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Legislation

Listed are the key pieces of legislation relevant to safeguarding. It is important that you have an understanding of what the legislation is, what impact it has on your role and how these pieces of legislation can be used to safeguard the service users in your care.
You will have received training on these at induction and will be notified of any changes in legislation, including refresher training annually. However, it is also useful to know where to find this legislation should you need it at any time when carrying out your duties. Below is a brief overview of what the legislation covers and links to the full guidance.

The Care Act 2014

Care Act

Adult safeguarding is now on the same legal footing as child safeguarding as defined in the Care Act 2014.

Adult safeguarding is about helping an adult to live safely, comfortably and free from abuse. Councils, the police and the NHS already work in partnership to safeguard adults who need support and from April 2015, The Care Act (2014) has helped to deliver an even better service. The Care Act (2014) says that every council must:

  • check out any worries about adults who need support and may be at risk of abuse, neglect or domestic violence and take action to protect them;
  • set up a Safeguarding Adults Board with members from the council, the police and the NHS who will work together to help keep people safe;
  • appoint a Designated Adult Safeguarding Manager to handle any complicated problems;
  • arrange for an independent advocate to support any adult who needs extra help during a safeguarding enquiry or review;
  • cooperate with our partners in order to protect an adult with care and support needs who is experiencing or is at risk of abuse or neglect.

The council must make enquiries or ask others to make enquiries when they think that an adult with care or support needs is at risk from abuse or neglect.

Principles of the Care Act 2014

The Care Act 2014 encourages caregivers to take a person-centred approach when safeguarding vulnerable adults. When you follow the principles, you too place the vulnerable person’s wellbeing and needs at the forefront of safeguarding processes. They help you directly involve the vulnerable person – and any nominated people who can help reach decisions in the vulnerable adult’s best interest – when managing safeguarding concerns and care plans.

The six principles of the Care Act are:

  • Empowerment.
  • Protection.
  • Prevention.
  • Proportionality.
  • Partnership.
  • Accountability.

Abused or neglected adults are often silent victims during safeguarding concerns, which often means that caregivers make all the decisions while the service user has little to no involvement.

Full guidance can be found at Care Act 2014 (legislation.gov.uk)

The Human Rights Act 1998

Human Right Act 1998

This Act clarifies the rights and freedoms of individual. These basic rights are based on shared values like dignity, fairness, equality, respect and independence. These values are defined and protected by law. The Act lets you defend your rights in UK courts and compels public organisations – including the Government, police and local councils – to treat everyone equally, with fairness, dignity and respect.

The Act sets out your human rights in a series of ‘Articles’. Each Article deals with a different right. These are all taken from the ECHR and are commonly known as ‘the Convention Rights’:

  • Article 2: Right to life
  • Article 3: Freedom from torture and inhuman or degrading treatment
  • Article 4: Freedom from slavery and forced labour
  • Article 5: Right to liberty and security
  • Article 6: Right to a fair trial
  • Article 7: No punishment without law
  • Article 8: Respect for your private and family life, home and correspondence
  • Article 9: Freedom of thought, belief and religion
  • Article 10: Freedom of expression
  • Article 11: Freedom of assembly and association
  • Article 12: Right to marry and start a family
  • Article 14: Protection from discrimination in respect of these rights and freedoms
  • Protocol 1, Article 1: Right to peaceful enjoyment of your property
  • Protocol 1, Article 2: Right to education
  • Protocol 1, Article 3: Right to participate in free elections
  • Protocol 13, Article 1: Abolition of the death penalty

Articles 1 and 13

Articles 1 and 13 of the ECHR do not feature in the Act. This is because, by creating the Human Rights Act, the UK has fulfilled these rights.For example, Article 1 says that states must secure the rights of the Convention in their own jurisdiction. The Human Rights Act is the main way of doing this for the UK.Article 13 makes sure that if people’s rights are violated they are able to access effective remedy. This means they can take their case to court to seek a judgment. The Human Rights Act is designed to make sure this happens.

Full guidance can be found at Human Rights Act 1998 (legislation.gov.uk)

The Mental Capacity Act 2005

mental-health-act

This Act has introduced a new criminal offence of ill-treatment and wilful neglect of a person who lacks capacity; more importantly, it has also introduced into law five simple-but-powerful principles that challenge us to create a new person-centred, empowerment-focused framework in which everyone must operate and in which to locate safeguarding work.

Principles of the MCA:

  • Presumption of Capacity- All adults over the age of 16 are presumed to have capacity unless it is proved otherwise.

  • Supported Decision Making- People must be given all practicable help to make their own decisions before they are treated as not being able to do so.

  • Unwise Decisions- Just because someone makes a decision you may not agree with or think is unwise does not mean that they lack capacity.

  • Best Interests- If someone is deemed not to have capacity then any decision made on their behalf must be in their best interests and evidence assessed to ensure as far as possible the persons wishes are taken into account.
  • Least Restrictive Option – Any decision made on behalf of someone who lacks capacity must be the least restrictive available of their basic human rights and freedoms.

Full guidance can be found at Mental Capacity Act 2005 (legislation.gov.uk)

mental-capacity-act

Deprivation of Liberty Safeguards (DoLS)

mental-capacity-act-2005

DoLS were introduced into the Mental Capacity Act 2005 in 2007. The safeguards are concerned with obtaining a professional assessment undertaken by people independent to the hospital or care home where a service user is residing or about to reside. Under DoLS, these settings apply to the local authority if they suspect a service user is, or is going to be, deprived of their liberty.

A Supreme Court ruling in March 2014 clarified that when people lack capacity to consent to care or treatment the question of whether or not they are deprived of their liberty can be determined by asking the following:

1. Is the person subject to continuous supervision and control?

2. Is the person free to leave?

The Supreme Court judgement makes clear that if a “person who lacks capacity to consent to care or treatment arrangements” is subject to continuous supervision and control, and is not free to leave, then they are deprived of their liberty.
Individual local authorities are interpreting this ruling, and it is important to work with your local authority and their interpretation of the processes.

In 2015 The Law Society issued a Practical Guide “How to identify when care or treatment of someone amounts to a deprivation of their Liberty”.

However, the law on authorising Deprivation of Liberty is changing. And the Mental

Capacity (Amendment) Act 2019 is due to come into force in 2022 (delayed by the Covid-19 pandemic).
Full guidance is available at The Mental Capacity (Deprivation of Liberty: Standard Authorisations, Assessments and Ordinary Residence) Regulations 2008 (legislation.gov.uk)

The Mental Capacity (Amendment) Act 2019

mental-capacity-act 2019

The legislation provides for the repeal of the Deprivation of Liberty Safeguards (DoLS) contained in the Mental Capacity Act 2005 (MCA), and their replacement with a new scheme called the Liberty Protection Safeguards (LPS). It is due to come into force in spring 2022. The 2 systems of DoLS and LPS will run alongside for the first year to enable the transfer to take place.
The LPS establishes a process for authorising arrangements enabling care or treatment which give rise to a deprivation of liberty within the meaning of Article 5(1) of the European Convention on Human Rights (ECHR), where the person lacks capacity to consent to the arrangements. It also provides for safeguards to be delivered to people subject to the scheme.
At the present time the government is working on the LPS Code of Practice for this Act.
Full guidance is available at Mental Capacity (Amendment) Act 2019 (legislation.gov.uk)

The Safeguarding of Vulnerable Groups Act 2006

This Act established the legal basis for the Independent Safeguarding Authority (ISA) to manage the two lists of people barred from working with children and/or vulnerable adults. The Act also placed a statutory duty on all those working with vulnerable groups to register and undergo an advanced vetting process with criminal sanctions for non-compliance. This Act was amended by the Protection
of Freedoms Act 2012. The Protection of Freedoms Act amalgamated the Criminal Records Bureau (CRB) and the ISA to form the Disclosure and Barring Service (DBS). There are ongoing changes in this legislation that will affect the way disclosures are obtained and checked by employers.

Full guidance can be found at Safeguarding Vulnerable Groups Act 2006 (legislation.gov.uk)

The Equality Act 2010

The-health-act

This is an umbrella Act for all anti-discrimination legislation; particularly, it identifies the following as “Protected Characteristics”:

1. Age

2. Disability

3. Gender reassignment

4. Marriage and civil partnership

5. Pregnancy and maternity

6. Race

7. Religion or belief

8. Sex

9. Sexual orientation

Full guidance is available at Equality Act 2010 (legislation.gov.uk)

Health and Social Care (Safety and Quality) Act 2015

health-and-social-care

The legislation has been introduced to give the Secretary of State more power to make regulations imposing any requirements necessary to prevent harm against those receiving medical care. The practical implementation of this is to be affected by the Care Quality Commission. The Act contains measures that together are intended to improve the safety and quality of health services and social care.

The main points of the Act are that it:

1. Seeks to ensure a reduction in the harm suffered by patients and other service users from receiving certain health and social care related services in England.

2. Makes provision for requiring the use of a consistent service user identifier in individual’s health and social care records in England.

3. Is intended to secure the appropriate sharing of information in support of people’s direct care in England to help ensure more integrated care.

4. Seeks to give the Professional Standards Authority for Health and Social Care and certain regulators of health and social care professionals in the UK an overarching objective of public protection.

5. It also requires those regulators committees and panels to have regard to the new objective when determining whether a practitioner is fit to practice

Full guidance can be found at Health and Social Care (Safety and Quality) Act 2015 (legislation.gov.uk)

The Children’s Act (2004) re: Children in an Adult Care Setting

childern-care

It is a reflection of where we are today, that although we work in an Adult Social Care setting, we are not immune to the relationships around them.

Section 11 of the Children Act 2004:

“Places duties on a range of organisations, agencies and individuals to ensure their functions, and any services they contract out to others, are discharged having regard to the need to safeguard and promote the welfare of children.”

The Section 11 duty includes Adult Social Care Services, whilst delivering services to adults, who may, during delivery of those services, come across children, whether they be part of the extended family, visitors, or, who are part of their social support circle.

When staff are providing services to adults they should ask whether the children need help or protection from harm. Children may be at greater risk of harm or be in need of additional help in families where the adults have mental health issues, misuse drugs or alcohol, are in a violent domestic setting or relationship, have complex needs or learning disabilities and when determining what sanctions might be appropriate

Full guidance can be found at Children Act 2004 (legislation.gov.uk)

Modern Slavery Act 2015

modern-slavery-act-2015

The Modern Slavery Act 2015 (“the Act”) introduces a number of measures to combat slavery and human trafficking. In addition to creating new criminal offences, powers of enforcement and measures to protect victims, it introduces requirements intended to eliminate slavery and trafficking in global supply chains.

Full guidance can be found at Modern Slavery Act 2015 (legislation.gov.uk)

Female Genital Mutilation Act 2003

Female-Genital-Multilation-Act

Under the act, a person is guilty of an FGM offence if they excise, infibulate or otherwise mutilate the whole or any part of a girl’s or woman’s labia majora, labia minora or clitoris. They are guilty of the same if they take the girl abroad from the UK for the procedure to be carried out.

Full guidance is available at Female Genital Mutilation Act 2003 (legislation.gov.uk)

Ill treatment or wilful neglect

It is an offence under the Criminal Justice and Courts Act 2015 for an individual who has the care of another individual by virtue of being a care worker to ill-treat or wilfully to neglect that individual.

Under S44 of the Mental Capacity Act, ill-treatment and wilful neglect is a criminal offence for anyone, including those with powers of attorney and court appointed deputies, who has care of a person who lacks capacity

Ill treatment and wilful neglect are different. Ill treatment must be deliberate, is an offence irrespective of whether it causes harm, and involves an appreciation by the perpetrator that they were inexcusably ill-treating the person. Ill treatment includes acts such as hitting, administering sedatives to keep people quiet, pulling hair, rough treatment, verbal abuse or humiliation.

Wilful neglect is a failure to act rather than a deliberate act to commit harm. Managers with responsibility for ensuring good care can be held accountable but currently there is no offence of corporate neglect.

Full guidance can be found at Criminal Justice and Courts Act 2015 (legislation.gov.uk)

Public Interest Disclosure Act 1998

Public-Interest-Disclosure-Act

An important part of providing care is ensuring a working environment that encourages people to challenge practices in their own workplace. The law offers some protection from victimisation to people who blow the whistle under the Public Interest Disclosure Act (PIDA) 1998. The parameters of ‘protected disclosure’ are set out in the Employment Rights Act (ERA) 1996. The person making the disclosure should not commit an offence in doing so (e.g. breach the Official Secrets Act 1989) and must reasonably believe one or more of the following:

  • that a criminal offence has been committed, is being committed or is likely to be committed
  • that a person has failed, is failing or is likely to fail to comply with any legal obligation to which he or she is subject
  • that a miscarriage of justice has occurred, is occurring or is likely to occur
  • that the health or safety of any individual has been, is being or is likely to be endangered
  • that the environment has been, is being or is likely to be damaged
  • that information tending to show any matter falling within any one of the preceding paragraphs has been, is being or is likely to be deliberately concealed. (ERA 1996)