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In this video, we will look at what The Care Act of 2014 has introduced. Firstly, there are changes of definitions to safeguarding, like understanding the duty of enquiry, the fact that Safeguarding Adult Boards referred to as SAR's have become statutory and "What Makes Safeguarding Personal” means to individuals.

Within safeguarding, 6 key principles of Empowerment, Prevention, Proportionality, Protection, Partnership and Accountability have been adopted for supporting individuals.

So let's look at these 6 key principles in more detail, beginning with empowerment. This covers the need for people to be supported and encouraged to make their own decisions and in understanding what informed consent is. Individuals are asked what they ideally would want as the outcomes from the safeguarding process and these directly inform what happens.

Prevention means that it is better to take action before harm occurs and individuals receive clear and simple information about what abuse is, how to recognise the signs of it and what they can do to seek help.

Proportionality covers the least intrusive response appropriate to the risk presented to the person, so the individuals are sure that the professionals involved will work in their interest, and will only get involved as much as needed.

Protection offers support and representation for those in the greatest need, ensuring they get help and support to report abuse and neglect. Individuals also get help so that they are able to take part in the safeguarding process to the extent they wish.

Working in partnership means that communities have a part to play in preventing, detecting and reporting neglect and abuse. This also lets individuals know that staff treat any personal and sensitive information in confidence, only sharing what is helpful and necessary. People are confident that professionals will work together and with them to get the best result.

Accountability and transparency in delivering safeguarding is a primary point that everybody needs to adopt and be aware of, so people understand everyone's roles in their life.

Within the Care Act 2014, (chapter 14) there is a new definition of adult abuse and it states that:

"The safeguarding duties apply to an adult who has needs for care and support (whether or not the local authority is meeting any of those needs) and is experiencing, or at risk of, abuse or neglect; and as a result of those care and support needs is unable to protect themselves from either the risk of, or the experience of abuse or neglect."

The Care Act also defines that there is no longer a requirement for the 'alleged perpetrator' to attend any Safeguarding meetings where the victim is present, whereas in the past they were occasionally granted access to the meeting. The care act clearly states that there is no significant harm threshold for an enquiry and has added additional categories of abuse.

Under section 42 of the Care Act, it states that there is a duty of enquiry and that "Local authorities must make enquiries, or cause others to do so, if they reasonably suspect an adult who meets the criteria at paragraph 14.2 is or is at risk of, being abused or neglected."

The Care Act states that Safeguarding Adults Boards (SAB's) are Statutory and there are three core members including Clinical Commissioning Groups, Police, (specifically the chief of police) and the Local Authority.

The objective of the SAB is to assure itself that local safeguarding arrangements and partners act to help and protect adults in its area who meet the criteria set out in paragraph 14.2. The statutory functions of the SAB are to publicise the strategic annual plan, publicise an annual report and conduct Safeguarding Adults Reviews.

Under the 2014 Care Act, SAB's are responsible for Safeguarding Adults Reviews (or SAR's). These replace Serious Case Reviews (or SCR's). This resource aims to help Safeguarding Adults Boards in thinking about how they fulfil those responsibilities. It focuses on a selection of key issues and is intended to supplement the policy development work already underway or completed.

A Safeguarding Adult Board must arrange a Safeguarding Adults Review when, 'an adult in its area dies as a result of abuse or neglect, whether known or suspected, and there is concern that partner agencies could have worked more effectively to protect the adult'.
There is more focus on the learning and reflective practice of each individual SAR, which incorporates the use of, for example the 'Appreciative Inquiry' model, which engages stakeholders in self-determined change.

The Care Act 2014 also states 'Making safeguarding personal means it should be person-led and outcomes focussed. It engages a person in a conversation about how best to respond to their situation and how they would like the process resolved'.