Bournemouth & Poole and Dorset Safeguarding Adults Board Business Plan Page 1 of 15

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1 1. EFFECTIVE PREVENTION 1.1 Refresh policy and procedures to include updates and amendments in light of amended March 2016 Care Act guidance and NHS Assurance framework so that all practitioners across partner agencies are following lawful and best practice. Target completion: End Q3 Action -Consult with service providers about perceived changes necessary. Ensure inclusion of Care Act Guidance update (March 2016) in revised Procedures. Ensure comprehensive awareness of the production of revised Procedures and effective distribution of these. Policy and procedures refresh to be available on the SAB websites. P AND P C.K. leading and facilitating processes to achieve outcome. Consultation well underway. SA Leads group to meet and conclude changes necessary. Self-Neglect / Hoarding to be given particular attention as part of the refresh to ensure the processes are clear and helpful to staff in all agencies. (Task and finish group set up to review both pieces of guidance) 1.2 Adopt an evidence based approach to early intervention and prevention in adult safeguarding so that concerns are raised at the earliest opportunity and harm is avoided through a best practice approach by practitioners. Target completion: Q1 Issue prevention strategy Monitoring effectiveness of strategy part of workplan Chair P&P Group Chair Being progressed through P&P. Evidence based Preventative Strategy reworked after December 2015 development day and agreed at March 2016 Board. Page 1 of 15

2 1.3 Increase public awareness of adult Safeguarding through joint initiatives with partner organisations so that more local residents are aware of safeguarding concerns so that people at risk of (or who have experienced) harm are alerted to the appropriate organisations. Target completion: Q4 1.4 Ensure risk of harm to vulnerable adults is identified in an accurate and timely way and action taken as early as possible 1.5 Agreeing the priority messages and target audiences in safeguarding so that communications Suggest Comms Plan P&P/T&WD Lead will be AH for Joint T&F Group - Need scoping meeting to start. Ensure risk assessment is used effectively P&P Lead will be AH (combine with Page 2 of 15 Determine a baseline for public awareness (year one) Use of risk assessment tools. Effectiveness of risk managementidentified through audits Priority messages and target audiences agreed P AND P P AND P To be issued via lead safeguarding officers and SAB websites. Prevention strategy agreed at March 2016 Board and circulated Communication task and finish group meet in June. Reviewing all service users information to ensure it is up to date. Bof P have met with voluntary organisations to give talks and training. Further discussion planned at the next P&P group around Risk and risk management tools. to consider how to evaluate risk management processes. Public messages for posters agreed;

3 activity is targeted at the right individuals or groups to have the greatest impact on prevention and response to harm. Target completion: Q4 Comms T&F Group) via P&P further messages for other media channels to be agreed at the appropriate time. Posters developed and awaiting agreement at board level 1.6 Ensure service users are receiving correct and consistent advice and support through correct and consistent understanding and implementation of policy and procedures Within the audit programme test the front door access Review of case notes of front door activities to ascertain responses across the three LAs. Audits to be completed Exercise to be undertaken by BO B to review some cases from each of the LA front doors to review consistency of approach. To further consider mystery shopper exercise following this. Audit completed in April 2016 and findings reported to August Group. 1.7 Undertake a low level PR campaign (work with fire service if appropriate) including workshops and information so that people are encouraged to P&P and T&WD Lead will be AH (combine with part of Comms Awareness of safeguarding raised (to be baselined) P and P/ AH VC Current public leaflet and poster reviewed. Re- Page 3 of 15

4 safeguard themselves and to promote safeguarding and how to raise concerns Target completion: Q4 1.8 Work with trading standards to address scamming and cyber crime. Raise awareness (in conjunction with police and trading standards) so that fewer vulnerable people are victims 1.9 Disseminate and sign up independent providers to the agreed Charter T&F Group) Visit community groups and raise awareness among the general public. to be determined between Trading Standards, ASC and Dorset Police. Will focus on awareness raising for the public. P&P Lead: CK to discuss with Jez Noyce Lead(s) to be identified. Meet with trading standards and decide how best to engage Approved by Bournemouth and Poole Board. DSAB to agree at June meeting Page 4 of 15 Awareness raised so that fewer people are victims. Explore possibility of Baseline will need to be established. Sign up independent providers aim for 75% (Q4) P AND P to be determined. C.K to make arrangements for a meeting of key participants. CHAIRS drafting and redesign work in progress. Communication task and finish group meet in June. Reviewing all service users information to ensure it is up to date. enewsletter article on cyber crime distributed. Charter has been agreed and signed off by boards. 11% returned in Bournemouth and 28% in Poole. (25 in place across B and P) 1.10 Determine strengths and weaknesses of Create a flowchart A position statement and P AND P C.K. each agency has

5 security across agencies with recommendations for further work so that when information exchange is necessary (e.g. for SAR work) the exchange takes place lawfully and without delay due to technology. Target completion: Q The group to receive assurance that the wider safeguarding agenda is included within the adult safeguarding development for practice which includes linking with Community Safety Partnership Groups (Domestic Abuse) and PREVENT 2. EFFECTIVE SAFEGUARDING 2.1 To develop position statements for new issues: Adult sexual exploitation (work with Childrens Board re CSE and development work) Modern slavery Internet and social media vulnerability Sextortion So that the safeguarding procedures can reflect these themes and, where necessary, strategies can be developed to inform and shape the work of for inter-agency secure exchange. CK to discuss with Jez Noyce P&P Lead(s) to be identified. CK and then possibly DSAB Business Manager. Minutes from other bodies to be scutinised twice yearly Production of strategy, action plans and position statements for the SABs as necessary. Develop a position statement to identify responsibilities, gaps and areas of joint working for each issue. Page 5 of 15 operational flowchart will be issued. Minutes from the Pan Dorset DA group Minutes from the Pan Dorset PREVENT group Feedback from the Health and Wellbeing Board Strategy, action plan and position statement developed now taking on lead from A.H. P AND P /CHAIRS/C.K. P&P Leads: CK/VC completed a selfassessment form showing their use of system. Now to be reviewed so that a flowchart can be devised. Links established between the three boards Criminal Justice, Adult and Children Safeguarding. Minutes of Prevent and Strategic Domestic Abuse Group standing agenda item on Group Substantial work undertaken relating to adult sexual exploitation and the drafting of a paper for Sept meetings of the SABs. Other themes scoped but significant work remains. One outcome will be

6 the SABs. Target completion: Q4 Bournemouth & Poole and Dorset Safeguarding Adults Board Business Plan Ensure people receive appropriate support to have their voice heard in safeguarding matters and develop better mechanisms to provide confidence for whistleblowers. Target completion: Q4 (implementation) 2.3 Develop PDEA to include non Board agencies such as external housing providers and voluntary bodies so that information is widely exchanged within a lawful framework for the protection of vulnerable people. Target completion: Q4 2.4 Ensure service users are receiving good quality advocacy when appropriate by continuing to monitor the use and availability of advocacy Identify and complete actions to fill gaps. P&P Lead: AH Write and implement policy and seek agreement with Dorset Advocacy Suggested P&P Lead: Dorset SAB Business Manager. Monitor through feedback from commissioners contract monitoring during audits. LA leads to seek further information on the advocacy services commissioned and how contracts are monitored, and any concerns Policy written and Implemented (Q4) PDEA in place. Seek sign-up from further agencies (Q3) Commissioner, performance monitoring data and findings from audits re: quality of provision. P AND P P AND P (BoB/Sar W/SWk) inclusion of all above themes and issue within the revised Procedures Business case agreed at Chairs meeting. Further work to write guidance and implement support service. Work not yet started Advocacy referrals and contract monitoring processes reviewed at meeting in August Satisfactory. For review again in Feb 17 WHITE 2.5 Self neglect and hoarding to understand issues and work with partner agencies so that risk is minimised. VC Develop a position statement to identify gaps by Practitioners respond consistently and follow best practice when P AND P/TWD First initial meeting for review of procedures Page 6 of 15

7 Target completion: Q4 Bournemouth & Poole and Dorset Safeguarding Adults Board Business Plan Set up task and finish group Provide training on self neglect Self Neglect Guidance in place but to be refined, with clarity about the use of MARM to (Multi- Agency Risk Management). 2.6 Feedback is received from service users and action put in place for improvement as a result of the feedback in line with Making Safeguarding Personal June Board. BoB & VC to lead on the review of current policy and procedures and update to be completed by July VC to ensure changes in procedures are fed into TWD action plan and tacking packages by July An audit tool will need to be developed to ensure that any gaps in practice are met Group to review service user feedback at each meeting. New ways of receiving feedback to be developed. Actions taken as a result of feedback to be reported to the Board. preventing, managing and investigating cases related to self neglect and hoarding. Baseline data to be considered. Measures identified and adopted. Improved levels of satisfaction (year as baseline data) completed 27/4/15 Self-Neglect / Hoarding (Task and finish group set up to review both pieces of guidance) Review draft shared with principle leads and CK 3 rd May 2016 Conference planned for Nov for practitioners (self neglect and hoarding) Further work to be undertaken to improve the quality of service user feedback 2.7 Adopt learning from ADASS MSP Executive Task and Finish Learning adopted CHAIRS/LA leads Page 7 of 15

8 summary Bournemouth & Poole and Dorset Safeguarding Adults Board Business Plan The group to have oversight of the number and outcomes of the number of statutory and nonstatutory section 42 enquires 2.9 The group to scrutinise the data submitted to understand trends and to report exceptions to the board 2.10 The group to have oversight of the independent providers with known safeguarding issues across Dorset Bournemouth and Poole, and to receive assurance that all appropriate actions are being taken to address the concerns The Group to analyse outcomes of audits on a regular basis to enable identification of trends and issues to be addressed. To receive assurance of actions being taken as a result of audit findings and to receive evidence of good practice for sharing group to progress (Q3) 3 monthly data sets to be submitted to the for scrutiny 3 monthly data sets to be submitted to the for scrutiny to scrutinise and analyse the information from the monthly care quality monitoring meeting around provider issues Information from contracts in all LA Undertake multiagency audits and review individual agency audits to monitor actions taken as a result of audits and effectiveness. Page 8 of 15 through LA leads Improved narrative and commentary on data presented to the Board (3 monthly data returns) Improved narrative and commentary on data presented to the Board (3 monthly data returns) 3 monthly report of current safeguarding / commissioning issues. Data captured through Quarterly Care Quality Monitoring Group Audit plan (two multiagency audits per year); written up and presented to Board In place- reviewed at each meeting and analysis reported to Boards In place- reviewed at each meeting and analysis reported to Boards In place- reviewed at each meeting and analysis reported to Boards Audit undertaken in April 2016, results presented at August group. Action plan developed. Audit tool reviewed and updated. Action plan update to be provided at November meeting

9 2.12 Put on a provider and service user event as 2015/16. Explore safeguarding conference Plan event Q2 and Q3 Event to take place in Q4 CHAIRS Service user event undertaken in Feb EFFECTIVE LEARNING (TRAINING WORKFORCE AND DEVELOPMENT) 3.1 Organisational training responds to safeguarding practice and multiagency (including providers) learning from SARs, SCAs, DHRs and new legislation. 3.2 Safeguarding adults learning is transferred into effective practice. Safeguarding courses or workshops, delivered by all partner organisations, reflect current learning from all relevant SAR s, SCA s and DHRs and wherever possible are delivered on a multi-agency basis. Small focus group across children s and adults to outline an initial proposal and actions to support the transfer of learning. GG/LR LR/MH Bof P training program being delivered from SARs on an ongoing basis. B&P planning multiagency workshops for Autumn/Winter. Meeting held June 15. Draft tool created and presented to both Children s and Adults strategic training group with positive response. B of P and BBC have updated and are using portfolios to support safeguarding programmes to evidence transfer of learning. Page 9 of 15

10 Broader group consisting of LAs, Police and health organisations across children s and adults to identify key actions from the proposal, including consideration of how effective performance management data supports learning transfer, and implement learning transfer tool within their organisations. Broad group to feedback on key actions and on how they are being implemented. Focus groups to undertake evaluation of training and its impact on practice as part of the learning transfer process. LR/MH LR & MH to set up a joint meeting to discuss implementation across organisations. July 16, MH now retired. LR met with Nicola Pengelly who agreed to jointly support this action. LR/NP to co-chair meeting to consider implementation 18/10/16 LR/MH Meeting 18/10 feedback following this LR/MH 3.3 Nominated enquirers are effectively trained. Create small working group to identify required outcomes and develop nominated enquirer training package. All partner agencies and organisations to identify training need for nominated enquirers. LR/GG/VC Organisational training leads LR chaired initial meeting of small working group 14/07. Group proposed development of guidance for NE s, RED RED Page 10 of 15

11 plus to ensure SAPs are clear how to support NEs (this can be incorporated into Annual Update Training). Also a review of text in revised policy to provide clarity on role of NE Implement the delivery of the agreed nominated enquiry training program to the identified audience. LR/GG Guidance developed by 2 nd group meeting 11/8 for consideration by Policy review group on 18/8 RED 3.4 Create working group to review the recommendations from the P&P T&F group around the development of self neglect training. 3.5 Develop training package to meet the requirements of self neglect locally. 3.6 Work with organisations to implement the agreed training program. 4. EFFECTIVE GOVERNANCE (CHAIRS) 4.1 Ensure that any relevant recommendations of the Governance Review of the Bournemouth and Poole and Dorset LSCBs are also implemented by Chairs group to consider recommendations Recommendations implemented and evidenced LR/GG/VC LR/GG LR/GG CHAIRS BC on working group. Chairs have discussed line of RED RED RED Page 11 of 15

12 the Safeguarding Adults Board 4.2 Board members to report findings of internal reviews with positive outcomes and Areas for Improvement that can be supported by the Board 4.3 Improve action planning from SARs to ensure multi-agency partnerships are working and effective 4.4 Strengthen the Boards ability to deliver the business plan by improved business risk planning. and implement actions Receive a report from Dorset Police on the outcomes of their Vulnerable Adult Review. Bournemouth peer review (Q2) Guidance drafted (Q1) and issued with new plans. Design and implement a Board risk register (Q2) sight proposals and Board member appraisal. Reports received CHAIRS Action plans more specific and achieved/completed within clear timescales Key risks and contingencies agreed by partners. Risk register in place and reviewed. CHAIRS/SAR sub group CHAIRS/BC Revised action plan guidance about to be used. Identified risk management strategies in other Boards. To review different models and link into development days in November. 4.5 Ensure the Board works effectively with other strategic Boards (CSP, LSCB and others) to protect adults at risk. 4.6 Ensure continuity of safeguarding for children moving from the responsibility of the LSCB into adult services. Review current protocols with other Boards and develop new protocols where needed (Q2 and 3) 2 Chairs to scope a relevant piece of work (Q1) Agreements in place. Agreements clearly outline relative responsibilities of each Board and are integrated. Project completed by the end of the year. CHAIRS CHAIRS Key areas for joint work identified. Plans to be scoped WHITE RED Page 12 of 15

13 Undertake a specific piece of joint development work on ensuring the continuity of safeguarding for young people as they move into adulthood. For 2016/17 this would include transition work around sexual exploitation and addressing neglect and self-neglect in families. 4.7 Improve connections between Board members and staff so that Boards are more aware of current practice issues and staff feel the Board is more visible. 4.8 Improve the efficiency and effectiveness of the Boards and their sub groups. 4.9 The group to seek assurance that all 3 local authorities are interpreting and implementing the new policy and procedures in the same manner. Develop a more vigorous Line of Sight programme (Q2) Support and Challenge health check to take place (Q4) Group to consider how this may be tested. P&P is being refreshed this year. A description on differences to be presented. Page 13 of 15 Planned programme implemented by Board members. Number of visits. Positive feedback from staff. Board members better informed about practice. Results of review broadly positive with AFIs to be followed up. Assurance sought any training needs identified CHAIRS CHAIRS with Children s Boards Line of Sight paper went to Chairs August To be revised before coming to the Board.. Exercise to be undertaken by BO B to review some cases from each of the LA front doors to review consistency of approach. To further consider mystery shopper exercise following this. Although process may be different outcome same. WHITE 4.10 The group needs to evaluate the impact A 6 monthly audit of Review of data that (VC) Audit undertaken in

14 of the implementation of making safeguarding personal 4.11 Outstanding issues from group 2014/15 Increase prevention and reduce repeat alerts/referrals (enquires) through multi-agency work in care and nursing homes the outcomes of MSP to be presented to the group. Data collected through six-monthly audit. These issues are being collated through the Quality care monitoring measures the outcomes of section 42 enquires to ensure person centred outcomes are achieved. Audit of a select number of records / cases to monitor the process of MSP in practice Number of blocks and cautions for safeguarding reasons. Number of concerns raised. April 2016, results to be presented at next group. Action plan developed. Audit tool reviewed and updated. Update on action plan to be presented to November Group Number of blocks and cautions reduced across th e three LA areas. Reported to each Group meeting and Boards. Page 14 of 15

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