Adult Support and Protection Audit - Care Homes

Q1 | Unanswered

Is there a current Adult Support and Protection policy and procedure aligned with the Adult Support and Protection (Scotland) Act 2007, its Code of Practice and the local Adult Protection Committee procedures?

Q2 | Unanswered

Do staff understand the three-part definition of an adult at risk under the Act, and can they recognise harm affecting a person's wellbeing, property, rights or other interests?

Q3 | Unanswered

Are staff able to recognise and respond to physical, sexual, psychological, financial, neglectful, discriminatory, organisational and self-neglect concerns, including less obvious patterns of harm?

Q4 | Unanswered

Are people supported to feel safe, speak up and raise concerns in ways that reflect their communication needs, culture, capacity, confidence and individual circumstances?

Q5 | Unanswered

Are concerns raised by people, families, staff, professionals, visitors or anonymous sources taken seriously, recorded promptly and risk assessed without requiring the person to use safeguarding terminology?

Q6 | Unanswered

When an immediate risk is identified, do staff take proportionate action to make the person safe, seek urgent advice or emergency support where necessary, and preserve relevant evidence?

Q7 | Unanswered

Are Adult Support and Protection referrals made promptly to the appropriate local authority or other agency, with required Care Inspectorate notifications completed and followed up?

Q8 | Unanswered

Do records clearly distinguish facts, observations, the person's views, professional information, decisions, actions, escalation and reasons for referral or non-referral?

Q9 | Unanswered

Are adult protection enquiries, investigations, case conferences and protection plans supported fully by the service, with records and information shared lawfully, accurately and without avoidable delay?

Q10 | Unanswered

Are interventions demonstrably of benefit to the adult, proportionate to the risk and the least restrictive option available, with alternatives considered and recorded?

Q11 | Unanswered

Are the adult's wishes, feelings, views, preferred communication and desired outcomes sought, respected and reflected in risk assessment, protection planning and review as far as possible?

Q12 | Unanswered

Is independent advocacy considered and facilitated where appropriate, particularly where a person may have difficulty participating or where there is conflict, coercion or a lack of suitable support?

Q13 | Unanswered

Are capacity, consent, powers of attorney, guardianship, the Adults with Incapacity (Scotland) Act 2000 and mental health legislation considered appropriately without assuming that disability or diagnosis equals incapacity?

Q14 | Unanswered

Are concerns involving family, friends, other residents, visitors, professionals, contractors, volunteers, managers or staff acted on fairly and promptly, with protection of all affected people considered?

Q15 | Unanswered

Where allegations concern staff or leadership, are immediate protective measures, employment processes, external referrals and support for the adult managed safely and without conflict of interest?

Q16 | Unanswered

Are financial harm, exploitation, theft, undue influence and concerns about personal property or money recognised, reported and managed through robust individual safeguards and lawful processes?

Q17 | Unanswered

Are restrictions, restraint, bed rails, locked doors, sensor equipment, medication, contact limitations or other controls reviewed for human-rights impact, lawful authority, necessity and least-restrictive practice?

Q18 | Unanswered

Are changes to personal plans, risk assessments, staffing guidance and daily practice made promptly after an adult protection concern, and do staff understand the updated safeguards?

Q19 | Unanswered

Are families, representatives and carers involved appropriately and lawfully, while keeping the adult's wishes, confidentiality, rights and safety central?

Q20 | Unanswered

Do handovers, supervision, team meetings and professional communication identify current protection risks, agreed controls, changes in risk and outstanding actions without unnecessary sharing of confidential information?

Q21 | Unanswered

Are staff trained, supervised and assessed as competent in Adult Support and Protection, including referral routes, information sharing, recording, escalation and reflective practice?

Q22 | Unanswered

Do staff feel able to challenge poor practice and use whistleblowing procedures without fear of blame, retaliation or adverse treatment?

Q23 | Unanswered

Are recurring low-level concerns, injuries, incidents, falls, medication issues, complaints, changes in mood or behaviour and staff practices analysed together to identify potential patterns of harm?

Q24 | Unanswered

Are multi-agency partners, including social work, health professionals, Police Scotland, advocacy and the Care Inspectorate where relevant, involved and communicated with promptly and effectively?

Q25 | Unanswered

Where there may be organisational abuse, systemic failure or risk to more than one person, does the provider recognise the concern, protect people immediately, co-operate with external scrutiny and address root causes?

Q26 | Unanswered

Are adult protection records secure, accessible to authorised people when needed, retained appropriately and audited for quality, timeliness and completion?

Q27 | Unanswered

Do adult protection audits, incidents, outcomes, feedback and inspection findings lead to named improvement actions, shared learning and checks that people are safer as a result?

Q28 | Unanswered

Can the service demonstrate that its Adult Support and Protection practice protects adults from harm while upholding their dignity, autonomy, relationships, rights, wellbeing and chosen outcomes?