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.

Safeguarding Adults Foundation
20th September, 18th November and 12th December 2019 – Free, although there is a £20 charge per person for absence or if places are cancelled with less than 7 days notice.

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 – Reporting, Responding and Making Enquiries
28th November 2019 – 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 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 understanding these enquiries.

MCA training

Mental Capacity Act Basic
further dates t.b.c.

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.

Assessing Mental Capacity and Best Interest Decision Making
8th October and 3rd December 2019 – 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 and confidence in undertaking capacity assessments. This training 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 November and 11th December 2019 – 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.

Please check back regularly for updates.

How to book

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

Training Evaluation

Mental Capacity Act 2005 and Deprivation of Liberty Safeguards Training Analysis: Evaluation

Consistent, good quality training is the foundation of strong MCA and DoLS practice.  To understand the extent to which such a foundation can be evidenced in NEL, providers and GP practices across health and care were asked a series of questions.  Broadly, questions were designed to elicit what MCA and DoLS training is accessed by whom and from where, and how the impact of training is assessed.  The resulting report created on behalf of SAB makes clear there are gaps in provision, and barriers to access.  An action plan has been created to address gaps and barriers.  You can read the report here.

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 goverment’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 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)