Adult Safeguarding - Raising a Concern and the Decision Making Tool (DMT)

 MK Together has developed a Decision Making Tool to make it clearer and easier for people to understand what a safeguarding concern is and what to do with a concern.

Neglect and Acts of Omission - General and Falls

Ongoing failure to meet a person’s basic physical or psychological needs. A fall does not automatically indicate neglect and each individual case should be examined in order to determine whether there is a safeguarding concern.


  • Number of adults are missed on a given day/consecutive days, but no harm occurs
  • Adult is not assisted with a meal/drink on one occasion and no harm occurs
  • Inadequacies in care provision leading to discomfort - no significant harm e.g. left wet for a period of time
  • A fall where no significant harm occurs, there are no other indicators of neglect, and action is being taken to minimise further risk


  • Recurrent missed home care visits where risk of harm escalates, or one miss where harm occurs
  • Discharge from hospital where harm occurs that does not require re-admission
  • Recurrent lack of care to extent that health and well-being deteriorate e.g. pressure ulcers, dehydration, malnutrition (assessed to the capability of the person reporting)
  • Any fall where there is suspected neglect or a failure to follow relevant care plans, policies or procedures
  • Multiple incidents where:
    • The care plan has NOT been fully implemented or reviewed within an appropriate timeframe
    • It is NOT CLEAR that professional advice or support has been sought at the appropriate time. e.g. Falls Service


  • Failure to arrange access to life saving services or medical care
  • Failure to intervene in dangerous situations where the adult lacks the capacity to assess risk
  • Discharge from hospital where harm occurs that does require re-admission within 72 hours

Milton Keynes Falls Prevention Service Referral can be made by calling 01908 686751 or completing online referral form:

Last Updated: 7 December 2021