Risk of repeated abuse on others Others not at risk Possibly at risk Others at serious risk Are others (adults and/or children) at risk of being abused: Very unlikely? Less likely if significant changes are made? This perpetrator/setting represents a threat to other vulnerable adults or children. Types of abuse and seriousness Concerns may be notified to the Authority but these are likely to be managed at Initial Enquiry stage only. Professional judgement or concerns of repeated low level harm will progress to further stages in the safeguarding adults process. Concerns of a significant or critical nature should be referred to the local authority (with consent of the alleged victim where this is relevant and appropriate to do so). They will receive additional scrutiny, and progress further, under safeguarding adults procedures. Where a criminal offence is alleged to have been committed, the Police will be contacted. Other emergency services should be contacted as required. Low Significant or critical Physical error causing no/little harm e.g. friction mark on skin due to ill-fitting hoist sling. events that still meet criteria for ‘incident reporting’ accidents. Medication does not receive prescribed medication (missed/wrong dose) on one occasion – no harm occurs. incident involving service on service user. marking found on one occasion. event where users lack capacity. Medication missed medication or administration errors that cause no harm. Inexplicable marking or lesions, cuts or grip marks on a number of occasions. Accumulations of minor incidents. Recurring missed medication or errors that affect more than one adult and/or result in harm. Deliberate maladministration of medications. Covert administration without proper medical authorisation. Inappropriate restraint. Withholding of food, drinks or aids to independence. Inexplicable fractures/injuries. Assault. bodily harm/assault with a weapon leading to irreversible damage or death. of recurring errors or an incident of deliberate maladministration that results in ill-health or death. Sexual (including sexual exploitation) incident of teasing or low-level unwanted sexualised attention (verbal or touching) directed at one adult by another whether verbal sexualised teasing or banter. Recurring sexualised touching or isolated or recurring masturbation without consent. Voyeurism without consent Being subject to indecent Attempted penetration by any means (whether or not it occurs within a relationship) without consent. Being made to look at in a relationship characterised by authority inequality or exploitation e.g. receiving something in return for carrying out a sexual act.
or not capacity exists. exposure. Grooming including via the internet and social media. pornographic material against will/where consent cannot be given. without consent (rape). incident where adult is spoken to in a rude or inappropriate way – respect is undermined but no/little distress caused. taunts or verbal outburst. of information to disempower. Treatment that undermines dignity and esteem. Denying or failing to recognise adult’s choice or opinion. Humiliation. Emotional blackmail e.g. threats or abandonment/harm. Frequent and frightening verbal outbursts or harassment. of basic human rights/civil liberties, over-riding advance directive. intimidation. verbal attacks. Low Significant or critical Financial personally benefit from users funds e.g. accrue ‘reward’ points on their own store loyalty cards when shopping. not recorded safely and properly. not routinely involved in decisions about how their money is spent or kept safe – capacity in this respect is not properly considered. of care fees not impacting on care. monies kept in a joint bank account – unclear arrangements for equitable sharing of interest. Adult denied access to his/her own funds or possessions. of property or possessions of benefits by a person in a position of trust or control. finance removed from adult’s control. non-payment of care fees putting a person’s care at risk. relating to benefits, income, property or will. Neglect missed home care visit where no harm occurs. is not assisted with a meal/drink on one occasion and no harm occurs. not bathed as often as would like – possible complaint. in care provision that lead to discomfort or inconvenience- no harm occurs e.g. being left wet occasionally. having access to aids to independence. missed home care visits where risk of harm escalates, or one miss where harm occurs. discharge without adequate planning and harm occurs. Ongoing lack of care to the extent that health and wellbeing deteriorate significantly e.g. pressure wounds, dehydration, malnutrition, loss of independence/confidence. to arrange access to lifesaving services or medical care. to intervene in dangerous situations where the adult lacks the capacity to assess risk. Self-Neglect Incontinence leading to health concerns occasional reports about unkempt Multiple reports of concerns from multiple agencies lack of care or behaviour to the extent that health and to seek lifesaving services or medical care
personal appearance or property which is out of character or unusual for the person. which poses a fire risk to self and others management of finances leading to risks to health, wellbeing or property wellbeing deteriorate significantly e.g. pressure sores, wounds, dehydration, malnutrition required. in danger if intervention is not made in to protect the individual. Organisational (any one or combination of the other forms of abuse) of stimulation/ opportunities for people to engage in social and leisure activities users not given sufficient voice or involve in the running of the service of individuality and opportunities for service user to make informed choice and take responsible risks documentation not person-centred routines Service user’s dignity is undermined e.g. lack of privacy during support with intimate care sharing Bad/poor practice not being reported and going unchecked Unsafe and unhygienic living environments misusing their position of power over service users and/or inappropriate restraint used to manage behaviour consistent Low Significant or critical Discriminatory incident of teasing motivated by prejudicial attitudes towards an adult’s individual differences incident of care planning that fails to address an adult’s specific diversity associated needs for a short period taunts Inequitable access to service provision as a result of a diversity issue. Recurring failure to meet specific care/support associated with diversity. refused access to essential services. Denial of civil liberties e.g. voting, making a complaint. Humiliation or threats on a regular basis, recurring taunts. crime resulting in injury/emergency medical treatment/fear for life. crime resulting in serious injury or attempted murder/honour-based violence. Modern Slavery All concerns about modern slavery are deemed to be of a significant/critical level. Limited freedom of movement. Being forced to work for little or no payment. Limited or no access to medical and dental care. No access to appropriate benefits. Limited access to food or shelter. Be regularly moved (trafficked) to avoid detection. Removal of passport or ID documents. exploitation. harvesting. control over movement / imprisonment. marriage. Domestic incident of abusive taunts or Inexplicable marking or Accumulations of minor to kill, attempts to