Safeguarding well as freely from neglect and abuse.

Safeguarding Task 1: Demonstrate an understanding of safeguarding in health and social care: 1.1/D1 – An accurate explanation of the meaning of safeguarding in relation to health and social care. Individuals within health and social care tend to be at more of a risk than others as they are more vulnerable to danger and harm so understanding the individuals needs is vital as it is our job as a health and social care professional to protect them and prevent harm from coming their way. Safeguarding in relation to health and social care means respecting an individual’s needs and rights and protecting them from possible danger and anything that could harm them for example abuse or neglect or even keeping the individual’s private information confidential as it is saving the individual from any risks and respecting their needs. According to ‘care quality commissions staff,29 May 2017(p.1)  https://www.cqc.org.uk/what-we-do/how-we-do-our-job/safeguarding-people ”Safeguarding means protecting people’s health, wellbeing and human rights, and enabling them to live free from harm, abuse and neglect. It’s fundamental to high-quality health and social care.”2.1/D2 – Summary of the current legislation in relation to safeguarding (such as Health & Social Care Act 2012, Care Act 2014, and other relevant legislation).Legislation in relation to safeguarding identifies, an adult right to live safely as well as freely from neglect and abuse. The care act 2014 was put in place as they realised that health and social care organisations working unaccompanied were not achieving the best possible outcome, so to prevent individuals from experiencing harm and danger the local council, organisations and health and social care professionals must work together and combine as a team to suite the individuals needs. This will reduce the individuals from feeling neglect and abuse as well as ensure that the individuals have good quality care and a large amount of support catered to them individually. It is also important that the individual’s rights are being met this includes their wishes, beliefs and caring to their individual needs and abilities as well as understanding their personal circumstances. The care act 2014 also encouraged local councils to inform individuals with required information and advice and offer services that the individual may need.  The health and social care act 2012 promoted different organisations to join forces and work together in planning and delivering required services, this new way of monitoring the health care services and ensures that the individuals receive effective and quality care. Safeguarding adults and children is in the control of CCGs and they are held reliable for the individuals who access the health care services this includes being responsible for any harm that takes place under the services. This also enabled health and well-being to all individuals as well as promoting patient choice allowing the NHS costs to decrease. 2.3/D4 – Identifies policies and procedures in relation to safeguarding.Policies and procedures in relation to safeguarding is a requirement for health and social care professionals and organisations under the care act 2014 as policies and procedures are based off the most recent safeguarding legislation. These are put in place, so individuals are protected, safe and free of harm.Policies and procedures are clear defined statements that identify the roles and responsibilities of the health and social care provider or organisation. These contain detailed instructions of what to do and actions to take when there is a safeguarding concern, for example if an individual report an incident, who to call, where to report and how to fill in and complete the information required.Instructions on how to keep the statement up to date and how policies and procedures will be reviewed will also be on the statement.The policies and procedure statement also contains important phone numbers and vital details this would be helpful if looking for specific contact details or just regular information like shift hours.The statement also includes external and internal sources of information for example a list other health and social care organisations and their policies and procedures it also may include individuals personal profile and their family and friends contact details, so you can contact them if need be. The policies and procedures statement also includes links and details of support services that may come in use.1.2/B3 – How safeguarding keeps individuals safe, values individuals needs and protects individuals. & 3.1/B1 – explains factors that may contribute to an individual being vulnerable to harm or abuse.Safeguarding of children is Protecting them from maltreatment and things that can put their development and health at a disadvantage. This includes making sure their being taken care of effectively and are in a suitable safe living environment. a child-centred approach in safeguarding is putting children first this means taking their views and opinions into consideration and listening to what they say and taking them seriously.A part of safeguarding is taking responsibility for your own actions and being accountable this means being open and clear. Taking responsibility makes you more reliable and trustworthy as a health and social care professional. On the other hand, safeguarding of adults includes protecting individuals from abuse and neglect and ensuring their rights are respected, for example understanding their views and beliefs and taking their feelings into account. Person centred approach is a part of safeguarding for adults as it puts the individual first and tends to their personal needs.Proportionality ensures safeguarding conclusions are best suited to the individual.Prevention in safeguarding is crucial as it allows individuals to consider their choices and prevents harm from reaching them. Prevention gives individuals a chance to understand the dangers and give them a better understanding of abuse and neglect, an example of prevention could be health care professional educating an individual with leaflets, posters or even just talking to them and supporting them fully. Individuals can avoid issues that may put them in danger or in a vulnerable situation by having a better understanding and being aware of abuse and harm.Empowerment allows the individual to make their own decisions and choices towards what they would like to happen within the safeguarding process with the support of a health care professional however be sure to make the individual aware of obstacles that come their way and advise them on what’s best suited to them example the risks, benefits and allow them to consider the best possible choice.Understanding the individuals needs starts with working in partnership, meaning communicating with the individual’s family, friends and relevant professionals. Using person-centred approach and putting them first and understanding them fully.Staff who have an overwhelming amount of work load may not feel as encouraged to perform well during work and may slip out of the professional manner which may lead anyone under their supervision vulnerable to danger. This may put the health and social care practitioner at a huge risk and could possibly lead to getting them fired due to carrying out their roles poorly and irresponsibly. To prevent this, allow practitioners to have a suitable amount of training so they are prepared for shifts and work schedules.Health and social care practitioners not having a back-ground in training may lead the individual in a vulnerable situation as the practitioner may not have gone through their roles and responsibilities and won’t have much of a personal understanding of the individuals they are tending to, therefore may get confused and frustrated when incorrectly carrying out jobs. If an individual with specific treatment is under the supervision of a health and social care practitioner that doesn’t know much about them, they wouldn’t be receiving the quality care and support they need and the practitioner may overlook concerns that could put the individual at serious risk. The practitioner may not know the individual’s right and beliefs and could unintentionally offend or hurt them.   5.2/A1 – Explain the boundaries of confidentiality in relation to the safeguarding, protection and welfare of individuals.Confidentiality is keeping the individual’s information private and respecting their opinions, this means not discussing the individual’s information with their family or friends or anyone as this can put the individual in danger, however disclosing information to other practitioners is acceptable as it is best for the individual’s safety and is a part of safeguarding. Confidentiality in health and social care builds respect and trust between the health and social care practitioner and the individual but not all information can stay confidential for example if the information involves the individual or anyone else being in danger or at risk, the information may have to get passed on to higher authority to ensure the individual is safe.To know what can and cannot be disclosed and what is confidential health and social care practitioners should follow Caldicott’s principles. Firstly, use minimum personal confidentiality data, do not disclose confidential information unless it is necessary this could be an individual’s home address or number etc as this could put them in danger. Confidential data is usually documented and reviewed by the guardian in charge of that department, rationalise the purpose and use of the information. People who hold confidential information ought to be responsible and careful who they disclose the confidential information with and at all times respect the individual’s feelings and rights. lastly, health and social care practitioners should always be able to share information with colleagues as it is in their best interest to keep the individual safe and free of harm, because working as a team is always better than working as an individual, this also helps professionals to provide quality care and a better understanding.4.1/C1 – Clear descriptions of some of the signs, symptoms, indicators and behaviours that may cause concern relating to: neglect, physical abuse, emotional abuse, financial abuse, institutional abuseMany individuals that are under the supervision of health and social care practitioners may already be victim of abuse however it’s the practitioners job to distinguish the signs and symptoms to effectively protect and safeguard them. Spending quality time with the individual ensures that the health and social care practitioner has a better understanding of how the individual behaves which enables them to identify signs and symptoms of abuse as they’d be able to notice abnormal behaviour instantly and take action to help the individual as soon as possible which may stop the abuse from progressing and getting worse. There are various types of abuse and neglect which can be physical and psychological, there are also different signs and symptoms and behaviours for each one of them. The care act 2014 recognizes ten types of abuse, firstly physical abuse. This can be any physical injury to the individual for example pushing or hitting the individual. Signs of physical can be seen on the individuals body and more visible compared to psychological abuse. Signs and symptoms could be burn marks, bruises or cuts on their body. Behaviours that show physical abuse could be constantly covering their body to hide visible marks from the abuser also getting upset and angry, avoiding the abuser or flinching when near them.Another type of abuse is neglect, this could mean the individual doesn’t have access to food or warmth or even medical care. Signs and symptoms of abuse could be dehydration and malnutrition because of lack of water and food. Other signs and symptoms could be unhygienic behaviour or illness due to poor living conditions and lack of resources to maintain healthy. This can be seen if the individual seems to be wearing the same clothes most of the time and if the individual is withdrawn or confused this can also be a behaviour sign of neglect. Self-neglect is when the individual can not look after themselves and refuse food, drink and medication and fail to meet their own needs. Signs, symptoms and behaviour are like normal neglect however they may not seem like what they’re doing is wrong. They will also suffer from malnutrition, dehydration severe weight loss because of this. Emotional abuse is when an individual is not being physically hurt but psychologically this can make the individual feel worthless, humiliated and self-conscious. Emotional abuse could be isolation, threats and controlling behaviour making the individual feel bad about themselves. Signs and symptoms include anxiety, depression, insomnia or inability to eat which can lead to self-neglect. The individual may become less confident in themselves and develop a sense of low self-esteem and may also become very hesitant towards to going out with friends and family or even Work.Sexual abuse could be any type of unwanted sexual activities with a person this could also be forced relationships. An example of sexual abuse could be rape, sexual harassment or sexual exploitation. signs and symptoms can be pain in the genital area, thighs and breasts or even marks and bruises around wrists and thighs and unexplained bleeding. Behaviours that show signs of sexual abuse could be restricting themselves to physical activities that they would normally do due to pain or discomfort. Another sign is sexual transmitted infections or diseases and being withdrawn and scared towards the opposite sex.One common type of abuse is financial abuse which is when someone takes advantage of an individual by using their money, possessions or property without asking this could also be related to transactions or wills and fraud. Signs and symptoms could include the individual having no money most of the time or unable to afford to pay bills or necessities and receiving large withdrawals in their accounts. Behaviour related to not wanting to spend money on essentials like food and clothes and feeling anxious majority of the time and being confused as valuable items keep disappearing as well as  large amounts of money.Institutional abuse occurs within health and social care facilities for example, residential care home, nursing home and other emergency organisations. Institutional abuse is based on how the organisation and staff meet individuals needs and take their job roles seriously enough to provide individuals with quality care. Signs and symptoms are poor care standards, lack of choice for individuals for example if an individual can only eat halal meat they won’t cater halal meat for them they will just provide a vegetarian option. This is an example of lack of positive responses to tend to individuals needs. Inadequate staff is also a sign of institutional abuse. Lastly Domestic abuse is aggressive, violent and threatening behaviour between individuals who have a relationship this could be physical, Sexual and psychological. Signs and symptoms and behaviours are identified throughout as it can include all the above, neglect, self-neglect, physical abuse, emotional abuse, financial abuse and sexual abuse. 5.1/C2 – Describe the lines of reporting and responsibility in relation to safeguarding protection and welfare.Understanding the lines of reporting and responsibility in relation to safeguarding protection and welfare is important for health and social care practitioners as they must know what actions to take when coming across an incident. The incident could conclude to an individual possibly getting hurt, this could be physically seen, overheard or the practitioner may just be suspicious. As a health and social care practitioner the job of safeguarding and taking responsibility is crucial and to avoid any individuals from being in danger reporting the incident can prevent it from happening again.First step to reporting the incident is following the health and social care safeguarding procedures according to the work place this means looking for the policies and procedures statement and knowing who to call.                                                                                                                                                                                                              If an incident happens you are most likely going to call the manager or the appropriate authorities. The manager will then discuss what actions need to be put in place to keep the individual safe and will also ensure the risk has been safeguarded correctly.                                                                                Once this is done the manager or any qualified colleague must contact the police or which ever emergency authorities is needed to legally report the incident, however this may not always be the case it depends of the seriousness of the situation. if medical care is needed, you should take care of the individuals injuries and also report that alongside any evidence of the incident and the actions that have been taken to safeguard.                                                                                                                 The individual must now be under full supervision by the practitioner who reported the incident and safeguard the individual from any further harm or risk. It is also important to make sure everyone is also safeguarded and in protection. 1.3/B2-Explain how health and social care practitioners can take steps to safeguard themselves.Health and social care practitioners are responsible for safeguarding anyone under their supervision at work this includes protecting individuals from harm, abuse and any danger that comes their way.Training is a way health and social care practitioners can take steps to safeguard themselves as this enables them to already have an experience with how to deal with certain situations in a professional manner.Health and social care practitioners must know how to make reports and contact the manager if needed as well as understanding how to form a risk assessment in case any incident happens for example and individual hurting themselves, they must know how to take control independently. The six principles allow the practitioner to have a better understanding of safeguarding and this means including those principles, which means they must be clear and take responsibility for their own actions as well as treating individuals according to their needs, best suited to the individual and respecting their personal beliefs and rights.For a health and social care practitioner to safeguard themselves they must avoid any unsafe situation that could put them at a disadvantage and that could harm them.Health and social care practitioners must not cause harm or abuse individuals who they work with under the code of conduct for health care in England, that states how they must not cause danger to any individuals this includes exploitation and neglect 

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