The plan should be person-centred and strengths-based.
reflect both the nature and seriousness of the risk;
take a calculated and reasoned approach;
be proportionate depending on the nature of the concerns;
wherever possible, support the person achieve their desired outcomes.
The plan should:
what their lived experience should be like at the point when a care and support protection plan is no longer required;
specify who is involved in delivering the plan;
outline roles and responsibilities in terms of achieving the person-centre outcomes;
provide timescales for achieving actions/outcomes.
By the end of the first strategy meeting there should be a plan which ensures that the adult at risk is safe from abuse and neglect.
Practitioners should have a clear understanding of:
short term medium term and longer-term protection arrangements;
the rationale for the plan;
the content of the care and support protection plan and anticipated outcomes
what is expected of each practitioner in terms of contributing to the plan: both actions and outcomes;
the wishes and feelings of the adult;
the views of any carers or family members;
who is acting as the lead practitioner;
who will be communicating the plan with the adult at risk;
any concerns raised about practitioners who have or are working with the adult at risk.
(See Section 5 responding to professional concerns).
The care and support protection plan may cover a range of activities and interventions designed to:
protect the adult at risk safe from abuse and neglect;
support carers to continue providing care;
address risky situations.
These should include actions such as:
for example, security measures, telecare, flags on systems, electronic information
for example, providing guidance on managing the adult at risk’s financial affairs
for example, counselling and therapeutic support, activities to increase self-esteem and confidence
for example, domestic violence or sexual abuse support services
for example, home care, carer assessments
any on-going risk management strategy as appropriate;
how to support the adult during any actions to be taken in relation to the person or organisation that has caused the concern, who will be responsible for this action and how the adult will be kept informed;
(N.B. it is important that the support provided does not interfere with any criminal processes)
for example, restorative justice, criminal injuries compensation1
the steps to be taken to assure the individual’s safety in future and prevent further possible abuse or neglect;
positive actions to promote the safety and well-being of the adult and resolution and recovery from the abuse or neglect;
any modifications needed in the way services are provided;
any on-going risk management strategy as appropriate;
duty to report the young people or any others potentially at risk.
Example: Neighbours of a young adult male, who are part of Neighbourhood Watch, have become increasingly concerned that he is at risk as he is allowing young people to use his home during the evenings and at night. The neighbours have heard the young people taunt and bully the adult. They come and go as they please as the front door is always open and suspect they have been taking belongings from the house, for example, they saw one walk out with a TV and when a neighbour questioned him about it, he was told he’d been given it.
The neighbour is concerned this will continue unless something is done.
Section 126 enquires are undertaken which determines this is an adult at risk and action is required to protect him (Determination 3). A strategy meeting is held and the strategy group develop a care and support protection plan.
The adult at risk, James, who has communication difficulties, indicates through an advocate that they like the company of the young people who are their ‘friends’ as he is very lonely. However, James does not like being called names and is afraid of the teenagers as they are threatening and push him around if he does not give them what they want.
A mental capacity assessment indicates that James lacks capacity to determine the effect of this on his personal safety.
James indicates that he is lonely and wants to make other friends ‘who are nice to him’. He also wants his TV back. The subsequent Care and support protection plan may include the following:
The front door to be secured and other security measures to be in place, so James knows who is calling.
Police are notified and investigating who the young people are and attempting to recover the TV.
James to be offered a befriender to build up his confidence and assist him engage in community activities.
A revised care assessment for additional evening care.
The Neighbourhood Watch group, with James’ permission, will report any further concerns about young people visiting James.
If further strategy meetings are required, they should take place at least once every six weeks. Further meetings should ensure the care and support protection plan is being delivered and is achieving the agreed outcomes, or where it is not, agreement as to what changes need to be made.
N.B. When ongoing actions are required to protect the adult at risk from abuse and neglect, it may be appropriate to hold an adult protection conference. The aim is to ensure that the adult at risk is involved in the process and there is no drift in appropriate planning and review.
The following questions should be considered at each meeting:
What has been achieved since the last meeting?
What has the adult and those in contact with them noticed about quality changes to their lived experience?
Is the plan meeting the agreed person-centred outcomes?
What are the current and ongoing levels of risk of abuse or neglect?
How well are we working together?
Is the plan effective in terms of keeping the adult at risk safe?
What do we need to change?
What do we need to achieve before the next meeting?
Do we have concerns about the current mental capacity of the adult at risk to make decisions about arrangements to keep them safe?
What are we doing to ensure their voice is heard, that they understand the risks and can provide an informed contribution?
All strategy meeting members should leave the meeting with a clear and shared understanding as to what they are expected to have achieved either by the next meeting or by the adult protection conference.
Any actions should be specifically linked to achieving the desired outcomes. This ensures practitioners understand both the rationale informing the actions expected of them and the measures of progress.
All practitioners have a duty to inform the lead co-ordinator of significant events relevant to the adult at risk. This should not preclude making a new report in the event of further risk or concerns being identified.
If any practitioner has concerns that an adult at risk is not being adequately protected, this must be brought to the immediate attention of their manager and their designated safeguarding person.
An agency may consider it necessary to escalate their concerns where they believe an adult is at risk and the plan is not working, initially to the lead co-ordinator. If this does not lead to a satisfactory outcome, then the Regional Safeguarding Board professional differences procedures must be followed.