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THE CARE CERTIFICATE WORKBOOK

Safeguarding

Adults

The CARE CERTIFICATE

What you need to know

Standard

THE CARE CERTIFICATE WORKBOOK STANDARD 10

The principles

of safeguarding

adults

The Care Act 2014 defines adult

safeguarding as protecting an adult’s

right to live in safety, free from abuse

and neglect.

Wellbeing

In the Care Act 2014 ‘wellbeing’ is described as relating to:

 personal dignity (including treating the individual with respect)

 physical and mental health and emotional wellbeing

 protection from abuse and neglect

 control by the individual over day-to-day life (including over care and support

provided and the way it is provided)

 participation in work, education, training or recreation

 social and economic wellbeing

 domestic, family and personal wellbeing

 suitability of living accommodation

 the individual’s contribution to society.

All these aspects of wellbeing are relevant to people with care and support needs, and to

carers. There is no hierarchy, and all these aspects of wellbeing should be given equal

importance when considering any person’s wellbeing. Each of these aspects is a positive

‘outcome’ of good wellbeing.

Hierarchy

This is when something is arranged in a graded

order so something at the top of the order is more

important than something at the bottom. So in

considering wellbeing there is no one area more

important than another.

Informed choices

Decisions made by

people when they have

been provided with all the

information.

Safeguarding is about people and organisations working together to prevent and stop both

the risks and the actual experience of abuse or neglect. Safeguarding balances the right

to be safe with the right to make informed choices, while at the same time making sure

that the adult’s wellbeing is promoted. This includes taking the person’s views, wishes,

feelings and beliefs into consideration in deciding on any action. Health and social care

organisations have particular responsibilities, but every worker has a part to play.

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As a worker, it may be thought of as abuse or neglect if you cause harm to someone or

do not do the things you should to prevent harm. It is important that you know the ways of

working to safeguard adults in your workplace. Your policies and procedures tell you how

to meet the Care Quality Commission’s Fundamental Standards of Quality and Safety.

You should also follow the Code of Conduct for Healthcare Support Workers and Adult

Social Care Workers in England. See:

www.skillsforhealth.org.uk/code-of-conduct or

www.skillsforcare.org.uk/code-of-conduct

Your responsibilities

The Code of Conduct states that workers must:

“Always make sure that your actions or omissions

do not harm an individual’s health or wellbeing.

You must never abuse, neglect, harm or exploit

those who use health and care services,

their carers or your colleagues.”

Harm

Harm includes ill treatment (including

sexual abuse, exploitation and forms

of ill treatment which are not physical);

the impairment of health (physical or

mental) or development (physical,

intellectual, emotional, social or

behavioural); self-harm and neglect;

unlawful conduct which adversely

affects a person’s property, rights or

interests (for example, financial abuse).

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Types of abuse and neglect - signs and indicators

There are 10 types of abuse and neglect that cause harm identified in the Care Act 2014.

These are listed in the table below.

You should be able to identify the different types of abuse and neglect and the signs or

‘indicators’ that they are happening. The more you are able to get to know someone the

more you are likely to notice any changes. In workplaces where care and support are short

term, this can be more difficult, but you should still look out for any signs or indicators.

Incidents may be one-off or multiple, and affect one person or more. Workers should look

beyond single incidents or individuals to identify patterns of harm.

Type of abuse Signs/Indicators

Physical abuse is an individual’s body

being injured or hurt due, for example,

to assault, hitting, slapping or pushing. It

can also be the wrong use of restrictive

practices (see below).

Examples could be the misuse of

medication or using inappropriate

restraint such as locking someone in

a room, tying them to a chair or using

inappropriate physical sanctions.

Injuries that are unexplained or haven’t been

treated. There could be a number of injuries

of different ages and in different places.

Examples include:

 broken bones

 bruises

 unexplained loss of clumps of hair

 bite, burn or scald marks.

Domestic violence – is any incident

of threatening behaviour, violence or

abuse (psychological, physical, sexual,

financial or emotional) between adults

who are or have been intimate partners

or family members, regardless of gender

or sexuality. It includes psychological,

physical, sexual, financial and emotional

abuse, and so-called ‘honour-based’

violence.

Signs of domestic violence can be any of

those relating to the different types of abuse

or neglect that can occur in any incident.

Modern slavery – this encompasses

slavery, human trafficking, and forced

labour and domestic servitude.

Traffickers and slave masters use

whatever means they have at their

disposal to coerce, deceive and force

individuals into a life of abuse, servitude

and inhumane treatment.

 Signs of physical or psychological

abuse, being malnourished or unkempt,

appearing withdrawn.

 Rarely being allowed to travel on their

own, seemingly under the control and

influence of others, rarely interacting

or appearing unfamiliar with their

neighbourhood or where they work.

 Having few or no personal belongings or

documents.

 Avoiding eye contact, appearing

frightened or hesitant to talk to strangers

and law enforcers.

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Financial or material abuse is the

use of a person’s funds and belongings

without their permission. This could

be theft, fraud, internet scamming,

coercion in relation to an adult’s financial

affairs or arrangements, including in

connection to wills, property, inheritance

or financial transactions, or the misuse

or misappropriation of property,

possessions or benefits.

 Bills not being paid.

 Loss of assets such as a house being

sold and the money from the sale

disappearing.

 Expenditure higher than the living

conditions suggest.

 Not having enough food or clothing.

Sexual abuse is when a person

becomes involved in sexual relationships

or activities that they do not want to be

involved in. They may have said that

they do not want to be involved or they

may be unable to give consent. Sexual

abuse includes rape, indecent exposure,

sexual harassment, inappropriate

looking or touching, sexual teasing

or innuendo, sexual photography,

subjection to pornography or witnessing

sexual acts, indecent exposure and

sexual assault or sexual acts to which

the adult has not consented or was

pressured into consenting to.

 Pain, sores and bruising around the inner

thighs and genital, anal or breast areas.

 Bloodstained underwear.

 Pain and discomfort when walking or

sitting.

 Sexually transmitted infections and

pregnancy are indicators for sexual

activity and can indicate abuse if the

person does not have the capacity to

provide consent.

Neglect is also known as the ‘omission

to act’ or ‘failure to act’. It is a failure to

meet the basic needs of the individual. It

includes ignoring medical, emotional

or physical care needs, failure to provide

access to appropriate health, care and

support or educational services and the

withholding of the necessities of life,

such as medication, adequate nutrition

and heating.

Indicators of neglect by others and of self-

neglect are similar. They include:

 malnutrition

 dehydration

 bedsores

 dirty clothing and bedding

 taking the wrong dosage of medication.

Self-neglect is a person’s failure

or refusal to take care of their own

basic needs. Neglecting to care for

one’s personal hygiene, health or

surroundings can include a wide range

of behaviours such as hoarding.

Psychological abuse results in a person

feeling worthless, unloved or uncared

for. It includes emotional abuse, threats

of harm or abandonment, deprivation of

contact, humiliation, blaming, controlling,

intimidation, coercion, harassment,

verbal abuse, cyber bullying, isolation or

unreasonable and unjustified withdrawal

of services or supportive networks.

 Anxiety

 Lack of confidence

 Low self-esteem

 Disturbed sleep.

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Protecting adults from abuse and neglect

Under the Care Act 2014, your local authority has the lead role in relation to adult

safeguarding. It must:

 make enquiries, or ensure others do so, if it believes an adult is subject to, or at risk

of, abuse or neglect

 establish whether any action needs to be taken to prevent or stop abuse or neglect,

and if so, by whom

 set up a safeguarding adults board (SAB)

 arrange, where appropriate, for an independent advocate

 cooperate with each of its relevant partners.

Organisational abuse happens where

services provided are focused on the

needs of the organisation. For example,

not providing choice over meal times

or bed times because this is easier for

the organisation. It includes neglect and

poor care practice within an institution or

specific care setting such as a hospital

or care home or in relation to care

provided in one’s own home. This may

range from one-off incidents to ongoing

ill-treatment. It can be through neglect

or poor professional practice as a result

of the structure, processes, policies and

practices of the organisation.

 Poor care standards

 Rigid routines

 Lack of staff learning, development and

support.

Discriminatory abuse refers to an

individual or group being treated

unequally because of characteristics

identified in the Equality Act 2010. It

involves ignoring a person’s values,

beliefs and culture and includes forms

of harassment, slurs or similar

treatment because of race, sex, gender

reassignment, age, disability, sexual

orientation, religion or similar belief,

marital or civil partnership status,

pregnancy or maternity.

 Poor service that does not meet the

person’s needs

 Verbal abuse and disrespect

 Exclusion of people from activities and/or

services.

Discrimination can be either direct or

indirect—see Care Certificate standard 4 on

equality and diversity.

Restrictive practices

This term refers to actions that may need to be used such as physical restraint or use

of devices, medication or seclusion. Restrictive practice must always be legally and

ethically justified and must ever only be used when absolutely necessary to prevent

serious harm. Any restrictive practice that is used inappropriately will almost certainly

be a breach of human rights.

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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)

 is experiencing, or is at risk of, abuse or neglect

 as a result of circumstances that put them at risk, is unable to protect themselves

from either the risk of, or the experience of, abuse or neglect.

Although the local authority has the lead responsibility, the following six principles apply to

all care and support services as well as to other settings that provide services to those

whose circumstances put them at risk. The principles should inform the ways in which you

work.

Six key principles underpin all adult safeguarding work

 Empowerment – People being supported and encouraged to make their own

decisions and informed consent.

“I am asked what I want as the outcomes from the safeguarding process and these

directly inform what happens.”

 Prevention – It is better to take action before harm occurs.

“I receive clear and simple information about what abuse is, how to recognise the

signs and what I can do to seek help.”

 Proportionality – The least intrusive response appropriate to the risk presented.

“I am sure that the professionals will work in my interest, as I know them and they

will only get involved as much as needed.”

 Protection – Support and representation for those in greatest need.

“I get help and support to report abuse and neglect. I get help so that I am able to

take part in the safeguarding process to the extent to which I want.”

 Partnership – Local solutions through services working with their communities.

Communities have a part to play in preventing, detecting and reporting neglect and

abuse. “I know that staff treat any personal and sensitive information in confidence,

only sharing what is helpful and necessary. I am confident that professionals will

work together and with me to get the best result for me.”

 Accountability – Accountability and transparency in delivering safeguarding.

“I understand the role of everyone involved in my life, and so do they.”

Abuse and neglect can take place anytime and anywhere. However, some situations

increase an individual’s vulnerability to the risk of abuse or neglect happening.

Examples are:

 In an individual’s own home it is easier for an abuser to hide their actions from

others.

 Organisational abuse is more likely to happen when standards are poor and

routines are planned to fit around a rota, or when workers feel unsupported by their

management. This can lead to incorrect ways of working that everyone begins to see

as acceptable. They do not try to challenge the situation because they are afraid of

speaking out about what is being accepted by the majority.

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 Any workplace where individuals display difficult or challenging behaviour that

workers are not trained or supported to deal with.

 Particular care and support needs of the individual such as a sensory impairment,

a mental health issue, dementia or a learning disability. If the person has

communication difficulties their reaction to abuse or neglect could be mistaken as a

symptom of their condition rather than an attempt to tell someone what is happening

to them.

To find out more about your responsibilities in preventing abuse and neglect, discuss your

role with your manager and how it fits with the roles of other workers.

Safeguarding adults reviews (SARs)

Safeguarding adults boards (SABs), which are set up by local authorities, must arrange a

SAR when an adult in its area dies as a result of abuse or neglect, whether known or

suspected, and there is suspicion that partner agencies could have worked more

effectively to protect the adult. SABs must also arrange a SAR if an adult in their area, who

has not died, is known or suspected to have experienced serious abuse or neglect.

SABs are free to arrange a SAR in any other situation involving an adult in its area with

needs for care and support.

Some of the factors featured in reports from used to be called ‘serious case reviews’

(now SARs) are:

 poor or absent communication between services, including not sharing important

information

 ineffective partnership working between services

 those receiving care and support or their families and friends not being involved in

decisions made about their care

 failure to identify signs of abuse

 lack of management support or presence

 limited learning and development opportunities for workers

 poor staff recruitment processes.

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Examples of external sources of advice and information.

 Professional bodies/trades unions: for example, Royal College of Nursing, British

Association of Occupational Therapists, Chartered Society of Physiotherapy (these

are examples, some information is only available to members).

 Social Care Institute for Excellence (SCIE): this organisation aims to improve care by

researching and analysing care practice to find out and share which strategies work

best. www.scie.org.uk

 Social services: the adults’ services department of your local authority will be able to

provide advice and support on safeguarding and protecting vulnerable individuals.

 Care Quality Commission (CQC): the independent regulator gives guidance on

government policies.

 Carers Direct helpline 0300 123 1053: offers all-week telephone support and advice

to carers in regard to their own support and safeguarding and protection of the

individuals they care for. www.nhs.uk/conditions/social-care-and-support-guide/

pages/carers-rights-care-act-2014.aspx

 The internet can be a useful source of information. Be sure to use reputable

websites and check the information you find.

Promoting dignity and rights

Putting individuals who receive care and support in control of their care can reduce the

chance of abuse or neglect happening. It means making sure that in any care environment

dignity and rights are promoted.

 Lines of communication between individuals and workers are always open.

 Relationships are based on trust.

 Individuals play an active part in decisions about their care and support.

 Individuals are aware that they can share their concerns or complain and that they

will be taken seriously.

 Individuals are supported to be as independent as possible to reduce their reliance

on others who may take advantage of them.

 Individuals know their rights and understand how they can expect to be treated.

Sources of advice and information

In order to respond appropriately where abuse or neglect may be taking place, anyone in

contact with the adult, whether in a voluntary or paid role, must understand their own role

and responsibility and have access to practical and legal guidance, advice and support.

This will include understanding local inter-agency policies and procedures.

Your organisation’s policies and procedures or agreed ways of working will give you

guidance on prevention and procedures to follow if and when abuse or neglect has

happened or is suspected. Your manager or a senior member of staff should always be

your point of contact for any questions or concerns you might have. A lot of organisations

offer additional safeguarding training to raise awareness, explain signs and symptoms, and

help workers understand how to report abuse and neglect.

Agreed ways of working

This refers to organisational policies and procedures. It includes those less formally

documented by individual employers and the self-employed as well as formal policies

such as the Dignity Code.

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The importance of individualised person-centred care

Person-centred care means working together with the individual to plan their care and

support to meet their unique needs. This cuts down the risk of negative, unfair or harmful

treatment and neglect. The individual is put at the centre, able to choose and control how

they want their care and support to be.

Active participation describes a way of working that makes sure an individual can take

part in the activities and relationships of everyday life as independently as possible.

They are an active partner in their own care and support. Ensuring someone has the

right equipment that they need to get around or to eat and drink without help are good

examples of resources that support active participation.

Person-centred care should help the individual to make their own choices, assess and

take risks. It is important they understand the consequences of the decisions they could

make. For example, if a friend brings an individual food that has been out of the fridge for

a while on a hot day it is their right to weigh up whether it is likely to make them ill and to

decide whether to eat it. In this way those who receive care and support can contribute to

their own safeguarding.

In adult social care, alongside the Care Act 2014, there is the ‘Making Safeguarding

Personal’ initiative led by the Association of Directors of Adult Social Services and the

Local Government Association. It introduced the phrase “no decision about me, without

me” and asserts that safeguarding should be person-led and outcome-focused. It

engages the person in a conversation about how best to respond to their safeguarding

situation in a way that enhances involvement, choice and control as well as improving

quality of life, wellbeing and safety. Following the six principles above will help this to

become a reality.

Multi-agency working

The main objective of a safeguarding adults board (SAB) is to assure itself that, through

local safeguarding arrangements, partner organisations act to help and protect adults

in its area who meet the criteria set out in the Care Act 2014. These boards promote

information-sharing between workers and organisations to make sure that care meets all

of the needs of each individual. If a worker has concerns they must share these with other

workers to build up a full picture of the individual’s situation. You should find out from your

manager what your local arrangements are and how they link to your workplace’s agreed

ways of working.

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Managing risk

Risk enablement plays a natural part in self-directed care and support. It empowers the

individual to take control over their care, doing what they can to prevent themselves from

being harmed or injured and agreeing the care and support that they need. For example,

if an individual wants to go to the bathroom on their own but has mobility problems and is

also feeling weak due to being unwell, risk enablement would be used to ensure they have

the mobility equipment they need, and that they have a way of calling for help if they get

into difficulty. Being in control increases their self-confidence. As confidence grows they

are more likely to be open about reporting anything they are unhappy about. As a result

the risk of abuse and neglect happening is reduced.

Risk enablement

Involves supporting individuals to identify and assess their own risks, enabling them

to take the risks they choose. It is a key part of person-centred care and emphasises

that the individual is the expert on their care.

An organisation that is active and positive about safeguarding adults will:

 be open and clear about how they look out for each individual’s wellbeing

 be open and clear about how they put into practice the CQC Fundamental

Standards and the Code of Conduct for Healthcare Support Workers and Adult

Social Care Workers in England

www.skillsforhealth.org.uk /code-of-conduct or

www.skillsforcare.org.uk/code of-conduct

 show how workers should look out for abuse and neglect by publicising signs and

indicators on posters or leaflets

 be responsible for providing learning and development for workers on safeguarding

adults

 treat all allegations of abuse or neglect seriously

 promote the values of person-centred care.

Managers make decisions by following what is agreed locally and by their workplace as

the ‘threshold’—that is, the point at which something becomes a safeguarding issue.

For example, a one-off situation where a team is short of a worker on shift, despite

efforts to find a replacement, may not be seen as a safeguarding issue in that particular

workplace. In another situation where individuals have complex and multiple needs, or in

the community, the same staffing issue might be a seen as a risk to people’s health and

wellbeing and thus be a safeguarding concern.

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Complaints

It is important that individuals feel able to challenge poor standards of care. They should

know how to complain and feel confident to make a complaint without the fear of reprisal.

Ask your employer to tell you what to do when someone wants to complain.

Information should be available in different, user-friendly formats. These should explain

clearly what abuse is and also how to express concern and make a complaint. Individuals

should be informed that their concern or complaint will be taken seriously, be dealt with

independently and that they will be kept involved in the process to the degree that they

wish to be. They should be reassured that they will receive help and support in taking

action. They should also be advised that they can nominate an advocate or representative

to speak and act on their behalf if they wish. If an adult has no appropriate person to

support them, and has substantial difficulty in being involved, they must be informed of

their right to an independent advocate.

An open and honest culture can encourage individuals to raise concerns before they come

to harm. You should do what is appropriate in your role to try to resolve any concerns.

If someone is still unhappy you must tell them how to complain. There should be a

recorded process with agreed timescales. You may need to support the individual to make

a complaint by explaining the process and supporting them to communicate. It is really

important to make sure their voice is heard as this is part of developing a way of working

that puts the individual at the centre of their care.

Spotting signs of abuse or neglect

Workers across a wide range of organisations need to be vigilant about adult safeguarding

concerns in all walks of life. Findings from serious case reviews have sometimes

stated that if professionals or other staff had acted upon their concerns or sought more

information, then death or serious harm might have been prevented.

Regardless of what any particular safeguarding concern might be, everyone should

understand what to do, and where to go locally to get help and advice. It is vital that

professionals, other staff and members of the public are vigilant on behalf of those unable

to protect themselves. This will include:

 knowing about different types of abuse and neglect and their signs

 supporting adults to keep safe

 knowing who to tell about suspected abuse or neglect

 supporting adults to think and weigh up the risks and benefits of different options.

Reporting and responding to abuse and neglect

You should know what to do if you suspect abuse or if abuse is disclosed or made known

to you. All suspicions have to be followed up in a formal way. It is your responsibility to

respond to allegations or suspicions in line with your workplace’s safeguarding policies and

procedures.

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You must understand:

 what you should do if you suspect abuse or neglect is taking place, including who

you should report to in the first instance

 what you should do if it is not appropriate to raise your concerns with that person

 what you should do if you feel that your concerns have not been addressed or if you

experience a barrier in any part of the process.

Please refer to your employer’s policies and procedures or speak to your manager to

make sure you know what you should do in each of these circumstances.

In an emergency situation you must take action to protect the safety and wellbeing of the

individual. If they need medical assistance you should call for a suitably qualified worker

- this will be different in a hospital rather than in the community, where you would call 999

for an ambulance. If you suspect that injuries are not accidental, make the appropriate

other workers aware of this so they can preserve evidence that could be used in a criminal

case. You should speak to your manager about the next steps to take. If an offence has

been committed it may be necessary to contact the police and a safeguarding investigation

may need to be started immediately.

When abuse or neglect has taken place, it needs to be dealt with quickly and efficiently.

Information about the safety and welfare of an individual must be shared with your

manager. It is important that you take the matter further if management has failed to deal

with it. This is a barrier that you might experience when trying to help and support an

individual. You may also find that working with multiple agencies acts as a barrier if

the concerns are not taken seriously. If this happens, one option is to report it to the next

level of management, for example, the head of your organisation. They will be able take

appropriate action. Other options could include informing the individual’s advocate or

social worker, Care Direct, the Care Quality Commission or the police.

Whistleblowing

Whistleblowing is the reporting of unsafe or illegal practices in the workplace. Most

organisations have a policy or agreed ways of working that will tell you how to raise your

concerns. Your employer should provide or explain their whistleblowing policy. You have a

responsibility to report things that you feel are not right, are illegal, or if anyone at work is

neglecting their duties. Speaking to your manager will normally be your first step. However,

if it is this person’s work that you are concerned about you can seek support from a more

senior person or from someone outside of your organisation, for example from the Care

Quality Commission (CQC), a union representative if you have one, or the local police.

If you raise a concern with the CQC the information you give them will be dealt with in

confidence, and you can raise concerns

anonymously. The CQC have a quick guide to

whistleblowing or guidance for workers that

gives helpful advice on speaking out about poor

care and what protection you will have from the

law. You can find more information here:

www.cqc.org.uk/content/report-concern-if-you-are-member-staff

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Legislation

Key pieces of legislation are listed below.

The Care Act 2014 makes it the duty of local authorities to make enquiries if someone is

being abused or neglected, or is at risk of abuse or neglect in their area. They must also

set up multi-agency safeguarding adults boards to review cases when people die as a

result of neglect or abuse and where it is suspected that agencies could have done more

to safeguard them.

https://www.gov.uk/government/publications/care-act-statutory-guidance/care-and-support-

statutory-guidance

The Mental Capacity Act 2005 aims to protect and empower people who are unable to

make choices for themselves.

www.gov.uk/government/collections/mental-capacity-act-making-decisions

The Human Rights Act 1998 gives specific rights to every person living in the UK, for

example the right to life and freedom from torture and degrading treatment.

www.legislation.gov.uk/ukpga/1998/42/contents

The General Data Protection Regulation (GDPR) 2016 regulates the way in which

personal data needs to be handled and therefore protects people’s data from being placed

in the wrong hands, which may increase the risk of abuse or neglect.

https://ico.org.uk/for-organisations/guide-to-the-general-data-protection-regulation-gdpr/

The Equality Act 2010 protects people from discrimination and disadvantage due to the

protected characteristics of race, sex, gender reassignment, disability, sexual orientation,

religion or similar belief, age, marital or civil partnership status, and pregnancy or

maternity.

www.gov.uk/equality-act-2010-guidance

Information sharing

Record-keeping

Good record keeping is a vital part of good practice. You should be given clear direction as

to what information should be recorded and in what format.

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Confidentiality

The safeguarding adults board should draw up a common agreement relating to

confidentiality and setting out the principles governing the sharing of information,

based on the welfare of the adult or of other potentially affected adults. Any agreement

should be in line with the General Data Protection Regulation (GDPR) 2016 principles,

ensuring that:

 information will only be shared on a ‘need-to-know’ basis when it is in the interests of

the adult

 confidentiality must not be confused with secrecy

 informed consent should be obtained but, if this is not possible and other adults are

at risk of abuse or neglect, it may be necessary to override the requirement; it is

inappropriate for agencies to give assurances of absolute confidentiality in cases

where there are concerns about abuse, particularly in those situations when other

adults may be at risk.

Where an adult has refused to consent to information being disclosed for these purposes,

then the relevant workers must consider whether there is an overriding public interest

that would justify information sharing (for example because there is a risk that others are

at risk of serious harm) and wherever possible, the appropriate ‘Caldicott Guardian’ should

be involved. This is a nominated senior person responsible for protecting the confidentiality

of an individual’s information and enabling appropriate information sharing. Decisions

about who needs to know and what needs to be known should be taken on a

case-by-case basis, and take into account an organisation’s policies and the

constraints of the legal framework.

THE CARE CERTIFICATE WORKBOOK

The CARE CERTIFICATE

What do you know now?

Standard

Safeguarding

Adults

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.1a & b

Complete the boxes below to

explain the term safeguarding

adults and also to explain your

own role and responsibilities in

safeguarding adults.

Explain: to explain something you will

need to provide a clear account of your

understanding including details like why

and how.

Safeguarding adults means… My own role and responsibilities are…

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.1c & g

Complete the table below to

make a list of the ten main

types of abuse and their

indicators (signs).

List: this term means to identify the main

points which can be written as bullet points.

Type of abuse Possible indicators

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.1d

Using your knowledge of the

definition of harm, complete the

sentence below.

The term harm means…

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.1e & h

Part i) Why might an individual

who requires care and support

be more vulnerable to abuse

and neglect than others?

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.1e & h

Part ii) For each of the examples

below, describe why it may increase

the likelihood of the individual

experiencing abuse or neglect.

Describe: to describe means to create a

picture with words but not simply writing a

list of bullet points.

Why might this increase the likelihood of the individual

experiencing abuse and neglect?

Being cared for in their

own home

Being in residential or

institutional care

Experiencing a mental

health issue

Experiencing difficulties

with communication

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.1f

Complete the boxes below to

describe what is meant by

restrictive practice and when it

may be used.

Restrictive practice means… It may be used when…

Describe: to describe means to create a

picture with words but not simply writing a

list of bullet points.

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.1i

Complete the diagram to list

factors that have featured in cases

of adult abuse and neglect. An

example has been provided for

you.

Factors that

have featured

in cases of

adult abuse and

neglect

A failure to identify signs of

abuse

List: this term means to identify the

main points which can be written as

bullet points.

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.1k

As you have only just started your

new job you might be unsure

as to what your exact role and

responsibilities are in relation to

safeguarding adults. Describe

where you could get information

and advice on your role and

responsibilities in safeguarding

individuals and preventing abuse or

neglect.

Source 1: Source 2: Source 3: Source 4:

Type of information: Type of information: Type of information: Type of information:

Describe: to describe means to create

a picture with words but not simply

writing a list of bullet points.

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.2a

Care environments can either

promote or undermine people’s

dignity and rights. Provide an

example of how a care environment

can promote an individual’s dignity

and rights and an example of how a

care environment can undermine an

individual’s dignity and rights:

A care environment that

promotes an individual’s

dignity and rights…

A care environment that

undermines an individual’s

dignity and rights…

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.2b & c

You can help to keep individuals

safe by:

 Providing individualised, person-centred concern support

 Encouraging active participation, and

 Promoting choice and rights.

Explain how to apply the above principles to help individuals to keep themselves safe.

Explain: to explain something you will

need to provide a clear account of your

understanding including details like why

and how.

Person-centred care

and support

Active participation Choice and rights

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.2d

Find out the local arrangements for

the implementation of Multi-agency

Adult Safeguarding policies and

procedures and explain how they

link to your workplace policies and

procedures for safeguarding adults.

Explain: to explain something you will

need to provide a clear account of your

understanding including details like why

and how.

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.2e

Fill in the box below to list the ways

in which the likelihood of abuse can

be reduced by managing risk and

focusing on prevention.

List: this term means to identify the

main points which can be written as

bullet points.

Managing risk and focusing on prevention could reduce the likelihood of abuse

or neglect in the following ways…

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.2f

It is very important that complaints are

dealt with as quickly as possible and

the procedures are easily available

to individuals - for example, available

in Braille or alternative languages or

formats. How can a clear complaints

procedure reduce the likelihood of

abuse or neglect?

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.3a

Obtain a copy of your workplace policies

and procedures on safeguarding and

whistleblowing and explain in your own

words what you should do when abuse or

neglect of an adult is suspected. Include

ways in which you are expected to raise

concerns through whistleblowing.

Explain: to explain something you

will need to provide a clear account

of your understanding including

details like why and how.

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.4a

Complete the diagram to list

relevant legislation as well as

local and national policies and

procedures which relate to adult

safeguarding.

Relevant

legislation,

policies &

procedures

List: this term means to identify the

main points which can be written as

bullet points.

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.4b

When safeguarding adults it is

essential to share information

with relevant teams. Explain why

it is important to share information

with relevant key people and

agencies.

Explain: to explain something you will

need to provide a clear account of your

understanding including details like why

and how.

THE CARE CERTIFICATE WORKBOOK STANDARD 10

Activity 10.4c

It is your duty of care to report

any suspicions or concerns

you might have that an adult

is being abused or is suffering

from neglect. What could you

do if your concerns were not

taken seriously or not passed on

to other agencies? Describe 2

options.

Describe: to describe means to create

a picture with words but not simply

writing a list of bullet points.

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