern Provider-led Concern Safeguarding Concern Examples of poor practice Examples of possible which requires action by a abuse which requires provider organisation e.g. reporting as such, and the care home or domiciliary instigation of care manager Safeguarding procedures 1.Failure to provide Person does not receive Person does not receive necessary help to have a necessary help to have assistance with food/ drink drink/meal. drink/meal and this is a If this happens once and a recurring event, or is reasonable explanation is happening to more than one given e.g. unplanned staffing person. This constitutes problem, emergency neglectful practice, may be occurring elsewhere in the evidence of institutional home, dealt with under staff abuse and would prompt a disciplinary procedures; safeguarding enquiry. would not be reported as a Safeguarding Concern. Harm: malnutrition, dehydration, constipation, tissue viability problems. 2.Failure to provide Person does not receive Person does not receive assistance to maintain necessary help to get to necessary help to get to continence toilet to maintain continence toilet to maintain continence or have appropriate and this is a recurring event, assistance such as changed or is happening to more than incontinence pads one person neglectful – If this happens once and a practice, may be evidence of reasonable explanation is institutional abuse and given e.g. unplanned staffing would prompt reporting of a problem, emergency Safeguarding Concern. occurring elsewhere in the home, dealt with under staff Harm: pain, constipation, disciplinary procedures; loss of dignity, humiliation, would not be reported as a skin problems.. Safeguarding Concern. 3. Failure to seek Person known to be Person is frail and has been assessment re pressure susceptible to pressure admitted without appropriate area management ulcers has not been formally risk assessment in respect assessed with respect to of pressure area pressure area management management (or plan not
The following Guidance may be used to assist in distinguishing between poor practice i.e. failure to meet a service user’s care needs, which should be managed by a provider and addressed as a Provider-led concern and abuse which should trigger the reporting of a Safeguarding Concern. The following table illustrates examples of circumstances which can be managed by reporting a Provider-led Concern and those which should be reported as a Safeguarding Concern; please note this is not an exhaustive list. Area of concern Provider-led Concern Examples of poor practice which requires action by a provider organisation e.g. care home or domiciliary care manager Safeguarding Concern Examples of possible abuse which requires reporting as such, and the instigation of Safeguarding procedures 1.Failure to provide assistance with food/ drink Person does not receive necessary help to have a drink/meal. If this happens once and a reasonable explanation is given e.g. unplanned staffing problem, emergency occurring elsewhere in the home, dealt with under staff disciplinary procedures; would not be reported as a Safeguarding Concern. Person does not receive necessary help to have drink/meal and this is a recurring event, or is happening to more than one person. This constitutes neglectful practice, may be evidence of institutional abuse and would prompt a safeguarding enquiry. Harm: malnutrition, dehydration, constipation, tissue viability problems. 2.Failure to provide assistance to maintain continence Person does not receive necessary help to get to toilet to maintain continence or have appropriate assistance such as changed incontinence pads If this happens once and a reasonable explanation is given e.g. unplanned staffing problem, emergency occurring elsewhere in the home, dealt with under staff disciplinary procedures; would not be reported as a Safeguarding Concern. Person does not receive necessary help to get to toilet to maintain continence and this is a recurring event, or is happening to more than one person – neglectful practice, may be evidence of institutional abuse and would prompt reporting of a Safeguarding Concern. Harm: pain, constipation, loss of dignity, humiliation, skin problems.. 3. Failure to seek assessment re pressure area management Person known to be susceptible to pressure ulcers has not been formally assessed with respect to pressure area management Person is frail and has been admitted without appropriate risk assessment in respect of pressure area management (or plan not
Criteria-for-reporting-a-Safeguarding-Concern-Knowsley-Guidance-V3-March-2017.docx