Riviera International Conference Centre, Torquay

Transcription

1 TSAB Board Minutes Independent Chair: Julie Foster safeguarding.everyone s business If you see something, say something tsdft.torbaysafeguardingadultsboard@nhs.net Date: Venue: 8 th February 2017 (Morning Meeting TSAB only) Riviera International Conference Centre, Torquay Attendees: Julie Foster Andi Colliver TSAB (Chair) TSAB Coordinator (Minute Taker) - TSDFT Caroline Taylor Director of Adult Services Torbay Council Delia Gilbert Safeguarding Adult & Patient Lead - CCG Jo Williams Associate Director Adult Social Services - TSDFT Jon Anthony Safeguarding Adult Lead - TSDFT Judy Grant Representing Partnerships, People and Housing Torbay Council Deborah Kelly Safeguarding Adults Facilitator TSDFT Supt. Jacqui Hawley Local Policing Commander for South Devon Police Nicola Barker TSAB Experts Through Experience Sub-Group TSDFT Lyn Gooding Representing Criminal Justice, Commissioning and Partnerships OPCC Cllr. Julien Parrott Executive Lead for Adults Torbay Council Mike Vango Representative - Experts Through Experience Sub-Group TSDFT Nick Meyer TQC Forum Chair Three Corners Nursing Home Nursing Homes Pat Harris Chief Executive Healthwatch Torbay Healthwatch Simon Langridge SPACE/SPOT Opportunities SPOT Steve Kimble Safeguarding Adults Local Delivery Unit Lead National Probation Service - NPS Also in attendance: Claire Taylor James Stock Jon Nason Keri Nason Apologies: John Bryant Fran Mason Jo Robison Chris Rogers Emma Bewes Gill Gant Tim Broom Mandy Davies Nick D Arcy Penny Rogers Teresa Anderson Vicky Bundy Non Responders: Tara Fowler Sarah Kennedy Regional Manager Best Care Homes Nursing Homes Devon and Cornwall Police Police National Probation Service NPS Community Rehabilitation Company Torbay Council (Judy Grant attending) Torbay Council (Lyn Gooding attending) OPCC SWAST TSDFT (Delia Gilbert attending) CCG (Mandy Davies attending) Devon & Somerset Fire Service (Unwell) Devon & Somerset Fire Service (Delia Gilbert attending) CCG DPT CQC (Nick Meyer attending) Nursing Homes Torbay Council TSDFT Please note: The agenda was changed on the day by Julie Foster Financial Abuse was moved to agenda item 7, Business Plan/Review moved to agenda item 8 and Items for Themed Meetings to agenda item 9. 1

2 Agenda Item 1 Welcome, Introductions and Apologies - JF 1.1 Julie Foster welcomed everyone to the meeting and thanked Jo Williams for undertaking the administration arrangements for the previous meeting ( ) in the absence of a TSAB Coordinator (Minute Taker). 1.2 Member introductions were made and apologies given (see above). 1.3 Julie thanked Vicky Booty for her attendance and support in her time spent in TSAB within her role in Community Safety Partnerships. Vicky has now left and her replacement is to be advised. 1.4 Julie also stated that Jo Jackson is currently in a different role. Nicola Barker will step in to cover in her absence as Joint Chair (with Sandra Geary) for TSAB Experts Through Experience Sub Group. Julie thanked her in advance for this assistance. Agenda Item 2 Chair s update and minutes from the last meeting - JF 2.1 Julie Foster reminded attendees that her time is limited to two days a month for TSAB and informed the group of what she has been doing within her role prior to being away in January. In December 2016, Julie attended the National Network of Independent Chairs Meeting in London, whereby she learnt about the following information: - Making Safeguarding Personal qualitative indicators - National Reporting of Safeguarding Adult Reviews and how this makes it easier to access and see trends - Fire risks with regard to emollients (body/face creams) - Keeping Control Institutional abuse in Mental Health settings - Trading Standards Rogue trading and scamming. With this in mind, it was put forward by Julie and agreed by the group that it would be useful to add a representative from Trading Standards to the TSAB Membership. Over the last few months Julie has also: - Visited two nursing homes with the kind assistance of Nick Meyer - Met with Alison Hermandez (Police and Crime Commissioner for Devon and Cornwall) and Sian Walker (Chair for Devon Safeguarding Adults Board) to discuss the approach to policing in the community with a link to commissioning intentions. Lyn Gooding stated that the current intention to commitment is to provide a standstill budget for the next two years. Julien Parrott also stated that the Mayor is making money available for a Domestic Abuse Coordinator - Attended the Health and Wellbeing Board - Established good links with Devon Safeguarding Adults Board in order to work closely together for the future Action: Julie Foster to invite a representative from Trading Standards to attend future TSAB Meetings 2.3 Amendments required for the minutes from the last meeting (see attached): - Julien Parrott stated that he had in fact sent his apologies to the last meeting but these hadn t been recorded correctly. - The minutes were incorrectly titled as TSAB Executive Board Minutes when in fact they were the TSAB Board minutes. Action: Andi Colliver to update the last minutes with the above two amendments 2

3 Agenda Item 3 Outstanding Actions - All The representative from each of the sub groups informed members of where they are with their actions: 3.1 Learning Improvement Sub-Group Delia Gilbert Delia explained that the last group meeting had been postponed due to the publication delay of the NHS Intercollegiate Competency Framework due to the need to be ratified by partnership groups. Lots of organising has been done including using Social Care Frameworks. Therefore, in future, those that require Level 2 will now only need awareness and those that require Level 3, will now only need Level 2. Delia has a meeting later this week with Jane Viner to discuss commissioning a work plan for both health and social care workforce with Torbay inclusion. Delia suggested that the website displays contacts for training but Jon Anthony said he will sign post staff appropriately for now in order to monitor uptake and his availability. Jon stated that he and Deborah Kelly will be happy to support training to partnerships around specific subjects. To add, Jon informed the group that he is able to access some short films with content such as Modern Slavery etc. Julie Foster suggested in the future, a newsletter could be produced and disseminated. Steve Kimble informed the group that representation to this meeting is difficult due to having only 2.5 WTE. Julie agreed to discuss the Board attendance of cross Devon organisations with the chair of Devon SAB. Action: Julie to raise this matter with Sian Walker 3.2 Serious Adult Review Group Jon Anthony Jon Anthony shared his concern over the size of membership and lack of quorum, particularly in the most recent meeting ( ) where a decision could not be made. One of the topics at this meeting was LD. Jon explained that the Coroner s Inquest noted that this female had neglect attached to her death, although it was not clear why as it stated that she died of natural causes abroad. Jon would like the TSAR Panel to gather more information from agencies with regard to information of what led to this concern. Jon will call an exceptional meeting to discuss this case further, even if by method of telephone conference, rather than waiting until the next meeting. Jon said that the learning outcome from death by choking was that the guidance document needed recirculating in order to refresh people s knowledge of the topic. Judy Grant said that she will distribute it via an and Delia Gilbert suggested including it within sub groups in order to raise awareness. Regarding recent Domestic Homicide Reviews, Jon explained that there has been a delay on publication with regard to DHR01 (2011) and DHR02, as there has been a query regarding the content. Vicky Booty is waiting for authorisation to circulate it, so in the meantime has created a basic information document for use by all front line staff this too is waiting authorisation before distributing. Deep Dive Learning Review (Re: JB) Jon Anthony stated that in hindsight, the learning from this was: 3

4 - The GP felt that face to face contact would have been more appropriate than telephone - The Police should have raised a Vulnerability Screening Tool (ViST) - Jon commented that the biggest issue has been consent and when the provisions of the MCA can be applied. Therefore a lot of work is currently being done around this. Jon informed the group that there have been two suicides whereby Serious Incident Reviews have taken place but both resulted in no further action required. Action: Judy Grant to distribute learning outcome from Death by Choking incident including sub-groups. 3.3 Experts by Experience Nicola Barker/Mike Vango Nicola explained that this sub group has been refreshed and re-established. Safeguarding, quality and personalization had not changed but the group captures feedback by reflecting on what s important and that it is practical, pragmatic, valuable and purposeful. With regard to Safeguarding Reviews, Nicola stated that the group used their experience to influence future safeguarding training by working with disability groups. Mike stated that many people who had been through the safeguarding process do not take up the invitation to talk of their experiences to Experts by Experience as they felt too traumatized but those that do, would prefer to talk to someone who is not a professional. Julie Foster suggested that it would be worth considering hearing their stories for a future TSAB Meeting. Mike informed the group that mystery shoppers are linked with Pat Harris (Healthwatch) and that Julie Callaghan is the Volunteer Coordinator. Mike queried how to obtain more willing volunteers. Jon Anthony responded by saying that he could identify those who have had sensitive and traumatic experiences via PARIS. 3.4 TSAB Jo Williams Jo Williams explained that each year there are four themed meetings see agenda item 8 With regard to WR, Jo explained that the CQC (Andrea Sutcliffe) was due to attend the learning event but was unfortunately not able to. Jo raised her concerns with regard to non-attendance etc. In response to this, Delia Gilbert explained that there is currently a new structure being created between the CCG and the CQC and could extend to cover TSDFT. Delia stated that there is a locally focused meeting for Torbay but covers South Devon too. Delia explained that governance is undecided as yet, but reports currently get escalated to the CCG and ICO of which there are bi-monthly meetings between the CCG and the CQC. In response to the above paragraph, a few members stated the following: - Jon Anthony suggested to the group that we need to champion the good work in the bay as well as the areas of concern and disseminate this - Pat Harris said that she is meeting Teresa Anderson next week to discuss and streamline their relationship - Delia Gilbert said that she is meeting with Fran Mason soon to discuss lots of joint working between the Council role and ICO role. Delia stated that where areas of need require attention, meetings have been set up, but work is in progress to make them more streamlined as the focus is normally on things that are at risk rather than celebrating good work and success 4

5 - Nick Meyer queried why representatives from Care Homes had not been invited to the group. Judy Grant responded by stating that there is a need to get the membership correct in order to have a standard approach 3.5 MCA Jo Williams Jo Williams stated that there is an ADASS Tool used for self-assessment but the group will look at this again at a future meeting. Agenda Item 4 Terms of Reference, future membership - JF 4.1 Julie Foster explained that there are a few gaps currently in the membership especially as the quorum states at least 50% of board membership to attend and MUST include representation from the following key agencies: - Torbay & South Devon NHS Foundation Trust - Devon & Cornwall Police - Devon Partnership NHS Trust - At least one from the third sector It was noted that today there was no regular representative present from Devon Partnership NHS Trust. Julie informed the group that she will create a new template for members which will include the following details: - A mini Job Description - The expected delegated function - TSAB Membership objectives Due to today s timeframe, this will be discussed between Julie Foster and Jo Williams see action below: Action: Jo Williams and Julie Foster to discuss future membership along with agreed nominated Deputies Action: Julie Foster to create a new job description for membership Action: Andi Colliver to send recommendations of membership to the group to agree in advance Agenda Item 5 Domestic Abuse (DA) ICO Update JA/JW Jo Williams informed the group that she is leading on this and that there are ICO internal arrangements in place with regard to domestic and violent abuse including practical help for women. Although the Government is recognising violence against women in general, Julien Parrott stated that we must be aware that it does happen to other genders. Jo explained that a self-assessment has been designed using the NICE Guidance for Domestic Abuse, along with an internal action plan this plan will look at rewriting the policy with regard to interview technique and a training plan. Jacqui Hawley enquired where we are strategically re: DA - Julien Parrott replied that the Mayor has it included in the budget and the Council has also provided funds for a new role Domestic Abuse Coordinator (who should be in post by the next meeting). Jacqui added that perhaps where there is currently an oversight on demographic need, the Coordinator role would help to clarify this and not miss opportunities to see if this happens to males too. 5

6 Julien felt that it is important to include DA in a themed meeting for the future. Agenda Item 6 Making Safeguarding Personal JA Jon Anthony distributed a dashboard to the group, which includes the information required nationally. There has been a change in the method of reporting, to reflect Making Safeguarding Personal by including preferred outcomes. Deborrah Kelly will work with any teams found not to be recording information, to discover the reason why. Nicola Barker commented that the members of the public need to have confidence in our reporting. We therefore need to ensure that the report does not reflect the wrong information. Delia Gilbert noticed that the data doesn t show any hospital focused concerns Jon and Delia will jointly look into this to ensure that the data is true. Julie Foster suggested that Probation, CCG and the Police look to see if they have any facts or figures to reflect this. Jacqui Hawley thought that there may be an overlap with the recordings as they will be showing on each system separately. Delia commented that DSAB are also looking at performance metrics within contract of providers - they are looking into what report can be done and what can be provided by partner agencies. Julie Foster stated that this will require further discussion but overall, the report needs to have clarity. Deborrah Kelly informed the group that she had contacted police forces around the country for data with regard to learning improvements and the quality of the information, but unfortunately only one replied. Simon Langridge queried how confident we are that we are recording individuals preferred outcomes as he s not sure he would trust the judgments due to the Social Work Teams being under incredible pressure. Jo Williams responded by saying that if he feels that practice is at fault then he needs to raise this at the time for it to be addressed, also other providers need to be included. Jon Anthony explained that we have a responsibility to any concerns raised so we need to look at pathways, which may not always follow normal safeguarding processes and guidance must be given to staff on how to engage with people to make safeguarding personal. Jon also said that we need to be mindful when providing training in regard to those victims who do not want to make a complaint. Simon Langridge said that it s everyone s business but still not all concerns get reported due to providers not knowing who to contact i.e. in the Trust. Jon stated that the key message is that the outcomes will reflect a person focused practice and systems will be in place to scrutinize data. Jo Williams confirmed that Single Point of Contact (SPOC) consistently meet targets. When referrals are marked as high, the person must be met and helped immediately. Julie Foster thanked the team and Council for their help and support with this. Caroline Taylor queried if the Chairs Group had raised this topic Julie responded by saying that it had been discussed and that she had forwarded the Torbay dashboard (with Jon Anthony s permission). Julien Parrott queried why the dashboards don t show gender difference and what other means. Jon Anthony replied that this is currently being worked on and will update the group at the next meeting. Jon also stated that the Department of Health had published a document in November, with regard to benchmark reporting, although not seen yet. It was agreed by the group that Jon would produce a quarterly report (dashboard) for the next meeting. Julien Parrott stated that the broader issue is about making care personal and that safeguarding is a subset and therefore it should be working hand in hand with the ICO. Jacqui Hawley stated that the performance framework drives cultural change so moving away from the process makes it personal. Some of the topics i.e. vehicle crime are not dealt with although we still need to know the information. Jacqui queried if it is rational to say what if the victim doesn t want to go through the process if so, what happens to the perpetrator? 6

7 Caroline Taylor commented that because of the themes shown in the report, there is a need to relook at the support given in people s own homes the new Model of Care does include this. The public therefore need to be reassured that support is available in their own home as well as in the community especially as there has been lots of media with regard to bed closures. Action: Jon to produce a quarterly report in time for each meeting. Agenda Item 7 Financial Abuse (FA) JA Nicola Barker commented that the wider population needs to be aware of Financial Abuse and not just the NHS. Julien Parrott had previously made contact with Jon Anthony regarding the risk of FA in people s own homes. Jon explained that the information has been distributed through a variety of formats in response to FA concerns: - A Task & Finish Group 2014/ FA Forums - Local radio interviews - Herald Express (local newspaper) - Police - Fraud specialists - Public webpage Agenda Item 8 Business Plan Review/Update All Jo Williams and Julie Foster will meet with Andi Colliver to discuss refreshing the information that was produced in the Business Plan , especially the removal of a paragraph on page 5 Designated Adult Safeguarding Manager. Action: Julie, Jo and Andi to discuss the Business Plan Agenda Item 9 Items for Themed Meetings JF Julie Foster stated that a Lead along with speakers will need to be identified for each theme. The group discussed which themes were considered most important. The following themes were agreed by the group: May - Asset Based Interventions for Safeguarding in the Community (Leads: JW/JH - Speaker: TBA) Sept - Mental Health and Vulnerability (Lead: Derek O Toole - Speaker: TBA) Dec Domestic Violence and Abuse (Lead: Domestic Abuse Coordinator Speaker: TBA) Mar 18 (Date TBA) Best Use of Resources on the Market (Leads: Local Authority/CCG/John Bryant Speaker: TBA) Delia Gilbert stated that any performance data should include Devon in the future. Action: Andi Colliver to arrange an additional themed meeting in March

8 Summary of actions from the morning meeting: Agenda Item No. Action: By whom: Deadline 2.1 Invite a representative from Trading Standards to attend future TSAB Meetings Julie Foster ASAP 2.3 Update the last minutes with two amendments Andi Colliver ASAP 3.1 Raise concern of attendance at meetings of cross Devon organisations Julie Foster Next contact with Sian Walker 3.2 Distribute learning outcome from Death by Choking incident (including subgroups) Judy Grant 2 weeks Discuss future membership to include agreed nominated deputies Jo Williams/Julie Foster 4 weeks Create a new job description for membership Julie Foster Before next meeting 4.1 Distribute recommendations of new members Andi Colliver As soon as Jo/Julie have discussed 6 Produce a quarterly report in time for each meeting Jon Anthony Before next meeting 8 Discuss the Business Plan Julie Foster/Jo Williams/Andi Colliver 4 weeks 9 Arrange another meeting for March 2018 Andi Colliver Before next meeting Future TSAB Meetings: Tuesday 16 th May Asset Based Interventions for Safeguarding in the Community Tuesday 12 th September Mental Health and Vulnerability 08:45 12:30 Riviera International Conference Centre, Chestnut Avenue, Torquay TQ2 5LZ Please ensure you have responded to each date with regard your attendance Parking permits will be sent approx. 1 8

9 Tuesday 12 th December Domestic Violence and Abuse week prior to the meeting. Tuesday 13 th March 2018 Best Use of Resources Chairs Signature As Independent Chair of the Torbay Safeguarding Adult Board, I agree that these minutes are an accurate representation of the discussion and decisions that took place at this meeting. Signature: Julie Foster Date: 28/02/17 9

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