Section 42 Safeguarding Enquiry Form

This form is used to notify Adult Social Care of suspected or actual instances of abuse or neglect. Start a Safeguarding Adults Enquiry under the Care Act.

Section 42 Safeguarding Enquiry Form
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:
Ellie’s manager Role of Person: Health care manager
Date of referral to Adult
Social Care:
Organisation:
Phone number: Type of service:
Details of incident/suspected/actual abuse or neglect
Date of alleged
incident:
Who reported the
alert/concern?
Community Psychiatric Nurse, Karl
Time of alleged
incident:
Date of report:
Where did the incident occur?
Details of the adult at risk
Name:
Mackenzie Jones
Date of Birth:
12/6/98
Telephone: Ethnicity:
Address: bed sit at 25A Coldham Street, Bexley
What is the adult’s primary reason for needing care and support? (please tick)
Physical support: Sensory support: Support with
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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:
Details of the alleged perpetrator (where relevant)
Name: Karen Brocklehurst, Relationship to victim: Girl friend
Date of birth: 28 years old 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.
Karen Brocklehurst, was also short of money and Mackenzie used to always help her with the same. He in fact provided her with
all his saving and loaned her £500 that his parents had given it to him to help furnish the bedsit. But whenever he used to ask for
his money back she used to deny giving it back. Once when we went to local pub with his friends, he was unable to pay for more
drinks and when her shared this incident with Ellie she shrugged it off saying ‘can’t he take a joke’. He also had a fight with his
neighbour as he though that he tried to stole it. Due to these incidents, he was feeling quite lonely he also thought that Keren
was taking advantage of him. This incident was creating trust issues within him as he started thinking that whether he can trust
anyone or not. He shared this incident with Karl and said that he wanted things to work out with Karen.
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:
Exploitation is another kind of abuse that was at risk because Karen asked for loan from him and did not return him any amout
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that she borrowed.
Is the victim at risk of further abuse/neglect? (please tick) Yes 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.
In order to ensure immediate safety of victim health care manager of Ellie was contacted. All the details regarding current
condition of Mackenzie was shared with them about ways in which Keren used him for financial support and when he wanted his
money back she denied and did not return it back. He also shared an incident in which when he contacted Ellie and shared his
experience where all of his friends made fun of him, she simply shrugged it despite of knowing his medical history of paranoid
schizophrenia that was diagnosed 3 years ago. Contacting Ellie’s manager was one of the safest step as her manager can look
into this matter and take required and appropriate action against Ellie due to various reasons. First she was the one who
introduced Mackenzie to Karen, despite of being his support workers she did not support him or look into this matter where
Karen used to borrow money from him earlier and when he contacted her she did not take it seriously. It was her carelessness
due to which he was feeling depressed and lonely.
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:
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In this case two agencies were involved in providing support to Mackenzie. First agency was social service who provide a
support worker to him and another was community service agency who provided him with a Community Psychiatric Nurse who
monitor’s his health continuously.
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.
Under Care Act 2014 required information can be shared directly with guardians or people who are taking decision making in for
victim. Other this only required information can be shared with agencies who are involved safeguarding process. Or plan.
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:
Karl and Human resource manager of Elie visited Mackenzie to discuss further actions that are required to be taken
(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 Yes ✓ No
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participating in the safeguarding adults process?
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:
Parents of Mackenzie Jones are suitable people who could represent him and can take decision on his behalf.
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:
Three years ago, Mackenzie Jones was diagnosed with paranoid schizophrenia due to which he was admitted to hospital on
four occasions. But now he is stable and lives his own independent life. But due to current incident he is feeling lonely, cannot
trust any one and as a result it can increase risk of developing paranoid schizophrenia again.
Support required by Mackenzie in his safeguarding process are:
 Mackenzie requires income support service so that he can focus upon enhancing his financial support. He can allotted with
Attorneys who can take financial decision on his basis.
 He can be provided with education or training in a specific field so that he can work on his current capabilities and strengthen
himself financially.
 Collaborative efforts oh social and community care can be provided to him. This will help in motivating him and take a step
forward towards his recovery and will further strengthen him mentally.
(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)?
Mackenzie wants things to work out with Karen but wants that everything should go on in a proper manner because he thinks
that Karen is taking advantage of him. He wants to become stable and sufficient enough to understand who is taking advantage
of him and who is not, so that he can at least focus upon developing a strong and trust worthy relationship with them.
He also wants to enhance his financial stability and wants to become self sufficient to taker care of his needs in an appropriate
manner.
Signed: Date:
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Printed: Time:
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Task 2
What category of abuse is placing the person at most risk? Draw on the evidence in your
discussion and to identify what would be the best way to intervene with this form of abuse
(500 words max).
Task 3
Provide your rationale for your assessment of this person’s mental capacity. What are the
implications of your decision for how you would work with the person at risk (500 words
max).
Task 4
Demonstrate how you would apply Making Safeguarding Personal with this person at risk
(500 words max).
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