Multi agency safeguarding adults forms


Leeds City Council users: if you have difficulties downloading a Word Document, please visit our guidance page for help.​​​

To Raise a Safeguarding Concern

To raise a safeguarding concern you need to telephone Adult Social Care:

Contact centre: Tel: 0113 222 4401

In an emergency, out of hours: Tel: 07712 106378

The relevant social work team, will consider how best to respond to the concern raised and will ask you to send them the SA1 Form below.

Complete the Body Map form, only if it is helpful to illustrate any injuries.

 

 

Body mapBody mapWORD 145KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/body_map_may_2015.docx153541docxword equal-item
Supporting InformationSupporting InformationWORD 333KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/SA1 Supporting Information.doc340992docword equal-item

Forms for safeguarding practitioners​

​Initial enquiry

The purpose of an initial enquiry is to explore the best way of responding to the safeguardings concerns. These optional forms can be used to help record the adult's desired outcomes, actions taken and decisions made. (Multi-agency procedures Section 10).

Leeds City Council users: if you have difficulties downloading a Word Document, please visit our guidance page for help.​​​

 

 

Initial Enquiry Optional FormInitial Enquiry Optional FormWORD 90KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/Initial Enquiry (optional) September 2015.doc94208docword equal-item
Desired outcomes statement optional formDesired outcomes statement optional formWORD 59KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/leeds_safeguarding_adults_desired_outcomes_statement_final_180215.docx62703docxword equal-item

Risk Management Response

When a Formal Enquiry is not needed, but there are actions to needed to safeguard the adult or others, a Risk Management Response should be considered. This optional form can be used to record the actions taken. (Multi-agency procedures Section 11) 

Leeds City Council users: if you have difficulties downloading a Word Document, please visit our guidance page for help.​​​


 

 

Risk Management Response Optional FormRisk Management Response Optional FormWORD 90KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/Risk Management Response (optional) September 2015.doc91648docword equal-item

Strategy meetings

Strategy meetings or discussions are used to plan a Formal Enquiry. (Multi-agency procedures Section 12)

Leeds City Council users: if you have difficulties downloading a Word Document, please visit our guidance page for help.​​​

 

 

Safeguarding Meeting Attendance recordSafeguarding Meeting Attendance recordWORD 264KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/safeguarding_meeting_attendence_record.doc276480docword equal-item
SA2a Note of Stratergy DisscussionSA2a Note of Stratergy DisscussionWORD 121KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/SA2A_note_of_strategy_discussion_may_2015.doc125440docword equal-item
Request for an Outcomes MeetingRequest for an Outcomes MeetingWORD 107KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/SA2f Request for an Outcomes Meeting form.doc110080docword equal-item
SA2B Strategy Meeting AgendaSA2B Strategy Meeting AgendaWORD 83KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/SA2B_strategy_meeting_agenda_may_2015.doc87040docword equal-item
SA2C Strategy Meeting MinutesSA2C Strategy Meeting MinutesWORD 168KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/SA2C_strategy_meeting_minutes_may_2015.doc173568docword equal-item
SA2D Strategy Review Meeting AgendaSA2D Strategy Review Meeting AgendaWORD 82KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/SA2D_strategy_review_meeting_agenda_may_2015.doc86016docword equal-item
SA2e Strategy Review MinutesSA2e Strategy Review MinutesWORD 162KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/SA2e_strategy_review_minutes_may_2015.doc167936docword equal-item

Formal Enquiry

The purpose of a Formal Enquiry is to understand what has happened and the safeguarding needs of the adult or others.​(Multi-agency procedures Section 13)

Leeds City Council users: if you have difficulties downloading a Word Document, please visit our guidance page for help.​​​

 

 

Formal Enquiry ReportFormal Enquiry ReportWORD 181KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/Formal Enquiry Report.doc159232docword equal-item

Outcome Meetings

The purpose of an Outcome Meeting is to consider the findings of the Formal Enquiry and the person’s desired outcomes and with this knowledge, then decide how best to manage any risks to the person or others. Where a meeting is not required, this may be held as an Outcome Discussion, led by the Safeguarding Coordinator.

Arrangements/requests for an Outcome Meeting are now managed internally within Leeds City Council: Adults & Health.

Leeds City Council users: if you have difficulties downloading a Word Document, please visit our guidance page for help.​​​

 

 

SA4a Case conference meeting agendaSA4a Case conference meeting agendaWORD 265KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/Outcomes Meeting Agenda (16 10 17).docx52787docxword equal-item
Outcomes Meeting Minutes (16 10 17)Outcomes Meeting Minutes (16 10 17)WORD 364KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/Outcomes Meeting Minutes (16 10 17).doc340992docword equal-item

Review

The purpose of a review meeting to check whether the safeguarding plan is working effectively and achieving the desired outcomes of the adult at risk.   (Multi-agency procedures Section 15)

Leeds City Council users: if you have difficulties downloading a Word Document, please visit our guidance page for help.​​​

 

 

SA5a Safeguarding review agendaSA5a Safeguarding review agendaWORD 261KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/SA5a_safeguarding_review_agenda_may_2015.doc268800docword equal-item
SA5b Safeguarding Review Meeting MinutesSA5b Safeguarding Review Meeting MinutesWORD 395KBhttps://leedssafeguardingadults.org.uk/Documents/Safeguarding/SA5b Safeguarding Review Meeting Minutes (July 2016).doc338944docword equal-item