There is a great difference between Protection and Safeguarding in relation to
vulnerable adults. Protection simply implies that others may make a decision
for an individual rather than with them. Safeguarding recognises that
individuals’ have the right to take risks so long as they have capacity and
understand the implications and consequences for any choices they make.
POVA (Protection of Vulnerable Adults) was considered to be reacting to
incidents of abuse. Whereas SOVA (Safeguarding of Vulnerable Adults is the
whole team, partnerships and agreed ways of work promoting health, safety
and wellbeing. (QCS webinar). Pova has since been replaced by Sova as this
allows and promotes the individual to maintain their own safety Adults and
children and young persons are protected and safeguarded in much the same
way but with some differences because of the age factor.
The Governments’ main objective is to prevent and reduce abuse from
occurring and to support individuals to have control and make their own
choices. There are several papers out there to support this including ‘Our
Health, Ore Care, Our Say’ 2006 and ‘Putting People First’ 2007. The first is a
way of making adult social care more responsive to peoples’ needs. The second
identifies four key areas, Universal Services, Early Intervention, Choice and
Control and Social Capital.
The Human Rights Act 1998 gives individuals the right to live free from abuse,
violence and torture. The Care Standards Act 2000 sets out national minimum
standards of working in health and social care. Safeguarding Adults 2005
protects those who lack capacity. The Mental Capacity Act 2005 sets out 5 key
principles to protect vulnerable adults unable to make their own decisions.
Deprivation of Liberty Safeguards 2008 protects individuals from having limits
on their rights. The Health & Social Care Act 2008 regulates services.
Safeguarding Vulnerable Groups 2006 is a vetting scheme to protect vulnerable
adults. The Fraud Act 2006 protects individuals from misuse of money.
(Diploma in Leadership for Health and Social Care….Nelson Thornes 2012). The
‘No Secrets 2000’ paper is a result of serious incidents and has had a great deal
of impact on changes in legislation and ‘Valuing People 2001’ was a great
, initiative introduced to provide choice and inclusion and was a radical change
to social services.
There are strict protocols in place at my practice. We have a devoted notice
board to safeguarding information and procedures including the protocols for
recording and reporting suspected safeguarding issues. Along with this we
have mandatory training for all staff. All the staff at my practice undergo DBS
procedures before employment begins and is dependent on the results. In any
case of suspected safeguarding issues, it is recording in the running log,
individual incident reports and handover book and the relevant people are
contacted. This would be the registered manager (although there is a
designated person in case manager cannot be contacted) who will then inform
the Adult Social Care Safeguarding Adults Team who will take the lead or give
advice. Others to notify may be the police services, CQC and family members,
but always with the victims’ involvement. It may be decided that the incident is
of low-risk and may be dealt with internally for example; it could be a one-off
mistake with no harm to anyone and easily rectified. It could also be a serious
incident and may involve further risk-assessment and investigation, a case
conference with regular feedback, depending on the gravity of the situation.
It is very important to always refer to the Safeguarding Policy and Procedures
and respect the service-users rights. It may also be necessary to involve the
Safer Places Policy and Procedures and the Review of care Support Policy. I was
involved in a case concerning two male service-users who I shall refer to as Mr.
N and Mr. S. Their bedrooms were on the first floor and were adjacent to each
other. Mr. N made a sexual allegation against Mr. S saying that he had made
him perform a sex act on him. This was a serious incident and was reported to
senior staff immediately and the Manager was notified. Immediately risk-
assessments were carried out and the victim was made safe by Mr. S being
moved to a lower-floor bedroom which he agreed upon. Mr. S was also placed
on 1:1 observations to protect himself, Mr. N and others. This was immediately
reported to the safeguarding team, the police services and a CQC notification
was completed. Investigations were carried out and all relevant
documentation recorded appropriately. Although Mr. N later disclosed that the
incident never happened and he simply disliked Mr. S, the allegation was very
serious and resulted in police interviews and Mr. S being moved to another
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