Example 1: Liz
Liz, 67 years old, lives on her own and has dementia. She is supported by a care agency who meet her day-to-day needs. Liz told her son that she has been giving money to one of her carers regularly because the carer demands the money and Liz is scared of her. There is no good reason that Liz should be handing over cash to this carer.
This looks like financial exploitation. It is exploitation by a care worker of a person who is receiving social care. Liz and her son want the carer to stop coming but do not consent to police involvement.
What do you do?
• This appears to be a crime under s.20 of the Criminal Justice and Courts Act 2015 as it is alleged ill-treatment of a person in receipt of social care by a care worker.
• There is a risk that this care worker could harm other people with care and support needs so reporting to the police is in the public interest. Therefore, Liz's refusal to consent to police involvement should be overridden and her information shared to protect the public.
• The reasons for reporting this crime to the police should be explained to Liz and should be clearly recorded. A Safeguarding Concern should be raised with Adult Social Care and a Safeguarding Enquiry under s.42 should be considered.
• Police, the care agency, and Adult Social Care should work together to safeguard Liz and other adults at risk from this care worker.
• The care agency must NOT investigate this complaint but must take steps to protect other people while the Police investigate.
Example 2: Elicia
Elicia, attends a drop in session for adults with severe and enduring mental illness. She tells a member of staff that Jeff, another service user, followed her home from the drop-in centre and raped her.
Elicia does not want this to be reported to the police. She is wary of retribution from him and feels ashamed of what happened. She is also scared the police will not believe her.
What do you do?
• Elicia has mental capacity to consent but is NOT consenting to police report because of fear of further harm from Jeff. This indicates ongoing risk of harm.
• Rape is a very serious crime and there is a duty to share information to enable the detection and prevention of crime.
• There is a potential risk to other members of the public, particularly other female service users of the drop-in centre. Reporting this crime to the police appears necessary to protect members of the public from sexual violence.
• Explain to Elicia that you need to report this to police to protect her and other people.
• If possible, call Police with her and support her to explain to them her fears of the consequences of reporting.
• Support her to attend a Sexual Assault Referral Centre - especially if the offence is very recent.
• Offer to make contact with a rape support service to identify an available ISVA.
• Raise a Safeguarding Concern with Adult Social Care and a Safeguarding Enquiry should be urgently considered.
• Police, Adult Social Care, mental health services and the Drop in Centre safeguarding lead need to work together to keep Elicia and other women at the Drop in centre safe.
Example 3: Joe
Joe, 84 years old, has dementia and lives in a residential care home. Carers within the home support Joe with managing his day-to-day needs. Joe is visited by his family regularly and on their recent visit they notice he has a large bruise at the top of his arm. Joe’s daughter asks him about it and he tells her that Dan, a member of staff in the home, did it to him.
Joe’s daughter tells the Care Home Manager about the bruising and what Joe has told her.
Both Joe’s daughter and the care home manager try to explore this further with Joe but he states he doesn’t want to talk about it or get anyone in trouble.
What do you do?
• This is an allegation against a staff member of physical abuse.
• It is potentially a crime of S.47 Assault (Actual Bodily Harm) Offences Against the Person Act 1861.
• It could also be a crime under S.20 of the Criminal Justice and Courts Act 2015 as it is alleged ill-treatment of a person in receipt of social care by a care worker.
• There is a risk that this care worker could harm other people with care and support needs so reporting to the police is in the public interest.
• The reasons for reporting this crime to the police should be explained to Joe and should be clearly recorded.
• A Safeguarding Concern should be raised with Adult Social Care and a Safeguarding Enquiry (under S.42 of the Care Act 2014) should be considered. A Safeguarding Planning Meeting should be held to agree next steps.
• The Police, the care agency, and Adult Social Care should work together to safeguard Joe and any other adults who may be at risk from this care worker.
• The care agency follow their internal policy / procedure so they can establish the nature of the allegation and take any immediate steps to protect the person and any other adults at risk, however they must NOT investigate what happened as the Police will need to take the lead.