This section contains a range of resources, guidance and toolkits to inform and support good practice in adult safeguarding.
All adult safeguarding work is underpinned by the London Multi-Agency Safeguarding Adults Policy and Procedures which sets out the approach to adult safeguarding across the London Boroughs and is informed by the Care and Support Statutory Guidance.
Please also refer to the Information and Guidance section of our website for other resources including our learning briefings.
The resources below are designed to raise awareness about domestic abuse and to support practitioners in providing consistent and effective responses to this complex area of safeguarding practice. No single agency can address all the needs of people affected by or perpetrating domestic abuse. For intervention to be effective, it is important for agencies to work in partnership to take timely action and adopt a shared responsibility for assessing and managing risk.
- Adult Safeguarding and Domestic Abuse: A Guide to Support Practitioners and Managers
- Coercive Control
- NICE Guidance: Domestic Violence and Abuse: Multi-Agency Working
Within the Bi-Borough the Angelou Partnership provides the specialist domestic abuse service.
The Escalation Policy provides a framework and practical guidance for resolving professional disagreements in relation to adult safeguarding matters.
A fall can be a safeguarding adults issue when there are concerns that the fall occurred due to abuse or neglect, or that care or treatment following a fall was abusive or neglectful. A fall does not automatically indicate neglect and each individual case should be considered to determine whether there is a safeguarding concern.
- NICE Guidance: Falls in Older People: Assessing Risk and Prevention
- SCIE Research Briefing: Preventing Falls in Care Homes
- Independent Living Falls Prevention Advice
- Age UK Falls Prevention Resources
The SAEB is committed to work in partnership with the London Fire Brigade (LFB) and other partner agencies to raise awareness of fire risks and the importance of prevention in fire safety. It is everyone’s business to ‘Think Fire’ and practitioners should be particularly mindful of additional vulnerabilities adults with care and support needs may face around mitigating fire risks in their homes.
One of the most effective prevention activities is to use LFB’s Home Fire Safety Checker which provides tailored advice to improve fire safety measures within a person’s home. The Home Fire Safety Checker can also be accessed via the following QR code:
The Safeguarding Ambassadors in conjunction with LFB have produced a SAEB Bulletin with a focus on fire safety which uses the moto ‘Think Fire’ to promote the message that fire safety is everyone’s business, and to raise awareness of the need to be mindful of the additional vulnerabilities adults with care and support needs may face around mitigating fire risks in their homes.
Adults who are homeless with care and support needs may be vulnerable to abuse whether they are rough sleeping, sofa surfing or in temporary accommodation. The resources below contain a range of toolkits, guidance and briefings to support best practice in this complex area of practice
- Adult safeguarding and homelessness: A briefing on positive practice (Professor Michael Preston-Shoot on behalf of LGA and ADASS)
- Safeguarding vulnerable dependent drinkers (Mike Ward and Professor Michael Preston-Shoot, Alcohol Change UK)
- Multiple Exclusion Homelessness: A safeguarding toolkit for practitioners (VOICES, Stoke on Trent)
- Mental health services interventions for rough sleepers – tools and guidance (Pathway)
Sharing the right information at the right time, with the right people is fundamental to good practice in safeguarding adults, but is often highlighted as a difficult area of practice. The guidance listed below from SCIE sets out how information should be shared for the purposes of safeguarding adults.
Please visit our dedicated page on Making Safeguarding Personal to access a range of resources and toolkits.
The Mental Capacity Act (MCA) 2005 empowers and protects people who are not able to make their own decisions. The MCA applies to anyone aged 16 or over and sets out a framework for assessing whether a person lacks the mental capacity to make a specific decision – for example in relation to their financial affairs, health and welfare or where they live.
Since April 2009 the MCA has allowed for the Deprivation of Liberty for people who lack capacity to consent to their care and treatment arrangements, if the person is in a care home or hospital.
- The MCA Code of Practice provides guidance to all those who make decisions on behalf of adults who lack capacity. The code includes case studies and explains in detail the key features of the MCA.
- Easy Read Guide to the MCA
- Research in Practice MCA Resources
- Social Care Institute of Excellence MCA Directory
- 39 Essex Street Mental Capacity Resource Centre
- Empowerment Matters Guide to Making Financial Decisions
- Deprivation of Liberty Safeguards: A Practical Guide (The Law Society)
- Quick Reference Guide to Identifying a Deprivation of Liberty Under 18s (The Law Society)
- The Deprivation of Liberty Safeguards Assessment (Alzheimer’s Society)
- Next of Kin – Understanding Decision Making Authorities (National Mental Capacity Forum)
- The Myth of Next of Kin: Why You Need a Lasting Power of Attorney (SCIE)
The resources listed below raise awareness of modern slavery and supports practitioners and agencies to identify the signs and indicators of these forms of exploitation and how to report concerns.
- Modern Slavery Statutory Guidance
- National Referral Mechanism Explanatory Booklets (West Midlands Anti-Slavery Network)
- Local Directory of Services – covering Royal Borough of Kensington and Chelsea, London Borough of Hammersmith and Fulham adn City of Westminster (Angelou Partnership)
Please also refer to the Modern Slavery council website pages:
This checklist has been developed to provide a clear process to support staff in managing situations where a person known to services does not attend a planned appointment or the staff member fails to gain access on a home visit.
The Pan-London Response to Expected and Unexpected Deaths in the Community has been produced jointly by the NHS, London Ambulance Service and the Metropolitan Police Service to provide a clear pathway for agencies to follow when responding to deaths of adults and children outside of hospital settings.
Whilst the guidance is primarily aimed at staff working in health settings it is useful at a partnership level in offering clarity around how expected and unexpected deaths should be managed.
Pressure ulcers are primarily a clinical issue and should be referred to an appropriate health professional in the first instance. However, if there are concerns that a pressure ulcer has developed through neglect and / or omission of care, consideration should be given to raising a safeguarding concern.
Please note that from 26/06/2023 the Department of Health and Social Care’s Pressure Ulcers: Safeguarding Adults Protocol has been withdrawn pending future updates and as such the link to this document has been removed from this site. Practitioners and managers should refer to local procedures around the prevention of pressure ulcers.
Central and North West London NHS Foundation Trust and the Hillingdon Confederation have produced a Pressure Ulcer Advice webinar aimed to raise awareness amongst practitioners and our communities regarding pressure ulcers, so that people are better informed to recognise pressure ulcers, know how to prevent them and take action to seek medical intervention to treat them.
The SAEB has produced Referring a Safeguarding Adults Concern Practice Guidance to support consistent multi-agency practice and responses in relation to under understanding, reporting and recording of safeguarding concerns to the local authority when it is appropriate to do so in line with the Care Act 2014. The guidance is in line with the Local Government Association (LGA) frameworks listed below:
‘Transitional safeguarding’ recognises that the needs of young people do not change or stop when they become 18 years old and recognises the importance of understanding the context or individual circumstances of a young person when considering their safeguarding needs.