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This accessibility statement applies to the South Tyneside Safeguarding Adults Board Policies, Procedures & Practice Resource website.

This website is run by Policy Partners Project. We want as many people as possible to be able to use this website. For example, that means you should be able to:

  • change colours and font sizes via our accessibility stylesheets
  • zoom in up to 300% without the text spilling off the screen
  • view all video content with subtitles on by default
  • navigate most of the website using just a keyboard
  • navigate most of the website using speech recognition software
  • listen to most of the website using a screen reader (including the most recent versions of JAWS, NVDA and VoiceOver)

We’ve also made the website text as simple as possible to understand.

AbilityNet has advice on making your device easier to use if you have a disability.

How accessible this website is

This web pages of this site are navigable via keyboard, and readable via screen-reader. However we cannot guarantee the accessibility of any linked files, such as PDFs and Word documents.

We add text alternatives for all images that contain vital information. When we publish new content we make sure our use of images meets accessibility standards.

Feedback and contact information

If you need information on this website in a different format like accessible PDF, large print, easy read, audio recording or braille please use the Contact us form.

We’ll consider your request and get back to you shortly.

Reporting accessibility problems with this website

We’re always looking to improve the accessibility of this website. If you find any problems not listed on this page or think we’re not meeting accessibility requirements, contact PPP using the form on our company website.

Enforcement procedure

The Equality and Human Rights Commission (EHRC) is responsible for enforcing the Public Sector Bodies (Websites and Mobile Applications) (No. 2) Accessibility Regulations 2018 (the ‘accessibility regulations’). If you’re not happy with how we respond to your complaint, contact the Equality Advisory and Support Service (EASS).

Technical information about this website’s accessibility

Policy Partners Project is committed to making its website accessible, in accordance with the Public Sector Bodies (Websites and Mobile Applications) (No. 2) Accessibility Regulations 2018.

Compliance status

This website is compliant with the Web Content Accessibility Guidelines version 2.2 AA standard, with non-compliances and exemptions listed below.

Non-accessible content

Disproportionate burden (Interactive tools and transactions)

Some of our interactive elements supplied by 3rd party developers/features, such as forms or recaptcha boxes, may be more difficult to navigate using a keyboard. For example, because some form controls are missing a ‘label’ tag.

Where we rely on 3rd party developers for key features we will work alongside them to develop and install any accessibility improvements that can be made to those features.

PDFs, images and other documents

Some of our content is supported by, or links out to, PDFs, images and Word documents supplied by other sources. We will aim, where possible, to ensure any linked documents or embedded images (created post-September 2018) in our control will be accessible.

Preparation of this accessibility statement

This statement was reviewed on 24/01/2024.

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RELEVANT CHAPTER

Provider Concerns Process

1. Introduction

Safeguarding is everyone’s business. This section considers a range of issues about quality and safety, positive practice, safeguarding concerns and managing large scale enquiries. Partnerships between safeguarding and commissioning functions, and their interdependent roles and responsibilities towards providers are explored. It is essential to know what works well to support a positive culture of co-operation and information sharing with joint accountability for risk and benefits. It identifies the role and responsibilities of the five groups that influence quality:

  1. professionals and staff
  2. commissioners and funders (local authorities, Integrated Care Boards and NHS England)
  3. regulators – Care Quality Commission (CQC), NHS England;
  4. the public, including adults who use services, their families and carers;
  5. providers: a provider is any care or health provider who delivers support and care to a group of individuals. This would include but is not exclusive to the following:
  • domiciliary care providers;
  • residential care homes;
  • nursing homes;
  • supported living;
  • private hospitals;
  • day care / opportunities providers;
  • rehabilitation units for people who misuse drugs or alcohol;
  • voluntary agencies.

Working in partnership these groups can assist in early identification of falling standards in care, that might lead to wider concerns and the need for quality or safeguarding intervention. There is a clear responsibility on commissioners and providers to ensure safe, high quality services are provided.

This chapter is relevant to all providers not just those in the CQC inspection regime. The CQC are responsible for inspecting and monitoring providers registered under the Health and Social Care Act 2008. It has statutory powers to inspect how well services are performing against the CQC’s Fundamental Standards of quality and safety, and can take proportionate enforcement action to ensure providers improve where there is poor care.

For the purpose of the Provider Concerns policy and procedure, this section explores work with local authority commissioned providers as a means for responding to potential business failure (contracts and commissioning responsibilities) and details how allegations of organisational abuse are managed where safeguarding concerns are identified as serious matters within an organisation as opposed to single concerns that may be addressed under Section 42 enquiry (see Stage 2: Enquiry).

Safeguarding concerns in this sense relate to patterns of reported abuse or neglect, about one provider, or where a single concern indicates a serious matter that warrants closer inspection under adult safeguarding processes. In some instances, safeguarding action may be initiated following a Safeguarding Adult Review (see Safeguarding Adult Reviews), or run in parallel to one. The focus of this section is on prevention, in particular actions that might be taken in response to concerns about quality issues, to reduce the risk of escalation to safety and safeguarding issues. Finally, this section aims to ensure that people have a voice in influencing how services are delivered and where there are concerns, and how their views and experiences lay at the heart of improvements.

2. Six Step Process

The working with providers procedures section follows a six step process.

3. Who does this Procedure Apply to?

The procedure applies to all care and support provision, commissioned by a local authority and irrespective of whether or not it is included in the CQC Market Oversight Regime. Services commissioned and managed by the NHS are subject to the same level of scrutiny however the oversight and escalation is managed within the North East and North Cumbria ICB and NHSE governance of Quality Review Groups, Quality Surveillance Groups and Risk Summits.

4. Risk Summits

This guidance should be considered in parallel to Risk Summits within the NHS.  The National Quality Board has published Risk Summit National Guidance.

The risk summit process can be implemented if any part of the local, regional or national system has concerns that there may be serious quality failures within a provider organisation which cannot be addressed through established and routine governance processes.  This includes where there are significant safeguarding breaches and breakdown in systems which compromise the safety of individuals with care and support needs. The Risk Summit can be an effective and non-prejudicial method for facilitating the rapid sharing of information and intelligence across different organisations, and for initiating remedial actions where it is required to safeguard individuals or improve quality. Risk Summits can both inform and be informed by quality concerns raised by Quality of Care Information Sharing Meetings. Where a Risk Summit notes individual safeguarding concerns these should be managed through local adult safeguarding arrangements.

Quality Surveillance Groups bring together different parts of the health system regionally to routinely share information and intelligence to safeguard the quality of care individuals receive (see Safeguarding Adults Structures and Organisations for further information).

5. Working in Partnership with Local Authority Commissioned Providers

A shared goal between all parties is that adults can expect to receive a safe, quality service. Integral to the effectiveness of partnerships is the need to work in a transparent and open way. It is not the intention for this policy and procedures to be punitive in its dealings with providers but to implement quality and safeguarding principles by supporting and giving a helpful steer when concerns arise, to assist providers in getting back on track. Open dialogue can only be achieved where there is trust and a willingness on all parties to work together. The rules of natural justice should be observed, and where there are organisational concerns enquiries or investigations should be based on evidence and a thorough assessment.

Providers should underpin their own policies and procedures under the six safeguarding principles (see Section 4, Principles of Adult Safeguarding, Safeguarding:What is it and Why Does it Matter?). They should empower adults to fully participate in how services are run by creating a culture of dignity and respect. Providers are accountable to adults using their services and commissioners, for meeting the expected standard of care agreed in individual care plans, contracts and commissions. They are expected to have a robust quality assurance framework in place that evidences commitment to prevention and early intervention. Such commitments are about recognising potential abuse and learning from past situations to inform better practice.

Undertaking regular staff training, supervision and appraisals, self-audits and making changes as a result, reduces the risk of matters escalating to safeguarding action. Providers should publish an open and transparent complaint procedure with the assurance of no retribution; and offer ways of gaining customer feedback that supports empowerment and quality assurance. Independent advocacy and regular service user/carer/patient led meetings are equally important to ensuring that services are influenced by adults who use them. Providing Good Care (Local Government Association) gives guidance for providers to audit the quality and safety of their services. Providers have a duty of care to protect adults and meet safeguarding standards; this can be evidenced where there is a clear commitment to protection in their policy and procedures that is observed in practice.  Action taken in response to safeguarding should always be proportionate with the least intrusive response that will effectively manage risk.

5.1 Commissioning support to providers

In turn commissioning organisations should offer support and guidance where it is asked for or identified through constructive dialogue. Provider forums are a constructive mechanism for sharing best practice, and identifying areas of risk, transparency and information sharing.

5.2 Multiple care provision

Where providers support adults in or from a number of different establishments within the same locality, care should be taken that one establishment is not seen in isolation. This is to ensure that any failings are not endemic and embedded in corporate cultures and systems. This may impact on the capacity and capability of the provider to implement agreed improvements, and ensure that improvements are made on firm, sustainable foundations.

5.3 Duty of candour

See Duty of Candour chapter

The Report of the Mid Staffordshire NHS Foundation Trust  Public Inquiry (also known as the Francis Report) recommended the development of a culture of openness, transparency and candour in all organisations providing care and support. NHS providers are required to comply with the duty of candour. Meaning providers must be open and transparent with service users about their care and treatment, including when it goes wrong. The duty is part of the Fundamental Standard requirements for all providers. It applies to all NHS trusts, foundation trusts, special health authorities and all other service providers or registered managers.

6. Natural Justice

The principles of natural justice concern procedural fairness and ensure a fair decision is reached by objective decision making. Where there are concerns about quality or safety these should be evidenced, and parties provided with information and opportunity to take action to address concerns.

7. Workers who raise Concerns within their Organisations

See also Whistleblowing chapter

Each organisation will have its own whistleblowing policy and provide staff with protection from victimisation or detriment when genuine concerns have been raised about malpractice.

8. Allegations against People in a Position of Trust

See Stage 2: Enquiry, Section 3, Criminal Investigations and Person / People in Positions of Trust (PIPOT) – Multi-Agency Practice Guidance

8.1 Suspension of staff pending enquiry outcomes

In the event that staff are suspended, adult safeguarding processes should consider how it can dovetail any agreed disciplinary processes. It should be borne in mind that a provider concerns process may feed into human resource processes, but this provider concerns process in itself cannot determine outcomes for staff under employment laws.

9. People who Fund their own Care

People, who arrange their own care and support, may not be known to either the local authority or its partners. In order to safeguard them and meet the duty of care to offer protection to all people who are in need of care and support, and unable to protect themselves (the majority of people living in a care setting), providers are required to work with the local authority and partners, to ensure that information and advice is readily available, and that information is shared when requested.

10. Adults who Cause Harm

Where the person alleged to cause harm is also an adult who is experiencing or at risk of abuse or neglect, the safety and wellbeing of both the individual subject to possible abuse, and the person alleged to have caused harm needs to be addressed separately. In most cases, this can be considered through the Section 42 enquiries as appropriate. The least intrusive action should be taken to support adults using the service. The provider is responsible for ensuring that actions are taken that support the person alleged to have caused harm in consultation and collaboration with commissioners, and the safety and wellbeing of other adults using the service. Commissioners are responsible for ensuring that the service meets the assessed needs of adults and that regular reviews are carried out to ensure this.

11. Commissioning for Quality

The Care Act 2014 puts emphasis on greater integration of services provided by the local authority and its relevant partners to:

  • create a service market of diverse and quality services;
  • foster continuous improvements in the quality and effectiveness of provider services; and
  • foster a workforce whose members are able to ensure the delivery of high quality services.

Quality services are those that place the health and welfare of people who use services as paramount and deliver positive outcomes. These are evidenced in the characteristics of the service through policy, procedures, standards, and structures for overseeing and maintaining service delivery to the requirements set by the regulator (CQC) and / or by robust contract monitoring. In some instances, the local authority may not contract with a provider; neither may the provider be subject to the CQC inspection regime. Providers, who fall under this category, will still need to maintain health and safety standards and where it delivers care and support through regulated activity, it should still have quality and safeguarding measures in place. See Regulated Activities (CQC).

Commissioners should set out clear expectations of providers within contracts and monitor compliance. Commissioners have a responsibility to ensure that commissioned services:

  • know about and adhere to relevant provider registration requirements and guidance;
  • meet the CQC, legal or contract standards;
  • ensure that all documents such as service specifications, invitations to tender, service contracts and service level agreements adhere to safeguarding principles and standards.

Effective and strong commissioning under the Commissioning for Better Outcomes Framework (see Commissioning for Better Outcomes: A Route Map) supports prevention strategies and sets out the key criteria commissioners are seeking from providers to evidence their commitment to delivering high quality, safe services. The domains stress that services should be:

  • person centred and outcomes focused;
  • inclusive;
  • well led
  • promote a sustainable and diverse market place.

Standards developed by health organisations, for example National Institute for Health and Excellence (see NICE Guidance) offers health and social care providers guidance on standards. Additionally Safeguarding Adults: The Role of NHS Commissioners provides helpful advice for NHS commissioners to identify quality services.

12. Business Failure and Service Interruptions: the Impact for Safeguarding

Local authorities should have knowledge of market vulnerabilities in order to respond effectively (see Factsheet 1: General responsibilities of local authorities: prevention, information and advice, and shaping the market of care and support services). Where there is a danger of a provider going into liquidation, commissioners should be informed so adequate safeguards can be put in place for adults currently using the service. Periodic market analysis (market shaping) to assess capacity and viability of services is helpful to ensure that in the event that additional resources might be needed local needs can be met.

The CQC is responsible for market oversight of adult social care in England. This is a statutory scheme through which the CQC assesses the financial sustainability of those care organisations that local authorities would find difficult to replace (due to their size, specialism or concentration in the market) should they fail and become unable to carry on delivering a service. The CQC must give local authorities an early warning of likely failure affecting adults receiving care in their areas, so that local authorities can make contingency plans to enable them to meet their statutory duty to ensure continuity of care.

Most service interruptions are relatively small scale and low risk and are therefore easily managed, but those on a larger scale have much greater potential impact. A key learning point from major commercial failures in recent years was that few local authorities could respond effectively without working with their partners, including other providers. Where the continued provision of care and support to those receiving services is at major risk and there is no likelihood of returning to a ‘business as usual’ situation in the immediate future, adults may have urgent needs which must be met, including safeguarding.

12.1 Contingency planning

Contingency planning sits alongside other emergency planning activities. Not all situations where a service has been interrupted or closed will warrant local authority / ICB involvement because not all cases will have the same risks associated with safeguarding. For example, if a care home closes and residents have agreed to the provider’s plans to move to a nearby care home that the provider also owns, the level of risk or the need to invoke safeguarding will be lessened. The aim is to return to  business as usual, wherever possible, and with the least disruption to adults who use the service.

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The Care Act 2014 came into effect on 1st April 2015. It brings together a number of different Acts into a single new Act that puts people and their carers in control of their care and support.

This quick read chapter provides key information about the Care Act 2014.


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Reviewing care and support plans is an important part of the care and support planning process, as people’s needs, circumstances and hopes change over time. Without regular reviews, plans can become out of date, meaning that people do not receive the right care and support to meet their needs.

This quick read provides key information about reviewing care and support plans.


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Councils have to promote an adult’s ‘wellbeing’. They have a duty to do this under the Care Act 2014.

This quick read provides key information about promoting wellbeing.


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The Mental Capacity Act 2005 is a law that supports people who may not be able to make some or any decisions for themselves about what they want.

This quick read provides key information about mental capacity.


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Getting the right information and advice helps people, carers and families make informed choices about their care and support and how they fund it. Councils must provide people with information and advice about care and support for adults and support for carers.

This quick read provides key information about information and advice.


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For someone to receive care and support from their local council, they must have needs that meet a certain level. These are called ‘eligible’ needs.

This quick read provides key information about eligibility.


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A direct payment is money paid by the council, to help buy the support it has assessed a person as needing. Direct payments help people organise and buy their own care, instead of the council providing it. This is set out in the Care Act.

This quick read provides key information about direct payments.


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Deprivation of liberty is a legal arrangement that allows staff in care homes and hospitals to restrain and restrict the liberty of adults in particular circumstances. However, this must first be authorised by the local authority (called deprivation of liberty safeguards) and it must be in the adult’s best interests.

This quick read provides key information about deprivation of liberty safeguards.


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The aim of an assessment is to find out what care and support needs an adult may have and what goals (also known as outcomes) they want to achieve to maintain or improve their situation. Assessments should help people to understand their strengths and abilities, areas of their life in which they need support and what help is available.

This quick read provides key information about assessment.


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Under the Care Act 2014 councils have a duty to in relation to safeguarding adults where there is a concern that they are experiencing, or at risk of, abuse or neglect. This quick read provides key information about adult safeguarding.

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Policy Partners Projects (“We”) are committed to protecting and respecting your privacy.

This policy sets out the basis on which any personal data we collect from you, or that you provide to us, will be processed by us. Please read the following carefully to understand our views and practices regarding your personal data and how we will treat it. By visiting this website you are accepting and consenting to the practices described in this policy.

For the purpose of the Data Protection Act 2018 (the “Act”), the data controller is Policy Partners Project of:

53 Greystones Grange Road, Sheffield, S11 7JH

Our nominated representative for the purpose of the Act is Angie Heal.

Information we may Collect From you

We may collect and process the following data about you:

  • Information you give us / Consent:
    You may give us information about you by filling in forms on this site or by corresponding with us by e-mail or otherwise. The information you give us may include your name, work title and e-mail address. By providing us with this information in order to use a service (e.g. signing up for email notifications or using an online contact form) you are giving us explicit consent to use the information to provide you with that service.
  • Information we collect about you:
    With regard to each of your visits to our site we may automatically collect the following information:

    • Anonymised technical information, including (if relevant) your login information, browser type and version, time zone setting, browser plug-in types and versions, operating system and platform;
    • Anonymised information about your visit, including the full Uniform Resource Locators (URL) clickstream to, through and from our site (including date and time); pages you viewed or searched for; page response times, download errors, length of visits to certain pages, page interaction information (such as scrolling, clicks, and mouse-overs), and methods used to browse away from the page.
  • Information we receive from other sources:
    We may receive information about you if you use any of the other websites we operate or the other services we provide. In this case we will have informed you when we collected that data that it may be shared internally and combined with data collected on this site. We are also working closely with third parties (including, for example, business partners, sub-contractors in technical, payment and delivery services, advertising networks, analytics providers, search information providers, credit reference agencies) and may receive information about you from them.

Cookies

Like most interactive web sites this Company’s website) (or ISP) uses cookies to enable us to retrieve user details for each visit. Cookies are used in some areas of our site to enable the functionality of this area and ease of use for those people visiting. Some of our affiliate partners may also use cookies.

Log Files

We use anonymised visitor data to analyse trends, administer the site, track visitor movements, and gather broad demographic information for aggregate use. Additionally, for systems administration, detecting usage patterns and troubleshooting purposes, our web servers automatically log standard access information including browser type, access times/open mail, URL requested, and referral URL. This information is not shared with third parties and is used only within this Company on a need-to-know basis. Any individually identifiable information related to this data will never be used in any way different to that stated above without your explicit permission.

Uses Made of the Information

We use information held about you in the following ways:

  • Information you give to us – we will use this information:
    • To carry out our obligations to provide you with the information, products and services that you request from us;
    • To notify you about changes to our service;
    • To ensure that content from our site is presented in the most effective manner for you and for your computer.
  • Information we collect about you – we will use this information:
    • To administer our site and for internal operations, including troubleshooting, data analysis, testing, research, statistical and survey purposes;
    • To improve our site to ensure that content is presented in the most effective manner for you and for your computer;
    • To allow you to participate in interactive features of our service, when you choose to do so;
    • As part of our efforts to keep our site safe and secure.
  • Information we receive from other sources:
    We may combine this information with information you give to us and information we collect about you. We may us this information and the combined information for the purposes set out above (depending on the types of information we receive).

Disclosure of Your Information

We may share your personal information with any member of our group, which means our subsidiaries, our ultimate holding company and its subsidiaries, as defined in section 1159 of the UK Companies Act 2006.

We will not share your personal information with third parties for marketing purposes, however we may share your information with selected third parties for the following reasons:

  • Business partners, suppliers and sub-contractors for the performance of any contract we enter into with them.
  • Anonymised data passed to analytics and search engine providers that assist us in the improvement and optimisation of our site.
  • In the event that we sell or buy any business or assets, in which case we may disclose your personal data to the prospective seller or buyer of such business or assets.
  • If Policy Partners or substantially all of its assets are acquired by a third party, in which case personal data held by it about its customers will be one of the transferred assets.
  • If legally required to do so to the appropriate authorities.

Where we Store Your Personal Data

The data that we collect from you may be transferred to, and stored at, a destination outside the European Economic Area (“EEA”). It may also be processed by staff operating outside the EEA who work for us or for one of our suppliers. By submitting your personal data, you agree to this transfer, storing or processing. We will take all steps reasonably necessary to ensure that your data is treated securely and in accordance with this privacy policy.

All information you provide to us is stored on our secure servers. Where we have given you (or where you have chosen) a password which enables you to access certain parts of our site, you are responsible for keeping this password confidential. We ask you not to share a password with anyone.

Unfortunately, the transmission of information via the internet is not completely secure. Although we will do our best to protect your personal data, we cannot guarantee the security of your data transmitted to our site; any transmission is at your own risk. Once we have received your information, we will use strict procedures and security features to try to prevent unauthorised access.

Access to / Deletion of Information

The Data Protection Act gives you the right to access information held about you. Your right of access can be exercised in accordance with the Act.

You may also contact us to request that we delete any personal information we hold about you.

Removal from Services

Where you have provided personal information for a specific service (for example giving us your email address in order to receive email notifications) we will provide the ability to opt-out of these systems via a hyperlink in any relevant email communication.

Changes to our Privacy Policy

Any changes we may make to our privacy policy in the future will be posted on this page and, where appropriate, notified to you by e-mail. Please check back frequently to see any updates or changes to our privacy policy.

Links from this Website

We do not monitor or review the content of other party’s websites which are linked to from this website. Opinions expressed or material appearing on such websites are not necessarily shared or endorsed by us and should not be regarded as the publisher of such opinions or material. Please be aware that we are not responsible for the privacy practices, or content, of these sites. We encourage our users to be aware when they leave our site & to read the privacy statements of these sites. You should evaluate the security and trustworthiness of any other site connected to this site or accessed through this site yourself, before disclosing any personal information to them. This Company will not accept any responsibility for any loss or damage in whatever manner, howsoever caused, resulting from your disclosure to third parties of personal information.

Copyright

Notice Copyright and other relevant intellectual property rights exists on all text relating to the Company’s services and the full content of this website.

Contact

Questions, comments and requests regarding this privacy policy are welcomed and should be addressed to angie.heal@policypartnersproject.co.uk

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