Safeguarding

Question 1

Responsibilities and process

Answer 1

• listen to child
• seek explanation for signs
• record events and check background information
• inform and discuss with manager
• refer if needed
• 24 hr follow up with written record of referral
• provide background information to social services

Question 2

Abuse

Answer 2

Inflicting harm

Question 3

Neglect

Answer 3

Failing to act to prevent harm

Question 4

Types of abuse

Answer 4

Physical
Emotional
Neglect
Sexual

Question 5

Factors affecting safeguarding

Answer 5

Child’s developmental needs
Family and environmental factors
Parenting - substance misuse, culture

Question 6

Immediate referrals to social care

Answer 6

• Children under 2 with unexplained bruising
• children at immediate risk of significant harm
• Children with unexplained injuries
• Child victims of trafficking
• Children experiencing repeated domestic violence or witnessing it - adult mental health issues and substance misuse
• Children under 1 with parents that significantly misuse substances
• Risk of significant harm to unborn baby
• Children left home

Question 7

Signs of physical abuse

Answer 7

Physical signs of abuse e.g. bruising, burns and bite marks

Flinch at sudden movements
Unexplained fractures
Fabricated or induced illnesses

Question 8

Signs of emotional abuse

Answer 8

Child may have:

• low self-esteem
• anger issues
• behind cognitive milestones
• wet the bed
• scared of doing something wrong
• overprotected

Question 9

Signs of sexual abuse

Answer 9

Pain in pelvic region
Bruises
Sexual knowledge you wouldn’t expect at that age

Question 10

Signs of neglect

Answer 10

Medical neglect - ignoring child’s illness and not turning up to appointments

• maternal substance misuse when unborn
• ill-fitted, dirty clothes
• misses school
• hungry

Question 11

ACE - adverse childhood experiences

Answer 11

If exposed to traumatic incidents you are more likely to:

• be involved in risky behaviours
• poor behaviour and emotional control
• more likely to have diabetes and CHD

Question 12

Safeguarding policy

Answer 12

• have a safeguarding agenda
• maintain and review record of concerns
• safe recruitment procedures - DBS checks

Question 13

Case conference

Answer 13

Multi-agency meeting held to:

• discuss the outcome of the safeguarding enquiry
• agree on conclusions
• decide whether a long term protection and safety plan is needed

Question 14

Purpose of case conference

Answer 14

• considered finding and outcomes of enquiry
• decide whether abuse took place
• to assess ongoing risk
• produce or edit safety and protection plan

Question 15

GP role in case conferences

Answer 15

Submit comprehensive reports

• provide background
• medical history

Question 16

Who is involved in a case conference?

Answer 16

The chair
The investigating officer
A minute taker
A competent and experienced manager from each organisation involved
The care manager, care coordinator or key worker
Any other relevant professionals e.g. police, CQC representative, GP, psychiatrist or other health care workers involved
A representative from the Council’s legal department may also need to be invited.