As Safeguarding Adults, the national framework of standards of good practice in adult protection, begins to take root in the language and culture of organisations, the need for an evidence base for best practice becomes increasingly important. This article examines the practice data currently generated in three safeguarding adults partnership areas with specific regard to the Safeguarding Adults plan. This process, prior to the clarification of language by Safeguarding Adults, may have been referred to as the 'case conference' or 'review'. Data was gathered from focus groups of safeguarding managers from local unitary authorities. Themes emerged across the groups and, via the use of grounded theory (Strauss & Corbin, 1998), the themes were analysed to highlight the key issues and pressures for those operating within this role.
Purpose The purpose of this paper is to examine a model of effective forensic practice with positive interventions for men with learning disabilities who have committed serious sexual offences. It outlines the theoretical and philosophical frameworks which have informed the model of care and support in a community-based setting and the evidence base for the efficacy of the approach.
Design/methodology/approach This approach to a community-based forensic learning disability service is informed by systemic practice and underpinned by models of human occupation (Keilhofner, 2008) which informs occupational therapy and total attachment (Harbottle et al., 2014). This is a whole systems model for developing compassionate and participatory practice based on attachment theory and approaches to professional parenting drawn from foster care settings and prevention frameworks for adult safeguarding. It uses Klinean Thinking Environments (1999) to give practical communication to the model.
Findings The attachment model which underpins both the support for staff and the framework for scaffolding the care and support provided for service users is building calm, consistent and respectful relationships. This enables workers and service users to feel accepted through the availability of support; to feel a sense of belonging and inclusion in which skills and confidence can flourish helping all to feel more effective. This is evidenced by the stability of the service user group and the staff team.
Research limitations/implications The model of whole system care and support care outlined in this paper can help to provide a therapeutic environment in which men who have committed sexual offences can develop effective skills within a safe, supportive and effectively managed setting. This is on-going research but there is evidence of service users and staff in this model of practice, feeling scaffolded, able to enjoy and achieve progress and personal development.
Practical implications This model appears to promote stable, sustained, supportive relationships. Placement breakdown has been minimal indicating that the disruption rate is low and therefore therapeutic interventions are likely to take place and be effective. This is a hopeful and positive approach which enables individuals to flourish in a safe environment.
Social implications The social implications of this model are positive for creating a stable workforce in an industry plagued with rapid turn over of staff to the detriment of the quality of life for service users. It creates stability and confidence for the residents allowing them to begin to relax and thereafter achieve more positive relationships.
Originality/value This paper examines the application of theoretical frameworks drawn from other disciplines and fuses them into a therapeutic approach to support this service user group. It is a model that can have great portability to other settings but it is its application in forensic services that is new and which is growing its evidence base for its effectiveness.
Purpose – The purpose of this paper is to invite readers to consider a model of compassionate leadership to contribute to the prevention of abuse in collective care settings.
Design/methodology/approach – This paper examines a model of leadership based on theories of attachment and parenting and draws on evidence from practice. The framework, which we call Total Attachment, originated in a foster care organisation which was designed around the approach as a way of supporting carers to care for children who were, largely deemed as unfosterable. It explores literature examining workplace culture and the potential for detachment as workers try to survive their employment. It then offers an approach which has been adopted by a Safeguarding Adults partnership to implement a prevention framework into collective care settings for older people. This has placed Total Attachment at the heart of its promotion of compassionate care giving.
Findings – Consultation from the launch of the prevention framework indicated that Total Attachment had a resonance with providers and was readily understood and its value, tangible as a whole systems approach to enabling compassionate caring. The efficacy of the model in supporting workers to be resilient and effective is quantified by data from the foster organisation.
Research limitations/implications – Total Attachment draws on transference of practice learning and experience across life span services. Attachment theory is largely considered a framework informing child care, however, this model recognises the attachment story across the life span.
Practical implications – This model shows how compassionate care can be led rather than simply taught; how carers and workers can be shown a way of working that connects deeply with their own need for care giving and care seeking.
Originality/value – This paper shares creative, innovative practice that can be implemented in services across the life span. It offers a model for leading compassionate care in a whole systems approach with an evidence base of its efficacy.
