Microsoft
|Title |Doncaster Safeguarding Adults Board |
| | |
|Date |24th October 2018 Time 10:00 – 10:55 |
|Location |Civic Office Room 209 |
| | |
|Present |Name |Job Title |Organisation |
|JW |Dr John Woodhouse |Independent Chair |Doncaster Safeguarding Adults Board |
|AC |Angelique Choppin |Safeguarding Adults Board Manager |Doncaster Safeguarding Adults Board |
|DA |Damian Allen |Director of People |Doncaster Metropolitan Borough Council |
|GJ |Griff Jones |Assistant Director Adult Social Care |Doncaster Metropolitan Borough Council |
|AR |Andrew Russell |Chief Nurse |Doncaster Clinical Commissioning Group |
|BB |Ben Brown |Partnership Development Manager |Doncaster Safeguarding Children’s Board |
|AG |Andrew Goodall |Chief Operating Officer |Healthwatch Doncaster |
|TS |Tracey Slater |Senior Nurse |NHS England |
|DT |Daniel Thorpe |Superintendent |South Yorkshire Police |
|RD |Richard Dickinson |Acting Deputy Director of Nursing, |Doncaster & Bassetlaw Teaching Hospital |
| | |Midwifery and Quality | |
|IB |Ian Boldy |Designated Nurse |Doncaster Clinical Commissioning Group |
|JB |Joanne Bates |Detective Chief Inspector |South Yorkshire Police |
|TH |Tony Holmes |Principal Social Worker |Doncaster Children’s Service Trust |
|SA |Sarah Abbots |Strategy & Performance Improvement Manager|Doncaster Metropolitan Borough Council |
|NM |Nyla Mahmood |Business Support Officer |Doncaster Safeguarding Children’s Board |
|In attendance |
|NWG |Niall Werrett-Garfitt |Minute Taker |Doncaster Safeguarding Adults Board |
|Apologies |
|RBl |Rachael Blake |Councillor |Doncaster Metropolitan Borough Council |
|Agenda Item |Issues |Actions |
| | |Required by & timeframes |
|1 |Introduction and Apologies, minutes and action log | |
| |Introductions were made and apologies are noted as above. | |
| | | |
| |Previous Board minutes | |
| |The minutes from the previous Board meeting were agreed to be accurate. | |
| | | |
| |Action Log | |
| |(04.09.2017) 4.2 | |
| |This is a long term action with more work moving forward between the 3 core agencies. | |
| | | |
| |(24.05.2018) 3.1 | |
| |This item is on the agenda. | |
|2 |Assurance | |
| |Performance Summary | |
| |SA talked about the new format of the Performance Summary which will be more up to date with recent data through | |
| |CareFirst and can be updated regularly. Q1 data was presented where SA noted a spike in initial enquiries, citing a | |
| |change in the recording mechanisms as the reason. Planning meetings, further enquiries and outcome meetings also | |
| |increased which demonstrates the appropriateness of referrals, suggesting that more enquiries are going further | |
| |through the system. JW noted these also reflect the Hub’s work catching up on a backlog. A rapid improvement plan was| |
| |implemented to address the backlog issue which DA cited as positive progress. There are discussions to arrange for JW| |
| |to re-visit the hub for assurance. JW cited that last month’s data has provided assurance. JW noted the need to come | |
| |back and discuss this to reassure the Board that the system is working in an appropriate and timely way. JW also said| |
| |that the Board and the Hub need to understand how the issues happened in first place. The Board agreed to bring this | |
| |back as an agenda item. Action - DA to bring updates from the transformation Board and report on the outcome of JW’s | |
| |visit. | |
| | | |
| |Due to delays in triaging, there has been a big increase in repeat referrals in Q1. But there have been a lower | |
| |proportion of these in Q2. SA noted that all measures in the performance summary will reflect the spike in referrals.| |
| | |DA |
| | | |
| |Concerns by type of referrer - The majority of concerns in Q1 were received from SYP, reflecting the change in | |
| |process regarding Police safeguarding referral forms whereas the majority in Q2 were received from the | |
| |voluntary/independent sector. | |
| | | |
| |Location of risk, concerns and enquiries - There was a spike in Q1 for people living in their own home and there was | |
| |also an increase in referrals from care homes. | |
| | | |
| |Types of abuse - At the beginning of the year neglect was the most prevalent type of abuse, which had risen in Q1 and| |
| |decreased in Q2, where it was noted that psychological abuse had risen. JW noted the variation in data and is | |
| |interested to know the Boards views on the changing pattern is. GJ said the large spike was because of a process | |
| |change regarding Police safeguarding referrals and the work done to address the backlog. The Board members expressed | |
| |that they are happy with the new system for the Performance Summary moving forward. DA is keen on the frequency of | |
| |which trends can be picked out as they now have the potential for daily data. JW said that once the immediate issues | |
| |have passed, this way of presenting this information will be more useful. | |
| | | |
| |Risk register | |
| |There is one risk around judicial DoLS with an explanation on the sub group summary report. | |
| | | |
| |There is a new risk around capacity within the Safeguarding Adult Hub and it was noted that there is a review of the | |
| |end to end process as part of the rapid improvement plan to mitigate this risk. | |
|3 |Development | |
| |Sub Group Summary Report | |
| |AC highlighted the Safeguarding Adult Review activity which has increased significantly this year. Two recent SAR | |
| |requests have met the criteria and two have not. One is currently progressing through the serious incident process | |
| |and will be presented to the Review and Learning Sub Group for assurance chaired by JB. 1 SAR relates to an | |
| |independent secure hospital which is currently in progress. Another is being commissioned and at the procurement | |
| |stage and is centred on a previously looked after child with complex issues, and a further which is at draft report | |
| |stage. In addition the MSP temperature check research by Hallam University is at the analysis stage to be completed | |
| |by the next Board. | |
|4 |Current Areas of Focus | |
| |Community MARAC update | |
| |DT described the Community Multi-agency Risk Assessment Conference (CMARAC) to the group, citing that it is assumed | |
| |that all options have been exhausted on a safeguarding case before a referral is sent to CMARAC. The purpose of | |
| |CMARAC is to have most relevant partner agencies look at cases to provide help, working together to reduce the demand| |
| |or risk for an individual. DT said this will help with the Multi-agency Public Protection Arrangements (MAPPA) for | |
| |high risk offenders. The first meeting is on the 19th November to be held monthly thereafter. DT is leading on this. | |
| |AC has done work around the information sharing and agreement and the confidentiality agreement for CMARAC which will| |
| |be signed off in the first meeting. The cut off for referrals is on the 29th October, GJ and DT will meet to discuss | |
| |any referrals before the first meeting. DT noted that CMARAC does not own referrals; it is there to make sure the | |
| |right people are looking at a case and appropriate actions are in place. JW said it is imperative that adult social | |
| |care is engaged in this process. | |
| | | |
| |Accountability framework - There have been ongoing discussions as to where CMARAC will be reporting to. Action - DT | |
| |said he is happy to report to the Safeguarding Adults Board and will provide a report in the new year. It was cited | |
| |that this Board can advise where the reporting should sit. JW noted strong evidence that systems do well due to | |
| |experimentation. | |
| | | |
| |Safeguarding Adults Hub update | |
| |It was noted that there will be a written report for the next Board meeting. GJ said that in February of this year, | |
| |all concerns received by the Hub were recorded as safeguarding which led to a large backlog and involved additional |DT |
| |actions to move cases through the system. It was agreed to implement a rapid improvement plan to address these issues| |
| |and ensure the end to end process is reviewed. The Hub has secured resources, as well as an external consultant (Tim | |
| |Newton), and support from DSAB. The process was reviewed in August with all team managers. Cases were triaged were | |
| |they did not need safeguarding. GJ is also keen to review the decision making process and noted all decisions were | |
| |taken by Senior Practitioners before, but feels that Social Workers have a key role to do this as well. The backlog | |
| |has now been reduced dramatically due to the work done. | |
| | | |
| |From August, all cases on the backlog were risk rated and GJ noted a number of cases that were inappropriate for | |
| |safeguarding that the Hub were able to close. There was also support from ASC teams to complete the safeguarding | |
| |enquiries, as well as another team which has been in place for 3 weeks that provide bespoke reports to manage | |
| |performance. | |
| | | |
| |TN has worked with the team to develop practice standards and a quality assurance framework which was signed off last| |
| |week. A task and finish group is being set up to look at the four main areas of safeguarding concerns for when the | |
| |rapid improvement plan finishes in 2019. The Hub is also moving to a new electronic system called Mosaic, which GJ | |
| |said should be more effective. The Hub is now in a better position going forward and GJ will have a report for the | |
| |Board moving forward. AR asked if the Hub knows if any harm was caused due to the backlog, GJ said that the Hub has | |
| |not found any yet but GJ will include this in the report. It was noted that daily data on the performance summary | |
| |report will support improvement. JW summarised that the crisis is now under control, the hub have learned lessons | |
| |from the crisis and developed a more robust system. | |
|5 |Other | |
| |Safeguarding Adults Annual report 2017/18 | |
| |The annual report has been provided for the Board to approve for publication. AC said the report demonstrates the | |
| |good engagement work and that the report is more public facing demonstrating the joint board work undertaken with | |
| |DSCB and SSDP. The launch of the self-neglect and hoarding framework and training commissioned to embed it across the| |
| |multi-agency partnership. It also highlights that less safeguarding concerns were reported during 2017/18 though this| |
| |may change in next year’s report, but there was a higher conversion rate to safeguarding enquiries. The main types of| |
| |abuse were neglect followed by physical abuse in a person’s own home. AC summarised the Board are on track to achieve| |
| |everything on the strategic plan. GJ thanked DSAB for developing the report. The group are happy to approve. | |
| | | |
| |Draft Revised DSAB procedure for co-ordination of overarching safeguarding enquiries | |
| |AC presented the procedure and noted the terminology change, citing the framework has not changed significantly. This| |
| |has been presented for approval to relaunch. The Board approved. | |
| | | |
| |Items for Chief Officers Safeguarding Overview Partnership (COSOP), Doncaster Safeguarding Children and Adults | |
| |Partnership (DSCAP), other Boards | |
| |JW noted this was previously known as the Performance Accountability Board for children’s but has now extended it | |
| |remit to cover the adults. JW said items will only go here if COSOP need to know or the Board is having issues. The | |
| |Board agreed to provide a report to COSOP regarding the previous Safeguarding adult’s concerns backlog issues within | |
| |the Safeguarding Adults Hub. | |
| | | |
| |Evaluation of the impact of the meeting | |
| |JW noted the light agenda and felt it was done efficiently. The group agreed that St Leger Homes were the key to the | |
| |safeguarding adult’s agenda and to invite PT to the next meeting to represent St Leger Homes. | |
|6 |Any Other Business | |
| |None. | |
| | | |
|Date and Time of Next Meeting |
|1st February 2019 - Room 28 Mary Woollett Centre |
|Date Checked by Chairperson: |
|Signature: |
| |
|Date minutes distributed: |
|Date and Time of Next Meeting |
|1st February 2019 - Room 28 Mary Woollett Centre |
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