Under review
Please note that this section is currently under review (June 2024).
Please note that this section is currently under review (June 2024).
5.1.1. Introduction
5.1.2. Physical abuse
5.1.3. Sexual abuse
5.1.4. Psychological abuse
5.1.5. Neglect
5.1.6. Self-neglect
5.1.7. Financial abuse
5.1.8. Organisational abuse
5.1.9. Domestic violence
5.1.10. Modern slavery
5.1.11. Support to individual and family
5.1.12. Removal of the person thought to be the cause of risk
5.1.13. Removal of subject
5.1.14. Deprivation of Liberty Safeguards
Offences Against the Person Act 1861 - a criminal prosecution, this Act contains core criminal offences relating to assaults including, actual and grievous bodily harm, wounding with intent and unlawful wounding, including assaults causing cuts, serious damage to internal organs and broken bones, the administration of drugs or noxious substances so as to cause harm (a prosecution would have to be brought by the police).
Civil action could be taken for assault, battery or false imprisonment (restraint). The client or their representative should take legal advice from either the Citizen's Advice Bureau or an independent solicitor.
A Criminal Injuries Compensation claim can be made via Gov.uk, Claim compensation if you were the victim of a violent crime.
The Police and Criminal Evidence Act 1984 Section 17 is a police power to enter and save life.
The Family Law Act 1996 can be used to obtain injunctions against perpetrators; non-molestation and occupation orders.
The Domestic Violence Crimes and Victims Act 2004 creates an offence of causing or allowing the death of a child or Vulnerable Adult, where they have died of an unlawful act. The household member must have failed to take reasonable steps to protect the victim and the victim must have been at serious risk of physical harm, demonstrated by a history of violence towards the vulnerable person. ‘Vulnerable Adult’ in this Act means a person aged 16 or over whose ability to protect himself or herself from violence, abuse or neglect is significantly impaired through physical or mental disability or illness, through old age or otherwise.
Young people under 18 years of age are also covered by Sussex Child Protection Procedures.
Criminal prosecution - Sexual Offences Act 2003. There are specific offences that deal with adults who lack the ability to consent to sexual relations and/or have a mental disorder. Section 4 makes it an offence to cause a person to engage in sexual activity without consent. Sections 30-44 provide various offences against people who lack capacity and/or have a mental disorder, including specific offences for care workers. There is a defence to these offences if the individual did not know and had no reason to suspect that the person had a mental disorder.
Civil action could be taken by the individual, but they should take legal advice from either the Citizen's Advice Bureau or an independent solicitor.
Protection from Harassment 1997 can be used by Police or individual to obtain an injunction. Refer also to the Crime and Disorder Act 1998.
The Equality Act 2010 can be referred to if someone is being treated unfavourably on the grounds of their age, disability, gender reassignment, marriage, civil partnership, pregnancy, maternity, race, religion or belief, sex or sexual orientation.
Note: the Legal Remedies below could also apply to self-neglect and organisational abuse.
s5 MCA 2005 if we reasonably believe that it is in the best interests of an adult that lacks capacity, we can take steps to provide that care and treatment, including removing them to a place of safety.
Criminal law - statute and common law can be considered, including:
Police and Criminal Evidence Act 1984, section 17 is a Police power to enter and save life.
Referral to the Care Quality Commission in circumstances in which a provider is failing to meet the national standards of quality and safety. See: Contact us or report a concern | OLS (cqc.org.uk)
Sections 9-13 Care Act 2014 and associated Regulations - duty to assess. The local authority may be able to help manage self-neglect concerns by completing a formal assessment and putting in a care package or higher support to the individual, carer and/or family. We should also consider our duty to promote well-being as set out in section 1 Care Act 2014.
If, through a person’s, self-neglect, their right, or ability to continue to reside in their accommodation is at risk, then a referral to the relevant housing authority for assistance under any relevant housing legislation should also be considered.
Also see section above on Neglect.
Lasting Powers of Attorney (LPA) were introduced by the Mental Capacity Act 2005.
These replace the former Enduring Powers of Attorney that, after 1 October 2007, can no longer be created. An LPA is a legal document that lets a person (‘the Donor') appoint someone they trust (‘the Attorney') to make decisions on their behalf.
There are two types of Lasting Power of Attorney (LPA):
The LPA must be registered with the Office of the Public Guardian in order to have legal standing. A registered LPA can be used at any time, whether the person making the LPA has the mental capacity to act for himself or not. Once the LPA is registered it continues indefinitely. The LPA can be registered by the Attorney after the Donor has lost capacity. An LPA can also be cancelled by the Donor, provided he has the mental capacity to do so.
The relevant agency can make representations to the Office of the Public Guardian if there is reasonable belief that someone may not be acting in an individual's best interests.
A person given a power under an Enduring Power of Attorney (EPA) before 1 October 2007 can still use it and apply to have it registered.
Further information about LPAs can be found on the website for the Office of the Public Guardian.
An adult in receipt of benefits, who is unable to manage their affairs can appoint a person to do so on their behalf. These are known as “Appointees”. An Appointee may be an individual, or an organisation, such as a firm of Solicitors. As an Appointee they are responsible for making and maintaining any benefits claims on behalf of the adult.
The Department of Works and Pensions (DWP) should be contacted if an agency has reason to suspect that an Appointee is not acting properly under the terms of their appointment, the adult is clearly able to manage their own benefits, or the Appointee becomes incapable. The DWP should then take steps to investigate whether the Appointeeship should continue.
Further information about Appointeeships can be found on the Government website.
The Mental Capacity Act 2005 provides for the Court of Protection to make decisions in relation to the property and affairs, healthcare and personal welfare of adults (and in certain cases, children) who lack capacity.
The Court has the same rights, privileges and authority in relation to mental capacity matters as the High Court. The Court has the powers to:
In reaching any decision, the Court must apply the statutory principles set out in the Mental Capacity Act. It must also make sure its decision is in the best interests of the person who lacks capacity.
Criminal Prosecution - the Police can consider whether a perpetrator of financial abuse may be prosecuted for theft under the Theft Act 1968. For fraud, both the police and local authority Trading Standards Service can consider various offences under the Fraud Act 2006.
Consider the Legal Remedies identified in the sections relating to: physical, sexual, psychological, financial abuse and neglect.
Corporate Homicide Act 2007 – an organisation is guilty of an offence under this Act if the way in which its activities are managed or organised:
An organisation is only guilty of an offence under this Act if the way in which its activities are managed or organised by senior management are a substantial cause of the breach of duty.
Sections 9-13 Care Act 2014 and associated Regulations - duty to assess. The local authority may be able to help manage some adult safeguarding concerns by completing a formal assessment and putting in a care package or higher support to the individual, carer and/or family. We should also consider our duty to promote well-being as set out in section 1 Care Act 2014.
If an adult’s right, or ability to continue to reside in their accommodation is at risk, then a referral to the relevant Housing Authority for assistance under any relevant housing legislation should also be considered.
Consider whether to involve the police.
Family Law Act 1996 - injunctions; non-molestation and occupation orders.
Civil injunction - would need the individual to take legal advice from an independent solicitor or Citizen's Advice Bureau.
Mental Health Act 1983 - removal for assessment and/or treatment.
Mental Health Act 1983 - removal for assessment and/or treatment.
The Mental Capacity Act Deprivation of Liberty Safeguards were introduced into the Mental Capacity Act 2005 through the Mental Health Act 1983.
The MCA DOL safeguards apply to anyone:
The safeguards do not apply to people detained under the Mental Health Act 1983.
The safeguards cover:
The safeguards are designed to protect the interest of an extremely vulnerable group of service users and to:
What do the safeguards cover?
The MCA DOLS cover:
While the MCA DOL might be for the purpose of giving treatment, the DOL authorisation does not itself authorise treatment. Treatment in these circumstances may only be given with the person's consent (if they have capacity) or in accordance with the wider provisions of the Mental Capacity Act.
MCA DOLS must never be used as a form of punishment or for the convenience of carers or professionals.