The Pain Exchange

Safeguarding Policy

 The Pain Exchange (PEX) Policy for Safeguarding at Risk Adults:

At risk adult defined by the Care Act 2014

Policy statement                                                                                                     

The Pain Exchange (PEX) believes that all adults have the right to enjoy the activities at the PEX in a safe and secure environment.


Reason for Policy                                                                                                  

The PEX has developed a safeguarding at risk adults’ policy to protect all adults who use or attend the PEX.


Who does it apply to?

The PEX safeguarding at risk adults applies to all staff , volunteers, trustees and those who use the service.


The Legal framework

This policy has been drawn up on the basis of law and guidance that seeks to protect at risk adults as contained within the human rights act 1998, the mental capacity act 2005,and public interest disclosure act 1998, data protection act 2018, the freedom of information act 2000, safeguarding vulnerable groups act 2006, deprivation of liberty safeguards, code of practice 2008 and

The Care Act 2014

Responsibilities of the PEX

  1. To prevent harm to any adult involved at the PEX
  2. To promote quality of life for all adults involved at the PEX.
  3. To safeguard all adults involved at the PEX in a way that supports them in making choices and having control about how they want to live.
  4. To raise awareness and provide support to help all adults involved at the PEX understand about the different forms of abuse and how to respond to these.
  5. To work with Ealing adult safeguarding service to both remain abreast of changes in law or local policies and in cases where abuse is suspected or reported; to refer on.
  6. To ensure that all staff, volunteers and trustees have DBS checks


Responsibilities of the Staff, and  volunteers

  1. To follow the PEX adult safeguarding policy and procedure
  2. To  attend adult safeguarding training sessions once a year.
  3. To discuss adult safeguarding concerns with the adult safeguarding officer, or if adult safeguarding involves the officer with a trustee
  4. To remain alert to safeguarding issues


Responsibilities of the trustees

 The Trustees have a duty of care to prevent risks to the PEX reputation and resources as well as to the people it helps.

Recognising At Risk Adults

Definition of at-risk Adult, ref, The Care Act 2014. Adults at risk are defined in the care Act of 2014 as individuals over 18.





1.      Physical disability

2.      Mental health problems

3.      Disturbance of Vision, hearing loss or difficulty communicating

4.      Loss of memory, forgetfulness

5.      Elderly living alone

6.      Suicide risk

PEX is not treating people who are under 18 and therefore female genital mutilation (FGM) and PREVENT not relevant in this service but staff to be aware that participants may have been victims of this.



FOR ALL STAFF: (Staff refers to staff involved in patient journey)

At risk adults using the PEX, identified by placing an orange sticker on the front of their notes. The notes are stored in line with the data protection act 2018).




For definition of abuse see appendix 2(ref The Care Act 2014)

Abuse: Abuse of at-risk adult may consist of a single act or repeated acts. It may occur as a result of a failure to undertake action or appropriate care tasks. It may be an act of neglect or an omission to act, or it may occur where a vulnerable person is persuaded to enter into a financial or sexual transaction to which they have not, or cannot, consent. Abuse can occur in any relationship and may result in significant harm to, or exploitation of, the individual.



For signs of abuse please see appendix 3 (ref the Care act 2014) of this document.

  • All staff interacting with patients to be aware of the method of identifying at risk adults.
  • All staff to familiarize themselves with appendix 3, in order to be aware of the signs of abuse.
  • All staff be ready to listen if a patient starts to talk or asks if they can discuss something that is concerning them.



  • All new staff, volunteers and Trustees to read the PEX policies and procedures as part of their induction.
  • The PEX safeguarding officer to check with all new staff, volunteers and Trustees that they have understood the policy and procedure for safeguarding vulnerable adults.
  • All new staff including volunteers and trustees to sign that they have read and understood the policy and procedure for adult safeguarding at the PEX.
  • Safeguarding to be on agenda for staff and trustee meetings.
  • Refresher / update of safeguarding at risk adults once a year, using case studies to enhance learning and understanding.
  • Laminated flow chart of procedures relating to acting on suspicion of abuse, report of abuse and accusation of abuse to be placed on the PEX notice board, see appendix 4.
  • Laminated flow chart for recognising and assessing suicide risk to be placed on the PEX noticeboard.




  • At interview complete safeguarding check form (see appendix 4) regarding
  • Past convictions, cautions, reprimands, final warnings, pending cases, complaints of abuse against them.
  •  At interview use scoring form (see appendix 5), with respect to suitability to the role, including experience, suitable qualification(s), relevant training.
  • For all new staff ensure two references obtained either by phone, email or letter, copies of relevant qualifications and professional registrations and proof of identification kept in personal file of staff member in line with data protection act.
  • Obtain DBS checks for all new members of staff to cover safeguarding checks in appendix 4.


  • All new staff inducted within their first month. Induction includes reading the PEX safeguarding at risk adult’s policy and procedure.
  • All staff to be kept abreast of identified, at risk adults at case conference/ team meeting by the safeguarding officer for the PEX.
  • All staff to be kept updated with regards to any change in law, or knowledge or current adult safeguarding issues and their management at the PEX, at the annual review of the PEX.
  • The safeguarding officer’s duty is to link to the Ealing local safeguarding board for updates in local policies and procedures and update the team as appropriate.


Ensuring safety at the PEX

  • Risk assessment and PEX activities see health and safety policy and procedure,
  • Keep up to date with renewal of the Public liability insurance
  • Check HCPC registration and keep copies for all physiotherapy staff
  • Keep patient notes up to date and in line with professional guidelines for physiotherapists.
  • Audit of selection of patient notes once per year by the physiotherapy team.
  • Accident and incident reporting see health and safety policy and procedure.


Measures to protect at risk adults at the PEX

Safeguarding adults’ officer at the PEX

Currently: Sharon Morgans Physiotherapist 


Mobile 07815152818


Safeguarding Officer Responsibilities

  • Ensure that staff know who to go to with concerns re safeguarding.
  • Ensure that concerns are acted on
  • Follow-up safeguarding referrals
  • Re-enforce need for confidentiality
  • Ensure support for those who experience abuse.


Please see PEX procedure for safeguarding at risk adults for how to deal with situations where an adult needs help and for situations where allegations of abuse are made about someone in the organisation.


Resources, further help and information

There is a lot of good advice, information and resource material available for free.

To report concerns about abuse please contact: 

Ealing social services Adult care contact centre


Telephone 020 8825 8000/5000



For details of your local Safeguarding Adults Board see the website: