West Cumbria review

Increase practitioner understanding and awareness of coercive controlling behaviour, including the definition of ‘personally connected’ and how people with learning disabilities might be affected.

Research to be undertaken into the prevalence of coercive control for people with a learning disability and prevalence in carer/cared for relationships.

Strengthen the knowledge and application around the Mental Capacity Act 2005

Highlight the offer of external safeguarding supervision.

Ensure that all complex cases of patients with a learning disability are brought to the attention of the practice learning disability nurse.

Cumbria Safeguarding Adults Board to survey practitioners on the application of the Mental Capacity Act 2005, exploring challenges in practice.

Cumbria Safeguarding Adults Board to use the findings of the above survey to inform the Mental Capacity ‘week of action’.

Cumbria Safeguarding Adults Board to seek assurances that agencies are aware of the role and types of advocacy, and the circumstances in which a person is entitled to advocacy support.

Cumbria Safeguarding Adults Board to seek assurances that health professionals understand the importance of Hospital Passports and know to ask for them.

Cumbria Safeguarding Adults Board to raise awareness with agencies of the need to offer a further carer’s assessment to a family carer on an annual basis, or when needs and/or circumstances of the carer, or cared for person, change.

Cumbria Safeguarding Adults Board to seek assurances from all relevant providers within the agencies in Cumbria that weighing, and management of underweight adults is supported by guidance, which aims to cover recognition of malnutrition; management of nutrition and diet; referral to specialist services and multi-agency coordination.

Cumbria Safeguarding Adults Board to seek assurance from partners of effective care co-ordination for adults with a learning disability and complex health needs.

Cumbria Safeguarding Adults Board to seek assurances that health agencies are aware of their role in Deprivation of Liberty Safeguards and that they are preparing for the implementation of the Liberty Protection Safeguards.

Cumbria Safeguarding Adults Board to seek assurances that agencies creating contingency plans do so in a multi-agency forum and that the plans detail: the agencies involved and contact details, a detailed plan and arrangements for review, identified risks and risk management, and the process for escalation.