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Blackburn with Darwen Adult Protection Case Conference

This chapter was introduced into the manual in September 2013. It applies to Blackburn with Darwen practitioners only.


Contents

  1. Case Conferences
  2. Written Reports
  3. Investigation Outcomes
  4. Recommendations and Decision-making
  5. Developing a Protection Plan
  6. Review Conferences


1. Case Conferences

Where there has been an adult abuse investigation there must be a case conference to present the findings.

Case conferences are chaired by a member of the Senior Management Team and are held weekly at The Innovation Centre.

The main purpose in convening of a case conference is to draw some conclusions from the evidence which has been obtained during the investigation and to determine the level of risk of the adult.

All participants will be expected to:

  • Support the alleged victim, if attending;
  • Share the findings of the investigation via written and verbal reports;
  • Offer professional opinion;
  • Make and contribute to recommendations - set time scales;
  • Develop and contribute to protection plans;
  • To decide on the balance of probabilities whether abuse has happened;
  • Decide who needs to be informed of the outcome e.g. Care Quality Commission, the Alerter, alleged victim, alleged perpetrator, Disclosure and Barring Service;
  • Immediately following a case conference a protection plan will be drawn up by key people identified by the chair person.


2. Written Reports

Attendees may be expected to provide a written report which they will present to the case conference. All reports will be collected at the end of the conference for record keeping.

The investigating officers will write a full report detailing the findings of the abuse investigation and present it to the chairperson at least 48 hours before the case conference takes place. The report should also be shared with the alleged victim.


3. Investigation Outcomes

3.1 Balance of probabilities: Categories

Definition of balance of probabilities:

The standard of proof required in civil law cases, i.e. it is more probable than not that what the person says happened is true:

  • Substantiated: the allegations of abuse has been proven;
  • Partly substantiated: it is possible to prove some but not all the allegations made. This may be relevant to cases where there is investigation into more than one category of abuse;
  • Not substantiated: the allegation of abuse has not been proven or it was deemed to be malicious;
  • Not determined/Inconclusive: This would apply to cases where it is not possible to record an outcome against any of the other categories.


4. Recommendations and Decision-making

Once the outcome has been established there may be actions that are needed to reduce any further risk. These might include:

  • A referral to the Disclosure and Barring Service;
  • Disciplinary action;
  • Contract default or termination notices;
  • Specific training for staff;
  • Revisiting the Whistle Blowing policy;
  • Shadowing staff;
  • Policies or procedures may need revisiting;
  • Current practice may need changing;
  • Referral to another agency.

Any recommendations made at case conference should be given a timescale and a lead person responsible for overseeing the execution of the action.


5. Developing a Protection Plan

The main objective of the plan is to demonstrate how the adult will be protected from harm in the future. In some cases this may not be possible as the adult may choose to remain in the abusive situation. In such cases, it is important to detail how the situation will be monitored in the future, and have a risk assessment in place.  If there are any difficulties in implementing the protection plan the Safeguarding Adults Team must be informed.

A protection plan is usually drawn up at the end of a case conference and must be agreed by the adult or their representative.


6. Review Conferences

There may be a review conference. This will be determined at the case conference.

If an alleged victim dies during the safeguarding investigation process, the police should be contacted to determine whether the coroner be informed of the death.

End