Organisational
Organisational abuse includes neglect and poor care practice in an institution or care setting. This could be in a hospital or care home, for example, or in relation to care provided in one’s own home. This may range from one off incidents to ongoing ill-treatment. It can be through neglect or poor professional practice as a result of the -
- structure
- policies
- processes
- practices
within an organisation.
The following list may be possible indicators of institutional abuse -
- no flexibility in bedtime routine and deliberate waking
- people left on the commode or toilet for long periods of time
- inappropriate care of possessions, clothing and living area
- lack of personal clothes and belongings
- un-homely or stark living environments
- deprived environmental conditions and lack of stimulation
- inappropriate use of medical procedures, for example, enemas, catheterisation
- 'batch care' - lack of individual care programmes
- illegal confinement or restrictions
- inappropriate use of power or control
- people referred to, or spoken to with disrespect
- inflexible services. They convenient to the provider rather than the person receiving services
- inappropriate physical intervention
- service user removed from the home or establishment. This is without discussion with other appropriate people or agencies. It could be because staff are unable to manage the behaviours