We like to take our anger out on those who areweaker, those who cannot answer. It is a humantrait. And somehow the arguments to prove weare right appear out of nowhere.Alexander Solzhenitsyn“Better to be safe than to be sorry” is a remark ofvalue only when these are the actual alternatives.Idries Shah
Institutions are very unsafe1. Devalued lives - self-expression and personal development threaten institutional thinking2. No freedom or control - it is very hard to be heard when you have no authority3. Impoverishment - economic power is nullified4. Sheltered, but homeless - a home is more than a roof - vital to control privacy and security5. ‘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 harder7. Loveless - the shift to focusing on abuse not crime is a symptom of institutional thinking
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.
Who keeps people safe?Paid staff are only one group involved in lives
Inspection regimes failService Area % failingUser focused services 22%Personal care 26%Protection 29%Managers and staff 33%Organisation and running of the 23%businessStandard % failingThe needs, wishes, preferences and personal goals for each user are 48%recorded in a personal service user planStaff are supervised and appraised 43%Safe procedures for medication, with users keeping 42%control where possibleRigorous 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
Risk grows as we se A bu e of O ld rienc er P eop pe le’s ’s Ex Exp Hid erie den Vo ple r Peo An a nce ic of A es:institutionalise nalys Olde is of Writ calls ten b y Acti to th e Ac buse ices: on o tion n Eld on E er A lder en Vo buse and p Abus ublish e help ed by line. Hidd Help the A ged se Abu lder on E on Acti ged the A Help Action on Elder Abuse Data (2004)
Jonathan’s storyFor the 3 years before 150 days in hospital -responding to problems with breathing.In the 3 years after leaving hospital he has spentonly 2 nights in hospital - for elective dentaltreatments.Personalised learning - on the job - 2 City & GuildsQualifications.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
When is a crime not a crime? When it’s abuse ofsomeone with diminished rights.The service system is riskier than real life - so thesolution to risk cannot be a service solution.Begin at the beginning - if we are weak,disconnected and unable to articulate our rightscan we expect the system to take our rightsseriously?
Questions1. 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?