London Borough of Enfield
Safeguarding Adults
Project Title:
Health Adults and Social Care: Making Safeguarding Personal 2014
Project Definition
Outcomes Focused and Person -Centred Safeguarding
Status:
Draft
Issue date:
29-09-2014
Project Lead:
Sharon Burgess, Head of Service, Safeguarding Adults Practice and
Quality Assurance
Document Author
Helen Tapfumaneyi-Strategic Team Manager- Central Safeguarding
Adults
1
Document Control
Approved By:
Name
Sharon Burgess
Lorraine Davies
Marian Harrington
Reviewed By:
Name
Helen
Tapfumaneyi
Shan Kilby
Corinne De Alwis
Melanie Gibson
Joy Maguire
Jayne Scully
Laura Sowkhee
Carole Galloway
Position
Head of Safeguarding Practice and Quality Assurance
Assistant Director – Health and Adults Social Care
Independent Chair- Safeguarding Adults Board
1-10-2014
Position
Date
Strategic Team Manager - Safeguarding Adults
Development Manager- Safeguarding Adults
Learning and Development Consultant – Safeguarding Adults
Team Manager- Care Management Service
Safeguarding Adults Lead – Barnet/Enfield/Haringey MHT
Senior Performance Officer- Strategy and Resources
Senior Social Work Practitioner- ILDS Safeguarding Adults
Assistant Team Manager – Safeguarding Adults
Revision History:
Name
Version
Helen Tapfumaneyi
Helen Tapfumaneyi
Helen Tapfumaneyi
Helen Tapfumaneyi
Helen Tapfumaneyi
Helen tapfumaneyi
1
1
1
1
2
3
Distributed to:
Name
Date
1-10-2014
29-10-2014
Version
Date
30-102014
30-09-2014
Summary of changes
Initial Mapping
Project Design
Project Design Review
Project Plan
Project Deliverables Paras 4.1.3 t0 4.1.9
Project evaluation and regional workshop dates
Date
Job Title
Lorraine Davies
Niel Niehorster
Vicky Main
V2
V2
V2
01-10-2014 AD Health Adults and Social Care
01-10-2014 Head of ILDS
01-10-2014 Head of Adults Social Care Path way
Claire Duignan
Marc Gadsby
Doug Wilson
Sharon Burgess
V2
V2
V2
V2
01-10-2014
01-10-2014
01-10-2014
01-10-2014
Chris Dyson
Carole Bruce Gordon
Douglas
Maitland Jones
Marian
Harrington
V2
V2
Head of Adults CMH Services
Head of In house Provider service
Head of Strategy, Policy and Performance
Head of Safeguarding Adults , Quality and
Complaints
01-10-2014 Head Of safeguarding People, BEH-MHT
01-10-2013 AD for Safeguarding Adults , Enfield CCG
V2
01-10-2014
V2
01-10-2014 Independent Chair , Enfield SAB
Learning and Development
Project Definition: Making Safeguarding Personal (MSP) is a shift in
culture and practice in response to what is now known about what makes
safeguarding more or less effective from the perspective of the person being
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safeguarded. It is about having conversations with people about how we
might respond in safeguarding situations in a way that enhances involvement,
choice and control as well as improving quality of life, wellbeing and safety. It
is about seeing people as experts in their own lives and working alongside
them. It is about collecting information about the extent to which this shift has
a positive impact on people’s lives.
.
The MSP is a joint Local Government Association (LGA) and Association of
Directors of Adults Social Services (ADASS) programme that supports
councils and their partners to develop outcomes-focused, person-centred
safeguarding practice. The approach aims to facilitate a shift in emphasis in
safeguarding from undertaking a process to a commitment to improving
outcomes alongside people experiencing abuse or neglect
Key Message: The MSP is a shift from a process supported by
Conversations to a series of conversations supported by a process
1.1 The National Context :
1.1.1The Personalisation Agenda: The MSP Programme is enshrined in the
Personalisation Agenda including the ‘Putting People First’, ‘Our Health, Our
Care, Our Say’ and ‘Nothing about Us without Us’ concordant. Personalisation
is about promoting peoples human rights, such as rights to self –
determination, life, freedom from inhuman and degrading treatment, etc. On
the other hand Safeguarding Adults is about preventing their violation by
others.
1.1.2 The Care Act 2014: The Care Act has now placed Safeguarding Adults
on a statutory footing, expecting Safeguarding adults practice to be
guided by the following 6 principles: empowerment, proportionality,
protection, prevention, partnership and accountability.
1.1.3 The Human Rights Act 1998
1.1.4 The Mental Capacity Act
1.2 The Local Context: Safeguarding practice in Enfield is now incorporating
the 6 Care Act principles
Scope: The key focus is on developing a real understanding
of what people wish to achieve, agreeing, negotiating and recording their
desired outcomes working out with them (and their representatives or
advocates if they lack capacity) how best those outcomes might be realised
and then seeing, at the end, the extent to which desired outcomes have been
realised. MSP standards are at the following three levels:
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2.1. Bronze: A sector outcomes measure for safeguarding. This can
include:
2.1.1 To discuss the outcomes people want at the start of safeguarding
activity.
2.1.2Follow-up discussions with people at the end of safeguarding activity to
see to what extent their desired outcomes have been met
2.1.3 Recording the results in a way that can be used to inform practice and
provide aggregated outcomes information for Boards.
2.1
Silver: Prevention: If well on the way to achieving the three points
above, councils may wish to develop enabling responses that reduce
risk of or recurrence of abuse and neglect as well as recording and
aggregating information about outcomes.
2.3 Gold A third approach is for councils who wish to work on both 1 and 2
above, and in addition find themselves a partner in a university or other
research organisation, who will undertake
a more formal evaluation of the work.
Partners in Scope:
2.1.1 The Strategic Safeguarding Adults Team
2.1.2 Learning and Development
2.1.3 Information Technology Service
2.1.4 Adults Performance
2.1.5 Adults Pathway Care Management Services -Safeguarding Team
2.1.6 Integrated Learning Disabilities Safeguarding Adults Team
2.1.7 Barnet-Enfield and Haringey Mental Health Safeguarding Team 2.1.8
2.1.8 Contracts and Monitoring Team
2.1.9 Adults at Risk
2.1.10 IMCA Service
2.1.11 Advocacy Service
2.1.12 MCA and Dols Team
3.2. Partners Out of Scope: The project at this time will not include and
give consideration to:
3.2.1 Police
4. Project Deliverables: Project deliverables have been identified below
and include:
4.1
Main stream personalised safeguarding practice at Gold
level by 31 March 2015 demonstrating that :
4.1.1
standard
Care Assess Captures outcomes expressed by the adult at risk ((or
outcomes that are defined through Best Interest Assessments or with representatives
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or advocates if people lack capacity)
at
Initial inquiry, Strategy Meeting, and
Case Conference from 1 October 2014.
4.1.2 Care assess captures person –centred interventions put in place to
prevent/minimise further abuse for safeguarding cases closed from 1
October 2014 to 30 December 2014
4.1.3: a number and % of people referred for services define the outcome
they want
4.1.4
a number and % of people whose expressed outcomes are fully or
partly met.
4.1.5 Q3 Internal Audits show that a number and % of cases that close after
case conference have person centred protection plans that empower them to
resolve the circumstances that put them at risk.
4.1.6 Q3 internal Audit to show that a number and % of the people or their
representatives participated in the safeguarding process through regular
consultation attendance at meetings or their views collated and represented at
meetings, receiving regular feedback and evidently kept at the centre of the
process
4.1.7 Q3 internal audit to show that a number and % of people who lack
capacity have recorded MCA and Best Interest Decision Tools in Care
Store.
4.1.8 Q3 Service User feedback show that a number and % of people
report that they feel safe and secure at the end of the safeguarding
process
4.1.9 Q3 Internal audits show that a number and % of people were offered an
independent advocate or a number of people were
Supported by an independent advocate or both
4.2
To Commission a University to evaluate the above :
4.3 Prepare Impact report for the LGA /ADASS Programme for February
2015.
4.4 Attend Programme conferences and workshops to share learning.
5
Project Milestones
The development of the implementation plan will provide milestones and
critical delivery dates. However, proposed milestones and dates have been
shown below:
Strategic Approach
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Redesign New Internal Audit Tool in
Consultation with all Operational
Safeguarding Teams
30-07-2014
MSP Initial Workshop
22-09-2014
SAB MSP Briefings
 Gain commitment from partner
organisations to making the
cultural and organisational
changes that are required.
 Link MSP into wider
personalisation, engagement
and prevention initiatives and
strategies.
 Review how and in what
circumstances advocacy is
made available.
Initial MSP Mapping Meeting
 Where are we now
 Needs Analysis/gaps,
 What needs to change
 Intended outcomes
 How is information collected
 How do we measure the
results
 How do we disseminate
information
 Risk evaluation
 Project design.
 Resource mapping both
human and material.
 Programme Design
25-09-2014
29-09-2014
BEH – Mental Health MSP Surgery
30-09-2014
Project Plan Writing
30-09-2014
Project review by group members
and senior managers
IT Systems modified
 to capture Outcomes and
person centred interventions
 Develop an appropriate range
of recording mechanisms.
Operational Teams MSP Surgeries (
01-10-2014
01—10-2014
01-10-2014 – 30-10-2014
engagement with lead safeguarding
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practitioners ) for Mentoring





Supportive, reflective
supervision and learning
opportunities for social workers
and lead health practitioners.
Encourage the use of a range
of knowledge and skills
(including: core practice skills,
knowledge in relation to the
legal framework, negotiating
skills).
MCA Refresher training
Supported Decision Making
Training
Practice Forum
Presentation of Project for approval
15—10-2014
Complete Q1 Internal audit,:



aggregate outcome
develop action plan,
feedback to all Operational
Teams, and ADMT on MSP
Performance
30-10-2014

MSP Partnership Sub group meets to
:
 review performance
 Develop materials to support
practitioners and the people
they are working with.
15 November 2014
Complete Q2 Audits:
 Safeguarding Managers Self
evaluate MSP Performance
for Q2
21-01--2015 -30-01-2015
Core MSP sub-group attend Regional
Conference
26 January -2015
Project update report to SAB
08-12-2014
Central SA Service validate Q2
SAMs Self evaluations , feedback to
care teams ,aggregate outcome and
prepare report for ADMT
Core MSP subgroup
 Carryout Service User Survey
15-12-2014
15-01-2015- 30-01-2015
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 Analyse Data
 Prepare Report
A University carries out Q3 Audits to

evaluate Practice for MSP Gold 19-01-2015- 15-02-2015
standard
 Prepare Report
National MSP Impact statement
15-01-2015 –to 02-02-2015
Survey by RiPfA
Core MSP Sub-Group prepare and
Submit Impact Report to LGA
20-02-2015 -28-02-2015
Programme Officer
Project Update Report for SAB
09-03-2015
Core MSP sub-group attend
Programme workshops to share
Learning
April -2015
Project Evaluation
01-04-2015
Feedback To SAB
30-05-2015
Design future delivery models
 Re-design policies and
procedures to make them
person centred.
 Ensure services or procedures
01-06-2015 -31-07-2015
need to be more focussed on
engagement with people
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6
Related Projects / Dependencies
The project will have interdependencies with the following Safeguarding
adult’s projects:
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
The Care Act Reform Work stream

The Enfield Multi-Agency Safeguarding Adults Hub (MASH) Steering
and Practice Implementation Groups

Safeguarding Adults Practice Learning Forum

Multi-Agency Risk assessment Co conference (MARAC)

Multi-agency Public Protection Arrangements (MAPPA)

Personalisation Agenda Work stream

MH Safeguarding Adults Practice Improvement Surgeries

ALL Adults Social Care Services

The Community Mental Health Teams

The Enfield Drugs and Alcohol assessment and Review Team

The Metropolitan Police Community Safety Unit

Enfield CCG

Enfield Corporate Learning and Development

Enfield Adults Performance Team

Enfield Information Systems Team

The Safeguarding Adults Board
Project Costs: Although the Implementation of the project is largely
cost neutral, achievement of the Gold standard has some budgetary
implications. The following areas were considered :
7.1. Minute takers - Will Deploy Safeguarding adults Minute takers
7.2.
Safeguarding Adults Training :
Cost Neutral
7.3.
Strategy Meetings Venue Booking : Cost neutral
7.4.
Mental Capacity & DoLS Training (Trainer & Venue): Will be
provided by the MCA / Dols Team
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8
Success Criteria: The success criteria will include:
8.1 The number and percentage of people referred for services who define
the outcomes they want (or outcomes that are defined through Best Interest
Assessments or with Representatives or advocates if people lack capacity).
8.2 The number and percentage of people whose expressed outcomes are
fully or partly met.
8.3 The Proportion of people who use services who feel safe
8.3.1 Everyone enjoys physical safety and feels secure
8.3.2 People are free from physical and emotional abuse, harassment,
neglect and injuries
8.3.3 People are protected as far as possible from avoidable harm, diseases
and injuries
8.3.4 People are supported to plan ahead and have the freedom to manage
risks the way that they want
8.4 The proportion of people who use services who say that those services
have made them feel safe and secure
8.5 proportion of completed safeguarding referrals where people report they
feel safe
Constraints / Assumptions: It is the project Group’s basic
assumption that:
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Commissioning a university to evaluate and report by the set time scales may
present challenges for the project.
10 Risks (Early identified)
Early identified risks include:

Partners , care teams and customer readiness to participate
11 Project Organisation
This project is managed within the Adults Safeguarding Continuous Practice
Improvement and Quality Assurance Agenda
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The Strategic Safeguarding Adults Team and partners will be monitoring the
implementation plan. The members of the project team have been identified
as:
NAME
Sharon Burgess
Programme Lead
Helen Tapfumaneyi
Project Leader
Project Group Membership
POSITION
Head Of Safeguarding Adults, Practice , MCA And Dols ,
Quality Assurance And Complaints ,
Strategic Team Manager , Safeguarding Adults
Shan Kilby
Development Manager Safeguarding Adults
Liana Kotze
MCA and Dols Manager
Corinne De Alwis
Learning and Development Consultant for safeguarding
Adults
Melanie Gibson
Team Manager – Care Management Services
Laura Sowkhee
Senior Social Work Practitioner _ ILDS Safeguarding Adults
Jayne Scully
Adults Performance Officer
Debbie Morgan
Fulya Yahioglu
Commissioning Manager- Substance Misuse
Other team members may be identified moving forward
12 Next Steps
The immediate next steps:


Sign off Project Design
Develop project / implementation plan
13 Document Sign Off
Document Sign Off:
Sharon Burgess
Lorraine Davies
Marian Harrington
Date:
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Information Sources:
LGA /ADASS Making safeguarding Personal
Guide 2013/2014
Enfield SAB Away day Brief ‘Challenges and
Opportunities’ Sep 2014
End of Report
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