Policies and procedures
HSAB Policies, Procedures and Guidance Documents
All the key partners of Herefordshire Safeguarding Adults Board (HSAB) have agreed that the regional policy for safeguarding adults should govern all safeguarding work with adults at risk in Herefordshire. The policy, therefore, applies to all professionals and agencies working with adults at risk in the county.
The regional policy is supported by a suite of Herefordshire specific policies. You can download the most commonly needed / used policies here:
COVID-19 Policies & Procedures
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The Policy sets out the approach taken to adult safeguarding in the West Midlands. The Procedures then explain how agencies and individuals should work together to put the West Midlands Adults Safeguarding Policy into practice. Adult Safeguarding supporting documentation can be found HERE
The legal framework for the Care Act 2014 is supported by this statutory guidance. It provides information and guidance about how the Care Act works in practice. The guidance has statutory status which means there is a legal duty to have regard to it when working with adults (with care and support needs) and carers.
The legal framework provided by the Mental Capacity Act 2005 is supported by this Code of Practice (the code), which provides guidance and information about how the Act works in practice. The Code has statutory force, which means that certain categories of people have a legal duty to have a regard to it when working with or caring for adults who may lack capacity to make decision for themselves. Mental Capacity Act supporting documentation can be found HERE
The Deprivation of Liberty Safeguards (DoLS), which apply only in England and Wales, are an amendment to the Mental Capacity Act 2005. The DoLS under the MCA allows restraint and restrictions that amount to a deprivation of liberty to be used in hospitals and care homes – but only if they are in a person’s best interests. To deprive a person of their liberty, care homes and hospitals must request standard authorisation from a local authority. Deprivation of Liberty Safeguards supporting documentation can be found HERE
Domestic abuse is an incident or pattern of incidents of controlling, coercive, threatening, degrading and violent behaviour, including sexual violence, in the majority of cases by a partner or ex-partner, but also by a family member or carer
This guidance supports good practice in information sharing by offering clarity on when and how information can be shared legally and professionally, in order to achieve improved outcomes. This guidance will be especially useful to support early intervention and prevention work where decision about information sharing may be less clear then in safeguarding situations. Information sharing supporting documentation can be found HERE
Making Safeguarding Personal (MSP) is a sector led initiative which aims to develop an outcomes focus to safeguarding work, and a range of responses to support people to improve or resolve their circumstances.
The work is supported by the Local Government Association (LGA) with the Association of Directors of Adult Social Care (ADASS) and other national partners and seeks to promote this approach and share good practice. A series of tools to support MSP can be found HERE
Safeguarding Adults Reviews
'Self-neglect is defined as ‘the inability (intentional or non-intentional) to maintain a socially and culturally accepted standard of self-care with the potential for serious consequences to the health and well-being of the self-neglecters and perhaps even to their community.’ (Gibbons, S. 2006. ‘Primary care assessment of older people with self-care challenges.’ Journal of Nurse Practitioners, 323-328.) The Care Act statutory guidance 2014 defines self-neglect as; "a wide range of behaviour neglecting to care for one's personal hygiene, health or surroundings and includes behaviour such as hoarding".
Vulnerable Adult Risk Management (VARM) - Guidance for practitioners working in Herefordshire
This guidance seeks to provide front line professionals with a framework to facilitate effective working with vulnerable adults who are at risk of significant harm due to their complex needs, and the risks cannot effectively be managed via other processes or interventions, such as section 9 care and support assessment or section 42, safeguarding enquiry. The VARM guidance is used when the adult declines to engage with services and yet the risk is significant and an individual agency procedures have not been able to resolve the problem(s). For cases of self-neglect the West Midlands self-neglect procedure should be used initially.
West Midlands Guidance on Hoarding - see Appendix 5, Page 28, West Midlands Self Neglect Guidance
Herefordshire Safeguarding Adult Board (HSAB) protocol for responding to allegations and concerns against people working with adults with care and support needs. Position of Trust supporting documentation can be found HERE
Other Adult Safeguarding policies