Commissioning care homes: common safeguarding challenges

Common safeguarding issues – Rough treatment, being rushed, shouted at or ignored

The research underpinning the SCIE Dignity in care guide highlighted that people receiving care support often feel they are being roughly treated, rushed or ignored. People can experience such treatment as abuse. Unexplained bruising is a common reason for safeguarding referrals and rough handling may often be the cause. Care workers should be mindful that the people they are caring for may be in pain due to illness or disability and may bruise easily due to physically frailty. People with dementia, learning disabilities or mental health problems could be fearful of physical intervention due to lack of understanding of what is happening to them.

Shouting, raised voices or the tone used may also cause distress and harm to people and they may experience such interactions as intimidating. This can occur when people make assumptions about the person's inability to hear or understand, it can be due to cultural difference where a worker may naturally converse more loudly than the care recipient, or it could be a result of the care worker being busy and stressed due to inadequate staffing levels. Tone is important: people should be addressed in a respectful manner and not in a way that is sharp, abrupt or condescending.

It is very important that the home demonstrates a 'zero tolerance' approach to insensitive care and that residents are encouraged to comment on their experience of receiving care so that such matters can be addressed.

Prevention checklist