Training, knowledge and confidence in safeguarding adults: results from a postal survey of the health and social care sector in a single county

Pike, Lindsey; Gilbert, Tony; Leverton, Corinne; Indge, Roger; Ford, Deirdre

doi:10.1108/14668201111178175

Cited by 12 publications

(12 citation statements)

References 23 publications

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“…Put another way, a linear model of change can be blown off course by insufficient resources, role confusion and professional values; imposed change can lead to perfunctory performance, whilst practitioners may feel unable to respond positively to recommendations when they feel excluded from dialogue about change and when recommended forms of practice feel disconnected from the dilemmas they encounter (Preston-Shoot, 2001). Equally, agencies may not be culturally and organisationally aligned to implement the findings and recommendations, and it will take more than training to promote collaboration, challenge professional stereotypes and ensure that the practice environment enables the use of evidence from research and reviews (Pike et al, 2011;Pike and Wilkinson, 2013). Considerable faith has been placed in training and in procedures but within an unchanged single and multi-agency context.…”

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confidence: 99%

On self-neglect and safeguarding adult reviews: diminishing returns or adding value?

Preston‐Shoot

2017

JAP

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Purpose The purpose of this paper is twofold: first, to update the core data set of self-neglect serious case reviews (SCRs) and safeguarding adult reviews (SARs), and accompanying thematic analysis; second, to respond to the critique in the Wood Report of SCRs commissioned by Local Safeguarding Children Boards (LSCBs) by exploring the degree to which the reviews scrutinised here can transform and improve the quality of adult safeguarding practice. Design/methodology/approach Further published reviews are added to the core data set from the websites of Safeguarding Adults Boards (SABs) and from contacts with SAB independent chairs and business managers. Thematic analysis is updated using the four domains employed previously. The findings are then further used to respond to the critique in the Wood Report of SCRs commissioned by LSCBs, with implications discussed for Safeguarding Adult Boards. Findings Thematic analysis within and recommendations from reviews have tended to focus on the micro context, namely, what takes place between individual practitioners, their teams and adults who self-neglect. This level of analysis enables an understanding of local geography. However, there are other wider systems that impact on and influence this work. If review findings and recommendations are to fully answer the question “why”, systemic analysis should appreciate the influence of national geography. Review findings and recommendations may also be used to contest the critique of reviews, namely, that they fail to engage practitioners, are insufficiently systemic and of variable quality, and generate repetitive findings from which lessons are not learned. Research limitations/implications There is still no national database of reviews commissioned by SABs so the data set reported here might be incomplete. The Care Act 2014 does not require publication of reports but only a summary of findings and recommendations in SAB annual reports. This makes learning for service improvement challenging. Reading the reviews reported here against the strands in the critique of SCRs enables conclusions to be reached about their potential to transform adult safeguarding policy and practice. Practical implications Answering the question “why” is a significant challenge for SARs. Different approaches have been recommended, some rooted in systems theory. The critique of SCRs challenges those now engaged in SARs to reflect on how transformational change can be achieved to improve the quality of adult safeguarding policy and practice. Originality/value The paper extends the thematic analysis of available reviews that focus on work with adults who self-neglect, further building on the evidence base for practice. The paper also contributes new perspectives to the process of conducting SARs by using the analysis of themes and recommendations within this data set to evaluate the critique that reviews are insufficiently systemic, fail to engage those involved in reviewed cases and in their repetitive conclusions demonstrate that lessons are not being learned.

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confidence: 99%

On self-neglect and safeguarding adult reviews: diminishing returns or adding value?

Preston‐Shoot

2017

JAP

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“…They concluded that staff knowledge was below expectations and that “(c)arefully designed verification of the impact” of training was required. Another study (Pike et al , 2011) concluded that training improved participants’ knowledge by 20 per cent. Without sustained use subsequently, knowledge and skills acquired through training will decay.…”

Section: Finding Evidencementioning

confidence: 99%

Making any difference? Conceptualising the impact of safeguarding adults boards

Preston‐Shoot

2019

JAP

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Purpose Criticisms of the effectiveness of Local Safeguarding Children Boards (LSCBs) led to legislative reform in the shape of the Children and Social Work Act 2017. Given parallels between the mandates for LSCBs and Safeguarding Adults Boards (SABs), the onus is on SABs to demonstrate their effectiveness. The purpose of this paper is to explore how SABs might more effectively demonstrate their impact across the range of their mandated responsibilities. Design/methodology/approach The paper draws on definitions of impact from social work education, healthcare and from university research, exploring their relevance for capturing different types of data regarding the outcomes and impact of SAB activity. The paper also draws on frameworks for the process of capturing data and for implementing strategies designed to change practice and develop adult safeguarding services. Findings The paper argues that SABs have struggled to identify their impact and need to consider what types of impact they are seeking to demonstrate before choosing methods of seeking to capture that information. The paper also argues that SABs may have given insufficient thought to the process of change management, to the components needed to ensure that desired outcomes are embedded in procedural and practice change. Research limitations/implications This paper explores the challenges for SABs of identifying their impact and offers some theoretical frameworks that have defined different types of impact. The paper also draws on frameworks that identify the different components that are necessary for achieving change. This paper offers a contribution to theory building and is a response to the challenge of demonstrating the value that SABs add to adult safeguarding policy and practice. Practical implications A case study reviews the findings of the longitudinal service development and practice change initiative to embed making safeguarding personal in adult safeguarding. The findings of that initiative are mapped against the frameworks for identifying impact. Experience of implementing the initiative is mapped against the frameworks for effective implementation of change. Originality/value The paper presents frameworks for identifying the different types of outcomes and impact that SABs may achieve through their strategic business plans and for ensuring that the different components are present for the successful implementation and maintenance of change. The paper argues that the legal, policy and financial context within which SABs are located presents challenges as well as opportunities with respect to achieving and demonstrating impactful change. However, it also suggests that a more informed understanding of different types of impact may generate different approaches to data collection in order to capture what has been achieved.

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“…Additionally, research into social work practices has established that organisational intentions expressed through training and policies are not always reflected in the practices of individual staff at a micro-level (Healy and Wint, 1998;Hughes and Wearing, 2007). Though there is some acknowledgement of the need to ensure that training is transferred into practice when designing training programmes, and that this knowledge transfer requires a receptive organisational culture to be effective (Pike et al, 2010(Pike et al, , 2011, little consideration is given to the significance of the value frameworks of individual members of staff and how they may deleteriously influence their behaviour when caring for people after they have left the "classroom", particularly when working beyond the scrutiny of their peers and managers (Moore, 2017a).…”

Section: So What Of Commissioning?mentioning

confidence: 99%

Assumption, the mother of all foul ups: a fundamental reason for the continuing abuse of adults at risk

Moore

2018

JAP

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Purpose The purpose of this paper is to introduce the concept of the assumption of altruism argued by the author to be a tendency among both the lay public, professionals and politicians, a generalised assumption that contributes to the long standing and obstinate presence of abuse of adults who are at risk throughout England, particularly older people living in care and nursing homes. Design/methodology/approach By examining available figures that depict the continuing abuse of vulnerable adults, and by drawing on research, the author offers a partial explanation for the longevity of abuse in English society. Findings The paper demonstrates how the concept of the assumption of altruism can explain to a degree the apparent enduring levels of abuse of adults who are at risk. Practical implications The paper offers the opportunity for the reader to consider some of the fundamental, higher order reasons for the persistent levels of abuse in England, abuse that endures despite the oversight by government of care provided to adults who maybe at risk by virtue of the activities of the statutory regulator and health and social care commissioners. Originality/value By presenting the incontrovertible evidence of enduring abuse, the paper introduces the concept of the assumption of altruism as a partial explanation for its continuing occurrence despite decades of policy and practice guidance designed to overcome it.

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Training, knowledge and confidence in safeguarding adults: results from a postal survey of the health and social care sector in a single county

Cited by 12 publications

References 23 publications

On self-neglect and safeguarding adult reviews: diminishing returns or adding value?

On self-neglect and safeguarding adult reviews: diminishing returns or adding value?

Making any difference? Conceptualising the impact of safeguarding adults boards

Assumption, the mother of all foul ups: a fundamental reason for the continuing abuse of adults at risk

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