Escalation to Safeguarding Adults Large Scale Enquiry

10.1    Where individuals or groups of adults have experienced abuse or neglect the management of these concerns should be addressed through Gloucestershire’s Multi-Agency Adult Safeguarding Policy and Procedures.

10.2    In cases where there is evidence of organisational abuse, the Gloucestershire Organisational Procedures should be followed and a Large Scale Enquiry (LSE) instigated. This will be chaired by a member of the council’s central Safeguarding Adults team. The Organisational Abuse Procedures are intended for use only in the most serious of circumstances where systemic abuse or neglect is evident and there is a high level of risk and complexity.

10.3    Circumstances where the LSE process could be considered include, but are not limited to, the following: 

• Where there is a pattern of individual safeguarding concerns, which seen collectively, indicate serious organisational abuse issues, particularly where there is evidence of criminal neglect on a wide scale
  
• A serious single incident indicative of systemic and organisational abuse, such as that involving the death of an adult in their care
• Where there is a failure by the provider to engage effectively with previous safeguarding enquiries for individuals, leading to continued risk of harm to a number of adults
• Where there is clear evidence that despite contract monitoring, quality improvement and/or CQC action planning there is insufficient evidence of improvements within the service. This is resulting in continued harm or continued risk of harm to one or more adult at risk

10.4    The LSE process will not usually culminate in the need to remove all the adults from the service, apart from in exceptional circumstances.