78 assurance is needed they have all the information required and there is nothing else affecting their decision making. Look for alternative options to engage with the adult and identify who is best placed to help. This may be health, voluntary sector and any other relevant professionals, family, partner or carers as it is possible the adult could respond better to a health, non-statutory organisation or someone who knows them well. Where they have been assessed to be at serious risk and are unable to provide adequate care for themselves and their decision could have an adverse impact on themselves, this guidance should be followed. If identified risks could have an adverse effect on others including carers/families/children, the Adults or Children’s safeguarding procedures should be followed Decision to follow this Guidance A manager in the local authority will decide if the level of risk requires action under this guidance. All decisions and concerns must be recorded. This decision will be based on: Information gathered prior to and through a detailed assessment by either a health or social care professional and If the level of risk is assessed to be so serious that the local authority has a duty of care to override the adult’s wishes either to protect that adult, another adult or child whilst being aware of the right to respect for private and family life (Human Rights Act 1998) If an assessment visit is declined after a referral from neighbours, family, partner or other professionals (e.g. GP, District Nurse etc.) the referrer must be given relevant feedback and consider seeking advice on engagement. Professionals should attempt different approaches to engage including: Offer different appointment times Include family members if the adult wishes Offer of advocacy services to be present Joint visit with another professional known to them Meeting or appointment outside of the home environment or virtually Identify an individual who is already engaged in their life e.g. meals on wheels, library service, someone with a similar interest or hobby Remember that contact with others is not a substitute for communicating with the adult themselves, where it is safe to do so In these circumstances contact the adult setting out what is offered and why, adding that they are free to make contact as and when they need to and how to do this. Any other relevant organisations that might help should also be mentioned. Multi-Agency Risk Management Plan This plan will be focussed on the adult’s desired outcomes, to minimise risk and should include: Protective and preventative options to address risks Identification of agencies or persons taking responsibility and who would be most likely to succeed in engaging with the adult (this professional should be the coordinator of the plan) Alternative ways to engage with the adult Monitoring and review arrangements (timescales and those responsible for actions) Implementation of the Risk Management Plan The staff member responsible for co-ordinating the plan should maintain regular contact with everyone involved in the adult’s care to ensure: Changes in circumstances are shared and recorded. Outcomes are achieved
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