Page 4 - TSAB Board Minutes - 25 October 2019
P. 4

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             1.  Annual report to be published on the TSAB website                   AM            04/11/19
             2.  Members to share the Annual Report within their respective          All           30/11/19
                 organisations.

          Agenda Item 4        Risk Register                                   Presenter: Chair
          The TSAB Risk Register has been refreshed in line with the 2019-20 Strategic Plan and all risk areas
          have actions allocated to them. Liberty Protection Safeguards (LPS) are an area of concern. The Board
          was  assured  that  all  partners  are  ready  for  its  implementation.  Discussions  have  taken  place  at  the
          Learning, Training and Development Sub-Group following a briefing Patrick Rice (PR) attended regarding
          proposed timescales. Helen Smithies (HS) commented that she attended an LPS event in Manchester,
          she further explained that the Regulations and Code of Practice for LPS are not yet finalised so therefore
          it  is  difficult  for  preparations  to  commence,  although  it  is  recognised  that  there  will  be  significant
          challenges.

          Agenda Item 5        TSAB Performance Report – Q1                    Presenter: Angela Legg
          Angela Legg highlighted the key points from the Quarter One Report 2019/20:
               The number of concerns received by the LAs are becoming more consistent each year with a
                 similar number of concerns being reported each quarter.
               As anticipated and highlighted at the end of the last reporting year Section 42 enquiries have
                 continued  to  increase  during  quarter  1,  particularly  when  compared  to  previous  years.  The
                 increase has been impacted by the improved reporting mechanisms introduced by 2 of the LAs in
                 quarter 3 last year.
               The two main areas of abuse continue to be Neglect & Acts of Omission and Physical, however it
                 is worth noting that both areas saw a slight decrease from quarter 4.  When comparing to the
                 previous year’s data it is not comparable at present as both categories have increased due to the
                 improved recording mechanisms
               Medication errors / omissions and incidents between residents continues to decrease, this may
                 indicate that the work undertaken in 2017/18 to provide a clearer framework and guidance to deal
                 with these type of issues has helped to reduce the number of incidents.
               The two main locations of risk continue to be Own Home and Care Homes.  Own Home is now
                 the main location of risk rather than Care Homes. This shift happened in 2018-19 and could also
                 be partly due to the Improvement in data recording.
               The volume of Domestic Abuse cases reported into safeguarding has doubled compared to Q1 in
                 2018-19.  The number of Concerns submitted for Domestic Abuse remains unchanged since Q1
                 last year. However the number of concerns taken to a Section 42 Enquiry is higher which would
                 indicate that there has been some positive work in this area. One LA has conducted some further
                 detailed analysis around Domestic Abuse cases: This analysis indicated that nearly half of the
                 cases related to an adult over 65 year old. These cases also had a tendency to occur in the adults
                 own home.
               4 out of 5 Performance indicators are rated green this quarter
               There is a lot of activity and support around the Responding to and Addressing Serious Concerns
                 Protocol  and  a  number  of  homes  have  since  come  out  of  the  protocol  because  of  the
                 improvements made through this focused approach.
               Both TEWV and North Tees Heath Trusts have reported a reduction in the number of concerns
                 submitted to the LA. South Tees have reported a significant increase in the number of section 42
                 enquiries undertaken relating to Trust Practice however this can be attributed to improving the
                 reporting of patient safety which is positive.
               Cleveland Police recorded a decrease in the number of Domestic Abuse incidents being
                 reported to Cleveland Police.  Recorded crime for Domestic Abuse cases also decreased
                 slightly.
               Activity continues to be consistent with Safe and Well and Home fire safety visits taking place
                 each quarter by Cleveland Fire Brigade.

          Discussions  were  held  regarding  the  comparison  of  figures  between  LAs  and  Health  Trusts.    It  was
          acknowledged that figures will not be comparable until there is one recording system across all areas
          however the knowledge that is being gained is invaluable for the future. It was noted that data is about
            Minutes Approved – 11.12.19                                                                     4
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