adult support and protection (scotland) act 2007

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Adult Support and Protection (Scotland) Act 2007 The Roles and Responsibilities of Council Officers and Other Specialists Level 3 training

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A. S. P. Adult Support and Protection (Scotland) Act 2007. 0. 7. The Roles and Responsibilities of Council Officers and Other Specialists Level 3 training. Adult Protection Training Framework. A. S. P. 0. 7. National Training Material. A. S. P. 0. 7. - PowerPoint PPT Presentation

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Page 1: Adult Support and Protection (Scotland) Act 2007

Adult Support and Protection (Scotland) Act 2007

The Roles and Responsibilitiesof

Council Officers and Other Specialists

Level 3 training

Page 2: Adult Support and Protection (Scotland) Act 2007

Adult Protection Training Framework

All sectors - Home care, support and housing staff, day care and care home staff, hospital and community nurses, allied health professionals, police constables, advice workers, criminal justice and children/family

services staff -- and supervisory staff (all groups)

Other Groups: National and Local Advocacy staff, Benefits Agency staff, appropriate College/University teaching staff, Adult Protection Committee clerical and administrative

staff, Case Conference minute takers

‘Council Officers’, specialist staff in social care (all sectors), police and health services and service managers, AP Conf. Chairs, Trainers

Adult Protection Committee members, national and local Advocacy staff, Care

Commission Regulators, Health Regulatory Bodies (NHS QIS), SWIA, Mental Welfare

Commission, and other Regulators/ Inspectorates (e.g. HMIC, HMIE), Office of

the Public Guardian

Councillors, NHS, CHP and Police Board members

Others with governance role in other bodies, e.g. Care Commission, Voluntary Organisation Board

Awareness raising, knowledge and understanding

Awareness raising, basic knowledge

and understanding

Detailed knowledge and understanding

Adult Protection Training Framework

Training Levels Training Outcomes

Level 3.

Level 2.

Level 1.

Page 3: Adult Support and Protection (Scotland) Act 2007

Level Briefing/Training Material Produced Nationally

Level One Members

A report for governance Committees or Boards;A 20 minute briefing presentation to Committees or Boards.

Level Two General Staff

A one-hour briefing session for staff at Level 2, including presentation material, which could be potentially delivered by supervisors and managers, as part of a cascade briefing process.*

Level Three Council Officers & Specialists

A two day training course for people in Level 3 on the legislation and its operational implementation, plus a half day awareness raising course, for those who have not previously attended such a course.**

National Training Material

* Requires to be supplemented by full awareness training** Requires to be supplemented by specific skills training

Page 4: Adult Support and Protection (Scotland) Act 2007

Two-day training courselevel 3

Designed for: Council Officers & Specialists; Intended for: Multiagency and Multidisciplinary use; Covers: Legislation and its operational implementation; Developed by: Staff from Scottish Borders, West Lothian,

Midlothian, and Perth & Kinross, with staff from the Scottish Government’s Adult Support and Protection Team and Legal Services;

Use and Delivery: Local discretion; Customisation: Can be customised as necessary with reference to

local protocols and procedures; Trainer notes: Accessed via menu bar by clicking on ‘View’ and then

‘ Notes Page’.

Page 6: Adult Support and Protection (Scotland) Act 2007

Please switch off mobile phones

Page 7: Adult Support and Protection (Scotland) Act 2007

Group exercises

The course is designed to promote multi-professional consideration of the practice issues arising from the implementation of the legislation.

The discussion groups may want to identify someone within the group to chair the group discussion session, and will need to identify a note taker to report back.

Flipcharts are available to each group to record main points made.

It will be important to respect the contribution of all participants, and to ensure that everyone within the group is encouraged and allowed opportunities to contribute.

Page 8: Adult Support and Protection (Scotland) Act 2007

Session rules

• We will be discussing harm of adults during this training.

• This can be an emotive and difficult subject.

• It is therefore essential to create a safe learning environment for all participants.

• Everyone’s comments will be respected.

• All personal information shared within the room is confidential unless it raises concerns about an adult at risk.

Page 9: Adult Support and Protection (Scotland) Act 2007
Page 10: Adult Support and Protection (Scotland) Act 2007

Aims of training

This two day training course is intended to provide:

detailed knowledge of the Adult Support and Protection (Scotland) Act the requirements of implementation; and an understanding of its practice implications.

The course is intended to complement other training dealing with issues such as:

awareness of abuse indicators and responses; skills in communication and interviewing; and risk assessment and protection planning.

Page 11: Adult Support and Protection (Scotland) Act 2007

Existing legislation

The Adults with Incapacity (Scotland) Act 2000 provided means to protect those with incapacity, for example through part 6 of financial and welfare guardianship.

The Mental Health (Care & Treatment) (Scotland) Act 2003 set out powers and duties in relation to people with mental disorder including those who are subject to ill-treatment or neglect.

The Adult Support and Protection (Scotland) Act (ASP) was passed by the Scottish Parliament in February 2007, with Part 1 implementation due in October 2008.

The ASP Act was designed to fill in gaps in previous legislation related to the protection of certain adults and concerns both adults with capacity and adults without capacity, including adults with a mental disorder

Page 12: Adult Support and Protection (Scotland) Act 2007
Page 13: Adult Support and Protection (Scotland) Act 2007

What does the ASP Act do?

The ASP Act introduces new adult protection duties and powers, including:

• Councils duty to inquire and investigate

• Duty to co-operate

• Duty to consider support services such as independent advocacy

• Other duties and powers - visits, interviews, examinations

• Protection Orders: assessment, removal, banning and temporary banning

• Warrants for Entry, Powers of Arrest and Offences

• Duty to establish Adult Protection Committees across Scotland

Page 14: Adult Support and Protection (Scotland) Act 2007

Section 48

Those having a duty under section 48(5) to have regard to the Code Of Practice:

• Councils and Council Officers;• Health Professionals.

Other organisations performing functions under Part 1 should have regard to the code:

• The Police;• The Care Commission;• The Mental Welfare Commission;• The Office of The Public Guardian.

It is also relevant to those working in the voluntary and private sectors.

Code of Practice

Page 15: Adult Support and Protection (Scotland) Act 2007

Definition and interpretation

This course draws extensively and in detail from the ASP Act and the Code of Practice.

Where the Act provides a definition then that should be the interpretation.  Otherwise, the dictionary definition or common usage should be used.

Local staff will often require to reach professional views, and should also seek legal advice as appropriate. 

This course will not therefore provide definitive answers about how to interpret the legislation.

In their practice, local staff will require to consider each case on an individual basis, using professional judgement and following local procedures, often involving multidisciplinary discussion.

Page 16: Adult Support and Protection (Scotland) Act 2007

Day 1

Morning – Principles, Definitions and Inquiries

Afternoon –Investigations and the interface between ASP, AWI and MHCT

Day 2

Protection Orders

Morning – Assessment Orders and Removal Orders

Afternoon – Banning Orders and Offences

Course content

Page 17: Adult Support and Protection (Scotland) Act 2007

09.45 Principles Section 1. General principle on intervention in an adult’s

affairs S2. Principles for performing Part 1 functions

 10.00 Definitions S3. Adults at risk

S53. Harm 10.15 Group Exercise

10.45 Feedback  

11. 00 BREAK  

11.15 Inquiries S4. Council’s duty to make inquiries

S5. Co-operation S6. Duty to consider importance of providing advocacy and

other services 12.00 Group Exercise

12.30 Feedback  

12.45 LUNCH

Day 1 – Course content

13.30 Investigations 1 S52-53. Definition of Council Officer

S7. and S36. Visits S37, 38 and 40. Warrants for Entry

S8. Interviews 14.15 Group Exercise

14.45 Feedback  

15.00 BREAK  

15.15 Investigations 2 S9/52. Medical examinations S10. Examination of records

 15.30 Group Exercise

16.00 Feedback  

16.15 ASP – AWI – MHCTA 

16.30 Learning Outcomes  

16.45 CLOSE

Page 18: Adult Support and Protection (Scotland) Act 2007

Principles

Adult Support and Protection (Scotland) Act 2007

ASP Sections 1 & 2

Page 19: Adult Support and Protection (Scotland) Act 2007

Principles of the ActSections 1 & 2

The ASP principles apply to ANY public body or office holder performing a function. Any person or body taking a decision must be able to demonstrate that the principles have been applied to their decision making and their interventions.

The following persons are NOT bound by the principles:

• the adult; • the adult’s nearest relative; • the adult’s primary carer; • independent advocate; • the adult’s legal representative; • and any guardian or attorney of the adult.

Page 20: Adult Support and Protection (Scotland) Act 2007

Section 1: Overarching principles

A public body or office holder must be satisfied that an intervention:

a) will provide benefit to the adult which could not reasonably be provided without intervening in the adult’s affairs; and

b) is, of the range of options likely to fulfil the object of the intervention, the least restrictive to the adult’s freedom.

Page 21: Adult Support and Protection (Scotland) Act 2007

Section 2: Guiding principles

In addition public bodies or office holders must also have regard to:

a) the adult’s ascertainable wishes and feelings (past and present);

b) any views of • the adult’s nearest relative, • any primary carer, guardian or attorney of the adult, and • any other person who has an interest in the adult’s well-being or property; and

c) the importance of • the adult participating as fully as possible in the performance of the function, and• providing the adult with such information and support as is necessary to enable the adult to participate.

Page 22: Adult Support and Protection (Scotland) Act 2007

Section 2: Guiding principles

Public bodies or office holders must also have regard to:

a) the importance of the adult not being, without justification, treated less favourably than the way in which a person who is not an adult at risk of harm would be treated in a comparable situation;

b) the adult’s abilities, background and characteristics.

Page 23: Adult Support and Protection (Scotland) Act 2007

Definitions

Adult Support and Protection (Scotland) Act 2007

ASP Section 3

Page 24: Adult Support and Protection (Scotland) Act 2007

Section 53: Harm

Harm includes all harmful conduct and, in particular, includes:

a) conduct which causes physical harm;

b) conduct which causes psychological harm (for example: by causing fear, alarm or distress);

c) unlawful conduct which appropriates or adversely affects property, rights or interests (for example: theft, fraud; embezzlement or extortion); and

d) conduct which causes self-harm.

Page 25: Adult Support and Protection (Scotland) Act 2007

Section 3(2): Risk of harm

An adult is at risk of harm if:

a) another person’s conduct is causing (or is likely to cause) the adult to be harmed, or

b) the adult is engaging (or is likely to engage) in conduct which causes (or is likely to cause) self-harm

N.B “conduct” includes neglect and other failures to act (Section 53)

Page 26: Adult Support and Protection (Scotland) Act 2007

ASP Section 3(1): Adults at risk

The three point test:

“Adults at risk” are adults who –

a) are unable to safeguard their own well-being, property, rights or other interests;

b) are at risk of harm; and

c) because they are affected by disability, mental disorder, illness or physical or mental infirmity, are more vulnerable to being harmed than adults who are not so affected.

In terms of Section 53 of the Act, “adult” means a person age 16 or over.

Page 27: Adult Support and Protection (Scotland) Act 2007

Considerations - Adults at risk

The presence of a particular condition does not automatically mean an adult is an “adult at risk”.

A person could have a disability, physical and/or mental health problem and be able to safeguard his/her well-being etc.

All three elements of the definition must be met.(unable to safeguard/at risk of harm/because they are affected by)

It is the whole of an adult’s particular circumstances which can combine to make her/him more vulnerable to harm than others and this could be very different from individual to individual.

Page 28: Adult Support and Protection (Scotland) Act 2007

Considerations - harm

Types of Harm:

The Act sets out the main broad categories.

The list is not exhaustive and no category of harm is excluded.

Serious Harm:

What constitutes serious harm will be different for different persons.

A sheriff must be satisfied that an adult is at risk of serious harm before granting any Protection Order.

Individual Assessment:

The definition of “adults at risk” requires an assessment to be made about the “risk of harm” to the individual at the outset.

Page 29: Adult Support and Protection (Scotland) Act 2007

Group Exercise 1Group members should introduce themselves and say what agency they come from and what their post title is. The group should identify a chair, and a person to write the flipchart list and to report back in the plenary feedback session. The group task is to consider: What are the implications, challenges and dilemmas in professional practice from the definitions of ‘adult at risk' and 'harm'? Use post-its on an individual basis to note words and phrases about the definition of ' an adult at risk' and the definition of 'harm' and then share these within the group to create a group list on the flipchart. Identify cases on an anonymous basis, which illustrate the dilemmas and challenges.

Please flipchart your examples and comments.

Page 30: Adult Support and Protection (Scotland) Act 2007
Page 32: Adult Support and Protection (Scotland) Act 2007

Inquiries

Adult Support and Protection (Scotland) Act 2007

ASP Section 4

Page 33: Adult Support and Protection (Scotland) Act 2007

Section 4: Inquiries

A council must make inquiries about a person’s well-being, property or financial affairs if it knows or believes:

(a) that the person is an adult at risk, and

(b) that it might need to intervene (by performing functions under Part 1 of ASP or otherwise) in order to protect the person’s well-being, property or financial affairs.

Page 34: Adult Support and Protection (Scotland) Act 2007

Inquiry process

Initial inquiries - duty to inquire

• Information passed on under local adult protection guidelines;

• Inquiries are made under section 4 of the Act by the council;

• May consult with other agencies and conduct preliminary inquiries;

• Others, e.g. police or health professionals, may be asked to assist;

• Where an inquiry indicates that a criminal offence may have been committed, the role of the police should not be undermined;

• Next steps could involve a wide range of interventions.

Page 35: Adult Support and Protection (Scotland) Act 2007

Informal intervention

Intervention should be informal wherever possible and allow:

• Information to enable support to be put in place for adult or a carer;

• Assistance to be provided with suitable advice and support.

Page 36: Adult Support and Protection (Scotland) Act 2007

Intervention – other legislation

Adults with Incapacity (Scotland) Act 2000 or the Mental Health (Care and Treatment) (Scotland) Act 2003, or under the Social Work (Scotland) Act 1968.

Criminal offence:

• Requires consultation, assistance and co-operation with the police;

• Council responsibility to take any immediate protective action.

Page 37: Adult Support and Protection (Scotland) Act 2007

No further action decisions

If, based on range of inquiries carried out, there is a decision that no further action is required these actions need to be taken:

• a report needed on the circumstances, actions taken and NFA decision;

• report added to the person's case file; and

• where no case file, a record made of the referral.

Page 38: Adult Support and Protection (Scotland) Act 2007

Inquiries - practice implications

Take any adult at risk of harm report, including anonymous referrals seriously.

Consider cases with an open mind - don’t make assumptions.

Consider all referrals carefully - make measured responses.

Be professional and flexible, e.g. arrange an initial discussion with a familiar worker.

If the allegation involves unpaid carer, the investigation should assess the carer’s situation.

Keep adult fully informed at every stage of the process, unless this might prejudice investigations.

Page 39: Adult Support and Protection (Scotland) Act 2007

Cooperation

Adult Support and Protection (Scotland) Act 2007

ASP Section 5

Page 40: Adult Support and Protection (Scotland) Act 2007

Section 5: Co-operation

This section applies to:

a) the Mental Welfare Commission for Scotland, b) the Care Commission, c) the Public Guardian, d) all councils, e) chief constables of police forces, f) the relevant Health Board, and g) any other public body or office-holder as the Scottish

Ministers may by order specify.

Page 41: Adult Support and Protection (Scotland) Act 2007

Duty of co-operation

ASP Act (Section 5) - statutory duties for those public bodies and office-holders:

• They must co-operate with a council making inquiries and with each other where that would assist the council; s.5(2)

• Where they know or believe that a person is an adult at risk, and that protective action is needed they must report the facts and circumstances of the case to the council. S.5(3)

Page 42: Adult Support and Protection (Scotland) Act 2007

Voluntary & private organisations

Factors relevant to voluntary and private organisations, including providers:

• no specific legal duties or powers under the Act

• legal duty to comply with requests for examination of records;

• may be source of advice and expertise for statutory agencies;

• good practice that all relevant stakeholders co-operate with assisting inquiries;

• have a responsibility to involve themselves where appropriate by contributing to investigations.

Page 43: Adult Support and Protection (Scotland) Act 2007

Co-operation - practice implications

Duty of confidentiality, but if ASP s. 5(3) conditions met (person is an adult at risk, and protective action is needed), then facts and circumstances must be reported to the council.

All relevant stakeholders should co-operate with inquiries.

A multi-agency and multi-disciplinary approach to inquiries and training is appropriate.

Staff should also be clear who they have a duty to report to within their own organisations.

Co-operation and information sharing required in Adult Protection Case Conferences and risk management.

Page 44: Adult Support and Protection (Scotland) Act 2007

Support and Advocacy

Adult Support and Protection (Scotland) Act 2007

ASP Section 6

Page 45: Adult Support and Protection (Scotland) Act 2007

Section 6: Duty to consider advocacy and other services

The ASP Act places as much of an emphasis on support as it does protection of an adult at risk.

Section 6 applies where, after making inquiries under section 4, a council considers that it needs to intervene in order to protect an adult at risk of harm.

It places a duty on the council to consider the provision of appropriate services, including independent advocacy services, to the adult concerned.

Page 46: Adult Support and Protection (Scotland) Act 2007

Advocacy

Independent advocacy aims to support people:

• to express their own needs;• to gain access to information;• to explore and understand the options available;• to make informed decisions.

ASP definition -- independent advocacy is not provided by a local authority, or NHS Board or a member of the local authority or NHS Board.  Potential conflict of interest with organisations providing (non-independent) advocacy and housing, financial advice and support services.

The adult should not be expected to pay for advocacy services.

Page 47: Adult Support and Protection (Scotland) Act 2007

Communication support

Enabling adults to make their views and wishes known may require:

• Assistance or material appropriate to their needs;

• Adult’s preferred format for communication such as large print, audio tape, Braille and computer disc;

• Technical aids to support communication or information;

• Material which is interpreted, translated or adapted;

• ‘Human aids to communication' such as British Sign Language interpreters, lip speakers, Makaton, and deaf-blind communicators;

• Consideration given to the surrounding environment, e.g. noise levels, provision of loop systems or lighting.

Page 48: Adult Support and Protection (Scotland) Act 2007

Other services

Support services that may help an adult include:

Victim Support Scotland - emotional support, practical help and essential information to victims, witnesses and others affected by crime;

Support through the Vulnerable Witnesses (Scotland) Act 2004 - appropriate support when they give their evidence to reduce any anxiety and pressure (final decision on special measures rests with the sheriff in court);

Appropriate adult schemes - to facilitate communication between a mentally disordered person and the police and, as far as is possible, ensure understanding by both parties;

Carers’ support services - to enable them to continue to support the adult.

Page 49: Adult Support and Protection (Scotland) Act 2007

Advocacy and support - practice implications

Assistance or intervention must be well planned with the right kind of support.

Adults must feel that their perspective is being actively considered.

Good practice to inform carers, providing a substantial amount of care, of their right to an assessment.

Other services should be considered:

• practical and emotional support provided by statutory/other providers;

• mainstream health and social care and housing services.

Page 50: Adult Support and Protection (Scotland) Act 2007

Group exercise 2Case Example: Agnes

 Agnes lives with her husband Ian in a ground floor flat. She has multiple sclerosis and

anxiety states. A couple of years ago her health deteriorated and now she cannot walk very far. The only time Agnes goes out is when she attends a luncheon club twice a week. Both an OT and a home care worker have been involved for some time. There have been concerns in the past when Agnes has said he has not got any money left. She has never said where the money has gone. Service staff see very little of Ian, who seems to spend a lot of his time out of the house. There are often empty bottles of spirits in the house -- Agnes does not drink alcohol -- and old betting slips left lying around. During an assessment visit, Ian did say he did what he could for Agnes, but he had worked all his life and paid his taxes and it was up to services to provide what support she needed. Agnes has never been critical of him, and always seems highly anxious to keep things in order in case he gets angry with her. Agnes's doctor has been called out by a neighbour, who had heard Agnes shouting for help through the wall. When the neighbour went in she found Agnes crying and saying she was starving. She had not eaten for three days. She seemed to be extremely dehydrated and cried out when the neighbour touched her arm. Her neighbour helped her to the toilet, and Agnes said it was painful to pass urine. The neighbour phoned the health centre, but by the time the doctor visited Ian had returned home, said his wife was fine and they did not need any help. The doctor was only able to see Agnes very briefly, when she said she was fine and did not need any help or want anyone else involved.

Page 51: Adult Support and Protection (Scotland) Act 2007

Group exercise 2

Agnes

In this case is there a duty to inquire?

Is there a duty of cooperation, and what might be the issues concerning cooperation in this case?

What other factors and services may need to be considered, and in what circumstances might advocacy be appropriate?

How should staff and agencies deal with the dilemmas concerning self-determination and reporting concerns raised in operational practice?

Please flipchart your examples and comments.

Page 52: Adult Support and Protection (Scotland) Act 2007
Page 54: Adult Support and Protection (Scotland) Act 2007

Adult Support & Protection (Scotland) Act 2007

Section 1 & 2:

Principles

Benefit

Least restrictive

Adult’s past & present wishes

Views of relevant others

Adult’s participation

Non-discrimination & Equality

Respect for the adult’s diversity

Section 3:Definitions:

“adults at risk”“risk of harm”

Section 7:Visits

Section 4:Duty to inquire

Section 6Duty to consider

providing advocacy& other services

Section 5Duty to

co-operate

Section 8:Interviews

Section 9:Medical

examinations

Section 10:Examination of

records etc

Section 11-13:Assessment

orders

Section 14-18:Removal orders

Section 19-34:Banning &Temporary

Banning orders

Section 35Consent of adult

at risk

Sections 37-40Warrants for entry

Section 41Applications

procedure

Page 55: Adult Support and Protection (Scotland) Act 2007

Council Officer

Adult Support and Protection (Scotland) Act 2007

Page 56: Adult Support and Protection (Scotland) Act 2007

Definition of Council OfficerCouncil officers will be council employees (appointed under Local Government (Scotland) Act 1973 S. 64.)

Section 52(1) of the ASP restricts the type of individual who may be authorised by a council to perform council officer functions.

Regulations are being prepared along the following lines to set out who will be able to undertake council officer functions under the Act.

Council officers who undertake functions set out in sections 7-11, 14, 16, and 18 of the Act will need, as a minimum, to be either:

• registered with the Scottish Social Services Council (SSSC) as social workers in the register maintained under section 44(1) of the Regulation of Care (Scotland) Act 2001; or

• occupational therapists registered with the Health Professions Council; or

• nurses registered with the Nursing and Midwifery Council; and

• have 12 months relevant post qualification experience.

Page 57: Adult Support and Protection (Scotland) Act 2007

Council Officer definition cont.

The assumption is that:

• the standard for continuous professional development required by the SSSC and the continuing registration requirements of both the Health Professions Council and Nursing and Midwifery Council would ensure that council officers have the necessary competence to identify, assess and manage adults at risk;

and

• local authorities have an overall role in ensuring the competence of those they employ to undertake council officer functions within the general parameters to be set down for appointments in regulations.

Page 58: Adult Support and Protection (Scotland) Act 2007

• Additional flexibility is to be provided by specifying social care and other health professionals, in addition to social workers and occupational therapists, who might undertake those investigative functions set out in sections 7-10 of the Act.

• The intention is to do this by also including council officers who are registered social service workers on the SSSC register under section 44(1) of the Regulation of Care (Scotland) Act 2001 and have at least 12 months post qualification experience identifying, assessing and managing adults at risk.

• Again local authorities will have a role in ensuring the competence of those they employ to undertake council officer functions.  That role will be exercised within the legislative parameters set down in relation to appointments.

Council Officer definition cont.

Page 59: Adult Support and Protection (Scotland) Act 2007

Definition of ResponsibilitiesCouncil Registered Staff

Health Professionals

Police

ASP Act SectionSocial

Workers, OTs, Nurses

Social Services

Staff

Doctors, Nurses,

Midwives

Constable* OIC**

S7. Visits √ √

S8. Interviews √ √

S9. Medical examinations √

S10. Examination - records √ √

S10. Exam – health records √

S11. Assessment orders √

S14. Removal orders √

S16. Right to move √

S18. Protection property √

S28. Arrest √*

S29/30/31. Detention √**

S37/40. Warrants for Entry

√ √√*

Page 60: Adult Support and Protection (Scotland) Act 2007

Risk AssessmentSupport and Protection Planning

Page 61: Adult Support and Protection (Scotland) Act 2007

Risk Assessment/Protection Plans

The requirements of the ASP Act and the terms of the Code of Practice have implications for risk assessment and protection planning, including:

• taking account of the principles and definitions;• involving the adults at risk and others at all stages;• responding to their communication needs and capacity;• multidisciplinary and multiagency co-operation at all stages;• multidisciplinary and multiagency communication at all stages;• considering support as well as protection needs;• assessing and planning in a comprehensive holistic fashion;• reaching conclusions about immediate and longer-term needs;• weighing up the advantages/disadvantages, gains/losses to the adult’s quality

of life, or freedom, or independence which might result from actions; and• defining comprehensive plans for support and actions, with clearly defined

Roles, Responsibilities, Timescales/Deadlines, Intended Outcomes.

The JIT/Glasgow/Tayside Risk Assessment And Protection Plan Formats take account of all of these issues.

Page 62: Adult Support and Protection (Scotland) Act 2007

Visits

Adult Support and Protection (Scotland) Act 2007

ASP Section 7

Page 63: Adult Support and Protection (Scotland) Act 2007

Section 7: Visits

The purpose of a visit - s.7(1) - is to assist the council:

• to decide whether the adult is an adult at risk of harm; and

• to establish whether the council needs to take any action in order to protect the adult at risk from harm.

A council officer may enter any place to enable or assist an inquiry. s.7(1)

There is a right to enter any adjacent place for the same purpose. s.7(2)

Entry may also require consideration of the need to apply for a warrant for entry.

Page 64: Adult Support and Protection (Scotland) Act 2007

Considerations - prior to visit

Before a visit, consideration should be given to the implications of:

• the principles of the Act;

• providing appropriate services to the adult, e.g. independent advocacy or services to assist an adult, or other person in the household, to communicate;

• other legislation, e.g. AWI, MHCT or other;

• local inter-agency protocols and procedures; and

• ensuring staff are protected and supported (consider local procedures – working in pairs – liaising with the police).

Page 65: Adult Support and Protection (Scotland) Act 2007

Visits - who?

A Council officer, making the visit, may be accompanied by another person.

A joint visit with another person could assist inquiries by enabling:

• joint investigation with key worker, police officer, health professional, Care Commission officer or member of the Office of the Public Guardian (OPG);

•  improved assessment of the risk to the adult; or

•  communication with the adult.

Page 66: Adult Support and Protection (Scotland) Act 2007

Visits - where?

Section 7 permits a council officer to enter any place:

The place where the adult normally resides:

• the adult’s own home or home with carers;• a registered setting, such as a care home.

Premises where the person is residing temporarily or spends part of their time:

• a day centre;• a place of education, employment or other activity;• ‘respite’ residential accommodation ;• a hospital or other medical facility;• commercial premises.

All parts of the place which might have a bearing on inquiries into the welfare, care and safety of the adult at risk.

Page 67: Adult Support and Protection (Scotland) Act 2007

Visits - when?

Visits only at ‘reasonable times’. S.36 (1)

Balance needed -- timeous investigation and fully involving the adult and others.

Timed maybe to speak to the adult in private.

Immediate visit may be needed to assess the risk and, if necessary, take protective action.

Professional judgement about the suspected risk and about any imminent physical harm.

Interdisciplinary discussion whenever possible and consideration of likely impact on the adult and any carer.

Good practice to give notice of the proposed visit, where this would not be prejudicial to the safety or welfare of the adult at risk.

Page 68: Adult Support and Protection (Scotland) Act 2007

A council officer must under s.36(2):

• produce evidence of own identity, following local APC adult protection procedures, and of any person accompanying;

• state the object of the visit; and

• produce evidence of the officer’s authorisation to visit the place.

Obligation to be clear the visit’s purpose is to investigate suspected risk of harm.

Wherever possible, other people in the household should also be offered an explanation as to what is happening and why, without breaching confidentiality.

Seek to ensure that any information provided is in an appropriate form.

Visits – authorisation and explanation

Page 69: Adult Support and Protection (Scotland) Act 2007

Visits - if entry is refused?

Consider first how entry may be achieved without seeking an entry warrant.

Ensure delay would not increase risk to the adult.

Good practice - multi-disciplinary discussion and plan to co-ordinate action.

Decide whether to apply for a warrant.

Consider minimising distress and risk to the adult.

Take account of the views of any other persons who may be concerned for the welfare of the adult.

Page 70: Adult Support and Protection (Scotland) Act 2007

Warrants for Entry

Adult Support and Protection (Scotland) Act 2007

ASP Section 37

Page 71: Adult Support and Protection (Scotland) Act 2007

Section 37: Warrants for entryOnly the council can apply for a warrant for entry.

The Sheriff – s.38(2) - must be satisfied:

• that a council officer has been, or reasonably expects to be refused entry or otherwise unable to enter; or

• that any attempt by a council officer to visit the place without such a warrant would defeat the object of the visit.

Council officer authorised to visit any specified place, with a constable, who can use reasonable force as an absolute last resort to fulfil the object of the visit. S.37(1)

A warrant for entry expires 72 hours after it has been granted. S.37 (2)

Once executed, it cannot be used again.

The council should ensure the security of the person's premises and belongings if force has been required to enter the premises.

.

Page 72: Adult Support and Protection (Scotland) Act 2007

Section 40

An application must be made to a sheriff wherever possible.

Can be made to a Justice of the Peace only if:

• it is impracticable to make the application to the sheriff; and• an adult at risk is likely to be harmed if there is any delay;

A Justice of the Peace warrant of entry expires 12 hours after it has been granted.

Once executed, it cannot be used again.

A warrant for entry by a sheriff or a Justice of the Peace does not entitle any person to remain in the place entered after the warrant has expired.

Warrants for entry – urgent cases

Page 73: Adult Support and Protection (Scotland) Act 2007

Interviews

Adult Support and Protection (Scotland) Act 2007

ASP Section 8

Page 74: Adult Support and Protection (Scotland) Act 2007

Section 8: Interviews

A council officer, and any person accompanying the officer, may interview, in private, any adult found in a place being visited under section 7.

Adults must be told of their right not to answer any questions before the interview starts. S.8 (2)

It is not necessary to have an assessment order to carry out visits and interviews. S.8 (3)

Page 75: Adult Support and Protection (Scotland) Act 2007

Interview – purpose

The aims of the interview will be to establish:

• if the adult has been subject to harm;

• what is the source, nature and level of any risk to the adult;

• establish if the adult feels his or her safety is at risk and from whom;

• whether any action is needed to protect the adult; and to

• discuss what action, if any, the adult wishes or is willing to take to protect him or herself.

Page 76: Adult Support and Protection (Scotland) Act 2007

Interview – where, how and when?

Where:

May take place within any place being visited, e.g. the adult’s home, a day centre, care home or hospital.

Will involve a judgement based on:• the wishes of the adult him/herself; and• ensuring that the adult can participate as fully and freely as possible.

How:

Communication or other support may be needed.

When: Guided by planned process through local inter-agency protocols and procedures.

Page 77: Adult Support and Protection (Scotland) Act 2007

Interview – the adult’s rights

The adult must be informed of the right not to answer any questions before the interview starts.

The adult can choose to answer some questions but not others.

Even with an assessment order the adult can refuse to be interviewed or medically examined.

Consideration should also be given to:

• proactively seeking the consent of the adult to be interviewed;• considering the adult’s capacity;• giving reasonable opportunity and encouragement to answer questions;• promoting the adult’s participation in the interview.

Page 78: Adult Support and Protection (Scotland) Act 2007

Interview - others present?

A council officer, or person accompanying, may interview the adult in private if this would assist the investigation.

Any other adult found in a place being visited may be interviewed.

Other people interviewed also have a right not to answer any questions and must be informed of this at the outset.

Page 79: Adult Support and Protection (Scotland) Act 2007

The adult’s capacity

Some factors for consideration where there is doubt about the adult’s mental capacity:

• Does the adult understand the nature of what is being asked and why?

• Is the adult capable of expressing his or her wishes/choices?

• Does the adult have an awareness of the risks/benefits involved?

• Can the adult be made aware of his/her right to refuse to answer questions as well as the possible consequences of doing so?

 

The possible ASP interview scenarios will include the following:

• the adult is assumed to have capacity and agrees to be interviewed;

• the adult is assumed to have capacity and declines to be interviewed;

• the adult is assumed to lack capacity and is unable to consent to being interviewed;

• the adult is assumed to have capacity but is thought to have been influenced by some other person to refuse consent.

Page 80: Adult Support and Protection (Scotland) Act 2007

The adult’s participation

The council has to promote the adult’s participation in the interview by taking account of the adult’s needs where these are identified, for example:

 

• communication skills or attention span;

• sensory impairment;

• the adult’s first language being other than English;

• any other relevant factors.

This could include the use of:

• a specialist in sign language or other form of non-verbal communication;

• a language interpreter;

• an independent advocate;

• an appropriate adult where police are interviewing an adult with a mental disorder;

• a family member or carer to help communication.

Page 81: Adult Support and Protection (Scotland) Act 2007

Interview - practice implications

Ask adult whether he/she wishes another person to be present.

Council officer or person accompanying may request a private interview where:

• a person present is thought to have caused harm or poses a risk of harm;

• the adult indicates that they do not wish the person to be present;

• it is believed that the adult will communicate more freely;

• there is a concern of undue influence from others.

Inform adult/s interviewed of the right not to answer any/all questions.

It may be in the interest of the adult for another person to be interviewed, e.g. some-one who shares the adult’s home or a care worker.

Page 82: Adult Support and Protection (Scotland) Act 2007

Group exercise 3

Case ExampleDavid  David, who has learning disabilities, mobility problems and a severe hearing impairment, was admitted to hospital having sustained a head injury. The meals on wheels person found him unconscious and called an ambulance. Over the past 6 months, David has had numerous admissions with falls, fractures and unexplained major bruising. David says he has become clumsy lately, but no physical evidence has yet been established as a cause. A range of social care, health and housing services have been involved with David over a number of years. At present, David’s support includes domestic help, housing support, meals on wheels and a treatment involving a district nurse. After being discharged, as the nurse was changing a dressing, David disclosed to her that his son had actually caused the injury as well as the previous injuries. David went on to say his son had a drugs problem and became physically violent towards him on pension days, when he refused to give him more money. He insisted the nurse keep this information confidential as he did not wish his son to get into trouble.

Page 83: Adult Support and Protection (Scotland) Act 2007

Group exercise 3

How do the legislative principles, definitions, and the legal powers and duties in relation to visits, interview and warrants for entry relate to the case study?

What issues are raised about confidentiality and consent, and how should they be dealt with, both in this case and more broadly in operational practice?

What other dilemmas and challenges are posed in this case, and what next steps should be taken?

Discuss in your groups and flipchart your examples.

Page 84: Adult Support and Protection (Scotland) Act 2007
Page 86: Adult Support and Protection (Scotland) Act 2007

Medical Examinations

Adult Support and Protection (Scotland) Act 2007

ASP Section 9

Page 87: Adult Support and Protection (Scotland) Act 2007

Medical Exams - considerations

A medical examination should be considered when:

• the adult has a physical injury stated as inflicted by another person;

• where the explanation for injuries is inconsistent with the injuries;

• There may be physical evidence of sexual abuse;

• the adult appears to have been subject to neglect or self-neglect;

• the adult is ill or injured and no treatment has previously been sought.

* Where it appears that a criminal offence may have been committed, the police must be informed at the earliest opportunity.

Page 88: Adult Support and Protection (Scotland) Act 2007

Medical examinations – purpose

A medical examination may also be required for other reasons including:

• immediate medical treatment for a physical illness or mental disorder;

 

• to assess the adult’s physical health needs;

• to provide evidence of harm to inform a criminal prosecution under police direction;

• to support an application for an order to safeguard the adult;

 

• to assess the adult’s mental capacity.

Page 89: Adult Support and Protection (Scotland) Act 2007

Section 9: Medical examinations

During a visit, under section 7, a health professional may conduct a medical examination in private. S.9(1)

The examination can be carried out during a visit even if an assessment order has been granted to enable a medical examination elsewhere. S.9.(3)

A person must be informed of his/her right to refuse to be examined. S.9(2)

Page 90: Adult Support and Protection (Scotland) Act 2007

Medical examinations - what, where and by whom

A medical examination :

• includes a physical, psychological or psychiatric assessment or examination; and• can take place at a place being visited; or• can take place where an adult has been taken under an assessment order.

A health professional is defined – s.52(2) - as:

• a doctor; • a nurse; • a midwife.

Page 91: Adult Support and Protection (Scotland) Act 2007

Medical examination – consent

Requirement to inform the person of her/his right to refuse medical examination. S.9(2)

Emergency treatment considerations:

• can provide if to save life or avoid significant deterioration in health;• need to tell the patient what has been done, and why, asap;• need to respect any valid advance refusal.

If adult lacks capacity or has difficulty in communicating and consent not possible:

• Council to contact the OPG – whether welfare power of attorney;• Consider whether it is appropriate to use the AWI 2000 or MHCT 2003 Acts.

Page 92: Adult Support and Protection (Scotland) Act 2007

Examination of Records

Adult Support and Protection (Scotland) Act 2007

ASP Section 10

Page 93: Adult Support and Protection (Scotland) Act 2007

Section 10: Examination of records

Section 10

Council officers may require someone to provide health, financial or other records.

This includes records held in audio, visual or other formats.

Requirement may be made during a visit or at any other time.

Requirements made at any other time must be made in writing..

Inspection can be by the officer and any other appropriate person.

An offence for a person to fail to comply with a requirement to provide information, except with reasonable excuse.

Page 94: Adult Support and Protection (Scotland) Act 2007

Examination of health records

Health records defined - s.10(7) - as:

• relating to an individual’s physical or mental health;• made by or on behalf of a health professional.

Health records may – s.10(5) be:

• sought and obtained by a council officer; but • inspected only by a health professional.

Health professionals holding records must act within their professional guidance.

Page 95: Adult Support and Protection (Scotland) Act 2007

Information sharing - consent

The adult’s consent should be obtained, wherever practicable and possible.

If consent cannot be obtained (e.g. if the situation is urgent and obtaining consent would cause undue delay), the adult should, if possible, be informed about the information sharing retrospectively.

If adult lacks capacity or has difficulty in communicating and consent not possible:

• Council to contact the OPG – whether welfare power of attorney;• Consider AWI 2000 or MHCT 2003 Acts where no guardian or attorney.

Page 96: Adult Support and Protection (Scotland) Act 2007

Information sharing – no consent

Confidentiality is important, but it is not an absolute right.

It may not be possible to obtain consent where: 

• the adult lacks the mental capacity to consent;• the adult is unwilling to consent because of undue pressure by someone else;• the person acting with powers is unavailable or unwilling to give consent; or• the situation is so urgent that obtaining consent would cause undue delay.

Existing law allows information to be disclosed without consent:

• where such disclosure is required by law (either a court order or statute); • where such disclosure is for crime prevention, detection and prosecution;• where such disclosure is in the public interest.

Councils should make reasonable efforts to resolve disagreements.

Informal or independent conciliation might be considered.

Page 97: Adult Support and Protection (Scotland) Act 2007

Records - practice implications

Records should be accessed and information shared:

• in accordance with the principles of the Act;

• after careful consideration of the adult’s wishes and right to confidentiality;

• after the council officer has demonstrated authorisation to access records;

• only where it is relevant and proportionate to concern;

• only with those who need to know;

• in line with the requirements of the regulatory body.

Page 98: Adult Support and Protection (Scotland) Act 2007

Records - practice implications

Council may have nominated person for decisions on accessing records.

Links need to be maintained with child protection information. Transitional arrangements and procedures should be in place.

Good practice to agree with record holder when records obtained on how their records are to be treated, e.g. returned or destroyed.

Page 99: Adult Support and Protection (Scotland) Act 2007

Group exercise 4Case Example

Ermina Ermina is a Scottish-Asian woman, who has lived in Scotland for many years. She has a number of physical and mental health issues and her behaviour can be quite difficult at times. She has lived in a registered care setting for about a year. Staff are struggling to manage her behaviour and a social worker is involved in reviewing her care needs. The social worker is unhappy with the staff’s attitude to her client. Another registered service has assessed Ermina, with a view to her moving to their specialist service. However, in their assessment, Ermina does not need such a specialist unit. The Care Commission also has a number of concerns about her present service. Ermina’s cousin visits regularly, and has now reported to the social worker that as she arrived for her last visit she saw one of the staff angrily pushing Ermina along the corridor and saying to her, " I told you -- you can't come along here – you people never learn". The Senior officer later told the cousin about an accident that had happened to Ermina a few days before leaving bruising down one arm -- it was not a very convincing explanation, but Ermina was not able to tell her cousin what had happened. The cousin also expressed concern that Ermina never seemed to have much left from her weekly income.

Page 100: Adult Support and Protection (Scotland) Act 2007

Group exercise 4

Identify the implications of the Adult Support and Protection Act in this case in relation to medical examinations and the examination of records, and any other relevant considerations.

Then, identify more broadly issues concerning implementing the legislation when this concerns managed social care, health or housing settings.

Discuss in your groups and flipchart your examples.

Page 101: Adult Support and Protection (Scotland) Act 2007
Page 102: Adult Support and Protection (Scotland) Act 2007

Adult Support & Protection (Scotland) Act 2007

Relationship of the

Adult Support and Protection (Scotland) Act 2007to the

Adults with Incapacity (Scotland) Act 2000and the

Mental Health (Care and Treatment) (Scotland) Act 2003

Page 103: Adult Support and Protection (Scotland) Act 2007

Comparisons can be made in relation to:

• Definitions of those covered

• Principles

• Duties to inquire and investigate

• Potential interventions

Comparisons of ASP – AWI – MHCT

Page 104: Adult Support and Protection (Scotland) Act 2007

Subject of ASP – AWI – MHCTASP AWI MHCT

Adults at Risk Adults with IncapacityMentally

Disordered Adults

Adults, aged 16 years or over,

Adults, aged 16 years or over, Adults and children,

who are:• unable to safeguard their own well-being;• at risk of harm (whether from another person or self harm);• because affected by disability, mental disorder, illness or physical or mental infirmity, are more vulnerable to being harmed than adults who are not so affected.

incapable of :• acting;• making decisions;• communicating decisions;• understanding decisions; or• retaining the memory of decisions;• because affected by mental disorder or inability to communicate because of physical disability (this physical disability incapable of being made good through human or mechanical aid).

with a mental disorder.

The term mental disorder covers mental illness, personality disorder or learning disability.

Page 105: Adult Support and Protection (Scotland) Act 2007

Principles of ASP – AWI – MHCTASP AWI MHCT

Adults at Risk Adults with Incapacity Mentally Disordered Adults

Intervention must:

•benefit the adult; •be the least restrictive option;

•Any body or person performing a function must, if relevant, have regard to:

• take account of adult’s wishes and feelings (past and present);•take account of views of adults nearest relative, primary carer, guardian or attorney and any other person with interest in the adults well-being or property;•do not treat the adult less favourably;•ensure adult participate as fully as possible, and provide information to facilitate this;•the adult’s abilities, background and characteristics.

Intervention:

•will benefit the adult•be the least restrictive option;•take account of adult’s wishes and feelings (past and present);•take account of views of adult’s nearest relative, primary carer, guardian or attorney, person (s) identified by Sheriff and any other person with interest in adults welfare or the intervention;•adults should be encouraged to use existing skills or develop new skills.

Intervention must:

•provide maximum benefit to the person; •be least restrictive option•take account of adult’s wishes and feelings (past and present);•take account of views of patient’s named person, carer, guardian and welfare attorney;•do not treat the adult less favourably than would a non-patient;•ensure adult participates as fully as possible, and provide information and support to facilitate this;•have regard to adult’s abilities, background, and characteristics;•reciprocity;•have regard to other options available.

Under 18 – welfare of the child

Page 106: Adult Support and Protection (Scotland) Act 2007

Duty to inquire and investigateASP AWI MHCT

Adults at Risk Adults with Incapacity Mentally Disordered Adults

• any circumstances made known to them in which the personal welfare of an adult seems to them to be at risk; and • any complaints with respect to the exercise of functions relating to the personal welfare of an adult in relation to welfare attorneys, guardians or persons authorised under intervention orders.

Office of Public Guardian duty to investigate financial concerns. Mental Welfare Commission duties to investigate under the Act.

Local authorities have a duty to investigate:

Councils have duty to make inquiries:

• if they know or believe that a person is an adult at risk; and• that it might need to intervene in order to protect the person’s well being property or financial affairs.

Local authorities should cause inquiries to be made:

• when it appears that a person with a mental disorder aged 16 or over is in their area as and certain circumstances apply;• these circumstances include, amongst others, that the person has been subject to ill treatment, neglect, some other deficiency in care or the safety of some other person may be at risk.

Page 107: Adult Support and Protection (Scotland) Act 2007

Office of the Public Guardian

The Public Guardian (PG) has a duty to investigate:

• complaints about the actions of those appointed under the AWI Act concerning financial issues (financial attorneys, Access to Funds Withdrawers, financial guardians or interveners); and also

• any concern raised where there appears to be a risk to adult’s property or financial affairs (i.e. there is no AWI appointment but funds do not appear to be managed for benefit of adult).

PG can only intervene when an adult is deemed by medical professional to lack capacity to safeguard his/her own property or financial affairs.

There is an overlap of investigative roles between council and OPG in relation to ASP and AWI, and local arrangements are required to determine referral routes, roles, communication and joint working. 

Page 108: Adult Support and Protection (Scotland) Act 2007

Inquiry or investigation actions

ASP AWI MHCT

Adults at Risk Adults with Incapacity

Mentally Disordered

Adults

In order to decide if further action is required to protect an adult at risk from harm, a council officer may:

• visit any place; • interview anyone at the place visited;• when accompanied by a health professional, the health professional may conduct a medical examination of the person known or believed to be an adult at risk; • the council officer may request and examine any records relating to the individual believed to be an adult at risk of harm (except health records which can only be examined by a health professional.

Not specified in the Act other than duty to investigate welfare matters

Not specified in the Act other than duty to investigate.(medical examinations not an MHO role)

Page 109: Adult Support and Protection (Scotland) Act 2007

Further actions – ASP–AWI–MHCTASP AWI MHCT

Adults at Risk Adults with Incapacity Mentally Disordered Adults

Warrant for entry

Assessment order

Removal order

Banning order

Temporary banning order

Access to funds

Management of resident’s finances

Intervention order

Guardianship order

Warrant for entry

Warrant for detention to allow medical assessment by doctor

Warrant for access to medical records by doctor

Removal order

Warrant to enter premises for purposes of retaking patient

Emergency detention certificate

Short-term detention certificate

Compulsory treatment order

Page 110: Adult Support and Protection (Scotland) Act 2007

Section 10:Examination of records etc

Section 9:Medical

examinations

Section 8Interviews

Section 7Visits

Section 6Duty to consider the importance of

providing advocacy & other services

Section 5Duty to

cooperate

Section 4Duty to inquire

Adult Support & Protection (Scotland) Act 2007

Learning Summary

Page 111: Adult Support and Protection (Scotland) Act 2007

Practice decisions

• Do they adhere to the principles of the Act?• Was the adult fully supported to participate?• Have consent and capacity issues been discussed ?• Have other professionals been consulted, e.g MHO, as necessary?• How will intervention benefit the adult?• Have the consequences of intervention been considered?• Has all relevant past and current information (especially in relation

to adult protection history) been gathered from inter-agency colleagues and appropriate family & interested parties?

• Has comprehensive risk assessment been completed?• Have all options been considered – voluntary and statutory?

Page 112: Adult Support and Protection (Scotland) Act 2007

Learning Outcomes – Day One

Poor Excellent1 2 3 4 5 6 7 8 9 10

Evaluate the degree to which the training has been effective in enabling you to achieve the following learning objectives: a)Understand the principles of the ASP Act and their implications for practiceb)Understand what is meant by the terms “adult at risk” and “harm”c)Understand the Council’s duty to make inquiries and the implications for practiced)Understand about the duty of Co-operation and the implications for practice e)Understand the duty to consider the importance of providing advocacy and other services and the implications for practicef)Understand the functions of a council officer, health professional, police constable, and police officer in charge under the ASP Act

Page 113: Adult Support and Protection (Scotland) Act 2007

Learning Outcomes – Day One

Poor Excellent1 2 3 4 5 6 7 8 9 10

g) Understand the duties and powers in relation to visits and interviews under the ASP Act and the practice implications

h) Understand the function and arrangements for Warrants for Entry to support visits and interviews under the ASP Act

i) Understand the duties and powers in relation to medical examinations and the examination of records under the ASP Act

j) Understand some of the practice implications of applying the ASP Act in relation to adults within managed or registered services

k) Understand in broad terms the key distinctions between the ASP Act, the AWI Act and the MHCT Act

 Please rate the value of the Day One training overall Please note any other comments:

 

Page 114: Adult Support and Protection (Scotland) Act 2007
Page 115: Adult Support and Protection (Scotland) Act 2007

Adult Support & Protection (Scotland) Act 2007

The Roles and Responsibilities

of

Council Officers and Other Specialists

Day 2

Page 117: Adult Support and Protection (Scotland) Act 2007
Page 118: Adult Support and Protection (Scotland) Act 2007

Principles General principle on intervention in an adult’s affairs Principles for performing Part 1 functions

DefinitionsAdults at risk Harm

Inquiries Council’s duty to make inquiries Co-operation Duty to consider independent advocacy and other services

InvestigationsMedical examinations Examination of records

Day 1 – Course summary

Page 119: Adult Support and Protection (Scotland) Act 2007

Adult Support & Protection (Scotland) Act 2007

Section 1 & 2:

Principles

Benefit

Least restrictive

Adult’s past & present wishes

Views of relevant others

Adult’s participation

Non-discrimination & Equality

Respect for the adult’s diversity

Section 3:Definitions:

“adults at risk”“risk of harm”

Section 7:Visits

Section 4:Duty to inquire

Section 6Duty to consider

providing advocacy& other services

Section 5Duty to

co-operate

Section 8:Interviews

Section 9:Medical

examinations

Section 10:Examination of

records etc

Section 11:Assessment

orders

Section 14:Removal orders

Section 19-21:Banning &Temporary

Banning orders

Section 35Consent of adult

at risk

Sections 37-40Warrants for entry

Section 41Applications

procedure

Page 120: Adult Support and Protection (Scotland) Act 2007

09.30 Protection ordersDay one summary

Overview of Protection OrdersS12/15/20 Serious Harm

S35. Consent and Undue pressure 9.45 Group Exercise

10.15 Feedback 

10.30 Assessment orders S11-12-13. Assessment orders, Criteria, Restrictions

Purpose, Procedures Notification, Grounds, Evidence, Consent

S37, 38, 39, 40, 41. Warrants for entry  

11.00 BREAK  

11.15 Removal orders S14. Removal orders

S15-16-17-40. Criteria, Right to move, Variation, recall, Urgent cases

S18. Protection of moved person’s property 12.00 Group Exercise

12.30 Feedback  

12.45 LUNCH

Day 2 – Course content

13.30 Banning orders S19-20. Banning orders and criteria

S21. Temporary banning ordersS22-23-24-51. Right to Apply, Occupancy rights,

Variation or recall, AppealsS26-27. Notifications

S25-28 to 34. Powers of arrest, Arrest and Detention

14.15 Group Exercise 14.45 Feedback

 15.00 BREAK

 15.15 Offences

S49-50. Obstruction and Offences  

15.30 Learning OutcomesCourse Summary and Information Sources

Training implications, incl. local protocols and procedures

Learning Outcomes 

16.15 CLOSE

Page 121: Adult Support and Protection (Scotland) Act 2007

The terms of the ASP Act and Code about definitions, principles, co-operation and support apply as much to Orders as inquiries and interviews.

These matters need to be taken into account in the Group exercises.

Protection orders do not depend on a linear process. They can be applied for at any time in the process depending on the individual’s circumstances.

It is anticipated that the bulk of the work under the Act will be initial inquiries and investigations and putting support in place where needed.

However it is still important to know what further action we can take – what we can do if we need to.

Protection orders -- Introduction

Page 122: Adult Support and Protection (Scotland) Act 2007

Assessment Orders

Removal Orders

Banning Orders

Page 123: Adult Support and Protection (Scotland) Act 2007

Protection Orders - OverviewAn Assessment order allows a council officer to conduct an interview in private and/or a health professional to conduct a medical examination in private. This may be required to establish whether the person is an adult at risk and if further action is required to protect him/her.

A Removal order allows the council to remove the adult at risk to a specified place in order to assess the situation and to support and protect her/him.

Banning orders and Temporary Banning orders will ban the subject of the order from a specified place. They may have other conditions attached, for example contact under certain conditions.

Application may only be made for any of the orders, where the adult is at risk of serious harm.

When the adult at risk does not consent to the making of any of the orders, evidence is required that the adult has been subject to ‘ undue pressure’.

Provision is made for situations, where immediate protective action is needed.

Page 124: Adult Support and Protection (Scotland) Act 2007

Definition of HarmHarm (Section 53) includes all harmful conduct and, in particular, includes:

a) conduct which causes physical harm;

b) conduct which causes psychological harm (for example: by causing fear, alarm or distress);

c) unlawful conduct which appropriates or adversely affects property, rights or interests (for example: theft, fraud; embezzlement or extortion); and

d) conduct which causes self-harm.

An adult is at risk of harm – s.3(2) - if:a) another person’s conduct is causing (or is likely to cause) the adult

to be harmed, orb) the adult is engaging (or is likely to engage) in conduct which

causes (or is likely to cause) self-harm

N.B “conduct” includes neglect and other failures to act (Section 53)

Page 125: Adult Support and Protection (Scotland) Act 2007

Assessment order – lack of consent

(Section 35) If the affected adult has capacity and refuses to consent, the council must prove that the adult has been “unduly pressurised” to refuse to consent to the granting of an order.

The sheriff may ignore a refusal of consent if he/she reasonably believes:

• that the affected adult at risk has been unduly pressurised to refuse consent; and

•  that there are no steps which could reasonably be taken with the adult’s consent which would protect the adult from the harm which the order or action is intended to prevent.

Where the adult does not have the capacity to consent, the requirement to prove undue pressure does not apply. However, evidence of lack of capacity will be required by the Sheriff.

Page 126: Adult Support and Protection (Scotland) Act 2007

“undue pressure”

Undue pressure can be applied by an individual:

• who may not be the person suspected of actually harming the adult; or

• who the adult is afraid of or who is threatening her/him

The Act provides another example at Section 35(4) of what may be considered to be undue pressure:

• harm which the order or action is intended to prevent is being, or is likely to be, inflicted by a person in whom the adult at risk has confidence and trust; and

• the adult at risk would consent if they did not have confidence and trust in that person.

Page 127: Adult Support and Protection (Scotland) Act 2007

Group exercise 5Serious Harm How would you distinguish 'harm' from 'serious harm' within the context of the Adult Support and Protection Act? Use post-its individually for five minutes to note personal words and phrases identifying what would constitute serious harm, and then in 10 minutes create a group list after sharing and discussing these ideas.  Undue Pressure  The ASP Act allows consent to be dispensed with in certain circumstances and with evidence of 'undue pressure'. Use post-its individually for five minutes to note personal words and phrases identifying what you believe would constitute and evidence 'undue pressure' and any issues concerning this concept, and then in 10 minutes create a group list after sharing these ideas.

Page 128: Adult Support and Protection (Scotland) Act 2007
Page 129: Adult Support and Protection (Scotland) Act 2007

Assessment Orders

Adult Support and Protection (Scotland) Act 2007

ASP Section 11

Page 130: Adult Support and Protection (Scotland) Act 2007

Assessment orders - purpose

The purpose is to ascertain – s.11(2) whether:

• the adult is an adult at risk; and

• there is reasonable cause to suspect that the adult at risk is being, or is likely to be, seriously harmed.

The council may take an adult at risk of serious harm to a suitable place specified by the sheriff, so that – s.11(1):

• a council officer or council nominee may conduct an interview in private; or

• a health professional may conduct a medical examination in private.

Page 131: Adult Support and Protection (Scotland) Act 2007

Assessment orders - grounds

Application only if not practicable to carry out the interview or examination at the place of the visit. s.13

The sheriff must be satisfied – s.12 - that:

• the council has reasonable cause to suspect the subject of the order is an adult at risk who is being, or is likely to be, seriously harmed;

•  the order is required to establish whether the person is an adult at risk who is being, or is likely to be, seriously harmed; and

•  the place at which the person is to be interviewed and examined is available and suitable.

Any proposed action must be judged to be of benefit to the individual, and reflect the principles of the Act.

Page 132: Adult Support and Protection (Scotland) Act 2007

Assessment orders - evidence

The evidence presented:

• needs to satisfy the grounds for making an order;

• needs to show a suitable place will be available to take the adult;

• may require written confirmation from the owner/manager of the place;

• would benefit from written confirmation of the suitability of the place;

• should detail the type of assessment and estimated length of time needed.

Page 133: Adult Support and Protection (Scotland) Act 2007

Assessment orders – procedures

Section 41

Only the council can apply for an assessment order.

Protection orders may be applied for at any time in the process. Council’s solicitor and council officer present evidence to a sheriff.

The sheriff has discretion to appoint a safeguarder to safeguard the interests of the adult in proceedings.

The sheriff may instruct the safeguarder to report on the issue of consent.

An assessment order cannot be appealed.

Page 134: Adult Support and Protection (Scotland) Act 2007

Assessment order – notificationsThe council must –:

• notify the affected adult in writing of the application (s.41);• inform the adult of his/her right to be heard or represented ; and• inform the adult of his/her right to be accompanied by a friend, relative or any other representative of choice.

The council should inform the sheriff :

• before hearing if person suspected of harming adult may attend;• if the adult concerned has indicated does not wish legal representation; or • it appears that the adult does not understand the process.

The sheriff –may:

• appoint a person to safeguard the interests of the adult at risk in proceedings s.41;• disapply the requirement for notification to protect the adult s.41;• apply the provisions of the Vulnerable Witnesses (Scotland) Act 2004;• appoint Curator ad Litem where person does not have full mental capacity.

Page 135: Adult Support and Protection (Scotland) Act 2007

Assessment order – consents

No need for court applications if assessment carried out by agreement.

The council should always consider the merit of the application if it considers that the adult will refuse consent to the granting of the Assessment order, or compliance with it.

Application only if no steps could reasonably be taken with the adult’s consent.

The affected adult can be taken to, but not detained at, place specified on the order.

The adult has rights:

• to refuse to answer all or some of the questions when interviewed;• to refuse a medical examination;• to leave the place at any time;• to be informed of these rights.

Page 136: Adult Support and Protection (Scotland) Act 2007

Assessment orders – incapacity

Where the adult is incapable of consent:

• any known proxy should be approached who may be authorised to consent;

If not aware of any proxy, the Office of the Public Guardian may be able to assist with whether there is a proxy who may be authorised.

Where the adult does not have the capacity to consent, evidence of lack of capacity will be required by the Sheriff.

Page 137: Adult Support and Protection (Scotland) Act 2007

Warrants for entry

A warrant for entry will be granted with an assessment order – s.38.

The warrant authorises entry only to the place specified - s.37.

An accompanying constable, authorised by the warrant, can do anything, including the use of reasonable force, to fulfil the object of the visit – s.37.

Page 138: Adult Support and Protection (Scotland) Act 2007

Warrants for Entry – Reasonable Force

Section 37(1)(b) states that a constable who accompanies a council officer may do anything, including reasonable force where necessary, which the constable considers to be reasonably required, in order to fulfil the object of the visit.

The object of the visit is not simply to gain entry but to gain entry to carry out an assessment order or a removal order, so the constable may do anything to fulfil the object of that visit, including using reasonable force where necessary.

This could mean holding someone back whilst a person is removed. (If ‘reasonable force’ could only be used to facilitate entry, that would be specified).

Only the constable, accompanying the council officer, is authorised to use reasonable force, where necessary.

Page 139: Adult Support and Protection (Scotland) Act 2007

The council must plan:

• to minimise distress and risk to the adult;• always on the basis of the principle of “least restrictive alternative”; • to keep adult fully informed of rights, options, events • where the adult is going to moved to;• how the move is to be carried out;• transport arrangements if applicable.

Good practice:

• multi-disciplinary plan to co-ordinate action, including contingencies;• where use of force may be necessary multi-disciplinary risk

assessment;• if force, management of the process should be passed on to the police.

Assessment order – implementation

Page 140: Adult Support and Protection (Scotland) Act 2007

Assessment order – timescales

Valid for up to 7 days after the date specified in the order (may not be date order granted) – s.11(3).  The adult must only be taken to the place specified on the order. Adult’s consent to being taken elsewhere does not invalidate the original terms of the order. The assessment must be undertaken in the shortest time practicable. The adult is free to leave at any time.

Order does not provide for the adult to be taken from a place more than once.

Page 141: Adult Support and Protection (Scotland) Act 2007

Expiry of order or choice to leave

Act not explicit what happens after order expiry or adult chooses to leave.

Council duty of care to return the adult safely to the place from which they were removed or to a place of their choice, within reason.

The council may consider:

• discussing a Support Plan with the adult at risk;• providing support, advice or other services;• convening multi-disciplinary meeting on care and protection;• taking further action under this ASP Act or other legislation.

Page 142: Adult Support and Protection (Scotland) Act 2007

Assessment orders - practice implications

The council must have regard to:

• The principles of the Act;• Referral for independent advocacy or provide other services;• The possible benefit of assessment where under undue pressure.

The council must plan:

• Where the assessment is going to take place;• How assessment order is to be carried out;• Transport arrangements if applicable.

Where practicable, adults must be kept fully informed of rights, options, events.

Page 143: Adult Support and Protection (Scotland) Act 2007

Protection orders – practice issues

• How client meets 3 point test for “Adult at Risk

• Type of harm and risk assessment

• Views of service user, family, carers professionals and interested parties, which may possibly include the person who has harmed them

• What other options have been considered and tried

• How urgent is action needed

• Prepare plan on how to carry out protection order

• Case conference to get multi-disciplinary view.

Page 145: Adult Support and Protection (Scotland) Act 2007

Removal Orders

Adult Support and Protection (Scotland) Act 2007

ASP Section 14

Page 146: Adult Support and Protection (Scotland) Act 2007

Removal orders – purpose

The purpose of a removal order is primarily for protection and:

• to assess the adult’s situation and provide support and protection;• not primarily for a council interview or a medical examination;• permits the person named to be moved from any place;• requires return to own environment as soon as possible.

The order may only be used for very specific purposes, such as:

• resolving issues between the adult and person suspected of harming;• relieving carer stress.

The removal must be for the purpose of preventing serious harm.

Page 147: Adult Support and Protection (Scotland) Act 2007

Removal orders – grounds

Council applications and sheriff decisions based on certain grounds:

• adult is likely to be seriously harmed if not moved to another place; and • there is a suitable place available to remove the adult to. S.15 (1)

• used for very specific purposes; • reflect the principles of the Act;• the least restrictive action;• necessary to provide a benefit to the adult;• adult’s wishes and needs considered.

Page 148: Adult Support and Protection (Scotland) Act 2007

Removal orders – evidence

The council should present evidence that:

• voluntary approaches and other legislation considered;• all other options have been explored and exhausted;• adult at risk is likely to be seriously harmed if not moved to another place; • The place proposed is available and suitable;• the action is in accord with the principles of the Act.

A protection plan could be submitted by the council.

If the adult has capacity to consent and has made known their refusal to consent:

• council must prove the adult has been “unduly pressurised”.

Page 149: Adult Support and Protection (Scotland) Act 2007

Removal orders – procedures

Only the council can apply for a removal order, which authorises - s.14(1):

• council officer, or a council nominee, to move person to a specified place;

• reasonable steps by council to protect person from harm.

Consider the provision of appropriate services to the adult, for example independent advocacy or other practical or emotional support.

The sheriff has discretion to appoint a safeguarder, to safeguard the interests of the adult in proceedings.

The sheriff may instruct the safeguarder to report on the issue of consent.

Protection orders may be applied for at any time in the process.

Page 150: Adult Support and Protection (Scotland) Act 2007

Removal orders – notifications

Council should:

• notify the affected adult in writing of the application s.41 ;• inform the adult of his/her right to be heard or represented; and• be accompanied by a friend, relative or any other representative of choice;• if appropriate, advise any other interested persons of the application.

Council should inform sheriff :

• before hearing if person suspected of harming adult may attend;• if the adult concerned has indicated does not wish legal representation; or • it appears that the adult does not understand the process.

The sheriff may:

• the sheriff may appoint a person to safeguard the interests of the adult at risk in proceedings s.41 ;• disapply requirement for notification to protect the adult from serious harm s.41;• apply the provisions of the Vulnerable Witness (Scotland) Act 2004;• appoint Curator ad Litem where person does not have full mental capacity.   

 

Page 151: Adult Support and Protection (Scotland) Act 2007

Removal orders – timescales

The removal order:

• adult must be removed within 72 hours - s.14(1);• will expire up to seven days after the day the adult was moved – s.14(2);• can be specified by the sheriff to expire in a shorter period;• as short a removal period as possible;• principles of benefit, least restriction and the adult’s wishes.

Adult cannot be returned home and removed again within period.

Further application for removal must not be made to extend the order.

Page 152: Adult Support and Protection (Scotland) Act 2007

Removal orders – place

The adult at risk:

• can be removed from any place – the sheriff will decide whether to specify the place in the order;• could be at home or in public, private or commercial premises;• must be removed to an available and suitable “specified place”.

Good practice for the council:

• to get a written agreement from the owner of the proposed place;• provide a suitability report to the sheriff of both the place and the person.

The adult must only be taken to the place specified on the order. Adult’s consent to being taken elsewhere does not invalidate the original terms of the order.

Page 153: Adult Support and Protection (Scotland) Act 2007

Removal orders – consents

If the adult does not consent, then application may only be made if no steps could reasonably be taken with the adult’s consent.

The affected adult can be taken to, but not detained at, the place specified on the order.

The adult has rights:

• to leave the place at any time;• to be informed of these rights.

The council should re-consider the merit of the application, if it considers that the adult will refuse consent to the granting of the Removal order, or compliance with it.

Page 154: Adult Support and Protection (Scotland) Act 2007

Removal orders – incapacity

Where the adult is incapable of consent:

• any known proxy should be approached who may be authorised to consent;

• if not aware of any, the Office of the Public Guardian may be able to assist with whether there is a proxy who may be authorised.

Where the adult does not have the capacity to consent, evidence of lack of capacity will be required by the Sheriff.

Page 155: Adult Support and Protection (Scotland) Act 2007

Warrants for entry

A warrant for entry will be granted with a removal order. s.39

The warrant authorises entry only to the place specified. s.37

An accompanying constable, authorised by the warrant, can do anything, including the use of reasonable force, to fulfil the object of the visit. s.37

Page 156: Adult Support and Protection (Scotland) Act 2007

Removal orders – urgent cases

Section 40

In emergency situations council can apply to Justice of the Peace on the basis that:

• adult is likely to be seriously harmed if not moved to another place; and • there is a suitable place available to remove the adult to;• it is not practicable to make application to the sheriff; and• an adult at risk is likely to be harmed if there is any delay in granting the order.

Removal within 12 hours of order - expires after 24 hours.

Council should advise any person with interest in adult’s welfare of removal.

Page 157: Adult Support and Protection (Scotland) Act 2007

Council officer and constable have right to enter premises to remove adult. s.16

Council may arrange another person (maybe more familiar) to move the adult. The nominee should be specified in the application.

The council must plan:

• to minimise distress and risk to the adult;• always on the basis of the principle of "least restrictive alternative“; • to keep adult fully informed of rights, options, events • where the adult is going to removed to;• how removal is to be carried out;• transport arrangements if applicable.

Good practice:

• multi-disciplinary plan to co-ordinate action, including contingencies;• where use of force may be necessary multi-disciplinary risk assessment;• if force, management of the process should be passed on to the police; advise any person with interest in adult’s welfare of the removal.

Removal orders – implementation

Page 158: Adult Support and Protection (Scotland) Act 2007

Removal orders - conditions

Sheriff must have regard to oral or written representations by the council - ands.15 (3)any relevant representations made by:s.15 (3)

• the adult at risk• any person who wishes to have contact with the adult at risk; and• any other person who has interest in adult at risk’s well-being or property.

Sheriff may allow specified person to have specified contact with the adult. s.15(2)

Good practice where conditions for contact specified by the Sheriff:

• council to prepare some form of access plan;• plan may include dates, times, location, supervision arrangements.  

Contact with other persons may be beneficial, e.g. relatives or friends.

Page 159: Adult Support and Protection (Scotland) Act 2007

Removal orders – protection of property

Section 18

With owned or controlled property of person moved, Council must:

• take any reasonable steps to safeguard the property;• prevent it from being lost or damaged;• enter any place to remove the property;• return the property to the adult as soon as reasonably practicable.

This could be agreed in advance with the adult in the form of a Protection Plan.

Property could include house contents, vehicles, animals, monies and clothing.

The Council is not entitled to recover any expenses.

Page 160: Adult Support and Protection (Scotland) Act 2007

Removal orders – variation & recallSection 17

Application to the sheriff to recall or vary a removal order by:

• the adult at risk;• any person who has an interest in the adult at risk’s well-being or property;• the council.

Variation or recall has to be justified by a change in the facts or circumstances. Where removal order recalled, sheriff may direct the council to:

• return the adult to the place from which the adult was removed; or• take adult to another specified place, having regard to the adult’s wishes, within reason.

The sheriff has the discretion to disapply the notification requirements if it would be to the adults detriment.

Page 161: Adult Support and Protection (Scotland) Act 2007

Expiry of order or choice to leave

Act not explicit what happens after order expiry or adult chooses to leave.

Council duty of care to return the adult safely to the place from which he/she was removed or to a place of his/her choice, within reason.

The council may consider:

• discussing a Support Plan with the adult at risk;• providing support, advice or other services;• convening multi-disciplinary meeting on care and protection;• taking further action under this ASP Act or other legislation.

Wherever practicable keep adult fully informed at every stage of process.

Page 162: Adult Support and Protection (Scotland) Act 2007

Removal orders - practice questions

• Where will service user be moved to?

• Has consent of owner who will accommodate service user been obtained?

• How long is the order for (up to 7 days)?

• How will their property be protected and secured?

• Are there any specific conditions e.g to disapply notification?

• Having regard to circumstances and previous responses of the adult at risk ?

• Is there a plan on how to carry out removal order?

• Is there a plan on what happens on expiry of order?

Page 163: Adult Support and Protection (Scotland) Act 2007

Group exercise 6

 Identify cases in which the use of an Assessment order or a Removal order would have been of benefit to an adult at risk. Then create a group list with two columns noting the circumstances in which an Assessment order or a Removal order would have had such benefits.  You may also wish to note the potential difficulties and drawbacks of using orders in these circumstances.

Please discuss in your groups and flipchart your answers.

Page 164: Adult Support and Protection (Scotland) Act 2007
Page 166: Adult Support and Protection (Scotland) Act 2007

Banning Orders

Adult Support and Protection (Scotland) Act 2007

ASP Section 19

Page 167: Adult Support and Protection (Scotland) Act 2007

Banning orders – purpose

Subject of the order banned from being in a specified place for up to 6 months.

The “subject” may be a child.

Intended for circumstances where banning the subject from a specified place is likely to:

• better safeguard the well-being and property of adult at risk of being seriously harmed more effectively than would the removal of the adult

Page 168: Adult Support and Protection (Scotland) Act 2007

Banning orders – grounds

Under Section 20 of the Act, the sheriff may grant banning order or temporary order only if satisfied that:

• an adult at risk is being, or is likely to be, seriously harmed by another person;• the adult at risk's well-being or property would be better safeguarded by banning

the other person from a place occupied by the adult than it would be by moving the adult from that place; and that either:

• the adult at risk is entitled, or permitted by a third party to occupy the place from which the subject is to be banned; or

• neither the adult at risk nor the subject is entitled, or permitted by a third party to occupy the place from which the subject is to be banned.

Necessary to provide benefit to adult that subject banned from a specific place.

Will usually be from where adult lives, but subject not necessarily living there.

Application for order must be accompanied by a plan clearly identifying the place and area from which the subject is to be banned.

Page 169: Adult Support and Protection (Scotland) Act 2007

Removal/Banning orders – evidence

The council should present evidence that:

• the “affected adult” is an adult at risk, with risk of serious harm;• action will be the least restrictive action;• the action is necessary to provide benefit to affected adult;• the adult’s wishes and needs have been considered;• the action is in accord with the principles of the Act;• all other options have been explored and exhausted.

Evidence may include how the use of other legislation has been considered, for example, child protection, mental health, civil law or criminal justice legislation.

Page 170: Adult Support and Protection (Scotland) Act 2007

Banning orders – terms

A banning order may – s19(2):

• ban the subject from a specified area in the vicinity of the specified place;

•  authorise ejection of the subject from the place and area;

•  prohibit the subject from moving any specified thing from that place;

•  direct any specified person to take measures to preserve the moveable property of the subject;

• have specified conditions; and 

• require or authorise any person to do, or to refrain from doing, anything else which the sheriff thinks necessary for the proper enforcement of the order.

Page 171: Adult Support and Protection (Scotland) Act 2007

Banning orders – procedures

Banning order may be made – s.22 - by or on behalf of:• an adult whose well-being or property would be safeguarded by the order; or• any other person who is entitled to occupy the place concerned;• in some circumstances, a Council.

Council obliged apply for a banning order if satisfied that: • Criteria met (section 20) ; • nobody else is likely to apply for a banning order in the circumstances – s.22;

and• no other relevant banning proceedings are pending before a court. s.22

Application for a temporary banning order where inadvisable to wait for a full hearing on the banning order application.

If the adult at risk is the applicant, it would be good practice for the council to assist with the application.

Sheriff has discretion to appoint safeguarder, to safeguard interests of the adult in proceedings and may instruct safeguarder to report on the issue of consent.

Page 172: Adult Support and Protection (Scotland) Act 2007

Banning orders – notificationsThe council should:

• notify subject of the order and affected adult in writing of application s.41;• inform the subject and adult of right to be heard or represented;• inform the subject and adult of right to be accompanied by a friend, relative or any other representative of choice;• consider notification in writing of others with an interest; and• consider referral to Children’s Reporter if banning application is about a child.

The council should inform sheriff:• of prejudice to adult’s welfare re. dispensation with intimation of the hearing;• before hearing if person suspected of harming adult may attend;• if the adult concerned has indicated does not wish legal representation; or • it appears that the adult does not understand the process;

The sheriff may:• appoint a person to safeguard the interests of the adult at risk in proceedings – s.41;• disapply requirement for notification to protect adult from serious harm – s.41;• apply the provisions of the Vulnerable Witnesses (Scotland) Act 2004;• appoint Curator ad Litem where person does not have full mental capacity.

Page 173: Adult Support and Protection (Scotland) Act 2007

Banning orders – consents

No need for court applications if protective measures carried out by agreement.

Application only if no steps could reasonably be taken without the adult’s consent.

Consider the provision of appropriate services to the adult, for example independent advocacy or other practical or emotional support.

The council should re-consider the merit of the application, if it considers that the affected adult will refuse consent to the granting of the Banning order. This consideration may take place in a multi-disciplinary case conference or discussion.

Page 174: Adult Support and Protection (Scotland) Act 2007

Banning orders – lack of consent

If the affected adult has capacity and refuses to consent, the council must prove that the adult has been “unduly pressurised” to refuse to consent to the granting of an order.

The sheriff may ignore a refusal of consent if he/she reasonably believes:

• that the affected adult at risk has been unduly pressurised to refuse consent; and

•  that there are no steps which could reasonably be taken with the adult’s consent which would protect the adult from the harm which the order or action is intended to prevent.

Page 175: Adult Support and Protection (Scotland) Act 2007

Banning orders – incapacity

Where the adult is incapable of consent:

• any known proxy should be approached who may be authorised to consent;

If not aware of any proxy, the Office of the Public Guardian may be able to assist with whether there is a proxy who may be authorised.

Where the adult does not have the capacity to consent, the requirement to prove undue pressure does not apply. However, evidence of lack of capacity will be required by the Sheriff.

Page 176: Adult Support and Protection (Scotland) Act 2007

Banning orders – occupancy rights

Where the adult at risk is entitled to occupy a place, her/his occupancy rights are not affected if husband, wife, partner etc. is banned from the place.

Where the adult at risk is a non-entitled spouse under the Matrimonial Homes (Family Protection) (Scotland) Act 1981, she/he still has rights to occupy the home from which the subject of the order is banned. s.23

If the adult at risk is not entitled to occupy a place, the Act does not allow a person who is entitled to occupy that place to be banned.

Banning orders may be used in respect of public places.

Banning orders may be used where neither the adult at risk nor the subject has a right to occupy a property.

Page 177: Adult Support and Protection (Scotland) Act 2007

Banning orders – protection of property

Banning order may direct person to preserve moveable property owned or controlled by the subject of the order which remains in the specified place during the order. s.19(2)(d)

Property could include house items, computers, vehicles, animals, clothing.

The applicant should obtain an inventory of subject’s relevant property.

Obtain a signature from the subject confirming that the inventory is correct.

Subject can formally request what should happen to their property.

Page 178: Adult Support and Protection (Scotland) Act 2007

Banning orders – timescales

A Banning order – s.19(5):

• period will be specified by the sheriff;• can last for any period up to a maximum of six months;• should be the shortest period possible in line with ASP principles;

Temporary Banning order expires on – s.21(4):

• the date a banning order is made;• the date on which it is recalled; or• any specified expiry date.

A banning or temporary banning order may be recalled or varied. s.24

Page 179: Adult Support and Protection (Scotland) Act 2007

Banning orders - conditions

Sheriff must have regard to any relevant representations made by – s.19(4):

• the applicant for the order;• the adult at risk;•  any other person who has interest in adult at risk's well-being or property; •  the subject of the application.

Order may authorise the subject to be in a place or area from which banned – s.19(3):

• only in specified circumstances; e.g.• while being supervised by another person or during specified times; or• to allow the subject access to the adult at risk’s children or family.

 Could be in Access Plan, with dates, times, location, and purpose e.g. mediation.

Page 180: Adult Support and Protection (Scotland) Act 2007

Banning orders - power of arrest

Section 25

The sheriff can attach a power of arrest, to the banning or temporary order.

Evidence -- likelihood of the subject breaching order or conditions.

The power of arrest becomes effective only when served on the subject of the order and will expire at the same time as the order.

If conditions breached subject may be arrested without warrant:

• if constable reasonably suspects breach of the order; and• likely to breach the order again if not arrested.

If no power of arrest with original order, application may subsequently be made to the sheriff to attach a power of arrest.

Page 181: Adult Support and Protection (Scotland) Act 2007

Order granted / power of arrest

Order granted - Banning Order, Temporary Banning Order, Variation or Recall

Applicant* (where not the adult), the applicant’s solicitor, a sheriff officer or such other person as may be authorised by the sheriff, must deliver copy of the order and power of arrest to adult at risk and such other persons as may be specified; s.26

Failure to deliver an order does not invalidate it.

Notification to the Chief Constable, where a power of arrest has been attached. s.27

Applicant* (where not the adult), the applicant’s solicitor, a sheriff officer or such other person as may be authorised by the sheriff, must deliver copy of the order, copy of the application, copy of the certificate of service and, where power of arrest attached after the order has been granted, copy of the application for the power of arrest, copy of the order granting, copy of the certificate of service and documents served with the original order.

The power of arrest becomes effective only when served on the subject.  * to be prescribed

Page 182: Adult Support and Protection (Scotland) Act 2007

Banning orders – variation & recall Section 24

Application may be made to the sheriff to recall or vary an order by:

• the subject of the order;• the applicant for the order;• the adult at risk to whom the order relates; or• Any person with an interest in the adult at risk’s well-being or property.

Justified by a change in the facts or circumstances.

Variation:

• order can be varied any number of times within the specified period;• may not vary the date on which the order expires;• Cannot extend beyond six months – new application would be needed.

Recall

• grounds for recall – where justified by the facts and the circumstances e.g. further harm is not likely to take place;

• with recall, the order ceases to have effect.

Page 183: Adult Support and Protection (Scotland) Act 2007

Banning orders – appeals

Section 51

Right of appeal against a decision to grant, or a refusal to grant:

Banning order

• must be made to the sheriff principal and then there may be a further opportunity to appeal to the Court of Session.

Temporary banning order

• to the sheriff principal, only with the leave of the sheriff;• to the Court of Session only with the leave of the sheriff principal.

Time appeal effected

• when appeal process completed or abandoned.

Page 184: Adult Support and Protection (Scotland) Act 2007

Banning orders - breaches

Breaches - failure to comply with an order of court can be dealt with by:

• the applicant raising an action for breach; or• the adult at risk, where not the applicant, raising an action for breach.

Before raising an action, confirmation should be obtained from the Procurator Fiscal that no criminal proceedings are to be commenced. Where a criminal offence has been committed, this will be dealt with in the usual manner.

An adult at risk is not required to report any breach of an order.

With power of arrest attached, constable can arrest subject if the constable – s.28:

• reasonably suspects subject to be breaching, or have breached, order; and• considers that there would be a risk of the subject breaching the order

again, if the subject were not arrested.

The constable cannot simply arrest subject for having breached the order alone.

Page 185: Adult Support and Protection (Scotland) Act 2007

Banning orders – detention notifications

The arresting officer must:

• immediately inform the arrested person of the reason for the arrest; and • take the person as quickly as practicable to a police station.

The arrested person must be detained in custody until he/she is:

• accused on petition; or• charged with offence; or• brought before the sheriff under section 32.

If the subject is a child:

• any person known to have parental responsibilities for the child must be notified of the detention; and

• it is expected that the police will make a referral to the Children’s Reporter.

Page 186: Adult Support and Protection (Scotland) Act 2007

Banning orders – detention

The ASP Act and Code of Practice set out further requirements concerning detention and further action concerning Banning orders:

• Police duty to keep record of detention – s.31;• Duty to bring detained person before sheriff – s.32;• Information to be presented to sheriff – s.33;• Authorisation of further detention period by Sheriff – s.34;• Conditions of Banning order continue until expiry unless varied;• Application can be made for further banning order

Page 187: Adult Support and Protection (Scotland) Act 2007

Banning orders - practice implications

The council must have regard to:

• The principles of the Act;• The adult’s wishes and needs;• Referral for independent advocacy or provide other services;• The benefit to the adults at risk of a banning order;• Whether actions are the least restrictive necessary to provide benefit;• Assisting with application, if the adult at risk is the applicant.

Where practicable, adults must be kept fully informed of rights, options, events.

Page 188: Adult Support and Protection (Scotland) Act 2007

Banning orders – practice issues• Who is to be banned?

• Is the person to be banned a child?

• What area does the ban cover?

• What length of ban is requested ( up to 6 months)?

• Should there be contact between the adult and the subject of the order?

• What conditions to be attached to ban e.g attach a power of arrest for breach of ban?

• Are the powers required immediately?

• Purpose of ban – what is going to be achieved?

• If banned person living in same accommodation, how is their property going to be secured and protected?

• Who notifies police if power of arrest attached to condition?

• What is the likelihood of appeal?

• Any impact/risk to others by banning person from the premises, e.g. rehousing of banned person?

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Group exercise 7

Use post-its individually for 5/10 minutes to identify case situations in which a Banning order might be of benefit. Then, create a group list of these potential situations, noting any common features amongst them.  You may also wish to note the potential difficulties and drawbacks of using Banning orders and the circumstances.

Please discuss in your groups and flipchart your answers.

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Page 192: Adult Support and Protection (Scotland) Act 2007

Offences

Adult Support and Protection (Scotland) Act 2007

ASP Section 49

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Offences - obstruction

Section 49

Offences

• to prevent or obstruct any person from acting under the Act;

• to refuse, without reasonable excuse, to provide information. (examination of records etc).

An adult at risk cannot commit such an offence.

A person found guilty is liable on summary conviction to:

• a fine not exceeding level 3 on the standard scale; and/or• imprisonment for a term not exceeding 3 months.

Page 194: Adult Support and Protection (Scotland) Act 2007

Offences – bodies corporate etc.

Section 50

Obstruction consent or connivance or attributable neglect can mean offence by:

• a body corporate, partnership or unincorporated association;• a “relevant person”

A “relevant person” for the purposes of this section means:

• a director, manager, secretary or other similar officer of the body;• a member, where the affairs of the body are managed by its members;• an officer or member of the council;• a partner in a Scottish partnership;• a person who is concerned in the management or control of an unincorporated association other than a Scottish partnership.

An unincorporated association is the most common form of organisation within the voluntary sector in Scotland.

Page 195: Adult Support and Protection (Scotland) Act 2007

Adult Support and Protection (Scotland) Act 2007

Part 1: Adult Support and Protection (Scotland) Act 2007Protection of adults at risk of harm

IntroductorySection 1 General principle on intervention in an adult’s affairs Section 2 Principles for performing Part 1 functions Section 3 Adults at risk

InquiriesSection 4 Council’s duty to make inquiries Section 5 Co-operationSection 6

Duty to consider importance of providing advocacy and other services

InvestigationsSection 7 Visits Section 8 Interviews Section 9 Medical examinations Section 10 Examination of records etc.

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Adult Support and Protection (Scotland) Act 2007

Assessment ordersSection 11 Assessment orders Section 12 Criteria for granting assessment order Section 13 Restriction on exercise of assessment order

Removal ordersSection 14 Removal ordersSection 15 Criteria for granting removal order Section 16 Right to move adult at risk Section 17 Variation or recall of removal order Section 18 Protection of moved person’s property

Banning ordersSection 19 Banning orders Section 20 Criteria for granting banning order Section 21 Temporary banning orders Section 22 Right to apply for banning order Section 23 Banning orders: occupancy rights of adult at risk Section 24 Variation or recall of banning order Section 25 Powers of arrest

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Adult Support and Protection (Scotland) Act 2007

Notification to adult at risk etc. Section 27 Notification to police Section 28 Arrest for breach of banning orderSection 29 Police duties after arrest Section 30 Notification of detention Section 31 Duty to keep record of detention Section 32 Duty to bring detained person before sheriff Section 33 Information to be presented to sheriff Section 34 Criteria for authorising longer detention

Protection orders and visits: supplementarySection 35 Consent of adult at risk Section 36 Visits: supplementary provisions Section 37 Warrants for entry Section 38 Criteria for granting warrants for entry: section 7 visits Section 39 Duty to grant warrants for entry: removal orders Section 40 Urgent cases Section 41 Applications: procedure

Page 198: Adult Support and Protection (Scotland) Act 2007

Section 16In pursuance of a Protection

Order, enter any place where the adult at risk is and to remove that adult where this is authorised

by a Removal Order

Section 11-22Apply to the Sheriff for the grant of a protection order.

This may be anAssessment Order

Removal OrderBanning Order or

Temporary Banning Order

Section 10Health, financial and other

records relating to an adult at risk may be requested

and examined. Only a health professional may inspect

health records

Section 8-9Council officers may interview, in private, any adult found at

the place being visited &arrange for a medical examination

of an adult at risk to be carried out by a

health professional

Section 7Visit any place

necessary toassist enquiries under Section 4

Council’spowersunder

ASPA 2007

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Section 42Set up Adult ProtectionCommittees to carry out

various functions in its area and to

review proceduresunder the Act

Sections 36-40Visit a place at

reasonable times only;state the object of the visit;

produce evidence of authorisation to visit;

Council officers may not use forceto facilitate or during a visit

(but Sheriff or JOP may authorise Police

t o use force)

Section 18Protect property owned or controlled by an adult

who is removedfrom a place under

a removal order

Section 9Inform an adult

believed to be at risk that they may refuse

to consent to a medical

examination

Section 8Inform any adult interviewed that

they may refuse to answer any question

put to them.

Section 6Duty to considerthe importance of

providing advocacy& other services

Section 5Duty to cooperate

with other prescribed

bodies

Section 4Duty to Inquire

Council’s dutiesunder

ASPA 2007

Page 200: Adult Support and Protection (Scotland) Act 2007

Links to Issues and Agencies referenced in the training sessions:

Scottish Government:Adult Support and Protection (Scotland) Act 2007

http://www.scotland.gov.uk/Topics/Health/care/VAUnit/ProtectingVAAdult Support and Protection (Scotland) Act 2007 - code of practice

http://www.scotland.gov.uk/Publications/2008/07/17115228/0 Adults with Incapacity

http://www.scotland.gov.uk/Topics/Justice/Civil/awiAdults with Incapacity- communication and assessing capacity

http://www.scotland.gov.uk/Publications/2008/02/01151101/0Child Protection

http://www.scotland.gov.uk/Topics/People/Young-People/Children-Families/17834Appropriate Adults Scheme

http://www.scotland.gov.uk/Topics/Justice/criminal/18244/Appropriate-AdultMental Health (Care and Treatment) (Scotland) Act 2003

http://www.scotland.gov.uk/Topics/Health/health/mental-health/mhlawVulnerable Witnesses (Scotland) Act 2004 – information guidehttp://www.scotland.gov.uk/Publications/2005/04/04143522/35246

Scottish Courts – Rules and Forms http://www.scotcourts.gov.uk/library/rules/index.asp

 Data Sharing: Legal Guidance for the Public Sectorhttp://www.scotland.gov.uk/Publications/2004/10/20158/45768

Office of Public Sector Information (Acts and Statutory Instruments):http://www.opsi.gov.uk/

Survivor Scotland http://www.survivorscotland.org.uk

Counselling, mediation, and victim support: www.victimsupportsco.demon.co.uk

Criminal Injuries Compensation Scheme ( CICS), 2001: www.cica.gov.uk

Page 201: Adult Support and Protection (Scotland) Act 2007

Links to Issues and Agencies referenced in the training sessions:  

Office of the Information Commissioner's framework code of practice for sharing information http://www.ico.gov.uk/upload/documents/library/data_protection/detailed_specialist_guides/pinfo-framework.pdf

Office of the Public Guardian http://www.publicguardian-scotland.gov.uk/

Public Concern at Work - provides legal, practical and policy advice on whistle blowing http://www.pcaw.co.uk

Scottish Independent Advocacy Alliance http://www.siaa.org.uk/

The Mental Welfare Commission ( MWC) for Scotland www.mwcscot.org.uk

The Princess Royal Trust for Carers http://www.carers.org/

Victims of Crime in Scotland http://www.scottishvictimsofcrime.co.uk/exec_ccc/VC_FirstPage.jsp?

pContentID=275&p_applic=VC_CCC&p_service=Content.show&

Page 202: Adult Support and Protection (Scotland) Act 2007

Learning Outcomes – Day Two

Poor Excellent1 2 3 4 5 6 7 8 9 10

Evaluate the degree to which the training has been effective in enabling you to achieve the following learning objectives:

a)Understand, in general terms, the function of Protection orders under the ASP Act and the features which are common to themb)Understand the term ' serious harm' and how it might be applied in applications for Protection ordersc)Understand the requirements for consent and the term 'undue pressure' and how they apply to applications for Protection ordersd)Understand the potential uses of Assessment orders, the arrangements for them and the practice issues involved e)Understand the potential uses of Removal orders, the arrangements for them and the practice issues involved

Page 203: Adult Support and Protection (Scotland) Act 2007

Learning Outcomes – Day Two

Poor Excellent1 2 3 4 5 6 7 8 9 10

f) Understand the function and arrangements for Warrants for Entry within the context of Protection orders

g) Understand the duties and responsibilities in relation to the protection of a moved person's property

h) Understand the potential uses of Banning orders and Temporary Banning orders, the arrangements for them and the practice issues involved

i) Understand the police powers of arrest and duties of detention under the ASP Act

j) Understand the offences of obstruction under the ASP Act and refusal to provide information related to the Act

 Please rate the value of the Day Two training overall  Please note any other comments:

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Adult Support and Protection (Scotland) Act 2007