Case study
Background
Angie, a woman in her 60s living in supported accommodation, was experiencing difficulties with personal care and maintaining her wellbeing. Concerns were raised about self-neglect, including challenges with bathing, personal hygiene, and daily routines. Professionals recognised that Angie had additional support needs and found it difficult to trust new people.
What happened
A safeguarding response brought together social care, advocacy, health professionals, and support staff to understand Angie's needs and wishes. Time was taken to build trust and ensure Angie remained at the centre of decision-making.
Professionals worked closely with Angie and those who knew her best to understand how sensory needs, past experiences, and communication difficulties were affecting her ability to engage with support. Practical adjustments were made to her living environment, routines, and communication methods to help her feel safe and comfortable.
Outcome
With consistent support from trusted staff, Angie began to engage more with care and support services. Improvements were made to her living environment, and steps were taken to help her manage personal care in a way that respected her needs and preferences.
Although support remains ongoing, the multi-agency approach helped reduce risks associated with self-neglect and improved Angie's wellbeing, while ensuring her voice and wishes remained central to all decisions.
Key Learning
- building trust is often essential when supporting adults who self-neglect.
- understanding an individual's unique needs can help professionals provide support in a way that works for them.
- multi-agency working helps ensure risks are managed effectively while promoting independence and wellbeing.
- safeguarding is most effective when the adult's wishes, feelings, and outcomes remain at the heart of the process.