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Symptoms: Organisational / Institutional

Types of organisational or institutional abuse

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Discouraging visits or the involvement of relatives or friends

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Run-down or overcrowded establishment

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Authoritarian management or rigid regimes

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Lack of leadership and supervision

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Insufficient staff or high turnover resulting in poor quality care

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Abusive and disrespectful attitudes towards people using the service

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 Inappropriate use of restraints

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 Lack of respect for dignity and privacy

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Failure to manage residents with abusive behaviour

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Not providing adequate food and drink, or assistance with eating

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 Not offering choice or promoting independence

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 Misuse of medication

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Failure to provide care with dentures, spectacles or hearing aids

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 Not taking account of individuals’ cultural, religious or ethnic needs

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 Failure to respond to abuse appropriately

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 Interference with personal correspondence or communication

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 Failure to respond to complaints

Possible indicators of organisational or institutional abuse

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 Lack of flexibility and choice for people using the service

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Inadequate staffing levels

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People being hungry or dehydrated

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Poor standards of care

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 Lack of personal clothing and possessions and communal use of personal items

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 Lack of adequate procedures

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 Poor record-keeping and missing documents

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 Absence of visitors

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 Few social, recreational and educational activities

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 Public discussion of personal matters

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 Unnecessary exposure during bathing or using the toilet

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 Absence of individual care plans

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 Lack of management overview and support

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