Provider Compliance Assessment Outcome 7 (Regulation 11) Safeguarding people who use services from abuse Provider Compliance Assessment: Outcome 7 1 Safeguarding and safety Outcome 7 (Regulation 11): Safeguarding people who use services from abuse What should people who use services experience? People who use services: Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld. This is because providers who comply with the regulations will: Take action to identify and prevent abuse from happening in a service. Respond appropriately when it is suspected that abuse has occurred or is at risk of occurring. Ensure that Government and local Guidance about safeguarding people from abuse is accessible to all staff and put into practice. Make sure that the use of restraint is always appropriate, reasonable, proportionate and justifiable to that individual. Only use de-escalation or restraint in a way that respects dignity and protects human rights, and where possible respects the preferences of people who use services. Understand how diversity, beliefs and values of people who use services may influence the identification, prevention and response to safeguarding concerns. Protect others from the negative effect of any behaviour by people who use services. Where applicable, only use Deprivation of Liberty Safeguards when it is in the best interests of the person who uses the service and in accordance with the Mental Capacity Act 2005. Provider Compliance Assessment: Outcome 7 2 Please refer to our guidance document Provider Compliance Assessment: Guidance for providers before completing the assessment. Provider details Provider name Provider ID Location Location ID Address line 1 Address line 2 Town/city County Postcode E-mail (if applicable) Website Main telephone Fax Provider Compliance Assessment: Outcome 7 3 Lead effectively to reduce the potential of abuse 7A Green Yellow Amber Red Amber Red Amber Red Provide evidence that demonstrates that people receive a service from a provider who takes steps to prevent abuse and does not tolerate any abusive practice should it occur. The provider minimises the risk and likelihood of abuse occurring in the ways outlined in section 7A. Summary of evidence to support the outcomes described in 7A 7B Provide evidence that demonstrates that people who use services benefit from a service that meets the outcomes of section 7B. Green Yellow Summary of evidence to support the outcomes described in 7B 7C People who use services are protected as staff and others involved in carrying on the regulated activity comply with outcomes in section 7C. Green Yellow Summary of evidence to support the outcomes described in 7C Provider Compliance Assessment: Outcome 7 4 Ensure personalised care 7D Provide evidence that demonstrates that people who use services receive care, treatment and support from all staff who comply with the outcomes in section 7D. Green Yellow Amber Red Amber Red Amber Red Summary of evidence to support the outcomes described in 7D 7E Provide evidence that demonstrates that people who use services receive care, treatment and support from staff who, in relation to safeguarding, that comply with the outcomes outlined in section 7E. Green Yellow Summary of evidence to support the outcomes described in 7E 7F Provide evidence that demonstrates that people who use services receive care, treatment and support from all staff that, in relation to restraint know and comply with outcomes described in section 7F. Green Yellow Summary of evidence to support the outcomes described in 7F Provider Compliance Assessment: Outcome 7 5 7G Provide evidence that demonstrates that people who use services receive care, treatment and support from staff who, in relation to responding to behaviour that presents a risk to themselves or others, complies with outcomes described in section 7G. Green Yellow Amber Red Amber Red Amber Red Summary of evidence to support the outcomes described in 7G 7H Provide evidence that demonstrates that people who use services benefit from practice where the use of restraint and management of behaviour that presents a risk is handled so that the outcomes in section 7H are met. Green Yellow Summary of evidence to support the outcomes described in 7H 7I Provide evidence that demonstrates that people who use services that have been abused or are suspected Provider Compliance Assessment: Outcome 7 Green Yellow 6 of being abused (or where appropriate, people acting on their behalf) are supported and cared for so that the outcomes in section 7H are met. Summary of evidence to support the outcomes described in 7I Promote rights and choices 7J Provide evidence that demonstrates that people who use services have access to information about abuse as described in section 7J. Green Yellow Amber Red Amber Red Summary of evidence to support the outcomes described in 7J 7K Provide evidence that demonstrates that people who use services can be confident and assured that the outcomes in section 7K are met. Green Yellow Summary of evidence to support the outcomes described in 7K Provider Compliance Assessment: Outcome 7 7 Additional prompts for specific service types ACS CHN CHS MLS 7L Provide evidence that demonstrates that where people who use services are not covered by the Mental Health Act 2008, the service complies with outcomes described in section 7L. Green Yellow Amber Red Amber Red Amber Red Summary of evidence to support the outcomes described in 7L CHN CHS LDC MLS RSM SPC 7M Provide evidence that demonstrates that outcomes in section 7M are met where the service looks after people’s money and valuables. Green Yellow Summary of evidence to support the outcomes described in 7M SHL 7N Provide evidence that demonstrates that outcomes in section 7N are met where the service looks after people’s money and valuables. Provider Compliance Assessment: Outcome 7 Green Yellow 8 Summary of evidence to support the outcomes described in 7N CHN CHS DCC EXC SHL SLS SPC 7O Provide evidence that demonstrates that people who use services can be confident that staff, and others involved in carrying on the regulated activity, will not take any person (including children) or pets into the home of the person using the service without their permission and that of the manager of the service. Green Yellow Amber Red Amber Red Summary of evidence to support the outcomes described in 7O ACS MLS PHS 7P Provide evidence that demonstrates people who use services can be confident that rapid tranquilisation will only be used if it complies with the outcome described in section 7P. Green Yellow Summary of evidence to support the outcomes described in 7P Provider Compliance Assessment: Outcome 7 9 LDC MHC MLS PHS RSM 7Q Provide evidence that demonstrates that people who use services are protected from the risk and likelihood of abuse because staff comply with outcomes in section 7Q. Green Yellow Amber Red Summary of evidence to support the outcomes described in 7Q Action plans for YELLOW, AMBER and RED areas Click on yellow, amber or red in the box below as appropriate Action plans should be SMART Ref number: Yellow Amber Identify the details of the area that needs to be improved, and what action needs to be taken. Say explicitly what is to be achieved, and who is going to make the changes: Red By when: How are you going to ensure that improvements have been made? What measures are going to put in place and who will do it? Provider Compliance Assessment: Outcome 7 10 Describe the resources needed to implement the changes and whether or not they are in place: Provide an appropriate date by which the improvements will be made: Describe the impact the improvements will have on people who use the service: How we will monitor to check that the action plan is working? Ref number: Yellow Amber Identify the details of the area that needs to be improved, and what action needs to be taken. Say explicitly what is to be achieved, and who is going to make the changes: Provider Compliance Assessment: Outcome 7 Red By when: 11 How are you going to ensure that improvements have been made? What measures are going to put in place and who will do it? Describe the resources needed to implement the changes and whether or not they are in place: Provide an appropriate date by which the improvements will be made: Describe the impact the improvements will have on people who use the service: How we will monitor to check that the action plan is working? Provider Compliance Assessment: Outcome 7 12 If you need to add more action plans, you should: 1. Go to View>Toolbars> in the top Microsoft Word menu and click on ‘Forms’. 2. Click on the padlock symbol in the Forms menu. This unlocks the form. 3. You will then be able to copy and paste more action plan boxes. Provider Compliance Assessment: Outcome 7 13
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