Meeting: Lewisham Safeguarding Adults Board Date: Tuesday 14th June 2016 Location: Lewisham Council, Room 304, Town Hall Chambers, Catford. Attendees: Name Aileen Buckton Philip Byron Natalie Beccles Geeta SubramaniamMooney Becky Canning Dee Carlin Brian Scouler Graham Hewett Caz Brown Initials Organisation LBL Community Services LSAB LSAB LBL Crime Reduction & Supporting People National Probation Service LBL/CCG LBL Adult Services NHS Lewisham CCG Lewisham & Greenwich NHS Trust NHS Lewisham CCG Metropolitan Police London Fire Brigade Lewisham Homes Lewisham & Bromley Healthwatch SLAM LBL Adult Services LBL Community Safety LSAB Initials Organisation SLAM Metropolitan Police Lewisham Community Rehabilitation Company Lewisham Children’s Social Care London Ambulance Service Voluntary Action Lewisham LBL Strategic Housing Lewisham & Greenwich NHS Trust SLAM NHS Lewisham CCG Lewisham & Bromley Healthwatch NHS Lewisham CCG NHS England Public Health L&Q Group AB PB NB GS BC DC BS GH CB Fiona Mitchell Jo Oakley Keeley Smith Clare Long Geraldine Richards FMi JO KS CL GR Louise Rabbitte Joan Hutton Martin Gormlie Vicki Williams LR JH MG (Minutes) Apologies: Name Cath Gormally Jon Summers CG JS Sharon Kirk SK Stephen Kitchman Ski Darren Farmer Tony Nickson Genevieve Macklin Claire Champion DF TN GM CC Denise O’Brien Faruk Majid Folake Segun DO’B FMa FS Claire Champion Jane Clegg Danny Ruta Richard Southall CC JC DR RS Item 1. Welcome, Introductions and Apologies AB welcomed everyone to the meeting and asked everyone to introduce themselves. AB has been appointed as the Interim Chair for the Board until a new Independent Chair is appointed. 2. Minutes of 15th March LSAB Meeting, matters arising, amendments and open actions Action All actions on pages 1, 2 and 4 have been completed. Action 38 Update - There is no specific place for IMHA’s to be recorded on Electronic Patient Journey’s (EPJ’s) but this will be addressed by the end of June and will be recorded as part of a Section 42 enquiry. LR will ask CG to find out if Care Act Advocates (IMCA’s) are also recorded. LR & CG Action 39 Advocacy Review - Due in December 2016. Open Actions - Action 7, Complete - FM has submitted all of the Pressure Ulcer Initiative documents and copies of the papers have been circulated to the Board today. BS confirmed these procedures are aligned to the new guidance. Action 42 Board members have been asked for specific information to be included in the Annual Report, this request has a deadline of the end of June. ALL Matters Arising - Serious Incident and Safeguarding Procedures Alignment –London ADASS guidance on the proposed new Pan-London procedures (yet to be issued) include changes to consideration of Serious Incident Reviews (SIRs) and referral to the LSAB. SIRs notified to the board should include all incidents where there may be a safeguarding element, not just pressure ulcers. The Board needs a clear process in place with Board partners about which SIRs should be notified to the board. Consideration should also be given to including DHRs & Police Investigations (where notified). Action 43 BS will look for updated London ADASS guidance and send it to the LSAB for distribution to the partnership. VW will distribute on behalf of BS. Action 17, Completed with the new Pan London Compliance. Action 32, Completed - FM advised that this is addressed under Action 7 as there is a correlation of the two. Page 2 of 6 BS & VW 3. Counter Terrorism and security Act 2015 – The ‘PREVENT’ agenda MG gave a briefing to the Board on the PREVENT Strategy and the Counter Terrorism and Security Act 2015 to prevent extremism (See presentation 1). MG offered to assist Board members organisations with the delivery of WRAP training. MG is working on an advanced training program for Safeguarding Professionals with Children’s Social Care. If there is a need for this in Adult Social Care this would be considered if requested. JH & BS to request assistance if needed. AB suggested resources could be pooled for this training. Board members to contact MG should they need assistance. MG would like PREVENT embedded into all organisational safeguarding policies. JH believes that there will be more clarity on PREVENT policies following the London Safeguarding Adults Board inaugural meeting in July as this is part of the brief of the London Board. MG advised that for Lewisham, organisations are working well together. MG summarised the risks for Lewisham and explained the CHANNEL program. MG was asked if there was any data on CHANNEL referrals as organisations are being asked by their own board/governance structure for evidence that the PREVENT programme is successful following considerable investment into the programme. MG advised that the system that was set up to record this information has only provided unreliable data so far. AB believes that as organisations’ Boards are asking if PREVENT is successful this should be raised even if . GSM explained the duties and responsibilities that organisations have and that the Board should satisfy themselves they are getting that right rather than is PREVENT working. AB accepted that organisations should focus on the responsibilities they have under PREVENT but that should not prevent organisations expressing concern around the unreliability of the data. Action 44 GSM is a member of the London Prevent Network and is happy to raise this as a local issue but assured the Board that most of their organisations are represented at the London PREVENT Network, and that is the opportunity to contribute. Page 3 of 6 GSM ALL 4. 5. Action 45 AB suggested that agencies raise their concerns through their own organisations representative as well. Action 46 AB would like the Board to bring back information about what Prevent training is being offered within the partnership so it is clear. Action 47 The Lewisham PREVENT group are to provide quarterly updates to the LSAB. Action 48 The LSAB will add PREVENT reports to the Agenda as a standing item. Action 49 PB will raise PREVENT at the LSAB Housing Provider Forum (see item 9). Board Governance The LSAB compact was updated to be in line with the Care Act 2014 and all organisations have signed up to it. It was intended that this document would be revised in June but it is proposed that the time this compact covers is extended until the new Chair is appointed and can lead the work on the revision. No objections were made. Safeguarding Adults at Risk in London – A stocktake The Board were asked to note the contents of the report particularly Pages 50 & 51 Opportunities for Shared Action. ALL MG VW PB The Board are asked if they would like to benchmark themselves against other SAB’s and if they would what resources are needed (see open action 19). DoL’s training maybe also be something that the Board members organisations would like to look at, CQC raised this as an issue. Information sharing between children’s and adult’s safeguarding landscape has also been highlighted. 6 7 DC believes that it would be useful for the Board to understand and be aware of the themes in the report and to think about how those lessons are reflected locally and what Health & Social Care do to respond to the recommendations in the report e.g. Learning from Domestic Homicide Reviews. Learning from Domestic Homicide Reviews will be an agenda item in September 2016. Making Safeguarding Personal – London ADASS Pilot NB gave a presentation to the Board (See presentation 2); on raising awareness of prevention, identification and reporting of safeguarding concerns. The group discussed the outcomes people are seeking with regards to safeguarding enquiries and how these are recorded on their individual systems. Action 50 PB will be writing to Board members to clarify PB how desired outcomes are recorded on their systems. Action 51 AB suggested that NB include the Positive NB Ageing Council- Visiting Scheme as part of this work. Care Act Advocacy 2015-16 Page 4 of 6 Please see Care Act Advocacy 2015-16 report. BS asked what the total advocacy provision is across the partnership and how this could be captured. Action 52 It was agreed BS will approach commissioning for this information. 8 9 10 11 12 Workforce Development Plan The national competence framework for safeguarding adults provides a framework for consistency across health and social care. The Board are asked to approve the Workforce Development and Audit Check Plan 2016-2017. Plan approved - subject to any inter-collegiate changes when the final version is published. LSAB Housing Provider Forum The LSAB Housing Provider Forum has been arranged for Tuesday 21st June, all 9 major Housing Providers for the Borough have accepted invitations. Action 53 PB to take forward relevant issues from today’s meeting. Thanks to CL for providing the venue. LSAB Budget 2015-2016 The LSAB 2015-2016 budget has an under spend due to the time it took to recruit the Business Team. AB confirmed the under spend can be carried over. The Board were asked for any comments. No comments were made. Peer Challenge Review As part of the Service Improvement approach within London there is agreements in place for Peer Challenges across London. The Peer Challenge Team are highly experienced: led by Liz Bruce - Director of Adult Social Care from the TriBorough (Hammersmith & Fulham, Kensington & Chelsea and the City of Westminster) and Derek Oliver - Assistant Director of Adult Social Care, Richmond Upon Thames. Lewisham have a Peer Challenge due in September Action 54 JH requests that Board members make note of the dates the Peer Challenge will take place and make themselves available for interview if required; the dates are 20th, 21st & 22nd September 2016. Board members may also be asked to provide evidence. DoL’s Report Please see DoL’s Report (Report 5) CB has carried out an audit on DoL’s identification within the Trust. Action 55 There are a number of lessons to be learnt from CB’s audit, the results of which will be forwarded and circulated to the Board once approved. The Board complimented CB on this excellent piece of work. Action 56 Once DoL’s audit has been through L&G NHS Trust governance, the Chair will write the Chief Page 5 of 6 BS PB ALL CB & VW 13 14 15 16 Executive of Lewisham and Greenwich NHS Trust requesting support to make DoL’s training mandatory. LSAB SAR Framework The LSAB Safeguarding Adults Review (SAR) Framework was distributed for comments, no comments were received. The Board were asked to approve the Framework - LSAB SAR Framework approved. Review of Local Safeguarding Children’s Boards - Alan Wood Action 57 This review & summary of key points for Adult Safeguarding Boards will be circulated with the minutes of the meeting. Safeguarding Adult Reviews Action 58 Verbal update given, brief case synopsis will be sent to Board member organisations with the minutes. AoB Recruitment of Independent Chair for LSAB The recruitment advertisement is currently out for the new Independent Chair. There have been 3 applications, Board members may be asked to assist in the recruitment process. Safeguarding Adults Information Leaflet CB asked if there was a general Safeguarding Adults information leaflet. Action 59 NB advised that a draft leaflet has been written, NB will send the draft leaflet to the Board for approval. Action 60 BS will send the new Adult Social Care information leaflet to CB. Action 61 LR will send SLAM’s information leaflet to CB. AB VW PB & VW NB BS LR Organisational Abuse finding by the CQC The CQC have recently closed a privately run Mental Health Hospital in the South East of London and have published the report following the closure. A learning event has been arranged by NHS England for 27/7/16. A formal apology from the CQC has been received as they neglected to mention the collaborative work that had been carried out by organisations in Lewisham following the closure. FM & Action 62 AB would like the learning event summary BS reported to the Board in September. VW Action 63 This will be added to the September agenda. Page 6 of 6
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