Protecting adults at risk in London: Good practice resource
Situations and responses: Situation 4
A person with mental capacity to make decisions about their own safety is abused or neglected in their own home by a paid carer, professional, support worker or volunteer providing services, or is abused or neglected in a care setting (e.g. hospital, day services, residential or nursing home).
- Take any emergency action.
- Discuss with the person the various options available for addressing the situation.
- Ask the person if they would like to report the matter to the police, and explain the different ways the police may be able to help.
- If the person wants it, report the incident to the police: an investigation will be carried out if a crime has been or may have been committed.
- Consider reporting the incident to the police even if the person does not want to report it, if there are public interest or vital interest considerations, or if other people could be at risk from the same person.
- If this, or any other action, is taken against the wishes of the person, consider if the action taken meets the key principle of proportionality, and if the reasons should be fully explained to the person.
- Make a referral to the local authority contact point.
- Report it as a significant incident if it has occurred in a health setting.
- The manager – possibly in consultation with the police – may suspend the member of staff or remove them from contact with the adult at risk.
- Notify the Care Quality Commission (CQC), which may investigate the situation.
- Instigate an investigation and risk assessment under safeguarding adults procedures.
- Review any personal budget arrangements that are in place.
- Review service commissioning arrangements.
- Make a referral to the professional body and Independent Safeguarding Authority (ISA) if the allegation is proved.
- Agree a protection plan with the adult at risk.
- Review the protection plan.