This page provides a summary of how to use this online Safeguarding Adults Board Adult Policies, Procedures and Practice (APPP) site, its supporting resources and main features.
- Finding your way around this Resource
- Accessibility Options
- Using the APPP Resource on Mobile Phones and Tablets
- Date of Next Revision
- Register for APPP Update Notifications
This site is structured into different sections.
This site is divided into different sections. On the home page there are three buttons:
- STSAB Procedures – which contains policies, procedures and practice guidance for South Tyneside Safeguarding Adults Board;
- Useful Links – which has links to the most commonly used local web pages for South Tyneside staff;
- Legislation and National Guidance – which has links to relevant information for staff using this APPP.
When you are in the STSAB Procedures section, there are a number of tabs on the left side of the screen when viewed on larger screens or by clicking on the lined box in the top right corner on smaller screens (such as phones or tablets):
- Home contains the introduction page of the STSAB Procedures section. It also includes Using this APPP Resource (this page) which gives information about using this site, and Register with Us to receive notification when this APPP is updated.
- Contents contains the policies, procedures and practice guidance chapters. These are divided into sections which can be viewed by clicking on the arrow on the right of ‘Contents’;
- Resources provides a range of relevant supporting information (see below). The different sections can also be viewed by clicking on the arrow on the right of ‘Resources’;
- Contact has a contact form for you to send a message to Jackie Nolan, South Tyneside LSCB and SAB Board Manager, who oversee the coordination of this APPP, should you have a comment or suggestion you wish to make.
This manual has a number of different options to aide online reading. When you are on the home page, choose ‘Accessibility’ drop down menu on the right side of the screen. There is large text, green, blue or pink backgrounds, yellow text on a black background or you can return to the default setting. You can use large text with any of the other options.
In addition, the site is designed to be accessible for users of text only and screen reader software programs which allow blind or visually impaired users to read the text that is displayed on the computer screen with a speech synthesizer or braille display. Our content is consistently structured, including headings, which makes using the software on our site easier. Also, when viewed though screen reader software, every page has a ‘Skip to main content’ link which allows software users to go straight to the main content of that page instead of receiving the full navigation options every time. Please share this information with blind or visually impaired colleagues.
This resource works well on internet enabled mobile phones and tablets by typing in the weblink in the internet address bar. When used on a mobile phone, the website will immediately convert into a mobile phone friendly version, where the tabs sit behind the Menu button. If it does not work straightaway, tap on the refresh circle in the address bar.
If your phone or tablet has a reader option (it may be an ‘R’ or say ‘Reader’ in the address bar, you may have to install it), tap on it and it will convert the text into a more easy to read version for phones or tablets.
The Resources section contains a number of links and documents to supplement the information in the chapters. It includes
- Case Law – links to relevant recent case law;
- Case Studies – populated by case studies from the Care and Support Statutory Guidance;
- CQC Standards and KLOEs – links to the Care Quality Commission Standards and Key Lines of Enquiries for inspections;
- Forms, Standard Letters and Leaflets – key local documents and downloads.
- Glossary – definitions and key terms used;
- Integrated Care – links to organisations and documents relevant to the health and social care integration agenda;
- Legislation – links to relevant legislation;
- National Guidance and Inquiries – links to national guidance, particularly from ADASS, LGA and SCIE and inquiry reports;
- Organisations – links to websites for relevant national organisations;
- Provider Resources – links to guidance and other information and national organisations who provide services and support to provider services;
- Research and Report Briefings – written by the Policy Partners Project and our associates to reflect current issues or recently released research reports;
- Safeguarding Adults Review Reports – links to significant SARs.
For ease of use, if you can open this website in two tabs next to each other you can click on the Resources section to consult related resources without leaving the chapter you are reading.
If you want to make any changes to any chapters or write a new chapter, please first contact Jackie Nolan, South Tyneside LSCB and SAB Board Manager, who is the local contact for this APPP, to discuss your ideas.
If you wish to make any changes to existing chapters you wish to amend must be copied into Word and amended using track changes. See Making Changes to Chapters for information about how to make amendments in the way we require. It is vital that we are able to see what specific alterations you want us to make; following these instructions is really important, as we don’t want to have to ask you to do it again!
With each revised edition of your SAB APPP, we indicate which chapters are new or have been updated. This information is available in the table below and at the top of each relevant chapter. Where chapters have had specifc sections amended, this will be detailed. If there are a number of changes throughout the chapter, it will state that the chapter should be re-read.
|Modern Slavery||This chapter was updated to reflect guidance from the Local Government Association and Independent Anti-Slavery Commissioner.|
|Making Safeguarding Personal||This chapter has been revised to update references and links.|
|Financial and Material Abuse||This chapter was amended to add a link to Friends against Scams, the National Trading Standards website.|
|Data Protection Act 2018||This chapter was amended to reflect the Data Protection Act 2018 coming into force, which replaces the Data Protection Act 1998.|
|Deprivation of Liberty Safeguards||Deprivation of Liberty Safeguards This chapter has been updated to include a link in Section 5, Patients in Intensive Care to a Brief Guide: DoLS and Emergency Treatment, published by the Care Quality Commission.|
|Dementia: Practice Guidance||This chapter was updated to include a link to Dementia: assessment, management and support for people living with dementia and their carers published by NICE.|
|No Recourse to Public Funds||This chapter was amended to update the link to the revised practice guidance for local authorities in assessing and supporting adults who have no recourse to public funds, as above. Further information has also been added.|
|South Tyneside Multi-Agency Information Sharing Protocol||This replaces the previous information sharing protocol and should be re-read.|
|Escalation Protocol: Resolution of Professional Disagreements between Workers Relating to the Safety of Adults||This chapter replaces the previous resolving professional disagreements policy and should be re-read.|
|County Lines: Criminal Exploitation of Adults||This chapter outlines the main issues involved in the criminal exploitation of adults by organised crime groups.|
|Equality, Diversity and Human Rights in a Safeguarding Context||This chapter outlines the main issues in relation to equality, diversity and human rights which should be applied when implementing safeguarding adults procedures and process, as well as all other aspects of providing care and support services to adults.|
|Dignity, Compassion and Respect||This chapter outlines the main principles required to ensure adults involved in the safeguarding process are treated with dignity, compassion and respect.|
|Mental Health Act 1983||This chapter outlines the main principles and sections of the MHA.|
|Emerging Concerns Protocol||This chapter summarises the Emerging Concerns Protocol which was developed via the Health and Social Care Regulators Forum to enable organisations and partners to act early, where there are concerns.|
This STSAB APPP has been upgraded. This means many additional sections and chapters have been added, and some existing ones have been amended. This information is detailed in the table below.
|Stage 1: Concerns||This chapter has been updated throughout as a result of local review and should be re-read.|
|Stage 2: Enquiry||This chapter has been updated throughout as a result of local review and should be re-read. In addition Section 6, Safeguarding and Mental Capacity and Section 7, Information Gathering and Section 8, Principles for Local Decision Making Process are new.|
|Stage 3: Plan / Review||This chapter has been updated throughout as a result of local review and should be re-read.|
|Stage 4: Close Process||This chapter has been updated as a result of local review. Sections 1, Introduction and Section 2, Actions Prior to Closure have been significantly amended; Section 3, Closure Records is new.|
|Mental Capacity||This chapter has been updated as a result of local review and should be re-read throughout. In particular Section 1, Introduction and Section 3 Excluded Decisions are new, as is the link to A Brief Guide to Carrying Out Capacity Assessments published by 39 Essex Chambers.|
|Consent in Relation to Safeguarding||This chapter has been updated as a result of local review. Section 6, Consent and Mental Capacity, Section 7, Consent to Information Sharing and Section 8, Consent to Treatment are all new.|
|Managing Risk||This chapter has been updated as a result of local review. Section 1, Introduction and Section 7, Decision Making and Risk Management Plan are new, and Section 5,Risk Assessment has been significantly amended.|
|Section 1: Introduction and Context|
|Safeguarding: What is it and Why does it Matter?||This chapter outlines the main issues regarding safeguarding adults.|
|The Care Act||This chapter outlines the legislative duties for local authorities and partner agencies.|
|Promoting Wellbeing||This chapter outlines one of the main principles of the Care Act – promoting wellbeing for adults and their carers.|
|Preventing, Reducing or Delaying Needs||This chapter outlines one of the main principles of the Care Act – preventing, reducing or delaying needs for adults and their carers.|
|Information and Advice||This chapter outlines one of the main principles of the Care Act – providing information and advice for adults and their carers.|
|Types of Abuse and Neglect||This chapter details the different types of abuse and neglect in relation to safeguarding.|
|Responding to Signs of Abuse and Neglect is Everybody’s Business||This chapter outlines how everyone has a responsibility to respond to concerns that an adult is being abused or neglected.|
|Adults in Specific Circumstances||This section is divided into a number of separate chapters:|
|Preventing Abuse and Neglect||This chapter outlines measures that can be taken to prevent an adult being abused or neglected.|
|Making Safeguarding Personal||This chapter outlines the main principles in relation to Making Safeguarding Personal (MSP) which underpins all safeguarding adults work.|
|Independent Advocacy||This chapter outlines the different types of advocacy which apply in different circumstances for adults.|
|Data Protection||This chapter details current data protection legislation, including the General Data Protection Regulation, and proposed changes.|
|Delegating Local Authority Functions||This chapter outlines the ability of the local authority to delegate certain functions to partner agencies, where appropriate.|
|Care and Support Planning||This chapter provides information for partner agencies about local authority plans for adults and carers.|
|Section 2: Safeguarding Enquiries|
|Out of Hours Arrangements||This chapter provides information about who to contact regarding safeguarding concerns about an adult, out of office hours.|
|Out of Area Arrangements||This chapter provides information about adults with care and support needs where there are one or more local authorities involved. It outlines the principles of out of area arrangements, by which local authorities should abide.|
|Criminal Offences and Adult Safeguarding||This chapter outlines some of the special measures that can be taken in relation to gathering evidence and victims and other witnesses giving evidence, as well as supporting victims and witnesses who are vulnerable or intimidated during the investigation and trial process.|
|Gaining Access||This chapter provides information for multi-agency practitioners in relation to gaining access to adults who are experiencing, or at risk of, abuse or neglect.|
|Protecting Property of Adults being Cared for away from Home, including Pets||This chapter provides information for multi-agency practitioners about the duty the local authority has in protecting property and pets of adults who are being cared for away from their own home.|
|Managing Risk||This chapter outlines different types of risk, risk assessment and risk management.|
|Section 3: Carers|
|Carers||This chapter includes the previous STSAB chapter Additional Carers Information, which has now been deleted.|
|Carers: Preventing, Reducing or Delaying Needs||This chapter outlines role agencies play in supporting carers of adults with care and support needs.|
|Section 4: South Tyneside Safeguarding Adults Board|
|South Tyneside Safeguarding Adults Board Mission Statement||This section has the STSAB mission statement and strategic plan.|
|South Tyneside Safeguarding Adults Structures and Organisations||This chapter provides information about local partners of the STSAB.|
|Local Authority Duties under the Care Act 2014||This chapter outlines the responsibilities of the local authority in South Tyneside in safeguarding adults.|
|Other Roles and Responsibilities of all Partner Agencies||This chapter provides information about the roles and responsibilities of partner agencies of the STSAB, including frontline staff and managers.|
|South Tyneside Information Sharing Protocol||This multi-agency protocol provides legislative and guidance information about sharing information in safeguarding adults work.|
|Complaints or Appeals in Relation to the Safeguarding Adults Process||This chapter provides information about the process for adults or carers who wish to make a complaint about their experience of the safeguarding process, or appeal a decision that was made during the process.|
|Resolving Professional Disagreements||This chapter provides information about possible causes of differences of professional opinion during the safeguarding adults process, and the process involved for resolving them.|
|Safer Recruitment and Employment||This chapter provides information about the recruitment and employment processes that organisations should use, which are designed to safeguard adults from abuse and neglect.|
|Supervision||This chapter provides information about supervision for partner agency staff and social care staff involved in safeguarding adults enquiries.|
|Workforce Development||This chapter outlines the key employment issues for staff in relation to safeguarding adults.|
|Safeguarding Training for Staff and Volunteers||This chapter provides information regarding local multi-agency training in in relation to safeguarding adults from abuse or neglect.|
|Allegations against People in Positions of Trust||This chapter provides information about the processes involved where there is an allegation against a member of staff or volunteer who works with people with care and support needs.|
|Working in Partnership with South Tyneside Safeguarding Children Board||This chapter outlines the importance of close working between South Tyneside Safeguarding Adults Board and South Tyneside Safeguarding Children Board. Practitioners working with adults who are concerned about a child have a duty to report their concerns.|
|Section 5: Reviews|
|Safeguarding Adults Reviews||This chapter outlines the criteria and process for undertaking a Safeguarding Adult Review.|
|Large Scale Enquiries||This chapter outlines information about large scale enquiries which are conducted when there are concerns that a number of adults with care and support needs may have been abused, or about the quality of care given.|
|Section 6: Mental Capacity and Mental Health|
|Best Interests||This chapter outlines the key points in relation to decision making in a person’s best interests when they have been assessed as lacking capacity.|
|Defining Mental Disorder||This chapter outlines the definition of mental disorder within the legal framework.|
|Section 117 Aftercare||This chapter outlines the key points in relation to the provision of aftercare services for anybody who has been detained under specific sections of the Mental Health Act.|
|Interface between the Mental Capacity Act 2005 and the Mental Health Act 1983 (amended 2007)||This chapter outlines how the two acts work together for adults who have both mental health issues and lack mental capacity.|
|Independent Mental Capacity Advocates and Independent Mental Health Advocates||This chapter outlines the key points in relation to IMCA and IMHA services, including eligiblity.|
|Making Advance Decisions||This chapter outlines the key issues in relation to a person who has mental capacity making decisions for their future should they then lack mental capacity.|
|Section 7: Local and National Frameworks|
|Case Recording||This chapter provides information about case recording in adult safeguarding, including the principles for good recording.|
|Transition to Adult Care and Support||This chapter provides information in relation to young people transitioning to adult services. It outlines the role of the local authority and partner agencies in this process when working with the young person and their carer / family.|
|Ordinary Residence||Where an adult ordinarily resides is crucial for deciding which local authority is responsible for providing any required care and support needs. This chapter provides explanatory information for multi-agency practitioners.|
|No Recourse to Public Funds||The term no recourse to public funds (NRPF) applies to people who are subject to immigration control. This chapter outlines the key points in working with people who have NRPF.|
|Prisons, Approved Premises and Bail Accommodation||The Care Act sets out responsibilities for provision of care and support for adult prisoners and people residing in approved premises (including bail accommodation). This chapter outlines those key points.|
|Working with Historic and Current Adult Victims and Survivors of Organised Sexual Abuse||This chapter utilises learning from children’s services to safeguard adults who have been affected by organised sexual abuse.|
|Multi-Agency Public Protection Arrangements (MAPPA)||This chapter provides information about Multi-Agency Public Protection Arrangements (MAPPA) which are the statutory processes for managing violent and sexual offenders living in the community, with the aim of reducing offending and protecting the public.|
|Multi-Agency Risk Assessment Conferences (MARAC)||This chapter provides information about the Multi-Agency Risk Assessment Conference (MARAC) process which is a local multi-agency meeting aimed at protecting victims of domestic violence and abuse through a range of multi-agency interventions.|
|Multi-Agency Risk Assessment Panels||This chapter describes the work of the MARAPs.|
|Interpreting, Signing and Communication Needs||This chapter provides information to consider when working with adults with care and support needs, or their carers, who have communication needs.|
|Whistleblowing||This chapter provides information fabout how to raise concerns at work, known as ‘whistleblowing’. It includes information for staff who have concerns about something they have witnessed, been told about or have other suspicions about wrongdoing in the workplace.|
|Integration, Cooperation and Partnerships||This chapter provides information about how local agencies must work together, with the aim of preventing, delaying or reducing needs and promoting the wellbeing of adults with care and support needs.|
|Market Shaping and Commissioning of Adult Care and Support||The Care Act introduces duties on the Care Quality Commission to assess financial sustainability of the most difficult to replace providers, and support local authorities to ensure continuity of care if providers fail. There is also a duty for the local authority to promote diversity and quality in the market of local care and support providers.|
|Safeguarding Adults Data Returns||This chapter outlines key points in relation to the local authority’s safeguarding data returns.|
|Disclosure and Barring||This chapter provides information about the criminal records checks that staff and volunteers who provide regulated activity, undergo when they work with adults with care and support needs. It outlines the role of the Disclosure and Barring Service and the different types of checks that can be requested. It also discusses the barred lists and the duty to refer a member of staff or volunteer in specific circumstances.|
|Joint Strategic Needs Assets and Assessments and Joint Health and Wellbeing Strategies||This chapter provides outline information about Joint Strategic Needs Assessments and Joint Health and Wellbeing Strategies, and priority areas for South Tyneside.|
|Social Media: Minimising Professional Risk||This chapter provides information about how to keep safe, both professionally and personally, when using social media.|
|Pressure Areas and Safeguarding||This chapter outlines the key points in prevention of pressure ulcers, and responding where there are related safeguarding concerns.|
|Dementia: Practice Guidance||This chapter outlines key points in relation to caring for the care and support needs of adults with dementia and the support needs of their family and friend carers.|
|Duty of Candour||THis chapter outlines key points in relation to duty of candour, which is about organisations being open and transparent with people who use services in relation to their care and treatment. An organisation should also be open and honest when things go wrong|
|2.1 What is Safeguarding?||Section 1, Introduction, Section 2, Aims of Adult Safeguarding and Section 3, Who Abuses and Neglects Adults? have all been amended as a result of local review.|
|2.2 Who do Adult Safeguarding Duties Apply to?||Section 3.1, Transition has been updated as a result of local review.|
|2.3 Types and Indicators of Abuse and Neglect||The information related to honour based violence and pressure ulcers has been updated as a result of local review.|
|2.6 Safeguarding Adult Reviews||This chapter was updated to include a link to the revised Safeguarding Adults Review Protocol.|
|2.7 Mechanisms to Support Adult Safeguarding||Section 3, Multi-agency Public Protection Arrangements (MAPPA) has been updated as a result of local review.|
|2.8 Self-Neglect and Hoarding||This chapter was significantly updated as a result of local review.|
|3.1 Mental Capacity||This chapter has been significantly updated and a link added to the South Tyneside DoLS policy and procedure document.|
|3.2 Consent in Relation to Safeguarding||The first two bullet points in Section 3, Overriding Refusal to give Consent have been changed as a result of local review.|
|3.3 Advocacy and Support||This chapter was updated throughout as a result of local review.|
|3.4 Deprivation of Liberty Safeguards||This chapter has been significantly updated throughout and a link added to the South Tyneside DoLS policy and procedure document.|
|4.2 Stage 1: Concerns||This chapter has been updated throughout as a result of local review.|
|4.3 Stage 2: Enquiry||This chapter has been updated throughout as a result of local review.|
|4.5 Stage 4: Closure of Safeguarding||This chapter has been revised to change the title from ‘Closure of Enquiry’ to ‘Closure of Safeguarding’.|
|5.2 Provider Concerns Process||This chapter was amended throughout, as a result of local review, including a new table in Appendix 2: Provider Concerns Threshold Table.|
|Appendix 1: Additional Carers Information||This chapter has been updated throughout as a result of local review.|
This APPP is usually updated every six months. The next revision will be available, therefore, by 2 July 2019.
Type in the word or phrase you are looking for in the ‘Search’ facility and press ‘Enter’. It will bring up a list of all the chapters where it appears. Click on the one you want. The word / phrase will remain highlighted in the chapter. Use ” marks around the word to narrow your search, for example “Rape Crisis”.
If you want to search for specific text within a chapter or a pdf document, you can also press ‘Ctrl’ and ‘f’ together. A box will appear in the top right of your screen. Type in the word / phrase you want to find and press ‘Enter’. The number of times it appears in the chapter will be displayed next to your word. Use the up and down arrows next to it to find all the references.
We recommend you ‘Register with Us‘. This enables us to notify you that your APPP resource has been updated, which is usually every six months. By submitting this information, you will only receive email notifications from us in relation to APPP updates and your information will not be given to any third parties.
The SAB APPP has been designed to be used as an online resource. It is easier to update a web based facility, and version control is very effectively managed. Reducing or eliminating printing cuts costs, as well as preserving valuable resources.
If you print a chapter, to take to a meeting for example, please note it will have a water mark stating it is valid for 72 hours only and the date it was printed. Whilst APPPs are usually updated every six months, there may be occasions when it is updated urgently as a result of a Safeguarding Adults Review or inspection recommendation, so it is important to be sure that you are using the most recent copy. That is why we recommend that if you have to print a chapter, you no longer refer to it after that time.
The chapter content in this resource can be accessed, downloaded and printed unchanged, on a temporary basis. Any content printed or downloaded may not be sold, licensed, transferred, copied or reproduced in part or in whole in any manner or format without the prior written permission of Policy Partners Project Ltd.