Safeguarding Plan for Leo, Mrs. B, and Susi

This article discusses the safeguarding plans for Leo, Mrs. B, and Susi, addressing their specific concerns and risks. It explores the actions taken to ensure their safety and well-being.

Name 1
Safeguarding plan
Student’s Name
University
Date
Course

Name 2
Safeguarding plan
Summary of the reasonable grounds for concerns that have been established (Give a
summary of the investigation/assessment process and an analysis of allegation/concern
Safeguarding plans seek to provide care in relation to the aspects that the patient is facing as a
way of protecting them against the issues that they face. In most cases, this includes addressing
the risks of abuse through interventions that restore and assist the patient to meet personal needs
(Graham, 2016). From the cases, Leo presents the case of abuse where he risks being arrested in
possession of illegal packages. Since he has been delivering packages at a small fee but yet he
does not know what is in the packages, then the involvement in this nature of business presents a
risk to him. Further, he has been informed to stop the behavior and even banning him from the
pub but he insists the men are his friends since he has not been able to identify any problem of
abuse. The vulnerability of Leo is based on the exploitation of his down syndrome by the new
friends who are exploiting him without his knowledge. Thus the main issue here is the kind of
people that he is associating with and the risks that he could be exposing himself. The indicator
of concern here is the fact that his behaviors have changed, he frequents a local pub, is involved
in the delivery of packages for the new friends and the fact that the support staff tried to ban him
and he refused saying that he can do what he likes means that he has adopted completely
different behaviors are indicators of concern that show his life is getting out of hand. Being a
person with Down syndrome, Leo lacks the capacity to analyze situation well since his condition
impairs judgment.
The case of Mrs. B. who is admitted in hospital with a fall which has led to a reduction in
mobility thus requiring full support with personal care needs. She seems confused and thus
transitioning to home may be risky which calls for the need to admit her in a care home. Despite
the support persona and her daughter feeling that her needs will be met more in the social care
home, she insists that she does not want to go to the care home. This means that Mrs. B. requires
a care plan based on what the social care worker indicated as being able to be care at her home.
The risk that Mrs. B. presents here is that she does not want to go to the care home and the care
plan that needs to be developed at home has to meet her needs. The main issue here is
developing a care package that meets Mrs. B’s health needs. However, there is an issue of
concern where there is conflict between views of the physiotherapist and her daughter with those
of the social care worker and herself. This misunderstanding is a wrong indicator that may
compromise the health of the patient. From the case she has the capacity to make the health
choices on where she wants to heal from either the social care place or her home but I think
patient autonomy needs to be respected.
On the other hand, the case of Susi presents a woman who is lonely and only relies on social care
support. She has started seeing someone online and send her photos to the person. However, she
risks being exploited and abused since she has a moderate learning disability which the
individual may exploit. One risk that Susi presents is the fact that she has been married twice and
she is widowed and divorced at the same time. This means that her psychological wellbeing may
be weak thus risking her to a psychological breakdown. The main issue of concern this is the
exposure that Susi may be leading herself to which can lead to online abuse. The main indicator

Name 3
that shows this is a problem is the fact she has started sending her photos to a stranger without
knowing exactly what she has gotten herself into. Despite that Susi has the capacity to make
decisions only if she is assisted to understand how to make the right decisions and choices about
the issues that she is facing.

Name 4
What are you trying to
achieve
What specific safeguarding actions
are you taking to achieve this
Who is going
to do this
When will
this be
completed
Review
date
Review
Status/Update -
Initial review of
planned actions
must be within six
months
Patient Name: Leo
Address the obsessive or
compulsive behaviour.
Obsessive behaviour is
one of the challenges that
adult down syndrome
patients present.
According to (Capone,
Aidikoff, Taylor, &
Rykiel, 2013) This entails
the way in which the
affected person develops
new behaviours that seem
inappropriate behaviours
that the patient has
developed. Such
behaviours risk the life of
the patient since he does
not seem to know what is
going on in his life and
thus this is the risk of
abuse that the new friends
are posing to Leo.
Use of pharmacotherapy to reduce co-
morbid behaviours. Down syndrome
patients experience cognitive decline if
they fail to use their medications
regularly (Mittal, et al., 2013). The fact
that Leo has changed his behaviours
and become obsessive may require
pharmacotherapy to enable him
achieve his normal cognitive functions.
Another way that can be used to
address the challenge that Leo is facing
is to help him understand the
challenges that he is exposing himself
to and how this can lead to other
challenges (Allahyari & Wolf-Branigin
2018, P. 4). For example, interventions
need to be used to develop the
relationship between Leo and the care
settings so that he can be able to
understand his life. Since Leo lacks
information on how he is exposing
himself to abuse, there is need to
address the relationship issues that Leo
has developed. This means that
interventions have to focus on shifting
The patient
The care
worker
After three
weeks
Every
week
Review after every
one month to
determine the
progress

Name 5
his attention from the local pub to
other activities that can still keep him
engaged. Since he is not willing to stop
seeing the friends and he thinks that
they are good to him, then the baseline
to address the triggers of the friendship
by developing alternative ways of
keeping him busy. This will lead to
better outcomes since he will have
divided attention.
The next step will be to develop a
positive behaviour support plan that
will focus on addressing the new
attitude that Leo has picked up. This
entails strategies for addressing the
settings, and use of differential
reinforcement of behaviours that need
to be followed (Feeley & Jones 2018,
p. 156). This will make Leo positive
and able to follow the required
behaviour patterns.
Patient name: Susi
To address the aspects of
online relationships that
may be abusive to Susi.
Since online relationships
can sometimes be abusive,
it is important to ensure
that people understand
how they handle online
relationships and ways of
From the case study, Susi seems to
have a history of challenging
relationships where she has been
widowed and divorced. In this case,
she is vulnerable to relationships thus
the need to ensure that she develops
the right approach to relationships and
handling the issues that revolve around
the online communication. In this case,
the role of the care person is to assist
The care
worker
Within one
week
Every
month
For three months to
understand if the
individual has
understood the
requirements

Name 6
determining if a
relationship is abusive. In
this case, it is important
for online users to learn
the first signs of a red flag
and be able to address
them before they become
abused.
Susi to learn ways of assessing online
abuse.
The first thing that the care provider
needs to know is the extent of the
personal information and photos that
she has shared with the online
boyfriend. This means that the care
provider needs to explore the extent of
damage if any before developing a
safeguarding plan that meets the needs
of the individual (Rice, et al. 2015, p.
5). There is a need to understand
whether the photos have been shared
willingly or there has been pressure to
share them.
Further, there is a need to explore the
safety issues in the relationship
especially through any information
that has made her feel threatened or
insecure. This includes the pressure to
carry out certain activities which seem
inappropriate is another way of
harassment or abuse. This means that
the individual needs to learn how to
identify the first signs of abuse and
ensure that they are adequately
addressed before they can escalate.
According to Selkie, Evans, Ton,
Midamba, & Moreno (2018, p. 5)
electronic harassment and abuse takes
many forms which require the user to
understand them to be able to develop
the best way of dealing with them.

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This means that Susi needs to be
taught the use of cognitive
restructuring which is a way of
ensuring that she protects herself and
understands the boundaries that she
needs to go when sharing information
online.
Further technical strategies like
blocking users who fail to recognize
her privacy can be effective in
protecting her interests and ensuring
that she is not exploited. This means
that learning how to protect herself is
the best technical strategy that Susi
requires. In this situation, she needs to
understand the challenges of such
online relationships and how to deal
with them. Salihu, Wilson, King,
Marty, & Whiteman (2015, p. 87)
argues that from the socio-ecological
model, individual behavior is
integrated with the dynamic network
of intrapersonal characteristics that
allow them to interact with the
environment. Thus for Susi to learn
how to deal with the issues that affect
her, she needs to understand her input
in search relationships and how it
meets her needs.
Patients Name Mrs B.
Assist Mrs. B. in avoiding
One recommendation that has been
regarded as the best way to deal with The care Every Review on After three months

Name 8
future falls which can
cause.
Falls are common to
elderly people because
they are a result of their
interaction with the
environment. According to
Al-Aama (2011, p. 774),
falling is the common
mechanism of injury in the
elderly population. The
level injuries vary from
person to person and the
nature of the fall. In most
cases, the common falls
that these people
experience are domestic
falls which normally take
place in their homes.
Further, one percent of
these falls lead to hip
fractures which pose high
morbidity and mortality of
the people that are
involved. This means that
to achieve this problem
there is a need to focus on
ensuring that the
environment that the
people live in.
elderly falls is exercise. In most cases,
adults experience increased falls
because they are weak and have
morbidity challenges that increase their
likelihood of falling. As people grow
old, their body joints and muscles
become weak and sometimes painful
thus reducing their morbidity.
According to Lee, Lee, & Khang
(2013), although this does not have
high effects on reducing falls, it leads
to increased benefits since it allows the
adults to easily coordinate their
environment. By exercising and being
fit, fall prevention is achieved through
increased physical movement of the
affected person. Thus in the case of
Mrs. B exercise is vital in achieving
healing and reducing the challenges
that she may be facing in her life.
Further, Romagnoli, Handler, Ligons,
& Hochheiser (2013) suggests that the
patient can be linked to exercise
support groups within the locality that
he comes from or she can be linked to
TV programs that offer exercise
options for the aged like the TV chair
yoga programs that teach people how
to exercise which will keep her fit.
This will have other secondary benefits
besides being fit.
Another care plan that will be
appropriate for the patient is education
worker
Mrs B.’s
daughter
Mrs B.
week a forty
night

Name 9
which focusses on Mrs. B and other
support persons that are working with.
Patient education has been regarded as
one of the sustainable ways of
ensuring that the patient is able to
manage their condition and achieve
better healing. Thus to reduce the harm
and safety issues that expose her to
falls, she needs to learn how to manage
the environment by addressing the
hazards and any other thing within the
home environment. According to
Delaney (2018, p. 120) patient
education entails a patient-centered
approach that seeks to empower the
patient with the right skills for
managing the environment that they
live in. in the case of Mrs. B. there is
need to address factors that expose her
to falls in her environment. These
factors need to be mastered by her
daughter since she had refused to go
the care home and the care worker
believes that she can manage her
condition at home.

Name 10
References
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57(7), p. 771–776.
Allahyari, T. & Wolf-Branigin, M. E., 2018. Quality of Life of Adults with Down syndrome in
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Capone, G., Aidikoff, J., Taylor, K. & Rykiel, N., 2013. Adolescents and young adults with
Down’s syndrome presenting to a medical clinic with depression: co-morbid obstructive sleep
apnea. American Journal of Medical Genetics, 161(9), pp. 2188-2196.
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Feeley, K. & Jones, E., 2018. Strategies to address challenging behaviour in young children with
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variables influencing the operation of adult safeguarding. Journal of Social Work, 5(2), pp. 1-10.
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Rice, E. et al., 2015. Cyberbullying Perpetration and Victimization Among Middle-School
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