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A report on the effectiveness of adult protection arrangements across Scotland
- Author:
- CARE INSPECTORATE
- Publisher:
- Care Inspectorate
- Publication year:
- 2014
- Pagination:
- 16
- Place of publication:
- Dundee
A review of the strengths and weaknesses of adult protection arrangements in Scotland. The report draws on previous inspections and the recently introduced joint inspections of health and social work services for older people. Work was also carried out across all 32 local authority areas in Scotland with chief officers and adult protection committees to find out more about the effectiveness of the current arrangements for protecting vulnerable adults. The review found signs that chief officers and adult protection committees have a clear focus on the protection of vulnerable adults although there are some concerns that the capacity for improvement is weak in some areas. In those areas showing signs of effective performance, leaders provide strong direction and collective ownership of shared values for delivering the best possible outcomes for adults in need of protection. Where there was a lack of direction and oversight of the work of the adult protection committee by chief officers, this tended to be associated with an absence of robust self-evaluation and an inability to provide evidence of ongoing improvement. A growing number of chief officers’ groups have reviewed and strengthened structures and governance arrangements for public protection to improve the scrutiny and challenge of performance. This has made the connections across relevant areas such as domestic abuse, violence against women and drug and alcohol partnerships more explicit. It is also leading to improved joint working and successful integrated approaches to protect and support vulnerable and at-risk groups. This report identifies barriers to improvement in protecting vulnerable adults. In the main, barriers are tending to be focused around capacity rather than capability. Given the high level of restructure happening to drive efficiencies and integrate services, the report suggests that it is imperative that roles and responsibilities for adult support and protection are not lost and that a framework of continued improvement is identified and reported to the chief officers’ group. Key processes in assessing and responding to risks and needs are identifies as an area for national improvement. (Edited publisher abstract)
Services for older people in Scottish borders: report of a joint inspection of adult health and social care services
- Authors:
- CARE INSPECTORATE, HEALTHCARE IMPROVEMENT SCOTLAND
- Publishers:
- Care Inspectorate, Healthcare Improvement Scotland
- Publication year:
- 2017
- Pagination:
- 62
- Place of publication:
- Edinburgh
Reports on the findings of a joint inspection into how well health and social work services for older people worked together to deliver good outcomes for older people and their carers across the Scottish Borders. The inspection, which was carried out between October 2016 and February 2017, involved meetings with older people and carers; and staff from health and social work services, the third sector and independent sector. In addition, 376 completed staff surveys were also analysed. Across the nine key indicators of performance, inspectors found one to be ‘good’, five to be ‘adequate’ and three to be ‘weak,’ including ‘delivery of key processes’; ‘strategic planning and plans to improve services’; and, ‘leadership and direction. Inspectors found that there were key strengths in the quality of services and that these delivered good outcomes when older people accessed them. However, inspectors identified lengthy waits for people to have their needs assessed and waiting times before receiving services. The report discusses the findings and recommendations in the areas of: leadership; outcomes and experiences; providing the right help at the right time, including the approach to reablement, intermediate care and support for self-management; strategic planning and plans to improve services; the provision of care and support; the experiences of staff and the involvement of the community in the planning and delivery of services; and capacity to improve. It also includes some examples of good practice. (Edited publisher abstract)