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Priorities       What we         What we did
                          said we
                          would do

         Professional     Gain assurance   •   Nine partner agencies came together to carry out four themed multi-agency audits
         Accountability   about the effective   (one in each Local Authority area). A small number of cases were sampled and looked
                          delivery of         at the following themes: Incidents Between Residents, No Further Action (under
                          services.           safeguarding), Self-Neglect and Hospital Discharges.
                                          •   Three Local Authorities and the two CCGs completed the Quality Assurance
                          Ensure the voice    Framework/ Self audit tool this year and provided an assurance report to the Board.
                          of the service user   •   A survey was carried out to seek views and feedback from professionals on the TSAB
                          helps to shape      Inter-agency Safeguarding Adult Procedures. Eighty six responses were received and
                          professional        the procedures were reviewed and updated. A further survey is due to be undertaken in
                          practice.           2019-20 to determine how well the changes have been implemented into practice.
                                          •   The TSAB Professional Challenge procedure was developed and launched to provide
                          Deliver and         a framework to enable professionals to formally challenge decisions made within
                          achieve the Boards   Safeguarding Adult processes.
                          performance         https://www.tsab.org.uk/key-information/policies-strategies/
                          benchmarks.     •   The Board worked with a representative from the Crown Prosecution Service to review
                                              some cases where professionals felt that the case should have proceeded to a positive
                                              charging decision. This work resulted in the reconsideration of the prosecution decision
                                              in some cases, and learning was shared across all agencies involved.
                                          •   The TSAB Performance Indicators (PI) assisted in determining how effectively policies
                                              and procedures were being delivered; three out of five PIs were achieved, see page 8.






        Professional Accountability
        Redcar & Cleveland Borough Council undertook a themed audit regarding safeguarding practice where a resident on resident concern
        had occurred in a care home setting. The audit highlighted comprehensive and sound rationale at the decision-making stage with
        reference to the Care Act and Teeswide Safeguarding Adult’s Board decision support tool; and a proportionate response in consultation
        with the right agencies and professionals. As part of the Teeswide Safeguarding Adult’s Board Quality Assurance Framework, each
        partner agency is required to undertake a biennial self-assessment, the results of which are fed back to the Board.
        Redcar & Cleveland completed the Quality Assurance Framework (QAF) self-audit process as part of the framework in
        January 2019. The self-assessment process assisted us in identifying areas of best practice, and supported our focus
        on the further development of safeguarding practice over the next 3 years. The sharing of learning across agencies,
                                                                                                                  Jonathan Green
        and local authority areas, continues to invaluably contribute to practice improvements in safeguarding adults.  Mark McGurrin
                                                                                                                  Countryside Ranger
        Hartlepool and Stockton on Tees and South Tees Clinical Commissioning Groups (CCGs)                       Position
        The Director of Nursing and Quality and Heads of Quality and Adult Safeguarding for the CCGs continue to take an active role in the   Name of Directorate
                                                                                                                  Countryside Service, Flatts Lane Woodland
                                                                                                                  Country Park, Flatts Lane, Normanby, TS6 ONN
        business of the Board and sub groups. The CCGs commission from most health providers across Teesside and work with them to   Adult Learning Service
                                                                                                                  (T) 01642 459629
        ensure that services are delivered in accordance with sound safeguarding principles. This is demonstrated by compliance with the   Redcar Academy, Cotswold Drive
                                                                                                                  (M) 07717 423696
        enhanced requirements included in the service contracts and local quality requirements and both CCG’s have completed the quality   Redcar, TS10 4AB
                                                                                                                  (E)  [email protected]
        assurance framework self-assessment. As part of the approach adopted when working with providers and partners, the CCGs are also   (T) 01642 492002  (M) 01642 492002
                                                                                                                  www.redcar-cleveland.gov.uk/countryside
        active members of the safeguarding governance groups of our main NHS providers and complete regular multi-disciplinary team led   (E) [email protected]
        clinical assurance visits (CAV). These provide opportunities for sharing of knowledge and learning, as
        well as the provision of assurance around quality and standards of service. CAV’s are also conducted in                  this is Redcar & Cleveland
        the smaller independent sector providers that are commissioned across Teesside.

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