Page 23 - TSAB Adult B FINAL (1)

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6.70. There is no documented evidence that Josh stated that family could not be contacted, merely that he
was estranged from them. This led to a situation where family and professionals were working in
parallel lines regarding their current knowledge of Josh. Had there have been a sharing of information
and an inclusion of the family, there may have been a better understanding of Josh and other
opportunities to meet his needs. This review is not suggesting that data protection or human rights
should be breached, just that more in depth conversations regarding making progress on reunification
with family which Josh stated was his aim. This may well have been part of care plans from processes
mentioned above if they had been more person centred and outcome focussed. In particular, a
safeguarding approach that adhered to a ‘making safeguarding personal’ principle would have very
likely included Josh’s desire for reunification as part of a person-centred safeguarding plan. The
author would suggest that this may have been a protective factor.

Learning Point 17: Person centred and outcome focussed plans ensure that adults’ own
wishes can be explored in depth towards achieving their desired outcomes.

7. GOOD PRACTICE

7.1. It is important to note that many practitioners offer a good level of service to their clients/patients
and follow policies and procedures that are provided to guide practice. This review has identified
some good use of processes and a passion to try and support Josh. Whilst recognising areas for
improved practice and learning, Safeguarding Adult Reviews can also provide evidence of good
practice. Attendees at the workshop were asked to identify these from their own and other agencies
involvement. It is important to highlight these as areas where learning can occur.

7.2. The following was identified as good practice:

 Josh was provided with an alternative homeless advice coordinator when he refused to see an
advisor he had previously seen.

 Efforts made by all services to locate Josh when he took an overdose of insulin in the housing
offices.
 Solution found by housing officer to ensure a doctor could pay the required fee on behalf of
Josh.
 All key agencies kept the GP up to date by sending admission and discharge letters.
 There was good communication between the substance misuse inpatient liaison service in
Area B and the locality substance misuse service teams. These teams also provided Josh with
harm minimisation information when he was seen face to face on the ward or at the needle
exchange.
 Substance misuse services in area A had a detailed and comprehensive risk assessment that
was specific to Josh.
 Area A substance misuse services offered regular appointments with both non-medical
prescriber and recovery navigators, as well as good communication with the hospital,
pharmacies and specialist GP practice.

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