Compliance Doesn’t Keep People Safe. Culture Does.
Every time a serious safeguarding failure comes to light, attention understandably turns to what went wrong. Investigations identify shortcomings, recommendations are made, and organisations reflect on whether the same risks could exist within their own services.
The publication of the Muckamore Abbey Hospital Inquiry has prompted exactly that kind of reflection across health and social care. Its findings reinforced lessons that have emerged from safeguarding failures for decades: warning signs were missed, poor practice became normalised, and vulnerable people were failed by systems that should have protected them.
But there is a wider lesson for the sector.
An organisation can be fully compliant and still be unsafe.
Policies, procedures, training and governance are essential. Every organisation providing care must have strong safeguarding frameworks in place. However, safeguarding failures rarely happen because a policy does not exist. They happen when culture allows poor practice to go unchallenged, when concerns are not acted upon, and when people lose confidence that speaking up will make a difference.
Safeguarding is not fundamentally a compliance issue. It is a culture issue.
As Praxis Care’s Director of Quality and Governance, Emer Hopkins has seen first-hand how organisational culture influences outcomes:
“When I visit a service, the first things I look for are not dashboards or audit results. I look at the people. Are staff attentive, engaged and comfortable raising concerns? Are leaders visible, approachable and listening? Do the people we support appear happy, confident and respected? For me, these observations provide the context for everything else we measure and monitor.”
– Emer Hopkins, Director of Quality and Governance, Praxis Care
The strongest safeguarding organisations are those where people feel confident raising concerns, where leaders are visible and accountable, and where learning is valued more than defensiveness. In these environments, issues are identified earlier, addressed more effectively and far less likely to become entrenched.
This matters because safeguarding risks continue to evolve. In Ireland, the HSE recorded 18,290 safeguarding concerns in 2023, a 33% increase on the previous year and the largest year-on-year increase since safeguarding and protection teams were established in 2015.
At the same time, organisations are increasingly responding to risks associated with online activity, financial abuse, coercion and exploitation.
For organisations supporting people with learning disabilities, autism, mental ill health and complex needs, there is an additional responsibility: balancing protection with independence.
People have the right to live full lives, make choices, participate in their communities and take positive risks. Safeguarding should never be about restricting opportunity in the name of protection. It should be about ensuring people have the support, confidence and knowledge to exercise their rights safely.
At Praxis Care, we see every day that effective safeguarding is built through relationships, trust and open communication. Whether supporting someone to live independently, build community connections, access employment opportunities or engage safely online, safeguarding is most effective when it empowers people to make informed choices rather than simply limiting risk.
Protecting people and empowering people are not competing priorities. In fact, the safest environments are often those where individuals feel listened to, respected and supported to make decisions about their own lives.
Behind every safeguarding concern is a person whose dignity, wellbeing and rights may be at risk. That is why safeguarding cannot belong solely to governance teams, designated leads or senior managers. It belongs to everyone.
Ultimately, the real test of safeguarding is not whether an organisation can respond effectively after harm occurs.
It is whether it can create a culture where concerns are recognised, voices are heard and action is taken early enough to prevent harm from happening in the first place.
References
Health Service Executive (2024). National Safeguarding Office Annual Report 2023. Dublin: Health Service Executive.