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Inspection report

Date of Inspection: 14 September 2010 and 11 July 2011
Date of Publication: 3 February 2011
Inspection Report published 3 February 2011 PDF | 320.95 KB

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People should be protected from abuse and staff should respect their human rights (outcome 7)

Meeting this standard

We checked that people who use this service

  • Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 14/09/2010, 11/07/2011, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

The trust has safeguarding policies and procedures for both adult and child protection in place which advises staff what to do if there are any safeguarding issues or concerns. Both of these polices were due for review and update last year.

The trust maintains a database of any adult safeguarding concerns and the actions taken. While the trust has stated that it is recovering this position, attendance at level 1 and 2 training was low mid-way through the year against the annual plan. Further work is required to train staff to ensure that they know how to identify and respond to safeguarding concerns.

Overall, we found that the Churchill Hospital was meeting this essential standard, but there are areas of concern where improvements need to be made.

User experience

Safeguarding is the process of protecting children and adults from abuse or neglect and in relation to children, preventing impairment of their health and development.

The trust has safeguarding policies and procedures in place for both children and adults. The Oxford Radcliffe Hospitals NHS Trust has a policy entitled ‘local arrangements for child protection’ dated October 2009. The policy is currently under review. The policy outlines the responsibilities and processes for safeguarding. It states that all staff in the organisation should have safeguarding children awareness training (foundation level). All clinical staff who are involved in caring for children, young people and carers of children and young people within their work should have level1 training. All professional staff who work regularly with children and young people or who have them as the focus of their work should have level 2 training. Professionals with a strategic responsibility to care for and support the safeguarding of children should have level 3 training.

The trust’s safeguarding monthly report for July 2010 shows that attendance at foundation level training for new starters is 91%. However attendance at level 1 and 2 children’s safeguarding training, in particular, is low. Of those staff who should have attended:

47% have attended level 1

29% have attended level 2 and

84% have attended level 3.

The trust also has an adult safeguarding policy in place, with a review date of September 2009. An action plan provided by the trust shows that this policy is currently under review. The policy states that managers will provide initial information at staff induction programmes about the adult safeguarding policy. The trust provided evidence to show that only 46% of staff have attended protection of vulnerable adult training. The trust has set a target of 80% to be achieved by 2010/11.

The trust has put some measures in place to address low attendance at both children’s and adult safeguarding training. An e-learning package has been developed, where learning is conducted via the internet rather than face-to-face. This training covers children safeguarding level 1 and adult safeguarding training and was introduced in April 2010. The trust has also distributed a leaflet to all staff which details how to identify and respond to safeguarding concerns.

The trust maintains a database of any adult safeguarding concerns which includes action taken and outcomes. There is also a flow chart of action to take is a concern relating to adult safeguarding. In situations where restraint may be required, the trust has guidelines in place. The trust also has a process in place to identify when children do not attend scheduled appointments.

Other evidence