This video is about safeguarding adults and how adult abuse
can be prevented through community cohesion, communication and
This video was produced by Social Care Institute for Excellence
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In 1950, just over one in ten of the population was over 65.
Now, it is one in six. In another 30 years, over a quarter of the
population will be 65 and over.
Audrey: I never thought that I’d ever, ever
finish up in a home, a hospital or whatever like. I didn’t. I
always said that I didn’t want to look…live till I was old, but I’m
still going on [laughs].
[Writing on screen]
The changing demography of Great Britain is exerting pressure on
Adult Social Care budgets.
Gary: I think one of the fundamental things
that we’ve got to do is accept that were an older society, this
societies aging and if we don’t pay for the quality of services
that we need, we can’t expect to get them back.
Narrator: Two environments driving to deliver
quality care to the changing demographic are the elder’s people
forum based at The Malcolm X Centre in Bristol and The Ivy Bank
House Residential Home in Bath. Both focus on creating open
learning environments in which it is everybody’s business to look
out for one another. Set against this back drop, it is much more
likely that an older person will speak out if they have experienced
Karen: I’ve seen vulnerability taken advantage
of on more occasions than I would like to, to think about really.
There's a lot of people involved with each resident, um whether its
you know, your own staff, whether its visitors, relatives, external
people that come in, medical profession. There is a, a huge amount
of people around each single, erm, adult that’s, that’s with us, so
there are lots of potential situations.
Narrator: Combined prevalence percentages in
the UK suggest that in any one year, around three hundred and fifty
thousand people aged sixty six and over, will experience abuse. In
order to combat this, Ivy Bank House is focused on prevention via
[Knock on the door]
Karen: There's many forms of prevention to
potential abuse but the one I guess that we work most, most closely
with at Ivy Bank House is communication. I think its really, really
Man: Did you do anything interesting today?
Audrey: Oh well, I had my hair done.
Man: Oh, that good.
Karen: We’ve got a listening ear project, and
it’s a project that we piloted a couple of years and were still
monitoring it and reviewing it as time goes on, things need to
change. But basically it’s a group of staff that we have trained in
clear communication skills. Particularly listening skills and those
staff are able to meet on a one to one basis with residents if the
resident wishes. Erm, and actually offer a, a period of time where
on a one to one basis, that resident or client is able to open up
about anything that might be bothering them.
Narrator: By giving the residents this one on
one opportunity to talk openly to their care worker, the home is
helping combat the potential of abuse.
Lady: Has he been down to see you, your
Elderly Lady 1: Yes.
Lady: I thought I’d seen him.
Elderly Lady 1: Yes, he’s been two or three
Michelle: I’m proud to say that I’m part of the
pilot project, which has been ongoing now for two, three years and
it’s about listening in, especially for those residents or clients
who come first time in any…a care home…er where by they are very
Karen: There coming from their own environment
at home, their whole change of lifestyle can be quite a difficult
transition for people to manage.
Audrey: To start with, I mean its hard cause
I’ve always been used to a place of my own and I mean, you’re bound
to get your down days and…you can’t do anything about it, old age,
Narrator: The reality of living in a care
environment may not always be easy but by focusing on peoples needs
and helping them feel safe, the home does go some way to keeping
its residents happy.
Lady 2: Do you want some fruit to go with your
yoghurt my love? Bit boring this diabetic lark in it.
Elderly Lady 2: It is a bit yeah.
Lady 2: Would you like some fruit?
Elderly Lady 2: I’ll have a banana please.
Lady 2: Alright my darling, I’ll go and get you
Karen: It’s hugely important for residents to feel safe, I mean
generally everybody likes to feel safe. Erm, and as this is a
persons home, erm its also our work place but we have to remember
at all times that whilst were at work were actually doing that in
somebody’s home and in our case when were full its forty three
people. So you know trying to balance working in the home of forty
three very different individual people can be quite difficult, but
we have to remain mindful at all times that actually is what were
Narrator: But what is out there to help safe
guard the non resident? For the older generation living in the
community, day centres play a very important role. The Malcolm X
Centre is one such place. It was built in 1983 with the objective
of bringing together local authorities, voluntary organisations and
inhabitants in a common effort to advance education and good race
relations. The elder’s forum meets here on a weekly basis. This
group offers the local Afro Caribbean Community somewhere where
they can come together to be active, to be heard, and feel
Erica: Centres like the Malcolm X, um, are very
important in supporting older people in the community and providing
a network and support and should they be in a vulnerable position,
they know they have got the back up of the rest of the community
Princess: Your able to meet other West Indian
people there and you can gossip and find out what is going good for
them, what is going bad for them, what is the government doing for
them and what there not doing. The club is suppose to empower them
and let them have a sense of purpose and know that they will be
coming out and live as proud people in a manner that they used to
live. This is what they want, this is what we want.
Narrator: The group provides good care through
the strong relationships between its members. They see it as
everyone’s business to look out for one another.
Gloria: Well if a member doesn’t turn up, we
enquire their where abouts and if their…if someone is living next
door or near we ask that person to see if their alright.
Princess: If we don’t see one person this week
and we make enquiries, you’ll find time to talk to the person, its
going to take time. And erm, you’ll find out what their fears are,
why they didn’t come to the club and sometime it can be just a gang
of boys down the road and it takes a input from one of us to get to
a social worker or the police and let them know there hindering the
progress of this person to going outside. You’ve got to delete the
fear and let them feel as if they are part of the community and
worth something and can contribute towards a better society
themselves. Every human being has a fundamental right to get a one
to one care within this community and I won’t stop shouting…
Princess: …until I see something happen where
all the people are happy.
Narrator: Older people continue to press the
case for society to recognise that it’s everyone’s responsibility
to help safe guard vulnerable adults.
Gloria: Whereas at one time, we knew each
other, we really did knew each other. Next door, you know you would
talk over the fence, you um invite people in for a cup of tea. The
busy schedule life that we have now, have infringe on that and we
seem to have lost that and we need to go back to that.
Gary: I think the whole pace and thrust of
society is creating more vulnerability for people and I think a key
point for us is, and we say this time and again. There is no such
thing as a vulnerable older person. People aren't vulnerable, it’s
the environment circumstances that we put around them and what
other people do that creates that vulnerability for them.
Karen: We’ve all got to take responsibility you
know were all on the same wheel. We are all going to get old one
day. I think we should be expecting a much better standard of care.
We should be listening much more to the voices of the older people
in our society and providing care services that they need, that
they want, that is appropriate to them and that’s its of a good
quality. I think quality is the key and people are entitled to a
good quality care service.