Safeguarding Adults Initial Enquiry Form and Mental Capacity Assessment

This article discusses the Safeguarding Adults Initial Enquiry Form and the process of assessing mental capacity. It provides insights into the principles of the Mental Capacity Act and the importance of evaluating a person's decision-making ability before concluding that it is absent.

Section 42 form for academic year 22_23
The section 42 form and answers to the tasks should be submitted as one complete document on Turnitin.
Task 1: Safeguarding Adults Initial Enquiry Form
This form is to be used to notify Adult Social Care of suspected or actual instances of abuse or neglect and is the
start of a Safeguarding Adults (Section 42) Enquiry under the Care Act.
This form should be completed as fully as possible in order that robust decisions can be made about the progression,
or otherwise, of the Safeguarding Adults Enquiry.
Person completing the
form:
This form is
completed by
the Social care
worker.
Role of Person: The social care worker has to
discover the person who is in need of
support.The social care worker gives
practical and emotional support to
broad range of peoples. These worker
frequently work promote and protects
the individuals well-being.
Date of referral to Adult
Social Care:
08 October
2022
Organisation: Social care worker organisation
Phone number: xxxxxxxxxxx Type of service: Social services
Details of incident/suspected/actual abuse or neglect

Date of alleged
incident:
06 October 2022 Who reported the alert/concern? Paramedics
Time of alleged
incident:
10:30 AM Date of report: 08 October 22
Where did the incident occur? The incident has occurred in the Sarah Howes house as she fell down from
the stairs.
Details of the adult at risk
Name: Sarah Howes Date of Birth: 12/10/63
Telephone: xxxxxxxxxx Ethnicity:
Address: 87B Coldhabour Lane, Croydon
What is the adult’s primary reason for needing care and support? (please tick)
Physical support: Sensory support: Support with memory and
cognition:

Learning disability
support:
Asperger’s syndrome
support:
Autism support:
Mental health support: Social support (includes
support for carers/substance
misusers):
No support reason:
Other health condition: Please
specify:
Sarah Howes is diagnosed with the Huntington’s Disease recently and losing her
weight constantly. Her speech has become slurred and it is difficult to be get
understand.
Any other details about the
adult at risk:
Sarah Howes has a personal nature of being possessiveness, jealousy and aggression. She has Erratic
behaviour and high temper. She lives in unhygienic and messy lifestyles which is responsible for her fall
and will worsen her health condition in the future.
Details of the alleged person or service which is the cause of the risk (where relevant)
Name: Sarah Howes Relationship to victim: self
Date of birth: 12/10/63 Ethnicity:
(1) Please give a detailed description of the incident (including times), all people involved, witnesses and any other
comments you feel are relevant. If the concern relates to physical abuse please provide a body map.
(Maximum 200 words)
Sarah Howes lives on first floor private rented one bedroom flat. She is recently diagoned with the Hungiston’s diseases, she is

losing her weight fastly and have slurred speech which is difficult to get understand. Few days ago she fell down from the stairs
in her own home and hurt her right wrist. The paramedic team arrives and decided that her wrist was bruished. The paramedic
team is also concerned with the untidiness in her home. There are high level of, mess on the floor which may be the reason of
her falling from the stairs. There are also dirty food containers in the home lying which may lead to the vermin. The para medic
was concerned and asked Ms Howes that she will like to consult a social care worker and also get help in the shopping which is
the only concern of the Ms Howes. At first she agitated but soon after she agreed. When the social care arrives she take some
time to persuade her to let the social worker get in. The social care also notices that the flat smells and the paper and the empty
food wrappers are piled all over the house. As per the social worker, Ms Howes looks quite agitated and paces all around
unsteadily. She seems vert wary about the social workers. When the social worker asked her she says she is okay in managing
but her only worry is she can not carry the shopping with the sore wrist. When social worker asked her more she said she is sad,
lonely and also isolated. She misses her husband and both the daughters. She is worried about the future with the daughters.
Types of abuse (tick all that apply):
Physical Sexual Psychological/emotional
Financial/material Neglect/omission Discriminatory
Organisational/
institutional
Self-neglect Domestic abuse/violence
Modern slavery Radicalisation/extremism Other
Specify evidence for the type(s) of abuse ticked:
Sarah howes is emotionally abused as her husband get separated without her will which hurts her very much. She misses are
husband and daughthers who also does not care much about her is making her emotionally weak and she is terrified about the
future with the daughter, she thinks they will also leave her. She is very sad, lonely and isolated this all are reflecting the

emotional abuse.
Sarah is also getting neglected by her daughters and was neglected by her husband priorly also. This is making her vulnerable
and she is so sad that she isolated her self. Now she does not bother about the dirt in the house she lives in untidy home. She is
also abused by the neglecting of the other and sort of self reflection also.
Sarah was domestically abused also. Her husband has left her due to aggression, jealous and the over passiveness. Which is
affected her very badly.
She is recently diagnosed with the Huntington’s Diseases which is impairing are cognitive development and other health issue.
This is responsible for her physical abuse as she hurts her right wrist recently.
Is the victim at risk of further abuse/neglect? (please tick) Yes She is at he
risk of
discriminating
abuse.
No Unknown
(2) What has been done to ensure the immediate safety of the alleged victim(s) and others? Completing and submitting
this form does not constitute management of immediate risks. (Maximum 200 words)
The para medic team was called and they decided that right wrist was bruised. As the para medics are concerned with the
untidiness in her home. There are high level of , mess on the floor which may be the reason of her falling from the stairs. There
are also dirty food containers in the home lying which may lead to the vermin. The para medic was concerned and asked Ms
Howes that she will like to consult a social care worker and also get help in the shopping which is the only concern of the Ms
Howes. At first she agitated but soon after she agreed. When the social care arrives she take some time to persuade her to let
the social worker get in. The social care also notices that the flat smells and the paper and the empty food wrappers are piled all
over the house. As per the social worker, Ms Howes looks quite agitated and paces all around unsteadily. She seems vert wary

about the social workers. When the social worker asked her she says she is okay in managing but her only worry is she can not
carry the shopping with the sore wrist. When social worker asked her more she said she is sad, lonely and also isolated. She
misses her husband and both the daughters. She is worried about the future with the daughters.
Were the Police called? Yes No
Please provide the outcome of the Police action and Police log number (if available):
If the incident relates to domestic abuse/violence, has the
MARAC Checklist (CAADA-DASH) been completed?
Yes No
If yes, has a referral to MARAC been considered?
Please provide details, including discussions with your
agency’s Single Point of Contact (SPOC) for MARAC:
Yes No
Please provide details of other agencies involved that will be able to help with the safeguarding adults enquiry:
The para medic team after getting the approval from sarah asked the social care worker to help her as they are concerned with

the untidiness in her home. There are high level of , mess on the floor which may be the reason of her falling from the stairs.
There are also dirty food containers in the home lying which may lead to the vermin. The para medic tells sarah that she also get
help in the shopping which is the only concern of the Ms Howes. At first she was irritated but soon after she agreed. When the
social care comes she takes some time to persuade her to let the social worker get in. The social care also notices that the flat
smells and the paper and the empty food wrappers are piled all over the house. As per the social worker, Ms Howes looks quite
agitated and paces all around unsteadily. She seems very wary about the social workers. When the social worker asked her she
says she is okay in managing but her only worry is she can not carry the shopping with the sore wrist. When social worker asked
her more she said she is sad, lonely and also isolated. She misses her husband and both the daughters. She is worried about
the future with the daughters.
Are you aware that there have there been any previous safeguarding referrals made
in relation to this adult at risk or alleged perpetrator?
Yes No
If yes, please provide details (e.g. dates, type of abuse, action taken):
Are there any risks to others (other adults, children)? Yes No Unknown
Please provide details (also include who this information has been shared with – e.g. Police, Children’s Social Care,
MAPPA). If there are risks to children you must notify Children’s Social Care.

Involvement of the adult(s) at risk
The following section is crucial to determining the next steps in the safeguarding adults enquiry and every attempt should be
made to complete it as fully as possible.
Has the adult(s) at risk given consent for this referral? Yes No
If no, please confirm why you have not sought consent or are overriding consent (please tick):
Public interest (risks to others) Risk of serious harm Suspected serious crime
Adult at risk lacks mental
capacity to provide consent
(best interest decision made)
Ability to consent is affected
by threatening or coercive
behaviour
Seeking consent would
increase risks to the adult
or others
Other, please provide details below:
(3) Do you think the adult at risk has mental capacity in relation to making decisions
about their safety?
Yes No
If no, has a mental capacity assessment been undertaken? Yes No
Do you think the adult at risk would have substantial difficulty in participating in the
safeguarding adults process?
Yes No

If yes, is there a suitable person who could represent them?
(e.g. family member, friend, advocate)
Yes No Unknown
Please provide the name and contact details of this suitable person:
She has two daughter.
Her first daughter name is Rhia and she is 23 year old.she lives in Croyodon.
Her second daughter name is Amy and she is 19 year old. She is first year student and persuing her degree in music at
Manchester University.
Has the adult at risk’s family been informed of the concerns (where the adult has
consented to this)?
Yes No
If you think the adult at risk may need support to participate in the safeguarding adults process, please provide details
of what support may be required:
As Sarah is not able to communicate with his slurred speech and she is losing her weight constantly. Sarah is also diagnosed
with the Huntington’s diseases and recently got hurt in her right wrist. She does not bother to clean the homes and always been
in aggression. She does not like advices from other and does not welcome other thoughts. Due to her neurodegenerative
disorder her cognition development is also impaired. Thus she needs the safeguarding adult process. The social care also
notices that the flat smells and the paper and the empty food wrappers are piled all over the house. As per the social worker, Ms
Howes looks quite agitated and paces all around unsteadily. She seems very wary about the social workers. When the social
worker asked her she says she is okay in managing but her only worry is she can not carry the shopping with the sore wrist.
When social worker asked her more she said she is sad, lonely and also isolated. She misses her husband and both the
daughters. She is worried about the future with the daughters. The social care workers accesses the mental capacity and apply
the personal safeguarding along with family group conference.

(4) What does the adult at risk (or their representative) say that they want to happen as a result of this meeting and as a
result of a safeguarding enquiry (what are the client’s desired outcomes)? (Max words 200)
When Sarah was asked about her daily life she says she is okay and can manage everything. She is only concerned about carry
shopping as her right wrist was bruised. When she asked more she said she is sad, lonely and isolated as her husband left her
due to her jealousy, aggression and over possiveness. She misses her husband and feels betrayed. She is also petrified about
her relation with the daughters. She worries that her daughter might leave her also.
Signed: xxxxxxxxx Date: 08 october 2022
Printed: Time: 12:00 PM
Task 2
Assess the person at risk’s mental capacity. (500 words max)
Assessing the mental capacity is an important task for the health or social care professionals. The decision making
is facilitated by the Mental Capacity Act. This act protects the people who lack the mental capacity to make the
decision. There are Five Key principles of this Mental Capacity Act. As per the Principle 1, the capacity must be
assumed. The Patient diagnosis and behaviour should not lead to presume the capacity is absent. As per the
Principle 2, the person decision making ability must be evaluated well before concluding that the ability is absent.
As per the Principle 3, Patient have right to take the careless decision as the capacity is determined by the
process. As per the Principle 4, the taken decision and the action must be in the best interest of the patients. As
per the Principle 5, the taken decision must be the least restrictive alternative. The accessing the mental

capacity is the two stage process (Nguyen and Duderstadt, 2018) . Sarah Howes is suffering from the Huntington’s
Disease and she has communication difficulties and some cognitive impairment which is making the mental health
assessment difficult. She has impairment in the functioning of the brain and this is making it difficult to
understand use or interact the information well. As per the principle of Mental Capacity Act, It cannot be concluded
that the Ms.Howes lacks the ability or she is disable as she has right to take the decision of what to do. The
assessment is initiated with the assumption of the capacity which involve suspicion regarding the incapability,
under this Ms Howes is noted with the Disorientation, abnormal behaviour, cognitive impairment and other people
have also raised concern about her. There were no reasonable efforts were taken to improve the decision making
ability of Ms Howes Priory so the improvement process must be done first. After this the capacity is being
assessed, for this, the demonstration is needed of impairment or disturbance in brain functioning and inability to
perform the function so as to conclude the lack of the capacity. In case of Ms Howes , she has cognitive impairment
and unable to understand the relevant information. After these complete demonstrations, the decision must be
taken regarding the treatment. Ms Howes was suggested to do the exercise regularly, take enough sleep, get
some help and show compassion to herself. She also get recommended with some occupational therapy (Grounds,
2019).
Task 3
In the given circumstances, demonstrate how you would apply Making Safeguarding Personal and one of the
following three interventions with the person at risk: Positive risk taking, advocacy, family group conferences.
(1000 words max).
Making safeguarding personal is a initiative which works with an objective to develop a result concentrating on
safeguarding work and a broad range of responses in order to support the people in improvement and resolving
their circumstances. In safeguarding, the duty is on the local authority which work on the safeguarding issue. The
core duties of local authorities include:
 Initiation of an enquiry when the adult is experiencing or is at the risk of abuse and neglect.

 Assurity of person getting involve as much as possible. For instance, In case of Mr Howes , Providing an
interpreter as she has a problem in communication.
 An appointment of personal advocate, when the person has difficulty in getting involved in the safeguarding
enquiry (Fernhout, Giesen and Vranken, 2018).
Developing a safeguarding culture while concentrating on the customized outcome which is needed by people
along with the care and support needs who have been abused is the operation goal. Thus Making Safeguarding
personal approaches must considers:
 An easy Accessible information for giving support to the participation in safeguarding support
 Advocacy
 Person centred approach
 Some policies and methods which are in parallel with the personalised safeguarding approach.
 A wide action plan for the participation.
 Action plan which make the practitioner able to work by considering the skills which are needed.
The Safeguarding Adult Board do the safeguarding of Ms Howes by:
 By getting assured that the safeguarding practice is totally concentrated over Ms howes and resultant are as
desired.
 By getting assured that the local safeguarding are well arranged as per the Care Act 2014 and statutory
guide.
 Working in the collaboration so as to avoid the abuse and negligence
 By getting assured that local agencies give timely responses and avoid the abuse occurrence
 By getting assured that the safeguarding practices are continuously improving and enhancing the quality of
Ms Howes (Sooryanarayana and et.al., 2020).
Making Safeguarding Personal effective, It works on the six Principles:-
 Empowerment:- As per this, People are supported and encouraged for making their own decisions and give
their informed consent.
 Prevention:- As per this, the focus will be on taking the action before the occurrences of the harm.

 Protection:- As per this, the support is provided to the patient who are in need.
 Proportionality:- It focuses on the least intrusive responses as per the risk presented.
 Accountability and the transparency in the safeguarding methods.
 Partnership:- this includes the partnership with the local communities which a part in preventing, detecting
and reporting of the negligence and the abuse (Avery and Park, 2021).
Along with this personal safeguarding, there will be Family group conferences running parallel to this. The Family
group conferences are the meeting with the family members that will foster and empower Ms Howes with the need
of care and support. Along with this, her family member support to think about the strengths and resources
collectively as facilitates the formulation of the personalised plan for the future.
This family group conferences built the trust again and improve the interaction between the family member and
along with this some sort of mediation also must be considered and this could be done after discussing it to the
family members, which could also be done in the family group conference. Before the happening of these family
group conferences, It must be asked with the Ms Howes that she wants this family group conference. The
participation in this must be voluntary (Bhimraj, 2020). Ms Howes is then asked about their family networks. Then
after talking to her, their will arrangement of item and place for the meeting is decided. The family group
conference includes three main parts. The information giving, private time for the family and the explanations of
the plan. The information giving includes the presentation of the views and provide the family member with the
details to help which then can offer. In the private time of the family the social worker will leave the place and the
family members will discuss the information which they have provided. After that they work out and get agreed
over a plan and decide who will do what. The family will also decide what supports the better need and decide to
check the plan is working or not. In the third part, everyone will make sure and clear on what plan on which
everyone is agreed. It is the responsibility of social care worker to make sure a decision is reached and executed
quickly. A second Family group conference is held after six to eight week to review the plan with the same three
steps (McDonald and Clark, 2020).

References
Avery, E.J. and Park, S., 2021. Perceived knowledge as [protective] power: Parents’ protective efficacy, information-seeking, and scrutiny during COVID-
19. Health Communication, 36(1), pp.81-88.
Bhimraj, M., 2020. The ‘Caste’as ‘Discrimination Based on Work and Descent’in International Law: Convincing or Compromising?. international journal on
minority and group rights, 27(4), pp.796-825.
Fernhout, F., Giesen, E. and Vranken, O., 2018. Safeguarding the right to an impartial tribunal by means of challenging the judge. In Transformation of Civil
Justice (pp. 309-329). Springer, Cham.
Grounds, A., 2019. Discrimination against offenders with mental disorder. Criminal Behaviour and Mental Health, 29(4), pp.247-255.
McDonald, G. and Clark, L.L., 2020. Mental health impact of admission to the intensive care unit for COVID-19. British journal of community nursing, 25(11),
pp.526-530.
Nguyen, M.H.T. and Duderstadt, K.G., 2018. Access to maternal mental health services: trends in state legislation. Journal of Pediatric Health Care, 32(6),
pp.644-647.
Sooryanarayana, R and et.al., 2020. Elder abuse: Nationwide findings among community dwelling Malaysian older persons.‐ Geriatrics & gerontology
international, 20, pp.85-91.