7.0 Building Blocks for Safeguarding and Promoting Welfare 7.1 Prevention While research on what works to prevent abuse in practice has, to date, focused primarily on children, people with intellectual disabilities, older persons and institutional settings, the Commission for Social Care Inspection (CSCI) identified some of the following building blocks for prevention and early intervention3:
People being informed of their rights to be free from abuse and supported to exercise these rights, including access to advocacy; A well trained workforce operating in a culture of zero tolerance to abuse; A sound framework for confidentiality and information sharing across service providers; Needs and risk assessments to inform people’s choices; A range of options for support to keep people safe from abuse tailored to people’s individual needs; Services that prioritise both safeguarding and independence. Multi‐disciplinary team work, interagency co‐operation and information sharing.
7.2 Risk Management4
The assessment and management of risk should promote independence, real choices and social inclusion of vulnerable adults. Risks change as circumstances change. Risk can be minimised but not eliminated. Identification of risk carries a duty to manage the identified risk. Involvement with vulnerable persons, their families, advocates and practitioners from a range of services and organisations helps to improve the quality of risk assessments and decision making. Defensible decisions are those based on clear reasoning. Risk‐taking can involve everybody working together to achieve desired outcomes. Confidentiality is a right, but not an absolute right, and it may be breached in exceptional circumstances when people are deemed to be at risk of harm or it is in the greater public interest. The standards of practice expected of staff must be made clear by their team manager/supervisor. Sensitivity should be shown to the experience of people affected by any risks that have been taken and where an event has occurred.
Each organisation must have an effective procedure for assessing and managing risks with regard to safeguarding. In assessing and managing risks, the aim is to minimise the likelihood of risk or its potential impacts while respecting an ambition that the individual is entitled to live a normalised 3
Prevention in adult safeguarding, Social Care Institute for Excellence, UK May 2011 Volunteer Now ‐ Safeguarding Vulnerable Adults: A Shared Responsibility (2010)
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