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Safeguarding in Practice Project

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Added on  2023/01/04

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This report discusses a case scenario involving Mackenzie and explores the concept of safeguarding in practice. It highlights the importance of safeguarding and the measures taken to protect vulnerable individuals from abuse, harm, and neglect. The report also examines the risks faced by Mackenzie and provides solutions to ensure his safety and well-being.

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Safeguarding in practice project
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TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................................................................................................7
MAINBODY...................................................................................................................................................................................................................8
Task 1...............................................................................................................................................................................................................................8
Task 2.............................................................................................................................................................................................................................18
Category of abuse that place Mackenzie at most risk................................................................................................................................................18
Task 3.............................................................................................................................................................................................................................19
Provide rationale for the assessment of this Mackenzie’ s mental capacity..............................................................................................................19
Task 4.............................................................................................................................................................................................................................20
Apply Making Safeguarding Personal with Mackenzie at risk.................................................................................................................................20
REFERENCES..............................................................................................................................................................................................................22
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INTRODUCTION
Safeguarding refers as a keeping people safe from abuse, harm and neglect. It is important for the people to live their life. According to
care quality commission, protects individual’s health wellbeing, human rights and enables them to live free from the harm, neglect, abuse that is
known as safeguarding. It is a term that contains a wide range of principles and measures that assures basic rights of human being is protected. The
main goal of the safeguarding is to ensure that young adults, vulnerable adults and children can spend their life free from the neglect, abuse and
harm. Most of the healthcare organization puts safeguarding in their practices in term of advise and support, developing policies related to people
safety, guidelines for the behaviour, minimize risk for the children, process for responding to safeguarding concerns etc. through which ensures
patients that none will be abused, harm and neglect in the society. This report will discuss about Mackenzie’s case scenario that takes place under
the safeguarding enquiry form.
MAINBODY
Task 1
This form should be completed as fully as possible in order that robust decisions can be
made about the progression, or otherwise, of the
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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.
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Safeguarding Adults Enquiry.
Person
completing the
form:
Role of Person: Health Quality Manager
Date of referral
to Adult
Social Care:
Organisation: National Health Service (NHS)
Phone number: Type of service: Healthcare and Social care
Details of incident/suspected/actual abuse or neglect
Date of alleged
incident:
8 oct 2020 Who reported the
alert/concern?
Elle (Support Worker)
Time of alleged
incident:
04: 08 Date of report: 9 0ct 2020
Where did the incident occur? Mackenzie asks for the money from the Karen (Girlfriend) which he
gave her on loaned but she denied.
Details of the adult at risk
Name: Mackenzie Date of Birth: 12/6/98
Telephone: 8999476834 Ethnicity: Christian
Address: 25A Coldham Street, Bexley, United Kingdom
What is the adult’s primary reason for needing care and support? (please tick)
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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:
Any other details
about the
adult at risk:
Mackenzie was diagnosing paranoid schizophrenia so he has issue of delusion behavior.
Details of the alleged perpetrator (where relevant)
Name: Harry Relationship to victim: Neighbor
Date of birth: 6/9/1996 Ethnicity: Christian
(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)
On 6 October, Mackenzie met his local pub friends and like usual he bought the drinks, but when he became
unable to buy some more drinks then his friends were started to having fun of him. In that situation, Mackenzie
felt uncomfortable and angry to think that often time he paid for more drinks but when this time he was lacking
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behind sorts of money then his friends having fun with me. This incident told by him to his support worker Ellie.
But she said to Mackenzie that he can take it in jokes because they are friend of him. But he did not take in joke,
then on 7th oct morning, he thought that his neighbour was thinking that his neighbour had taken parcel for him.
So, Mackenzie almost got into fight and said him that you have stolen my parcel. This scenario denotes that
Mackenzie can be physical abused by his neighbour because he did not say anything to the neighbour about parcel
and directly got in fight. In this state
Type 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
If other, please specify:
Is the victim at risk of further abuse/neglect? (please
tick)
Yes No Unknown
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(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)
There were several alleged victims i.e. neighbour, Mackenzie’s parents who needs immediate safety. For
example, Mackenzie has delusion behaviour after diagnosing paranoid schizophrenia. Due to this, his parents were
always in concern that they might be harmed by him. In that state, support worker Ellie understood his parents that
due to this mental illness he has delusion behaviour and said them to support him instead of neglecting. In other
case, when Mackenzie were got in fight with his neighbour because he was thinking that neighbour has stolen his
parcel, in that situation, support worker Miss Ellie understood the neighbour that he is suffering from delusion
behaviour, so do not harm him. She also made understand to Mackenzie that neighbour was not stealing his parcel
(Querns, 2019). He just received parcel and was going to give you. Thus, support worker immediately safe alleged
victims otherwise they can harm by Mackenzie in his anger. For instance, if support worker was not there then it
can possible physical abuse and neglect situation can take place which could harm alleged victim as well as
Mackenzie.
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? Yes No
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Please provide details, including discussions with your
agency’s Single Point of Contact (SPOC) for MARAC:
Please provide details of other agencies involved that will be able to help with the safeguarding
adults enquiry:
Are you aware that there have there been any previous 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.
No there is no risk for the children’s social care but Mackenzie needs Adult’s social care support.
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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 Yes No Unknown
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them?
(e.g. family member, friend, advocate)
Please provide the name and contact details of this suitable person:
Miss Ellie and Karl who have become good friend of Mackenzie after diagnosing form the paranoid schizophrenia. Miss
Ellie was support worker and Karl was the psychiatrist of him.
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:
Mackenzie has delusion behavior so his parents unable to cope with him anymore because they were worrying
about their safety. Due to this, his parents do not keep more contact with him which makes him feel alone. Due to
this, he started to live alone after hospitalization. It denotes that he needs support from the family. But he did not
get like that support from family side. After that, He started his usual life like boxing, jogging and other daily
usual activity. Then Miss Ellie become good friend of him and she met him with her friend Karen. He came in
relationship with her and provides financial support her. A day he gave her loan which was provided by his father
for the furniture and bedsit. But Miss Karen became angry on him after listen about the loan. This situation also
denotes that he needs a support such as person whom one can support him and can safeguard from abusing. The
behind is that when Mackenzie was asking for the money that time his GF become angry on her. At that state
abuse can be possible then he could need of safeguard. Another situation when he met with new friends in local
pub and he was unable to bought more drinks then his friends mocked him but Mackenzie felt too uncomfortable
and angry on them. This situation is more prevalent because he was too angry on them and could abuse them but
he kept his mind stable at that situation. As same case happens with neighbour, whereas Mackenzie was thinking
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that his parcel had stolen by neighbour then he almost got into fight. At that state, physical abuse could take place.
These situations indicate that Mackenzie needs to participate in the safeguarding adult process. In this process,
safeguard will provide good family care services as well as protects them from any type of abuse which ultimately
maintain his wellbeing.
(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 Mackenzie got into fight with the neighbor to though that he had stolen his parcel. That state literally could
be harmful for the alleged victim (Neighbor) and Mackenzie because both were arguing to each other without
knowing the reason. So, it could become usual that neighbor and Mackenzie could physically abuse to each other
than situation could be out of control. Police and ambulance could be involved as well to take the case in their
control. Bu nothing happens like that because Mackenzie did not loss his mental capacity while fighting to the
person that is the result of safeguard enquiry. There is another case that also evident success of safeguard enquiry
such as when Mackenzie shares his feeling to the miss Ellie (support workers) that he wants to work out with the
Karen but he was worrying about that Karen could take advantage of him. It denotes that he has trust issue as well.
It has proven from the statement that he has mental capacity that’s why he was thinking about Karen and
consequences which could take place after coming in relation again (Jane, 2020). But if Mackenzie again come
with her GF then he could be abused financially and neglect as well that would bring depression in his mind and
make lonely that could impact on his mental state. But Miss Ellie supports him to understand his behaviour and
helps in him in taking right decision that’s result of safeguarding enquiry.
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Sig
ne
d:
Date:
Pri
nte
d:
Time:
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Task 2
Category of abuse that place Mackenzie at most risk
Physical abuse and negate category are one of the most prevalent factors that places a
person at most risk because in that state person starts to feel loneliness and makes him socially
isolated. For example, if a person is physically abused by others that harm him and gives
negative impact on his mental health. In the Mackenzie case scenario, Mackenzie was diagnosed
with paranoid schizophrenia disorder from three years. This mental disorder brough delusion
behaviour in him due to this his parents were unable to cope with his behaviour and found
incredibly distressed and worried for the own safety. It denotes that he was neglected by his
parents which made him alone. So, he moved and lives in 25A Coldham Street, Bexley. Physical
abuse had taken place in that period when in morning he noticed that his parcel was taking by
neighbour, at that state he thought that his neighbour had stolen his parcel, so he got into a fight
with neighbour. This situation could be taken of physical abuse but support worker Ellie took in
control overall situation. According to Jane, (2018), there are several factors that considers
reason for the abuse such as lack of mental capacity, low self-esteem, social isolation etc. While
in the case study of Mackenzie, he was diagnosing from paranoid schizophrenia and was taking
medication to maintain his delusion behaviour. It was the major reason for the abuse. Another is
that he became socially isolated because his parents were always worried for their safety due to
his delusion behavior which made him alone and depressed. But when he met with a girl who
was friend of Ellie then come in relation but they often quarrel to each other for the money
because his GF Karen was always lacking behind shortage of money. So, he used to help her but
once he asked for the money to Karen then she got angry on him. But when Mackenzie told to
Karl who was psychiatrist of him and provides mental health treatment, that he is lonely and
wants to work with Karen but he was worrying about this Karen may take commercial advantage
from him. It denotes that he has trust issues as well. These are the risk factors that could be
reason of abuse (Firmin, 2017). But Mackenzie was not responsible for all situations because he
was suffering from mental illness and lacking behind family support so he is at risk of abuse.
Safeguarding Adults Enquiry Form under the section 42 is used to notify Adult Social Care of
suspected who need immediate safety from abuse. For example, Mackenzie is adult who is
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getting supports from support worker and psychiatrist in the context of safeguarding abuse.
These supports protect suspected adults from any type of abuse and neglect so that they cannot
harm others. This form helps to safeguard adults from others and makes them understand not to
harm others. Mackenzie case scenario, he does not have a such like person who can understand
him and can cope up with his delusion behaviour. In this situation, Ellie (Support worker) and
Karl (Psychiatrist) supports him to understand his feelings and helps him time to time whenever
he needs like when his parents were worrying about their health then Karl made them understand
to support him and treat him calmly. Even Mackenzie’s GF scenario, she communicated with
him in friendly manner in order to maintain his mental state. While Ellie was the support workers
who was offering her services under the Adult social care because he was suffering from mental
illness. So, there were different situations that can be taken place of abuse but she supported
suspected victims to not interfere with Mackenzie.
Task 3
Provide rationale for the assessment of this Mackenzie’ s mental capacity
Mental capacity test is properly based on two stages test of capacity such as first when the person
has impairment of their brain or mind, it can result of an illness or external factor i.e. alcohols or
drug abuse. Second test is based on the person’s decision-making ability like a person is enable
to make specific decision when they need or not. Thus, these tests help individual to determine
their mental capacity. However, UK’s government has imposed Mental Capacity Act (MCA) that
is proposed to protect and empowers people who are lacking behind mental capacity and unable
to make own decisions at personal level about their care and treatment (Firmin and et.al., 2019).
In this act involves those people who does not have ability to take decisions for day to day things
i.e. what to wear or life changing decisions I.e. whether to move or care home or haver major
surgery. According to Mental Capacity Act (MCA) 2005 guidelines, never treat a person as they
are lacking behind the capacity in the context of taking decision because they make an unwise
decision. If a care provider provides caring services to the person who lacks capacity then they
must have least restrictive of their freedom and basic rights. This is another guideline of MCA
act. However, MCA says that a person is unable to take decision if they cannot understand
information that is relevant to the decision. It also allows people to appoint a person to take
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decision on the behalf of person who have lack capacity in the future. Under the Mental Capacity
Act, healthcare organizations cover wide variety of healthcare staff i.e. doctors, social care staff
i.e. support workers.
On the basis of above discussion over the Mental Capacity Act 2005, it can be analysed
that if a person does not have ability to take own decision that means they are lacking behind
mental capacity. But in the case of Mackenzie, he has ability to take own decisions and he has
mental capacity to take right decision on immediate situation. For example, when Mackenzie met
with new friends at local pub and bought some drinks but when he found unable to buy more
drinks then they were mocking of him. In that state, Mackenzie could scream on them or can
abuse them but he did not do anything like this which could make him shameful or proves him
mentally ill in front of them. He just got angry on them and become uncomforted. With this
scenario, it can be analysed that Mackenzie has capacity to take own decisions. However, Mental
Capacity Act 2005 says that care providers should take care of the person but have less
restrictive on their freedom. It would get positive impact on me while working with the person.
With the support of MCA 2005 guidelines, Care Manager would enable to understand mental
capacity of the Mackenzie like he is enable to take own decisions or not. Apart from this, Care
Manager could give him proper freedom while providing care services. Care Manager would
treat the person like normal person and try to indulge in his functions so that Care Manager could
keep an eye on him. Such monitoring would support me to protect Mackenzie from any type of
abuse. Thus, the Mental Capacity Act 2005 would give positive impact my working with the
person (Heaven Taylor, Davies and Morgan, 2020).
Task 4
Apply Making Safeguarding Personal with Mackenzie at risk
Making Safeguarding Personal (MSP) is a type of approach that has goal to develop an
outcome that focus to safeguarding work and a range of responses in order to support number of
people or resolve their consequences. This tool measures effectiveness and enhances
safeguarding practices which are also available. It helps to develop a safeguard culture for the
adults that focuses on the customized or personalized outcomes that are desired by people with
care and support who may abuse by others. This MSP involves number of agencies who provides
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different type of care and protection to the adult. Making Safeguarding personal (MSP) is
designed for those people who are at high risk of abusing. To prepare MSP involves various
steps such as a broaden participation strategy, creates sources like that information can be
accessible and supports participation of people in safeguarding support. In this report, agencies
mainly focus on qualitative reporting on outcomes and quantitative measures. It also involves
personal cantered approaches in order to work with risk. Policies and procedures etc. are aligned
with a personalized safeguarding approach to ensure the person none going to misbehave with
them while providing care and safeguard services. Some training session also conducts for the
practitioners so that they learn new skills and improves existing one and become enable to work
with the person in such way like they can shift their culture accordingly person’s behaviour.
Care Manager would use this MSP while working with the Mackenzie such as Care Manager
could develop such culture environment for Mackenzie so that he could engage with his work
instead of focusing other people through which he would never feel loneliness. Care Manager
could use communication skills to make him feel comfortable and try to build good relation with
him as a friend so that he could share his feeling to me with the trust. Manager would follow all
safeguard policy and procedures under the safeguarding guideline and protects him from the
abuse. Mental Capacity assessment and being person-cantered are the two approaches that are
used to detect risk with the person (Vaughn and et.al., 2020). For example, person-cantered care
approach is organized for those people who needs support of a person with them for taking any
decisions and sharing information. While mental capacity assessment approach is used to analyse
mental capacity of the person while taking decision and responses of them during critical
circumstances. Thus, two different approaches have common goal to protect the person and
provides them care and support time to time but processes are different from each other. In the
Making Safeguarding Practice (MSP) would involve these two approaches as well i.e. mental
capacity assessment and person-centered through which manager could offer better care and
safety to the person effectively.
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REFERENCES
Books and Journals
Firmin, C., 2017. Contextual Safeguarding.
Jane, R., 2020. SAFEGUARDING ADULTS REVIEW.
Querns, J., 2019. Safeguarding Policy (Adults and Children).
Vaughn, L and et.al., 2020. Guidance on Safeguarding in International Development Research.
Heaven Taylor, L., Davies, I. and Morgan, N., 2020. Introduction to Youth Safeguarding
Training.
Firmin, C and et.al., 2019. A legal framework for implementing contextual safeguarding.
Online
Contextual Safeguarding. 2017. [Online]. Available Through:- <
http://www.westsussexscp.org.uk/wp-content/uploads/Contextual-Safeguarding-
Briefing.pdf>
SAFEGUARDING ADULTS REVIEW. 2020. [Online]. Available Through:- <
https://www.safeguardingworcestershire.org.uk/wp-content/uploads/2020/06/JANE-
SAR-for-publication-19.06.2020.pdf>
Safeguarding Policy Adults and Children.2019. [Online]. Available Through:-
<https://www.fnhc.org.je/media/43193/safeguarding-policy-for-adults-and-
children.pdf>
Guidance on Safeguarding in International Development Research. 2020. [Online]. Available
Through:- < https://livrepository.liverpool.ac.uk/3084290/1/170420-UKCDR-Guidance-
for-Safeguarding-in-International-Development-Research.pdf>
Introduction to Youth Safeguarding Training. 2020.[Online]. Available Through:- <
https://oxfamilibrary.openrepository.com/handle/10546/621086>
A Legal Framework for Implementing Contextual Safeguarding. 2019. [Online]. Available
Through:- < https://contextualsafeguarding.org.uk/wp-content/uploads/2020/03/A-
Legal-Framework-for-Implementing-Contextual-Safeguarding_190320_073228-1.pdf>
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