Organisational Abuse

This includes neglect and poor care practice within a care setting, such as a hospital or care home, or in relation to care provided in someone’s own home. This may range from one-off incidences to on-going ill treatment.
It can be through neglect or poor professional practice because of the structure, policies, processes, and practices within an organisation.


Indicators:
• No flexibility in bedtime routine and/or deliberate waking
• The individual left on the toilet for long periods of time
• Inappropriate care of possessions, clothing and living area
• Lack of personal clothes and belongings
• Unhomely or stark living arrangements
• Deprived environmental conditions and lack of stimulation
• Inappropriate use of medical procedures, e.g., enemas, catheterisation
• Lack of individual care programmes – ‘batch care’
• Illegal confinement or restrictions
• Inappropriate use of control or power
• Disrespectful conversation or reference
• Inflexible services based on convenience of the provider rather than the individual receiving services
• Inappropriate physical intervention
• Service user removed from home/establishment, without discussion with other appropriate agencies or people, because staff unable to manage behaviours