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Quals Direct Knowledge Task Essay

1.1 Define the following types of abuse: •
Physical abuse is defined as the use of physical force that may result in bodily injury
Sexual abuse is any sort of non-consensual contact
Emotional/Psychological abuse is a form of abuse characterized by a person subjecting or exposing another to behavior that may result in psychological trauma. Playing mind games, shouting and threatening behavior. Financial abuse telling you what you can and connot buy or requiring you to share or take control of your bank account and with holding monies from you.

Institutional abuse is the mistreatment, neglect or inadequate care and support of adults in groups. Self neglect is failure of one adult to take care of himself or herself. Neglect by others ignoring the persons medical or physical care needs, Deliberate and unnecessary deprivation of a resource to the service user.

Your assessor is happy with your answer to the above question. Good answer

1.2 Identify the signs/or symptoms associated with each type of abuse. physical abuse bruises withfound in different states of healing, small clusters indicating finger marks, friction burns from carpets, injuries inconsistent with explanation, reluctance to seek medical help Sexual abuse bruises and bleeding round the rectal and vaginal areas, stained or torn underclothes or night wear, love bites, overt sexual behavior or language not previously used or conversely fear of any type of physical contact. Emotion/psychological abuse symptoms of stress, on set of bed wetting, anxiety, tearfulness, low self esteem, unexplained paranoia and lack of eye contact.

Financial abuse suddenly unable to pay bills or purchase necessities, unexplained withdrawals from saving Institutional abuse lack of privacy around toileting and bathing, lack of giving a choice of food, bedtime, clothing Self neglect lack of attention to personal care needs, rashes, pressure sores, dirty clothing and or wet, weight loss. Neglect by others lack of attention given to personal care needs, failure to ensure privacy and dignity, dirty clothes, rashes, being left alone for long periods of time.

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1.3 Describe factors that may contribute to an individual being more vulnerable to abuse factors may include if the individual has a mental disability such as dementia or not having the mental capacity. If the individual is secluded or isolated or vulnerable there could be factors for the abuser which could include the abuser having lack of training, also abusing their power. Sometimes personal issues have a part to play which could include the carer/abuser being stressed or having a history of abuse and continuing the cycle. The factors include if one has low self esteem or self worth. if they have had abuse before, nobody to protect them, and the mentally ill. Other factors could be they may not be aware of their rights, may not be able to express themselves clearly. their home may unsuitable with no aids or adaptations to help give appropriate care.

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Outcome 2 know how to respond to suspected or alleged abuse

2.1 Explain the actions to take if there are suspicions that an individual is being abused. Always report suspected or alleged abuse to the appropriate person(s), record the facts on appropriate paperwork, listen do not judge, stay calm and collected, do not tamper with any evidence. Appropriate persons to report suspected or alleged abuse would be to my manager first of all, police, social workers, family(if family is not the abuser) and possibly their doctor.

Your assessor is happy with your answer to the above question. Who would be the appropriate person to report to? well answered

2.2 Explain the actions to take if an individual alleges that they are being abused Always establish what it is that has occured and report any suspicions to the appropriate manager. Reassuring the individual at all times take every allegation seriously. Always date the paperwork and have it signed by any witness (if any). take photos of any evidence if possible. Speak clearly and precise and avoid any leading questions.

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2.3 Identify ways to ensure that evidence of abuse is preserved Always record facts immediately dated and signed (by any witnesses also), report any evidence immediately to line manager, do not tamper with any evidence. Taking Photos if possible, and try avoiding any leading questions that may make them think alternatively to the situation.

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What other steps might you take to preserve the evidence? You have mentioned some ways in the previous question could you ple those points and a few others you can think of.

Outcome 3 Understand the national and local context of safeguarding and protection from abuse 3.1 Identify national policies and local systems that relates to safeguarding and protection from abuse National policies – safeguarding vulnerable groups act 2006, the vetting and barring scheme run by the Independent Safeguarding Authority (ISA),

Criminal Records Bureau,
Human rights act 1998.
Local Systems – Safeguarding Adults Boards, Safeguarding policies and procedures for vulnerable adults. Data Protection Act 1998

Care standards Act 2000
Health and social care act 2008
The Equality Act 2010
No secrets, Department of Health 2000

Your assessor is happy with your answer to the above question.

Amanda I can clearly see you get this question however The Police and CQC are not national polices or or local systems. This facts question fully http://www.ageuk.org.uk/Documents/EN-GB/Factsheets/FS78_Safeguarding_older_people_from_abuse_fcs.pdf?eps

3.2 Explain the roles of different agencies in safeguarding and protecting individuals from abuse The police – their role is to safeguard vulnerable adults, investigate all reports of vulnerable adult abuse and protect and uphold the rights of vulnerable adults.

The CQC – – to monitor and provide guidance on what all health and social care providers must do to safeguard vulnerable adults from abuse, the safeguarding policies, procedures and systems developed are in place to prevent vulnerable adults from being abused.

Social services – Their role is to build managing safeguarding risks and benefits in care planning, review care plans, identify and respond to any concerns, lead and support enquiries in in the events of any abuse or neglect. Clinicians – Report incidents of abuse neglect or undignified treatment, follow up referrals, consult patients taking responsibility for ongoing care, lead and support enquiries where there is need for clinical input. Health care provider – Show leadership and routinely monitor activity, meet the required service quality standards, train staff in safeguarding procedures, investigate and respond effectively, take disciplinary action against staff who have abused or neglected people in their care.

Social care and health commissioners – Build safeguarding into commissioning strategies and service contracts, review and monitor services regulary, intervenewhere services fall below fundamental standards or abuse is taking place.

Your assessor is happy with your answer to the above question.

This leaflet will help you answer this question fully
http://www.pasauk.org.uk/upload/public/featurebox/Safeguarding%20Adults.%20Roles%20and%20responsibilities%20in%20hea

3.3 Identify reports into serious failures to protect individuals from abuse A report about Orchid View care home in West Sussex that failed to ensure that the vulnerable adults were adequately protected from risks, including the risks of unsafe practice by its own staff. it was revealed that residents at Orchid View care home in Copthorne, west Sussex, were given wrong doses of medication, left soiled and unattended because of a lack of staff and suffered because of serious failures in the home’s management. There was institutional abuse throughout the home which lead to the deaths of 5 residents. After an investigation the CQC found it had failed to meet eight of it essential quality and safety standards.

The inquest heard that Jean Halfpenny, 77, was given an overdose of blood-thinning drug warfarin while at Orchid View, Which had failed to monitor and administer her medication properly. One of the staff at the care home said she was asked to shred forms after Halfpenny had been admitted to hospital for bleeding. The coroner heard that the Orchid View manager Meera Reed, looked at the medication administration record (MAR) brought into the office by a nurse and said “We can’t send her to hospital wit those. they will shut us down.”

Five people were arrested, including some on suspicion of manslaughter by gross negligence in relation to Halfpenny’s death, but insufficient evidence existed to support a prosecution and the case was passed to a coroner.

Your assessor is happy with your answer to the above question. Some good research has gonr into the answer for this question

3.4 Identify sources of information and advice about own role in safeguarding and protecting individuals from abuse
My manager, colleagues
My companies policies and procedures
Local authority services department like social services
The internet
Care Quality Commission
Books
Independent Safeguarding Authority
health and social care act 2015

Your assessor is happy with your answer to the above question. The 2015 Care Act perhaps? well answered Amanda

Outcome 4 Understand ways to reduce the likelihood of abuse

4.1 Explain how the likelihood of abuse may be reduced by: • Working with person centred values •
Encouraging ac choice and rights
Person centred values include the individuality of the person, the rights of the individual, choice, privacy, independence, dignity, and the individual being respected.
If person centred values are taken into consideration when supporting an individual there is less likely to be abuse as all the staff will be working in the same way.
If a person is considered to have a say in what he or she wants and is at the centre of any decision, it will be more unlikely that there is abuse.
I always put the service users i work with at the centre of any decision about them and they are an active partner in their own care. service user decide what to do, shower, wash or bath, what clothes they want to wear and are treated with dignity, respect, confidentiality and are able to make their own choices. Active participation is a way of working that recognises an individuals right to participate in the activities and relationships of everyday life as independently as possible.

So if the individual participates actively in their daily activities, then the risk of abuse is low. For example I would prompt the service user to pick out what clothes they would like to wear, what meals they would like and encourage them to take part in preparing and cooking the meal the way they like it. Individuals are supported to make their choices in anything they want, like food or drink, what to wear, whether they want a bath, shower,, or wash. No individual will choose something that will hurt them self therefore abuse is reduced to the minimum.

Individuals rights are promoted throughout the service, service user have the right to as they wish to do and if its what they want as long as it is not dangerous, a risk assesment will then be done to stop any abuse happening. I ensure that i promote service users’ rights and choices by allowing them to make their own choices and support them to have the same rights of anyone else.

Your assessor is happy with your answer to the above question. Excellent answer

4 .2 Explain the importance of an accessible complaints procedure for reducing the likelihood of abuse The complaints procedure gives the complainant the right to be heard and supported to make their views known. an accessible complaints procedure is understandable and easy to use. It sets out clearly how to make a complaint, the steps that will be taken when the complaint is looked into.

An accessible complaints procedure resolves complaints more quickly as the complainant feels that they are being listened to and their complaint is is taken seriously. Making sure that abuse will not be tolerated in any form and encourages the complainant to not accept this.

If a staff member is being abused, it would be reported to the line manager as an informal grievance, employees should aim to resolve most grievences informally with their line manager and are therefor encouraged to discuss all matters openly as they occur. If the grievance cannot be settled informally then it should be raised through the formal procedure of a grievance.

Formal Grievance should be raised with their line manager or next level of management if grievance is related to the line manager, in writing, at the earliest time. the manager will organise a meeting within 5 working days, Employees will be allowed to explain their complaint,and suggest a way it should be settled. meeting could be ajourned if the manager feels they need further advice. the manager will give full consideration to the complaint and confirm the outcome in writing.

Your assessor is happy with your answer to the above question.

You have looked at this question from the perspective of the client. How about the staff who may be getting abused please include colleagues in this answer

Outcome 5 Know how to recognise and report unsafe practices

5.1 Describe unsafe practices that may affect the well being of individuals Unsanitary conditions can spread infection as cross-contamination can occur and can affect the well being of the individual and others. examples of these unsanity conditions can be dirty kitchen work surfaces and equipment, improper hand washing, not covering hair when cooking can pose a risk, as can not reporting faulty equipment when working or not, having cleaning materials can also be unsafe.

Not having risk assessments in place when a service user hurts themselves, Staff not checking when service user is ill or unsteady on their feet. Staff not recording in the care plan any issues if a services is unwell or unable to support themselves as much, not monitoring their wellbeing.

Other unsafe practice that can amount to abuse is leaving a service user on the toilet too long, ignoring or not listening to them. Marks on the body not taken seriously and not listening to complaints can put them at more danger, harm and risk of abuse. staff that are untrained or have out of date training, unsanitary uniforms can spread infection to clients and other colleagues, Management giving their colleague/s a large work load, making them exhausted and having a lack of concentration.

Your assessor is happy with your answer to the above question.

You have looked at this question from the perspective of the client. How about the staff who may be getting abused please include colleagues in this answer

5.2 Explain the actions to take if unsafe practices have been identified If I identify unsafe practice then I must follow the whistle blowing procedure and report to the appropriate person. I will report to my manager immediately or if it involves my manager then I would report it to another appropriate person. I will monitor all unsafe practices and make sure that I record and report in full all the evidence, then I will talk to my manager as I am aware all unsafe practices are dangerous that could cause harm.

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5.3 Describe the action to take if suspected abuse or unsafe practices have been reported but nothing has been done If suspected abuse or unsafe practices have been reported but nothing has been done in response or if it has to do with my manager then I would report it to the next level or manager. Then I would report to the social worker and safeguarding team and to the care quality commission and even the police depending on the response i get.

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