Care safeguarding systems
Absence of effective systems to protect people from abuse and avoidable harm, including failures in reporting suspected abuse.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Committee recommendation
99match
#15 - 2nd Report - Human Rights of Children in the Social Care System in England
We also welcome the Law Commission’s project on legal reform of kinship care. We particularly welcome the Law Commission’s plans to investigate the benefits and drawbacks of introducing a bespoke order to recognise, support, and regulate kinship care. Such an order could assist in ensuring the availability of better avenues to support carers, and a more comprehensive framework...
Matched on
terms: care, safeguarding, system
Committee recommendation
95match
#42 - 2nd Report - Human Rights of Children in the Social Care System in England
We have heard some concerns about the varying quality of reviews of deaths of children in care. The government should investigate these concerns to ensure that safeguarding partners understand their role in notifying relevant authorities of children’s deaths, and that reviews are undertaken where appropriate to investigate causes of death and to take appropriate action when shortcomings are...
Matched on
terms: care, safeguarding, system
Committee recommendation
95match
#24 - 2nd Report - Human Rights of Children in the Social Care System in England
Unregulated accommodation, including caravans, holiday rentals or AirBnBs, do not allow for formal inspections or scrutiny. Such settings are unlawful, unsafe, and represent a serious failure to protect children. They are also not good value for public money. We are concerned that the situation may create opportunities for potential financial misconduct. The scope for such misconduct must be...
Matched on
terms: care, system
Committee recommendation
95match
#9 - 2nd Report - Human Rights of Children in the Social Care System in England
Ensuring that disabled children are safe from harm is, of course, extremely important. In some circumstances, such as where there is evidence of risk of harm or abuse to the child, a child protection approach may be appropriate and, indeed, necessary. (Conclusion, Paragraph 62)
Matched on
terms: care, system
CQC enforcement action
93match
Warning Notice: Northern Care Alliance NHS Foundation Trust
Following the September inspection, CQC issued a warning notice to the trust to highlight the areas where rapid and significant improvements were needed. The service didn’t have effective systems and processes in place to ensure the wards had enough suitably qualified staff to safely meet the needs of everyone using the service. The inspection identified 11 regulatory breaches...
Matched on
terms: care, safeguarding, system
Committee recommendation
91match
#2 - 2nd Report - Human Rights of Children in the Social Care System in England
As mentioned by many stakeholders, including the Children’s Commissioner for England, the UN Committee on the Rights of the Child, and UNICEF, incorporation would give the UNCRC teeth, increasing protections for children in England, and enhancing accountability of public authorities. (Conclusion, Paragraph 34)
Matched on
terms: care, system
Committee recommendation
88match
#4 - Thirty-Seventh Report - Support for vulnerable adolescents
It is not clear how lessons and learning from changing threats, serious case reviews and child safeguarding review panels are embedded in day-to-day practice. Time and again reviews into child deaths highlight poor coordination between services, including insufficient joined-up leadership and a lack of appropriate and timely information-sharing around cases, as a contributing factor in the death. Adolescents...
Matched on
terms: care, safeguarding, system
Committee recommendation
87match
#40 - 2nd Report - Human Rights of Children in the Social Care System in England
This change in the law would be of particular relevance to children in care, because there would be increased protections for children before they enter the care system, potentially allowing for concerns in home environments to be identified and flagged to local authorities at an earlier stage. Further, there would be increased protections for children leaving care or...
Matched on
terms: care, system
Committee recommendation
87match
#39 - 2nd Report - Human Rights of Children in the Social Care System in England
In line with recommendations made by the Children’s Commissioner for England and the UN Committee on the Rights of the Child, there should be a change in the law to give children equal protection from physical assault to adults. The defence of reasonable chastisement or punishment to a charge of assault on a child should be removed, bringing...
Matched on
terms: care, system
Committee recommendation
87match
#28 - 2nd Report - Human Rights of Children in the Social Care System in England
We agree with the Children’s Commissioner for England and with the recommendation made in the 2022 Independent Review of Children’s Social Care that a universal set of standards of care should be introduced and applied to all settings of the children’s social care framework, including supported accommodation settings. Additionally, children in supported accommodation settings must not live in...
Matched on
terms: care, system
Committee recommendation
87match
#4 - 2nd Report - Human Rights of Children in the Social Care System in England
The government should take steps to fully incorporate the UNCRC into domestic law in England. Until full incorporation takes place, the government should consider short-term measures, such as developing mandatory child-rights impact assessment procedures for legislation and policies relevant to children and introducing a duty on ministers to have due regard to the UNCRC when exercising their functions....
Matched on
terms: care, system
Committee recommendation
87match
#1 - 2nd Report - Human Rights of Children in the Social Care System in England
Although the UK has signed and ratified the UNCRC, England has not incorporated the Convention, while Wales has indirectly incorporated it, and Scotland has directly incorporated it into Scots Law. This creates inconsistency in the application of UNCRC protections for children in care and those receiving support from the children’s social care system across the UK. (Conclusion, Paragraph...
Matched on
terms: care, system
PFD report
85match
Barbara Cooke
Inadequate staffing at Waxham House impacted timely personal care and dignity, alongside insufficient protocols for chasing district nurses. St Mary's Hospital lacked systems for recording and reporting safeguarding alerts for inpatients.
Matched on
terms: care, safeguarding, system
CQC enforcement action
85match
Warning Notice: South Central Ambulance NHS Foundation Trust
The Care Quality Commission (CQC) told South Central Ambulance NHS Foundation Trust to make improvements to its safeguarding processes following an unannounced focused inspection in November. Inspectors found that the trust's safeguarding policies were ambiguous, training was limited, and systems for managing safeguarding reporting were not effectively used. The trust was told it must take action to improve...
Matched on
terms: care, safeguarding, system
Committee recommendation
83match
#30 - 2nd Report - Human Rights of Children in the Social Care System in England
The consequences for children in care of the Supreme Court’s recent changes to the law on deprivation of liberty should be kept carefully under review. It is crucial that children who are held in conditions akin to confinement are not deprived of appropriate safeguards. (Recommendation, Paragraph 156)
Matched on
terms: care, system
Committee recommendation
83match
#29 - 2nd Report - Human Rights of Children in the Social Care System in England
We appreciate that in certain circumstances, for welfare reasons, children in care may be deprived of their liberty. But every effort should be employed to offer support to children before depriving them of their liberty. Deprivation of liberty must be a measure of last resort, for as short a period as possible, and should follow the strict requirements...
Matched on
terms: care, system
Committee recommendation
83match
#3 - 2nd Report - Human Rights of Children in the Social Care System in England
Incorporation of the UNCRC could be very beneficial for children in care and children receiving support from the children’s social care system. Benefits could include the promotion of care standards and the creation of further avenues for dealing with breaches of human rights. (Conclusion, Paragraph 35)
Matched on
terms: care, system
PFD report
81match
Arthur Adley
Safeguarding systems for residents who present a risk to other residents in care homes did not prevent that risk to other residents.
Matched on
terms: care, safeguarding, system
Inquiry recommendation
81match
9 - Suspicion of Deliberate Harm Protocol and guidance
Protocol i. By 31 March 2027, NHS England must produce and distribute a one-page protocol setting out the steps to be taken by managers when concerns or suspicions are raised that a healthcare professional may have deliberately harmed a patient. The Suspicion of Deliberate Harm Protocol must make explicit that: a. It is irrelevant whether the person to...
Matched on
terms: care, safeguarding
CQC enforcement action
80match
Warning Notice: South Tyneside NHS Foundation Trust
The Care Quality Commission told South Tyneside NHS Foundation Trust that it must make further improvements to protect children and young people who may be at risk of harm. A focused inspection found limitations within the patient recording system in the emergency department and limited oversight of safeguarding at management level, which the trust must address.
Matched on
terms: care, safeguarding, system
CJINI report
78match
An Inspection of the Criminal Justice System’s Approach to Vulnerable Older People in Northern Ireland
Matched on
terms: safeguarding, system
Committee recommendation
77match
#16 - Thirty-Seventh Report - Support for vulnerable adolescents
The national Child Safeguarding Practice Review Panel, set up to commission reviews of serious child safeguarding cases, has consistently highlighted cases in which poor coordination between services, including insufficient joined-up leadership and a lack of appropriate and timely information-sharing around cases, were a contributing factor.40 The Department for Education told us that the Panel publish the findings from...
Matched on
terms: care, safeguarding
Committee recommendation
74match
#10 - Fourteenth Report: Readying the NHS and social care for the COVID-19 peak
Some organisations such as Care England highlighted to us the flawed nature of this policy and reported that, given the absence of testing and inadequate PPE, social care felt abandoned.21 When we challenged the Department and the NHS on such a reckless and negligent policy, the Department told us that when the NHS issued its guidance in March...
Matched on
terms: care
Committee recommendation
74match
#64 - Rising child neglect linked to poverty lacks clear DfE strategy and social care response.
Neglect is sadly on the rise in England and is clearly linked to poverty and poor parental mental health. The Department for Education does not appear to have a clear strategy for addressing neglect and there are concerns that the social care system is not set up well to respond to neglect referrals. (Conclusion, Paragraph 160)
Matched on
terms: care, system
Committee recommendation
74match
#62 - Establish clear processes for reviewing and escalating multi-agency child safeguarding disagreements.
Multi-agency working is crucial in child safeguarding processes. Where there is disagreement between children’s social care and other agencies such as health, police and education on a safeguarding matter, there must be clear processes in place to review and escalate concerns providing a clear line of accountability and decision-making. (Recommendation, Paragraph 155)
Matched on
terms: care, safeguarding
Committee recommendation
74match
#46 - Serious recruitment and retention problems in children's social care workforce require wholesale review.
There is a serious problem with recruitment and retention in the social care workforce. High turnover and overstretched staff are exacerbating the instability experienced by children in care and increase the risk of 89 safeguarding concerns being overlooked. The Department for Education has begun to address this with the planned induction programme and regulations on the use of...
Matched on
terms: care, safeguarding
Committee recommendation
74match
#1 - Children’s social care problems persist and worsen without comprehensive reform following the Independent Review.
Evidence given to the Committee during our inquiry indicates that many of the problems highlighted by the Independent Review of Children’s Social Care in 2022 persist, and in a significant number of cases have worsened since the Review. Increases in need coupled with stretched budgets and a lack of serious attention to reform have resulted in a system...
Matched on
terms: care, system
Committee recommendation
74match
#29 - Significant safeguarding failings persist in asylum accommodation with inadequate oversight
We are deeply concerned by the volume of evidence indicating significant safeguarding failings in asylum accommodation. While there are evidently pockets of localised good practice, the response to safeguarding concerns is inconsistent and often inadequate, leaving vulnerable people at risk of harm. We are particularly concerned that the Home Office does not currently have adequate understanding and oversight...
Matched on
terms: safeguarding
CQC action
74match
Royal Primary Care Chesterfield West
Add alerts to all the records of family members living in the same household as children with a known safeguarding concern.
Matched on
terms: care, safeguarding
CJINI report
74match
The approach of the criminal justice system to investigating and prosecuting crimes against vulnerable adults
Matched on
terms: safeguarding, system
CQC enforcement action
74match
Warning Notice: Wye Valley NHS Trust
The Care Quality Commission issued Wye Valley NHS Trust with a warning notice following an inspection in September and October 2015. The warning required the trust to make significant improvements to its systems for assessing, monitoring, and mitigating risks to patient health, safety, and welfare. Inspectors found that systems to protect patients from abuse and avoidable harm were...
Matched on
terms: care, system
PFD report
73match
June Winterbottom
The urgent referral system within Adult Social Care was ineffective, leading to no contact with a vulnerable individual. Additionally, there was no safety net for ambulance referral if the Adult Social Care team could not respond promptly.
Matched on
terms: care, system
Committee recommendation
73match
#3 - Thirty-Seventh Report - Support for vulnerable adolescents
Critical local multi-agency safeguarding partnerships are still not working well enough, which risks those vulnerable adolescents that need support and help falling through the gaps. While in some places multi-agency safeguarding partnerships may work well, in other places, sadly, they do not. In May 2022 the Child Safeguarding Practice Review Panel found multi-agency safeguarding arrangements “are not yet...
Matched on
terms: care, safeguarding
CQC action
73match
Airedale General Hospital
The service must ensure that safeguarding systems and processes are established and operated effectively to prevent abuse of service users.(Regulation13(2))
Matched on
terms: safeguarding, system
LGO / SPSO decision
73match
21-000-348 - Brighton & Hove City Council
Summary: Dr B complained ESC Council and the NHS Trust failed to properly safeguard her when it undertook an investigation into allegations of physical assault when she lived in a care home jointly funded by the CCG and BHC Council. She also complained about the home’s investigation and its decision to serve notice to end the placement. We...
Matched on
terms: care, safeguarding
LGO / SPSO decision
73match
20-012-369 - London Borough of Newham
Summary: Ms Z, on behalf of her mother Ms X, complained about the Council’s action in respect of her finances. There is fault by the Council in failing to start a safeguarding investigation at the appropriate time; delay in progressing a safeguarding investigation and failure to ensure Ms X's needs were met when it suspected her son was...
Matched on
terms: care, safeguarding
Inquiry recommendation
70match
4 - Safeguarding and contracts of employment
i. All Trusts must provide safeguarding training to all staff (appropriate to their role and expertise) and Board members, including Non-Executive Directors. This training should include how to deal with concerns and suspicions about deliberate harm caused by staff. ii. By March 2027, every existing contract of employment for work in an NHS hospital must be amended to...
Matched on
terms: safeguarding
Committee recommendation
70match
#2 - Fourteenth Report: Readying the NHS and social care for the COVID-19 peak
Discharging patients from hospital into social care without first testing them for COVID-19 was an appalling error. Shockingly, Government policy up to and including 15 April was to not test all patients discharged from hospital for COVID-19. In the period up to 15 April, up to a maximum of five symptomatic residents would be tested in a care...
Matched on
terms: care
Committee recommendation
70match
#19 - Home Office contracts for migrant accommodation lack specified penalties for safeguarding failures.
The Home Office told us that health and welfare of migrants was “baked into” the way that it runs the sites and the contracts with suppliers. It said there were clear key performance indicators (KPIs) on accommodation being safe and habitable and that the providers have welfare teams on site. However, the National Audit Office reported that the...
Matched on
terms: safeguarding
PFD report
69match
Sidney Barnett
The coroner identified inadequate observation, general welfare care, and a lack of clear window opening policies at Berrycroft. Concerns were also raised regarding the Council's safeguarding investigation process, described as vague, unstructured, and over-reliant on care home staff statements.
Matched on
terms: care, safeguarding
PFD report
69match
Ahmedreza Fathi
Healthcare complex case planning lacked robustness and updates, with multi-disciplinary team meetings being informal and not providing ready access to all relevant risk assessment information. Services also failed to adequately investigate an earlier overdose event, which missed a safeguarding and learning opportunity.
Matched on
terms: care, safeguarding
PFD report
69match
Dorothy Seekings
Care plans for the resident did not record incidents of aggression towards staff, nor was a safeguarding alert raised for such an incident. Additionally, staff appeared unaware of the contents of the resident's care plan.
Matched on
terms: care, safeguarding
PFD report
69match
Charlotte Duffield
The coroner noted that despite a referral to Adult Social Care due to significant safety concerns, no safeguarding action was taken, particularly after the individual did not respond to telephone contact and no in-person visit was made.
Matched on
terms: care, safeguarding
Committee recommendation
69match
#163 - 1st Report - Cutting crime: better community sentences
The Probation Service is aware of these challenges. Chris Jennings told us that âthere are still definitely areas where sharing information across the system is complicatedâ. For instance, he told us that âgetting information on child safeguarding is not straightforwardâ because âeach local authority does it differently and has its own systemâ, such that âthere is no one...
Matched on
terms: safeguarding, system
Committee recommendation
69match
#13 - Thirty-Seventh Report - Support for vulnerable adolescents
We asked the Department for Education what is being done to review multi-agency safeguarding partnerships to ensure they work better and to stop horrific events, such as the cases of Star Hobson and Arthur Labinjo-Hughes from recurring. The Department for Education said there are 135 safeguarding partnerships across the country covering 151 local authority areas. It is looking...
Matched on
terms: care, safeguarding
Committee recommendation
69match
#32 - Improve age dispute identification in asylum accommodation, ensuring staff training and compliance monitoring
The Home Office should review and make improvements to arrangements for identifying and responding to age dispute cases in adult asylum accommodation and ensure that there is clear guidance for accommodation providers. To protect the welfare of children in the asylum system the department must ensure that provider staff have adequate training to respond appropriately to such cases,...
Matched on
terms: safeguarding, system
CQC action
69match
The Princess Royal Hospital
The trust must ensure systems and processes to safeguard patients from abuse and improper treatment are fully implemented. This includes safeguarding checks and assessments are completed and actions taken to safeguard patients are documented.
Matched on
terms: safeguarding, system
CQC action
69match
Royal Shrewsbury Hospital
The trust must ensure systems and processes to safeguard patients from abuse and improper treatment are fully implemented. This includes safeguarding checks and assessments are completed and actions taken to safeguard patients are documented.
Matched on
terms: safeguarding, system
CQC action
69match
Cumberland Infirmary
The trust must implement an effective system to identify and assess any potential safeguarding issues and the management of vulnerable children and young persons. Regulation 13(1)(2).
Matched on
terms: safeguarding, system
Scottish FAI
69match
Declan Hugh Hainey
I am unclear as to whether a ‘lead individual’ is identified at the same time as ‘the lead agency’. If this is not the case, then it is recommended that it should be, and that all councils adopt this system. Management must ensure that there is regular and ongoing assessment of the staffing levels necessary to achieve at...
Matched on
terms: care, system