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Better Safe than Sorry
1. Better Safe than Sorry
protecting each other from harm
Dr Simon Duffy ■ The Centre for Welfare Reform
■ 18th October 2012 ■ Adelaide, South Australia ■
Presentation for SACID
3. We like to take our anger out on those who are
weaker, those who cannot answer. It is a human
trait. And somehow the arguments to prove we
are right appear out of nowhere.
Alexander Solzhenitsyn
“Better to be safe than to be sorry” is a remark of
value only when these are the actual alternatives.
Idries Shah
6. Institutions are very unsafe
1. Devalued lives - self-expression and personal
development threaten institutional thinking
2. No freedom or control - it is very hard to be
heard when you have no authority
3. Impoverishment - economic power is nullified
4. Sheltered, but homeless - a home is more than
a roof - vital to control privacy and security
5. ‘Care’ not support - ‘care’ already assumes the
passivity and lower value of the person ‘in care’.
6. Disconnected- it is other citizens who report
abuse and it is structures of power within
institutions that make that harder
7. Loveless - the shift to focusing on abuse not
crime is a symptom of institutional thinking
7. Citizenship is vital to safety
1. Direction - Its risky if my life lacks meaning and
value
2. Freedom - Its risky if I cannot direct my life,
communicate or be listened to.
3. Money - Its risky if I lack money or if I cannot
control my own money.
4. Home - Its risky if I cannot control who I live with,
my home and my privacy.
5. Help - Its risky if I’ve no one to help me and if I
cannot control who helps me.
6. Life - Its risky if I am not a valued member of my
community.
7. Love - Its risky to have no friends or family.
12. Who keeps people safe?
Paid staff are only one group involved in lives
13. Inspection regimes fail
Service Area % failing
User focused services 22%
Personal care 26%
Protection 29%
Managers and staff 33%
Organisation and running of the 23%
business
Standard % failing
The needs, wishes, preferences and personal goals for each user are 48%
recorded in a personal service user plan
Staff are supervised and appraised 43%
Safe procedures for medication, with users keeping 42%
control where possible
Rigorous recruitment and selection procedures 39%
The risk of accidents for users and staff is minimised 37%
CSCI Report - State of Social Care - 2005-2006 - Failure to meet minimal
standards in domiciliary care agencies
14. Risk grows as we
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Action on Elder Abuse Data (2004)
16. Jonathan’s story
For the 3 years before 150 days in hospital -
responding to problems with breathing.
In the 3 years after leaving hospital he has spent
only 2 nights in hospital - for elective dental
treatments.
Personalised learning - on the job - 2 City & Guilds
Qualifications.
Saving NHS, LA & Education
•Over £100,000 in hospital stays
•Over £300,000 in residential care costs
•Over £100,000 of funding contributed by the LSC
19. When is a crime not a crime? When it’s abuse of
someone with diminished rights.
The service system is riskier than real life - so the
solution to risk cannot be a service solution.
Begin at the beginning - if we are weak,
disconnected and unable to articulate our rights
can we expect the system to take our rights
seriously?
20. Questions
1. Research - Do we know what is working and not working?
2. Supported Decision-making - Do people have good
decision-making systems around them as a matter of right?
3. Control - Are people in control of their life and support?
4. Leadership - Do services understand how to raise
standards and tackle abuse?
5. A citizen’s duty - Do all citizens - including staff - have a
legal obligation to report crimes against those who can’t
themselves?
6. Policing - Do the police take these crimes seriously?
7. Justice - Do people get a good chance of justice from
criminal justice system?
8. Voice - How do we strengthen the voice of advocacy?