95 7.2 Good recruitment practices, effective supervision, focussed training and direct observation of staff practice will all be crucial and may well come under the spotlight as and when Safeguarding Concerns are raised. 7.3 Service providers also have responsibilities to work in partnership with commissioners to ensure that when things do go wrong, they can both report it and, if appropriate, seek help to put matters right without delay. 8. Cross-boundary Enquiries 8.1 Where a service is funded and located in another area, the ADASS and LGA Advice note for Directors of Adult Social Services – Commissioning out of Area Care and Support Services (published November 2018) will apply. Advice note - commissioning out of area care and support services (local.gov.uk) This guidance puts lead responsibility for the LSE on the host authority (i.e. where that service is located) and includes expectations that all funding authorities will cooperate. 9. Individuals who harm multiple adults at risk 9.1 Many of the same features as set out above also apply where it is identified that one individual may have harmed several adults, as with a range of institutional type failures (which, of course, still have their roots in the actions or inactions of one or more staff). It is possible though that when one person’s actions are responsible there could be a degree of pre-meditation about them. 9.2 Should the harm be shown to have occurred over a length of time there may be reason to think that the individual has concealed his/ her actions. It will be important to ask workplace colleagues or other witnesses for observations and views to assess any possible collusion. They may also hold evidence that will be important in the enquiry or possibly in Police investigations. 9.3 It will be necessary to have an early discussion with Dorset Police about a potential criminal investigation. Led by the Police, decisions will have to be made about collecting evidence, protecting other adults from harm and avoiding inappropriate interventions. 9.4 All references above to the responsibilities of agencies to refer individuals to the relevant registration body apply here and must be adhered to. See Appendix 18 (PiPoT) for further guidance. 10. How to organise Large Scale Enquiries 10.1 When an LSE involves several adults who have experienced harm or are at risk of harm the issues are often complex and involve diverse concerns for different agencies. For example, Dorset Police may want to look at evidence of criminal activity, commissioners at contract compliance and regulators at professional and organisational standards. Because of these cross-cutting complexities, it will be important to try and make an early estimate of the priority areas of focus and the time and staffing resources required. This will help focus the enquiry and avoid unnecessary risk of drift or delay. 10.2 There are several actions to undertake at the outset of the LSE and these should be discussed at an initial Enquiry Planning Meeting (EPM). Information gathering will be an important initial activity as follows – the names and details of all the adults at risk within the LSE. the funding bodies of all the adults at risk details of health and social care services the adult is receiving and details of the staff and agency providing them. details of the GP practices that visit the service provider’s establishment. This information must be shared with the ICB.
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