National Safeguarding Week November 2024
Safeguarding Awareness Sessions, 21st November 2024:
The Cornwall and Isles of Scilly Safeguarding Adults Board (CIoS SAB) and Cornwall Council Adult Social Care colleagues will be delivering in-person sessions to raise awareness of safeguarding thresholds, pathways and learning from Safeguarding Adult Reviews.
The venue is Ocean Housing, Stennack House, Stennack Road, St Austell, PL25 3SW and parking is limited, so please car share if you are allocated a space. Spaces are limited. The agenda below is per am (9:30am – 12:30pm) or pm (1:30pm – 4:30pm) session that is selected.
Please send your request to attend with either am or pm session preferred to safeguardingadultsboard@cornwall.gov.uk.
Agenda is here: /assets/2/safeguarding_awareness_sessions_-_21.11.24_ocean_housing.docx
Ken Safeguarding Adult Review (SAR) practitioner learning event, 22nd November 2024:
The Cornwall & Isles of Scilly (CIOS) Safeguarding Adults Board (SAB) has a Statutory duty to undertake Safeguarding Adult Reviews (SAR)s for any cases referred to it that meet the Care act 2014 section 44 criteria https://www.legislation.gov.uk/ukpga/2014/23/section/44
Following a SAR referral made to the SAB, it was agreed by the SAR subgroup and SAB independent chair that Kens case met the criteria for a SAR. The CIOS SAB then conducted a Safeguarding Adult Review (SAR) to look into the circumstances and multiagency input relating to Kens death. Ken SAR executive summary
A SAR is a Multi-agency learning review that is conducted in line with the principles below;
- Statutory duty for cases that meet the Care act 2014 Section 44 criteria
- A learning review.
- Will have a multi-agency focus.
- Has a clear pathway to learning and not blaming.
- Prompts critical reflection.
- Identifies good practice.
- Proportionate, Flexible methodologies.
- Enables transparency and a safe place to openly share experiences.
- Strategic focus, systems findings lens to effect positive change.
- Makes recommendations on the learning from these circumstances to stop them happening again.
The case:
Ken had a severe learning disability, diabetes and was morbidly obese when he died in 2016. He was 60. He had lived in a cluttered bedroom in a home he shared with a sibling who also had support needs. Ken’s hospitalization which resulted from a fall and a delay in securing assistance instigated a safeguarding alert. before Ken’s death it was known by services that his “situation could easily become a crisis.”
The learning event recording is here: https://youtu.be/6OkDsx-VR4k
A reflective tool has been devised for the session here
To share the systems learning and listen to your reflections on Kens case that can lead to improved practice and better outcomes for individuals.
The purpose of this event was to host an interactive multi-agency learning event for staff/practitioners who work for the organisations that were involved in supporting Ken, to consider the implications of this review for future improved practice.
The structure for this event was to:
- Give an overview of the case, the background, circumstances and systems learning
- Look at “what went well” and “what could have been done differently”
- Review the recommendations and consider what they mean to you as a practitioner
- Listen to your reflections/thoughts and identify the key messages for you to take away in to your organisations to embed into improved practice.