Training

Safeguarding Adults Board training opportunities and events

Safeguarding adults is everybody’s business and the Safeguarding Adults Board is committed to the continuous learning and development of staff and volunteers working with adults at risk of abuse/neglect and their families.

SAB accredited safeguarding adult courses

Safeguarding Adults Foundation
6th May, 20th June, 26th July – Free

This course will provide you with sufficient information to enable you to work within the standards set by the North East Lincolnshire Safeguarding Adults Board. This course is for all staff who have not previously attended Safeguarding Adults training. Please note staff needing refresher training should attend one of the Safeguarding Adults E-learning sessions.

Safeguarding Adults Intermediate for Managers
23rd May, 23rd July – £20 per person

This training is designed to give managers an opportunity to explore issues around Safeguarding Adults with the use of case studies and group exercises. The course looks at manager’s responsibilities under national and local policies, latest national developments and ideas for embedding a safeguarding culture in the workplace. This training is for all managers and senior staff with supervisory responsibility working in health, social care and supported housing settings. Attendees must already have a good basic awareness of Safeguarding Adults and know the types of abuse and definitions outlined in ‘No Secrets’.

Mental Capacity Act Basic
24th & 26th April, 19th June, 9th July – Free, although there is a £20 charge per person for absence or if places are cancelled with less than 7 days notice.

The Mental Capacity Act governs decision-making on behalf of adults who may not be able to make their own decisions. It sets out who can take decisions in which situations, and how they should go about it. This Act will directly affect the lives of up to two million people (older people with dementia, those with a learning disability, people who have suffered a stroke, had a brain injury or severe mental health problem) and their carers, and the way they are supported in their own homes and in residential and nursing homes.

Mental Capacity Act Best Interest Meetings
21st May – Free, although there is a £20 charge per person for absence or if places are cancelled with less than 7 days notice.

This course is for all staff expected to Chair or participate in Best Interest meetings. To get the most from this training delegates must have an understanding of the Mental Capacity Act principles and attended MCA  foundation training previously. A Best Interest meeting must be objective; it is about what is in the person’s best interest, not the best interest of the decision maker. The decision maker must weigh up all factors, consider advantages and disadvantages of proposals and determine the course of action that is the least restrictive for the person involved. The course will also explore situations where a more straightforward Best Interest Discussion might be more appropriate than a formal Best Interest meeting in less complex cases.

Mental Capacity Act Intermediate Level 2
26th April, 29th April, 9th July – Free, although there is a £20 charge per person for absence or if places are cancelled with less than 7 days notice.

This course is for all managers and senior staff involved in direct client care, who have previously attended level 1 Mental Capacity Act Basic Awareness Training. The course is designed as a follow-on course from the Level 1 Basic Awareness and will focus on applying the 5 key principles of the MCA, the deprivation of liberty safeguards and record keeping.

Assessing Mental Capacity
8th March, 19th June – Free, although there is a £20 charge per person for absence or if places are cancelled with less than 7 days notice.

Assessing someone’s mental capacity can sometimes seem a daunting task and one with potentially far reaching effects for the individuals and families we work with. This course aims to help you improve your skills & confidence in undertaking capacity assessments. This training is for all staff that may need to carry out mental capacity assessments. Delegates must have an understanding of the Mental Capacity Act principles and attended MCA foundation training previously.

Safeguarding Adults – Making Enquiries
4th March, 9.30 to 13.30  – £20 per person

The Care and Support Guidance 2014 paragraph 14.58 states that: The employer should investigate any concern (and provide any additional support that the adult may need) unless there is compelling reason why it is inappropriate or unsafe to do this.

This course is aimed at managers and senior staff working within care settings, who will be responsible for carrying out enquiries under the oversight of the safeguarding adults team, to give managers guidance and an understanding of factors to be considered when undertaking these enquiries.

Safeguarding Adults – The Mental Capacity Act 2005 (MCA) and Article 8: Sexual relations, contraception, marriage and contact with others
20th March, see Poster – Free, although there is a £30 charge per person for absence or if places are cancelled with less than 7 days notice.

This training opportunity is connected with the Mental Capacity Act and Article 8 of the European Convention on Human Rights; this covers consideration of whether those who may lack capacity are able to consent to sex, marriage, contact with others etc. The sessions are targeted primarily at staff in health and care working with adults, or at least working with those aged 16 and above (as the MCA applies from the age of 16).  This training was arranged because we have been advised that this is an area of difficulty on which staff would welcome more training.

You will see from the attached that there are sessions on the same topic targeted at different cohorts, but there is some flexibility regarding who attends which session provided that attendees realise that if they attend a session not targeted at them they may have to work harder to apply it in their own context!

Please check back regularly for updates.

How to book

Places can be booked through your Libri training account. If you don’t have a Libri account, contact focus.mb-focus-workforcedevelopment@nhs.net to secure your place or for more details.

Life Planning

None of us knows what the future holds but there may come a time when we might need help making important decisions or even need someone to make those decisions for us. If you don’t like the idea of strangers deciding what is right for you, there are a number of steps you can take –
1. You can appoint someone who knows you well and is more likely to understand what you would want. This is called a Lasting Power of Attorney, or LPA for short. You can create an LPA online yourself but there is a cost to register it (this has to be done before your Attorney can act on your behalf). You can make your LPA via the government’s website, which also offers good advice on how to do it.
2. You could also consider making an advance directive to refuse certain kinds of treatment in defined circumstances, and/ or an advance statement, which sets out what you would like to be considered if others have to make decisions for you in future. Both documents can be created free of charge via the My Decisions website. They also give useful guidance on what to consider when creating these documents.

A number of session on Life Planning were run across the county and this presentation (PDF) on ‘Whose life is it anyway?’ and ‘Acting for others’ was shared.

Self determination and unwise decision making

We all make unwise decisions, but responding to them in a professional capacity requires skill and confidence. Knowing when a decision maker has capacity to make a decision which (even if unwise) should be respected, or when a decision maker lacks such capacity and may need protecting from their unwise decision, can be challenging. There may be circumstances in which interference with even a capacitous decision is warranted, to safeguard the decision maker, or others. How can we identify which decision is which and what intervention is appropriate?

We were fortunate in being visited by Michael Preston-Shoot to explore this area and improve practice in events being delivered jointly by North East Lincolnshire Clinical Commissioning Group and North East Lincolnshire Council. Here is a copy of the slides from these events:

NE Lincs Making Good Decisions (PowerPoint)

Following this event, we received this Seminar report from Michael Preston-Shoot.

Mental Capacity Act 2005 and Deprivation of Liberty Policy

North East Lincolnshire Council and Clinical Commissioning Group have refreshed their Mental Capacity Act 2005 and Deprivation of Liberty Policy. Providers are required to implement the policy, so should ensure that they are familiar with it and its implications for their practice. The policy includes the following requirements –
1. Proactive consideration and recording of mental capacity
2. Promotion of supported decision making, to help those with limited or variable capacity to make their own choices
3. When a person lacks capacity to make their own choices, ensuring the correct decision maker is identified and evidence of their authority is sought
4. Selecting the least restrictive care and treatment approaches, wherever possible and appropriate
5. Promoting life planning for a future time when decision making capacity may be lost.
In addition, the policy features revised tools to support providers in undertaking and recording capacity assessments, and making best interests decisions. There is also guidance on administering medication to those lacking capacity. The policy can be found at http://www.northeastlincolnshireccg.nhs.uk/publications

The response to the initial advertising of this training was so great that 2 additional dates had to be added! The following presentations were shared at these events.

PiPoT & MCA (PowerPoint)

Case studies (PowerPoint)