safegurding adult

 

WRITING YOUR ASSIGNMENT:

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ASSIGNMENT QUESTION

Complete the safeguarding enquiry form 42 (on the VLE and shown below), basing your response on the following scenario. The form should be completed as fully as possible, using the boxes and free texts spaces provided. You should then answer the three questions at the end of the form. The section 42 form and answers to the question should be submitted as one complete document on Turnitin.

Scenario

Mackenzie Jones was born on 12/6/98, he was diagnosed with paranoid schizophrenia three years ago. His parents found they could not cope with his delusional behaviour which they found incredibly distressing and they were worried for their own safety. Mackenzie has been compulsorily admitted to hospital on four occasions, but his medication now seems to be maintaining him in a stable state. He has moved and lives in a bed sit at 25A Coldham Street, Bexley.

He is visited daily by a support worker (Ellie) and is also monitored by a Community Psychiatric Nurse, Karl.  Initially Mackenzie seemed to be thriving in his own space. He was going to a boxing club and Gym and had a part time job in a fitness shop.

However, on his last visit, Karl noticed that he was quite agitated. Ellie has introduced Mackenzie to her friends, and they were getting on well. He started a relationship with one of Ellie’s friends, Karen Brocklehurst, 28. Karen is often short of money and he helps her out. Recently, Mackenzie loaned her £500. It was all the savings that he had; his parents had given it to him to help furnish the bedsit. Karen got angry when he asked for the money back; she denied it was a loan and says he gave it to her. When he met up with his new friends at the local pub, like usual he bought the drinks, but when he was unable to buy more drinks, they all started mocking him. Mackenzie felt uncomfortable and angry, but didn’t feel able to say anything. He spoke to Ellie about it, but she shrugged it off saying ‘can’t he take a joke’. Yesterday, he almost got into a fight with his neighbour, who had taken in a parcel for him. Mackenzie thought he was stealing it. He told Karl that he is lonely and wants things to work out with Karen, but he is worried she may be taking advantage of him. He wonders if he can trust anyone.

Karl contacts you, as you are Ellie’s manager. You visit Mackenzie jointly with Karl. End of Scenario

 

Task 1

You are a Health Care Manager. You have visited Mackenzie, who you think is at risk of abuse.

Complete a safeguarding enquiry (section 42) form, based on your concerns about Mackenzie and the information provided within the scenario.

 

Task 2

What category of abuse is placing Mackenzie at most risk? Draw on the evidence and legislation in your discussion, to identify the best way to intervene with this form of abuse in this situation.

 

Task 3

Provide your rationale for your assessment of Mackenzie’s mental capacity. What are the implications of your decision for how you would work with the person at risk?

 

Task 4

Demonstrate how you would apply Making Safeguarding Personal with Mackenzie.

 

Your answers to tasks 1-4 should all be included on the section 42 form.

 

ASSESSMENT CRITERIA

Task 1

In your section 42 form:

Analyse what, if any, abuse is taking place

Include information about why the person(s) may be eligible for safeguarding support

The assessment should be based on adult at risk’s wishes

Explain action that has been taken and the actions to be taken

(25 marks total)

 

Task 2

Provide reasons, drawing from the literature and the case study detail, for why you consider the specified category of abuse is placing this individual most at risk.

Drawing on the legislation and literature, identify effective, evidence-based interventions for that form of abuse.

Identify the strengths and weaknesses of using the interventions with this specific person.

(500 words max)

(25 marks)

 

Task 3

Use the Mental Capacity test, guiding principles and code of practice from the mental capacity legislation to justify why you think this person at risk has or does not have mental capacity.

Identify how this assessment would impact on your future work with the person at risk.

(500 words max)

(25 marks)

 

Task 4

Given your answers to the section 42 form and your answers to tasks 1-3, explain how you would work with this person at risk using the Making Safeguarding Personal approach. (500 words max)

(25 marks)

 

Guidance on completing the task

Task 1

Ensure you have fully completed the form using the boxes and the free text. If you are unable to complete a box with the information provided. Only use the information provided – do not create your own case study.

Make sure you have clearly addressed the criteria for section 42 of the Care Act 2014 within the form.

Identify the type of abuse which has occurred or is at risk of occurring and who is probably responsible.

Identify who needs to be involved and any immediate action and subsequent actions that are needed.

Identify if the person at risk has mental capacity and if so, have they given informed consent. If they may have difficulty taking part in the process, identify what actions need to be taken.

Identify what the person at risk would like to happen.

Reference to relevant legislation and policy in the approach you take.

Task 2

You may have identified several types of abuse that could be occurring or that is at risk of occurring. Identify which one that you think is the greatest risk in this situation and justify your reasons why. Ensure you draw on the literature and the details of the case study to support your answer.

Suggest which intervention(s) are most likely to work when this type of abuse occurs.

Ensure you explore the difficulties and benefits of using these interventions in this case.

Task 3

Use the mental capacity test, the guiding principles, and the code of practice to the Mental Capacity Act 2005 to explain why you think this person either has or does not have mental capacity.

Given your answer, explain how it would impact on how you worked with this person.

Task 4

Explain how you would work with this person using the making safeguarding personal approach.

Explore the tension between being person-centred and addressing risks, including the implications of your mental capacity assessment.

In addressing these four tasks, ensure you remain consistent in your answers throughout.

Ensure your whole answer is written in the third person.

Ensure references are relevant (for example, age, source, subject) and that they are in the Harvard system.

 

 

Section 42 form. This is provided for reference – the form should be downloaded from the VLE.

 

Task 1: Safeguarding Adults Initial Enquiry Form 

This form is to be used to notify Adult Social Care of suspected or actual instances of abuse or neglect and is the start of a Safeguarding Adults (Section 42) Enquiry under the Care Act.

 

This form should be completed as fully as possible in order that robust decisions can be made about the progression, or otherwise, of the Safeguarding Adults Enquiry.
Person completing the form:		Role of Person:
Date of referral to Adult Social Care:		Organisation:
Phone number:		Type of service:
Details of incident/suspected/actual abuse or neglect
Date of alleged incident:			Who reported the alert/concern?
Time of alleged incident:			Date of report:
Where did the incident occur?
Details of the adult at risk
Name:			Date of Birth:
Telephone:			Ethnicity:
Address:
What is the adult’s primary reason for needing care and support? (please tick)

 

Physical support:

Sensory support:

Support with memory and cognition:

Learning disability support:

Asperger’s syndrome support:

Autism support:

Mental health support:

Social support (includes support for carers/substance misusers):

No support reason:

Other health condition:

Please specify:

Any other details about the adult at risk:

Details of the alleged perpetrator (where relevant)

Name:

Relationship to victim:

Date of birth:

Ethnicity:

(1) Please give a detailed description of the incident (including times), all people involved, witnesses and any other comments you feel are relevant. If the concern relates to physical abuse please provide a body map.  (Maximum 200 words)

Type of abuse (tick all that apply):

Physical

Sexual

Psychological/emotional

Financial/material

Neglect/omission

Discriminatory

Organisational/institutional

Self-neglect

Domestic abuse/violence

Modern slavery

Radicalisation/extremism

Other

If other, please specify:

Is the victim at risk of further abuse/neglect? (please tick)

Yes

No

Unknown

 

(2) What has been done to ensure the immediate safety of the alleged victim(s) and others? Completing and submitting this form does not constitute management of immediate risks. (Maximum 200 words)

Were the Police called?

Yes

No

Please provide the outcome of the Police action and Police log number (if available):

If the incident relates to domestic abuse/violence, has the MARAC Checklist (CAADA-DASH) been completed?

Yes

No

If yes, has a referral to MARAC been considered? Please provide details, including discussions with your agency’s Single Point of Contact (SPOC) for MARAC:

Yes

No

Please provide details of other agencies involved that will be able to help with the safeguarding adults enquiry:

Are you aware that there have there been any previous referrals made in relation to this adult at risk or alleged perpetrator?

Yes

No

If yes, please provide details (e.g. dates, type of abuse, action taken):

Are there any risks to others (other adults, children)?

Yes

No

Unknown

Please provide details (also include who this information has been shared with – e.g. Police, Children’s Social Care, MAPPA). If there are risks to children you must notify Children’s Social Care.

 

Involvement of the adult(s) at risk 

The following section is crucial to determining the next steps in the safeguarding adults enquiry and every attempt should be made to complete it as fully as possible.

Has the adult(s) at risk given consent for this referral?                           Yes                    No    

If no, please confirm why you have not sought consent or are overriding consent (please tick):

Public interest (risks to others)                        Risk of serious harm                     Suspected serious crime         Adult at risk lacks mental            Ability to consent is affected           Seeking consent would

capacity to provide consent                 by threatening or coercive                      increase risks to the              (best interest decision made)    behaviour     adult or others

Other, please provide details below: 

 

 

• Do you think the adult at risk has mental capacity in relation to making Yes     No

decisions about their safety?

If no, has a mental capacity assessment been undertaken?                                          Yes           No

 

 

Do you think the adult at risk would have substantial difficulty in                                Yes           No

participating in the safeguarding adults process?

If yes, is there a suitable person who could represent them?           Yes               No                                                                                                                              Unknown           

(e.g. family member, friend, advocate)

Please provide the name and contact details of this suitable person:

 

 

Has the adult at risk’s family been informed of the concerns (where the adult          Yes           No

has consented to this)?  

If you think the adult at risk may need support to participate in the safeguarding adults process, please provide details of what support may be required: 

 

(For Question 3 about consent maximum 200 words)

• What does the adult at risk (or their representative) say that they want to happen as a result of this meeting and as a result of a safeguarding enquiry (what are the client’s desired outcomes)?   (Max words 200)

 

 

Signed:		Date:
Printed:		Time:

 

Task 2

What category of abuse is placing the person at most risk? Draw on the evidence in your discussion and to identify what would be the best way to intervene with this form of abuse (500 words max).

 

Task 3

Provide your rationale for your assessment of this person’s mental capacity. What are the implications of your decision for how you would work with the person at risk (500 words max).

 

Task 4

Demonstrate how you would apply Making Safeguarding Personal with this person at risk (500 words max).

 

    

   

 

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