Safeguarding Adult Declaration July 2013
The framework for safeguarding adults of St Helens and Knowsley Teaching Hospitals NHS Trust has been developed in accordance with the Government's guidance for Adult Safeguarding (Care Act 2014) and subsequent best practice guidance.
1. The Care Act 2014: Adult Safeguarding
The Care Act 2014 came into effect in April 2015 and places Adult Safeguarding within a statutory framework detailing key principles, defining the local authority's role to co-ordinate multi-agency working and the establishment of Local Safeguarding Adult Boards. The Trust is currently working with four localities - St Helens, Knowsley, Liverpool and Halton to ensure that all aspects of the legislation are complied with.
2. Disclosure and Barring Service (DBS) checks
DBS checks are carried out in line with statutory requirements. The Trust has a fully implemented DBS Policy. This policy sets out the relevant checks the Trust will undertake for the appointment of new staff and existing employees, including volunteers.
The Trust continues to monitor and review its processes, particularly those involving celebrity visitors and volunteers in light of the recommendations made in the Lampard Report.
3. Safeguarding Adult Protection Policies and Systems
The Trust's Safeguarding Adult Policy has been reviewed and ratified in light of the Care Act. The policy is readily available on the Trust's intranet site.
The internal Trust policy supports multi-agency policies and procedures as defined by the four Local Safeguarding Adult Boards (LSABs) locally. Links to these LSAB websites are available on the Safeguarding Adult Intranet Pages.
Staff are given an overview of the Trust Policy and referral process at their Induction and updated in the Mandatory Training Programme.
The Trust has included safeguarding as an objective in all non medical annual appraisals from May 2013.
4. Named Professionals for Safeguarding Adults
In line with best practice, the Trust has two named individuals specialising in providing advice and expertise around safeguarding adult practice working to the Head of Safeguarding and Public Protection
St Helens and Knowsley Teaching Hospitals NHS Trust has:
|Safeguarding Adult Lead||Diane Gould|
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|Safeguarding Adult Nurse||Tina Cavendish|
All the Trust's named professionals have job descriptions and protected time to fulfil their roles and responsibilities in relation to safeguarding adults.
The named professionals' role is made clear within Induction and reiterated within mandatory training for all staff employed by the Trust.
5. Safeguarding Adult Training
St Helens and Knowsley Teaching Hospitals NHS Trust has a safeguarding adult training strategy in place outlining the different levels of training required by individuals and staff disciplines using guidance agreed with the Local Safeguarding Adult Boards.
Training compliance against the plan is reviewed on a monthly basis.
97% of all Trust staff have completed Level 1 Safeguarding Adult Mandatory Training.
6. Acute Hospital Board Assurance
The Director of Nursing, Midwifery and Governance is the Trust's Board lead for safeguarding adults and reports relating to safeguarding are made through the governance reporting framework.
A monthly report is provided to the Trust's Patient Safety Council which summarises progress relating to training, activity, policy, updates and learning from Serious Case Reviews and Serious Incidents.
The Head of Safeguarding and Public Protection chairs the Trust Safeguarding Adult Assurance Committee which meets quarterly.
The Designated Nurse for Safeguarding Adults from the Clinical Commissioning Groups (CCGs) is also a member of this committee.
7. The importance of Prevention
The Trust recognises the need to be able to identify patients with vulnerable characteristics as early in their hospital journey as possible and to ensure that their needs are met and, if necessary, making reasonable adjustments to their care. This ensures that patients are protected and safeguarded and the need for more formal safeguarding processes are minimised.
8. Achievements 2014 – 2015
- Working with all four multi-agency safeguarding processes identifying and safeguarding adults at risk on a case by case basis;
- Working towards full compliance with the NICE guidance relating to the management of domestic abuse;
- Continuing to monitor the management and performance relating to the Deprivation of Liberty Safeguards and the Supreme Court Judgements;
- Working proactively to identify people with a learning disability who access acute care ensuring that their needs are met and staff have the required skills to care for them with the support of those who know the patient best;
9. Key Priorities for the Trust in the coming 2015/2016 period are as follows
- Continue to develop our multi-agency relationships with our health and social care partners to implement the Care Act 2014;
- Ensure that our staff have the required training for their specific roles;
- Develop a robust audit plan across all areas relating to safeguarding activity;
- Further develop and embed the framework provided by the Mental Capacity Act throughout the Trust;
- Develop our work with patients who may need to have restrictions and restraints on their behaviours in their best interests.