Compliance And Safeguarding

HHCP compliance precautions

The organisation

HHCP is a registered charity in the UK number 1166893

HHCP is registered with the small charities coalition.

We are a charitable incorporated organisation (CIO) ran solely by volunteers. We have no asset / business interests or commitments.

We strive to lead the way in our compliance and documenting approach across small charities in the Humber region. We do this to ensure that beyond doubt, best practice is observed and to reassure service users, partners and the public that HHCP operate within the law but also with our best possible performance and outcomes for service users in mind.

As such we are proud members of the Humber adult safeguarding and modern day slavery alliance. A first for such a small charity, but essential to be able to have a positive impact on and protect those most in need in our region.

Our extensive policies and procedures have been developed over time in conjunction with local leading authorities on safeguarding and compliance to fully protect and preserve integrity and our appropriate provision of care commitment.

 

Our team

We equip all our volunteers with valuable training and continuous development opportunities during their time with HHCP as well as ensuring suitability to volunteer and appropriate roles.

This includes as a minimum;

  • Enhanced DBS checks
  • Extensive application form
  • Safeguarding adults training
  • Safeguarding children training
  • Conflict management
  • Care and support training

Financial

Hull Homeless is a proud associate member of the institute of fundraising  (IOF) with our board members being individually trained members. This cements our commitment to responsible fundraising as well as transparency and trust in the relationships we build with our donors.

Long term financial stability is important to continue the work we do and leave a lasting legacy for generations to come. Reports are produced May each year with our AGM being held within 30 days of reports being published.

 

Board of trustees

Our board comprises skilled professionals from the finance, legal, education, charity and business sectors to give us appropriate and high quality governance across the board.

For policy enquiries please email compliance@hullhomeless.co.uk

For public safeguarding concerns or modern slavery partnership enquiries please email us at

safeguarding@hullhomeless.co.uk or

For the Humberside Police Multi Agency Hub  (MASH)

Hull PublicProtectionHull@humberside.pnn.police.uk

East Riding PublicProtectionEastRiding@humberside.pnn.police.uk

Call 01482 616092

After 5pm or weekends call 01482 300304

Compliance and safeguarding

  • The care act 2015
  • Care and support
  • Safeguarding adults
  • Types of abuse
  • Our commitment
  • Our compliance

What is the Care Act? 

The Care Act 2014, which came into effect from 1st April 2015, represents the most significant reform of care and support in more than 60 years, putting people and their carers in control of their care and support.

The Act combines various existing pieces of legislation which previously shaped how social care was arranged in Britain. The intention is that the Care Act will make it easier for the public to understand why things happen in a particular way.

Importantly the Care Act also changes many aspects of how support is arranged, and aims to give greater control and influence to those in need of support. Among the most significant developments are:-

  • A new set of criteria that makes it clearer when local authorities across the country will have to provide support to people, and aims to ensure a fairer national system which reaches those most in need
  • A change to the way in which local authorities complete assessments with those in need of support– people in need of support will be encouraged to think about what outcomes they want to achieve in their lives – these outcomes can be anything, big or small, which will enable them to feel a greater sense of physical or emotional well-being
  • New rights for carerswhich put them on the same footing as the people they care for. All carers are entitled to an assessment. If a carer is eligible for support for particular needs, they have a legal right to receive support for those needs, just like the people they care for
  • A greater emphasis on protecting the most vulnerable people in our society from abuse and neglect
  • A greater emphasis on prevention– local authorities and other providers of support will encourage and assist people to lead healthy lives which will reduce the chances of them needing more support in the future
  • A greater emphasis on local authorities providing clearinformation and advice which will help the public to make informed choices on their support arrangements, and enable them to stay in control of their lives
  • A greater emphasis on existing Personal Budgetswhich give people the power to spend allocated money on tailored care that suits their individual needs as part of their support plan
  • A greater emphasis on those most in need being given access to someone to speak up on their behalfwhen they are dealing with social care professionals
  • Greater regulation for those who provide professional care and support, and tougher penalties for those who do not provide care and support of a high enough standard
  • Changes to when and how people will be asked to contribute towards the cost of supportwhich has been arranged in conjunction with their local authority – most of these changes will not come into effect until 2020.

Care and support

Those defined needing care and support as set out by the care act are;

  • An older person
  • A person with a physical or learning disability or a sensory impairment.
  • Someone with mental health needs, including dementia or a personality disorder
  • A person with a long term health condition
  • Someone who misuses substances or alcohol to the extent that it affects their ability to manage day to day living.
  • A carer, providing unpaid care to a family member or friend.

 

Safeguarding adults

The Care Act 2014 has for the first time, set out a legal framework for protecting adults at risk of abuse or neglect.

See the Care Act 2014 and the statutory Care Act Guidance.

We have updated our policies and procedures to reflect the changes in the law. You can read more about the Care Act and safeguarding on the Department of Health website.

A new Humber wide safeguarding adult’s policy and procedure has also been agreed, which takes into account the Care Act. The Hull policies and procedures set out:

  • the guiding principles behind safeguarding adults
  • how we respond to reports of abuse
  • guidance and templates for professionals investigating abuse

Every organisation should have a policy and procedure which sets out its own internal way of tackling abuse. Guidance on developing safeguarding adult’s policies and procedures can be found on the Department of Health website.

For guidance on how to promote safe recruitment practices in your organisation, download our ‘Safer Recruitment’ section below.

Types of abuse

People with care and support needs, such as older people or people with disabilities, are more likely to be abused or neglected. They may be seen as an easy target and may be less likely to identify abuse themselves or to report it. People with communication difficulties can be particularly at risk because they may not be able to alert others. Sometimes people may not even be aware that they are being abused, and this is especially likely if they have a cognitive impairment. Abusers may try to prevent access to the person they abuse.

Signs of abuse can often be difficult to detect. This at a glance briefing aims to help people who come into contact with people with care and support needs to identify abuse and recognise possible indicators. Many types of abuse are also criminal offences and should be treated as such.

Types of abuse:

  • Physical abuse
  • Domestic violence or abuse
  • Sexual abuse
  • Psychological or emotional abuse
  • Financial or material abuse
  • Modern slavery
  • Discriminatory abuse
  • Organisational or institutional abuse
  • Neglect or acts of omission
  • Self-neglect

Evidence of any one indicator from the following lists should not be taken on its own as proof that abuse is occurring. However, it should alert practitioners to make further assessments and to consider other associated factors. The lists of possible indicators and examples of behavior are not exhaustive and people may be subject to a number of abuse types at the same time.

Please click the tabs below to find out more information.

PHYSICAL ABUSE

Types of physical abuse

  • Assault, hitting, slapping, punching, kicking, hair-pulling, biting, pushing
  • Rough handling
  • Scalding and burning
  • Physical punishments
  • Inappropriate or unlawful use of restraint
  • Making someone purposefully uncomfortable (e.g. opening a window and removing blankets)
  • Involuntary isolation or confinement
  • Misuse of medication (e.g. over-sedation)
  • Forcible feeding or withholding food
  • Unauthorized restraint, restricting movement (e.g. tying someone to a chair)

Possible indicators of physical abuse

  • No explanation for injuries or inconsistency with the account of what happened
  • Injuries are inconsistent with the person’s lifestyle
  • Bruising, cuts, welts, burns and/or marks on the body or loss of hair in clumps
  • Frequent injuries
  • Unexplained falls
  • Subdued or changed behavior in the presence of a particular person
  • Signs of malnutrition
  • Failure to seek medical treatment or frequent changes of GP

DOMESTIC VIOLENCE OR ABUSE

Types of domestic violence or abuse

Domestic violence or abuse can be characterized by any of the indicators of abuse outlined in this briefing relating to:

  • psychological
  • physical
  • sexual
  • financial

Domestic violence and abuse includes any incident or pattern of incidents of controlling, coercive or threatening behaviour, violence or abuse between those aged 16 or over who are or have been, intimate partners or family members regardless of gender or sexuality. It also includes so called ‘honour’ -based violence, female genital mutilation and forced marriage.

Coercive or controlling behavior is a core part of domestic violence. Coercive behavior can include:

  • acts of assault, threats, humiliation and intimidation
  • harming, punishing, or frightening the person
  • isolating the person from sources of support
  • exploitation of resources or money
  • preventing the person from escaping abuse
  • Regulating everyday behavior.

Possible indicators of domestic violence or abuse

  • Low self-esteem
  • Feeling that the abuse is their fault when it is not
  • Physical evidence of violence such as bruising, cuts, broken bones
  • Verbal abuse and humiliation in front of others
  • Fear of outside intervention
  • Damage to home or property
  • Isolation – not seeing friends and family
  • Limited access to money

SEXUAL ABUSE

Types of sexual abuse

  • Rape, attempted rape or sexual assault
  • Inappropriate touch anywhere
  • Non- consensual masturbation of either or both persons
  • Non- consensual sexual penetration or attempted penetration of the vagina, anus or mouth
  • Any sexual activity that the person lacks the capacity to consent to
  • Inappropriate looking, sexual teasing or innuendo or sexual harassment
  • Sexual photography or forced use of pornography or witnessing of sexual acts
  • Indecent exposure

Possible indicators of sexual abuse

  • Bruising, particularly to the thighs, buttocks and upper arms and marks on the neck
  • Torn, stained or bloody underclothing
  • Bleeding, pain or itching in the genital area
  • Unusual difficulty in walking or sitting
  • Foreign bodies in genital or rectal openings
  • Infections, unexplained genital discharge, or sexually transmitted diseases
  • Pregnancy in a woman who is unable to consent to sexual intercourse
  • The uncharacteristic use of explicit sexual language or significant changes in sexual behaviour or attitude
  • Incontinence not related to any medical diagnosis
  • Self-harming
  • Poor concentration, withdrawal, sleep disturbance
  • Excessive fear/apprehension of, or withdrawal from, relationships
  • Fear of receiving help with personal care
  • Reluctance to be alone with a particular person

PSYCHOLOGICAL OR EMOTIONAL ABUSE

Types of psychological or emotional abuse

  • Enforced social isolation – preventing someone accessing services, educational and social opportunities and seeing friends
  • Removing mobility or communication aids or intentionally leaving someone unattended when they need assistance
  • Preventing someone from meeting their religious and cultural needs
  • Preventing the expression of choice and opinion
  • Failure to respect privacy
  • Preventing stimulation, meaningful occupation or activities
  • Intimidation, coercion, harassment, use of threats, humiliation, bullying, swearing or verbal abuse
  • Addressing a person in a patronizing or infantilising way
  • Threats of harm or abandonment
  • Cyber bullying

Possible indicators of psychological or emotional abuse

  • An air of silence when a particular person is present
  • Withdrawal or change in the psychological state of the person
  • Insomnia
  • Low self-esteem
  • Uncooperative and aggressive behavior
  • A change of appetite, weight loss/gain
  • Signs of distress: fearfulness, anger
  • Apparent false claims, by someone involved with the person, to attract unnecessary treatment

FINANCIAL OR MATERIAL ABUSE

Types of financial or material abuse

  • Theft of money or possessions
  • Fraud, scamming
  • Preventing a person from accessing their own money, benefits or assets
  • Employees taking a loan from a person using the service
  • Undue pressure, duress, threat or undue influence put on the person in connection with loans, wills, property, inheritance or financial transactions
  • Arranging less care than is needed to save money to maximize inheritance
  • Denying assistance to manage/monitor financial affairs
  • Denying assistance to access benefits
  • Misuse of personal allowance in a care home
  • Misuse of benefits or direct payments  in a family home
  • Someone moving into a person’s home and living rent free without agreement or under duress
  • False representation, using another person’s bank account, cards or documents
  • Exploitation of a person’s money or assets, e.g. unauthorized use of a car
  • Misuse of a power of attorney, deputy, appointee ship or other legal authority
  • Rogue trading – e.g. unnecessary or overpriced property repairs and failure to carry out agreed repairs or poor workmanship

Possible indicators of financial or material abuse

  • Missing personal possessions
  • Unexplained lack of money or inability to maintain lifestyle
  • Unexplained withdrawal of funds from accounts
  • Power of attorney or lasting power of attorney (LPA) being obtained after the person has ceased to have mental capacity
  • Failure to register an LPA after the person has ceased to have mental capacity to manage their finances, so that it appears that they are continuing to do so
  • The person allocated to manage financial affairs is evasive or uncooperative
  • The family or others show unusual interest in the assets of the person
  • Signs of financial hardship in cases where the person’s financial affairs are being managed by a court appointed deputy, attorney or LPA
  • Recent changes in deeds or title to property
  • Rent arrears and eviction notices
  • A lack of clear financial accounts held by a care home or service
  • Failure to provide receipts for shopping or other financial transactions carried out on behalf of the person
  • Disparity between the person’s living conditions and their financial resources, e.g. insufficient food in the house
  • Unnecessary property repairs

MODERN SLAVERY

Types of modern slavery

Human trafficking

  • Forced labuor
  • Domestic servitude
  • Sexual exploitation, such as escort work, prostitution and pornography
  • Debt bondage – being forced to work to pay off debts that realistically they never will be able to

Possible indicators of modern slavery

  • Signs of physical or emotional abuse
  • Appearing to be malnourished, unkempt or withdrawn
  • Isolation from the community, seeming under the control or influence of others
  • Living in dirty, cramped or overcrowded accommodation and or living and working at the same address
  • Lack of personal effects or identification documents
  • Always wearing the same clothes
  • Avoidance of eye contact, appearing frightened or hesitant to talk to strangers
  • Fear of law enforcers

Further Home Office information on identifying and reporting modern slavery

DISCRIMINATORY ABUSE

Types of discriminatory abuse

  • Unequal treatment based on age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion and belief, sex or sexual orientation (known as‘protected characteristics’ under the Equality Act 2010)
  • Verbal abuse, derogatory remarks or inappropriate use of language related to a protected characteristic
  • Denying access to communication aids, not allowing access to an interpreter, signer or lip-reader
  • Harassment or deliberate exclusion on the grounds of a protected characteristic
  • Denying basic rights to healthcare, education, employment and criminal justice relating to a protected characteristic
  • Substandard service provision relating to a protected characteristic

Possible indicators of discriminatory abuse

  • The person appears withdrawn and isolated
  • Expressions of anger, frustration, fear or anxiety
  • The support on offer does not take account of the person’s individual needs in terms of a protected characteristic

ORGANISATIONAL OR INSTITUTIONAL ABUSE

Types of organisational or institutional abuse

  • Discouraging visits or the involvement of relatives or friends
  • Run-down or overcrowded establishment
  • Authoritarian management or rigid regimes
  • Lack of leadership and supervision
  • Insufficient staff or high turnover resulting in poor quality care
  • Abusive and disrespectful attitudes towards people using the service
  • Inappropriate use of restraints
  • Lack of respect for dignity and privacy
  • Failure to manage residents with abusive behavior
  • Not providing adequate food and drink, or assistance with eating
  • Not offering choice or promoting independence
  • Misuse of medication
  • Failure to provide care with dentures, spectacles or hearing aids
  • Not taking account of individuals’ cultural, religious or ethnic needs
  • Failure to respond to abuse appropriately
  • Interference with personal correspondence or communication
  • Failure to respond to complaints

Possible indicators of organisational or institutional abuse

  • Lack of flexibility and choice for people using the service
  • Inadequate staffing levels
  • People being hungry or dehydrated
  • Poor standards of care
  • Lack of personal clothing and possessions and communal use of personal items
  • Lack of adequate procedures
  • Poor record-keeping and missing documents
  • Absence of visitors
  • Few social, recreational and educational activities
  • Public discussion of personal matters
  • Unnecessary exposure during bathing or using the toilet
  • Absence of individual care plans
  • Lack of management overview and support

NEGLECT AND ACTS OF OMISSION

Types of neglect and acts of omission

Failure to provide or allow access to food, shelter, clothing, heating, stimulation and activity, personal or medical care

Providing care in a way that the person dislikes

  • Failure to administer medication as prescribed
  • Refusal of access to visitors
  • Not taking account of individuals’ cultural, religious or ethnic needs
  • Not taking account of educational, social and recreational needs
  • Ignoring or isolating the person
  • Preventing the person from making their own decisions
  • Preventing access to glasses, hearing aids, dentures, etc.
  • Failure to ensure privacy and dignity

Possible indicators of neglect and acts of omission

  • Poor environment – dirty or unhygienic
  • Poor physical condition and/or personal hygiene
  • Pressure sores or ulcers
  • Malnutrition or unexplained weight loss
  • Untreated injuries and medical problems
  • Inconsistent or reluctant contact with medical and social care organisations
  • Accumulation of un-taken medication
  • Uncharacteristic failure to engage in social interaction
  • Inappropriate or inadequate clothing

SELF-NEGLECT

Types of self-neglect

  • Lack of self-care to an extent that it threatens personal health and safety
  • Neglecting to care for one’s personal hygiene, health or surroundings
  • Inability to avoid self-harm
  • Failure to seek help or access services to meet health and social care needs
  • Inability or unwillingness to manage one’s personal affairs

Indicators of self-neglect

  • Very poor personal hygiene
  • Unkempt appearance
  • Lack of essential food, clothing or shelter
  • Malnutrition and/or dehydration
  • Living in squalid or unsanitary conditions
  • Neglecting household maintenance
  • Hoarding
  • Collecting a large number of animals in inappropriate conditions
  • Non-compliance with health or care services
  • Inability or unwillingness to take medication or treat illness or injury

Our commitment to safeguarding adults in our care

We believe that vulnerability is about circumstance and context, and not about labels. Our work to remove labels from a potentially vulnerable section of society is key to laying bare the real requirements of individuals and how we are best placed to support them. Appropriate care and support must always come first in this setting, good knowledge and reporting procedures are important to ensure smooth care and positive outcomes.

The new addition of self neglect to the types of abuse is probably the most important and relevant to the work we do at HHCP

In all our service we look at the capacity to make sound judgments and delicious that enable a productive and safe day to day lifestyle. Often we find many people will have ‘reduced capacity’ or what we term ‘fluctuating capacity’.

Fluctuating capacity is often caused by substance or alcohol abuse and can mean that for large periods of the day the person will be unable to be make sound decisions regards personal welfare.

Regards care and support for adults we must adhere to the laws of consent. This is a very clear stipulation that organisations and individuals must have the consent of the adult in question before any concerns are disclosed to a third party.

There are exceptions to this rule however, capacity is looked at closely and if an organisation or individual believes the subject is of limited capacity or the risk extends to other people then they may override consent and take the appropriate action.

Organisations should ensure and be able to prove they have the skills and training to mange safeguarding of service users correctly and safely.

The mental capacity act 2005

In order to protect those who lack capacity and enable them to take part, as much as possible in decisions that affect them, the following statutory principles apply;

  • You must always assume a person has capacity unless it is proved otherwise
  • You must take all practicable steps to enable people to make their own decisions
  • You must not assume incapacity simply because someone makes an unwise decision
  • Always act, or decide, for a person without capacity in their best interests
  • Carefully consider actions to ensure the least restrictive option is taken
  • The full text of the Act and the code of practice is available at dca.gov.uk/legal-policy/mental-capacity