101 meets the threshold for a full police investigation. If this is the case, then a senior investigating officer (Detective Inspector or above) will be appointed to manage the investigation. NHS Dorset As a statutory partner for the Safeguarding Adult Boards the ICB requires to have an oversight of all the large scale enquires to carry out their statutory duties. This will allow the Designated Adult Safeguarding Manager (DASM) to Determine exactly if any of the adults in the home are funded through either CHC, FNC or section 117 To compile any information that the ICB may hold within their QA team, including intelligence from monitoring visits, infection control visitors. To understand any requirements for clinical reviews, as this will need to be negotiated between the ICB, Healthcare providers and the Local Authority to scope what is required and to determine how this can be resourced. (This is to be able to understand any capacity issues currently within the community services, and to scope what they can provide) To communicate directly with CHC, as all CHC funded adults should also have a case manager. To inform all GP practices relevant to large-scale enquiry, so they are aware of the matter, to be able to support All this information would be gathered and either brought to a meeting in person or via report. The DASM would expect to continue to have a high-level overview of the process throughout the LSE, which could be through either attendance at meetings or receiving high-level feedback from delegated members of the ICB or Healthcare provider agencies requested to attend the LSE meetings on behalf of the DASM and provide feedback to the DASM. Dorset Healthcare University NHS Foundation Trust (DHC) SUMMARY The Lead Manager for Safeguarding will nominate a DHC Safeguarding Team representative to attend planning/ review meetings and to co-ordinate DHC’s response when asked to do so by the relevant local authority or ICB. Representatives from DHC Services who currently support patients receiving care from the service provider who is the subject of the LSE may be required to attend the initial LSE planning meetings and subsequent reviews. DHC staff must collaborate with openness and transparency to facilitate trust, dialogue and actions for improvement. ACTIONS To collate and share information from the DHC Services who currently support patients receiving care from the service provider who is the subject of the LSE. If the sharing of information on patients known to DHC Services will not mitigate the risks of harm to others receiving care from the service provider. DHC will consider whether there is capacity from DHC to allocate staff to visit those not already known to DHC services. Generally, the intervention will be in the form of a brief overview of the health needs of an adult. A full standard assessment will only be conducted in exceptional circumstances where a proven need for this has become evident. The overview will list the service user’s health needs, and a summary of the care required, using the relevant DHC documentation. DHC may be requested to undertake other assessments to support the LSE, such as the completion of MUST or a body map for all the residents. In such cases, the Lead Manager for Safeguarding DHC will discuss the nature and level of the assessment required, with the
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