Safeguarding venerable

Learning Outcomes Assessed: LO1: Critically analyse the concept of safeguarding vulnerable adults. LO2: Analyse and evaluate definitions, indicators & signs of abuse. LO3: Apply the policies that underpin your role in the recognition of and response to abuse. LO4: Identify and analyse the factors that inhibit and assist partnership working when safeguarding vulnerable adults. Use of Generative Artificial Intelligence (GAI) Applications in this Assessment AI Status Application Notes Category A No GAI tool is permitted. While grammar and/or spell checkers may be used to correct individual words and sentences, the use of GAI is not allowed. This is because the learning outcomes require you to produce original assessment work without any GAI assistance Any GAI generated content which is presented as your own original work and is not acknowledged will be assessed for academic misconduct. Assessment Task: Produce an essay of 4000 words in which you critically analyse the role of a care worker in recognising and responding to Mr B.C. in the case study suffering from the abuse and neglect. (In terms of care worker, students can apply a wider concept to the role, which will be outlined) In the essay, define, evaluate, and analyse the indicators and signs of abuse featured in this case study in relation to the concept of safeguarding vulnerable adults. Examine the policies those involved with Mr. B.C.s care should work to in the recognition of and response to allegations of abuse and neglect. Identify and analyse the elements which may have supported or prevented in partnership working in this case. OVERVIEW OF CASE STUDY Mr. B.C. Brief overview of the circumstances that led to this review. Mr B.C, aged 72, died in a fire at his home on 7th November 2014. He lived as an assured tenant in a flat in sheltered housing, receiving housing related support from staff at the scheme. He also received a personal care and support package of 14 hours per week from a care agency commissioned by London Borough of Hackney Adult Social Care. His adult sons and daughters were actively involved in supporting him; one of his daughters managed his finances and paperwork and bought his food. Mr B.C. was a heavy smoker who also routinely drank large amounts of alcohol. He had several complex health problems including high blood pressure, strokes, arthritis, a hip replacement, diabetes, sickle cell anaemia, and cataracts: his condition resulted in him having poor mobility, balance and incontinence, as well as he neglected his diet, personal hygiene, and home conditions. Emergency services were alerted on several occasions: the police to deal with repeated verbal and physical abuse of Mr B.C. by a neighbour, and theft from Mr B.C. by visitors to the building; the ambulance service when he had falls; the fire brigade when smoke alarms were activated. On several occasions safeguarding referrals were made. Early on the morning of 7th November 2014, a fire broke out in Mr BCs flat, as the seat of the fire being on his bed. All emergency services attended, and ambulance personnel treated Mr B.C., but he was pronounced dead at the scene. At a post-mortem on 10th November 2014 the cause of his death was identified as smoke inhalation. The Coroners Court completed an inquest on 30th April 2015. The verdict was of accidental death with a Prevention of Future Deaths Report submitted to London Borough of Hackney. CASE CHRONOLOGY 2006 It was noted that his wife had died, and he was finding it difficult to deal with his loss. His family were providing a significant amount of care and support with daily visits from his two daughters providing (shopping, housework, supervision of medication and financial management) and regular visits from a second son. They were reported to be as keen for him to undertake detox treatment. One daughter, who was present at the assessment, declined a carers assessment. 20th December 2007 May 2010 -During this period Mr BC, who was living with his son on a 6th floor council flat, became known to Adult Social Care, initially because of hospital admission for a stroke, and subsequently through referral by his family, who were providing significant amounts of care and support. -A further hospital admission for confusion and urinary tract infection followed risks arising from his poor health due to a range of chronic conditions, together with his substantial consumption of alcohol, led to recognition that his independence was at substantial risk. 10th January 2008 Additionally, his assessment records indicate that a CT scan conducted in the hospital showed small infarcts of unknown age; an occupational therapy assessment concluded that he was able to attend independently to his own personal care; and a capacity assessment undertaken by a doctor also stated he has capacity. 23rd January 2008 -An assessment on, Mr B.C. was noted as having a long history of alcohol misuse, but being in denial of this, and mobility problems and poor balance, which made him prone to falls. April and May 2008 Police responded to two domestic incidents involving verbal arguments between Mr B.C. and the son who lived with him these seemed to stem from his sons attempts to moderate Mr B.C.s drinking. On the second of these Mr B.C. had threated to burn the house down, but this was not pursued as his son did not wish to substantiate the criminal allegation. Mr BC declined a Police Officer offer to refer him to social services and to the GP. Standard risk assessments were recorded on both occasions. 6th May 2008 A Merlin alert was sent to CAIT (the Polices Child Abuse Investigation Team) and YOT (Youth Offending Team) due to the presence of Mr B.C.s 11-year-old grandson present in the house. 29th May2009 The Overview result of the assessment of Mr B.C. with his two daughters present, provided further detailed and consistent with the above, noting also that Mr B.C. was sometimes depressed and irritable, lacked energy and did not sleep sufficiently. It recorded his needs as giving rise to substantial risk to independence and deemed them eligible for community care provision. Mr B.C.s Wishes were to have a carers visit three times a week to help with his personal care, attend a day centre for social interaction, and to move to sheltered accommodation. The form also mentioned a need for podiatry, review by an optician, referral to a befriending scheme and Telecare assessment. From -2009 -He received a care package that gradually increased from 3 to 7 hours per week and included meals on wheels. There was occasional intervention from the Police when Mr B.C. became abusive to his adult children during arguments about his drinking, resulting on each occasion in no further action. 1st January 2009 Police attended following a further domestic incident5 in which Mr B.C.s son became locked out but could hear Mr BC distressed inside. He had forced entry, found Mr B.C. drunk and an argument had ensued, a standard risk assessment was completed, and no further action was taken. 23rd April 2009, Mr BCs daughter Ms AT made a direct referral to Adult Social care Mr BC, by then described him as living alone, was said to have let himself go since the death of his wife. A range of health issues were noted: strokes, hip replacement, high blood pressure, diabetes, sickle cell disease, arthritis, cataracts. He was described as prone to falls due to poor mobility and high alcohol consumption, doubly incontinent when drinking, neglecting his diet. Safeguarding Adults Review of the circumstances concerning Mr B.C. Overview Report Safeguarding Adults Review Panel Chair: Chris Pelham Lead reviewer/overview report writer: Suzy Braye April 2016 Declaration: At the end of the assessment you should also include a declaration of any software tools including Generative AI (GAI) applications that you used in developing and completing the assessment. Add for Apprenticeship programmes only Knowledge, Skills and Behaviours Assessed: Insert codes and refer to the full list of KSBs in the Module Guide appendix