Joint inspection of services to protect children and young people in the Dumfries and Galloway Council area. 27 May 2010 The inspection of services to protect children1 in the Dumfries and Galloway Council area was carried out in February and March 2010. We looked at the services provided by health, the police, the council and the Children’s Reporter. We also looked at the services provided by voluntary and independent organisations. Our report describes how good they are at protecting children and keeping them safe. To find this out we read a sample of children’s files which were held by these services. We talked to a number of children and their parents and carers to listen to their views about the services they had received. We also spoke to staff in these services who worked with children, parents and carers and to senior managers who were responsible for these staff and the services they provided. What we found and tell you about in this report is based on a sample of children and families. We cannot promise that this will be the same for every child in the area who might need help. A team of inspectors gathered all the information and helped to write this report. These inspectors have experience of working across the range of services involved in protecting children. Inspection teams include professional staff who work in council areas elsewhere in Scotland. 1 When we refer to children in this report we mean children and young people under the age of 18 years. Contents 1. The area 2. Particular strengths that make a difference to children and families 3. Examples of good practice 4. How well are the needs of children and families met? 5. How good is the management and delivery of services? 6. How good is leadership and direction? 7. How are services improving? 8. What happens next? 1. The area Dumfries and Galloway is a mainly rural area situated in the south west of Scotland. It covers an area of 6,426 square kilometres. Dumfries and Galloway has a population of 148,580 with 19.5% under the age of 18 years compared to the Scottish average of 20.2%. The number of children referred to the council for child protection enquiries increased between 2006 and 2009. The level of referrals is higher than that for Scotland as a whole. The proportion of children on the Child Protection Register (CPR) is 3.1 per 1000, which is broadly in line with the national average 2.9. 1 2. Particular strengths that made a difference to children and families • Improvements in sharing information between services at an early stage when concerns are raised. • Trusting relationships with their key workers. • Developing procedures and processes to review work and in planning to improve outcomes for children. 3. Examples of good practice • Family Group Conferencing effectively involves children and their wider family when planning and making decisions about their future care. • Parents as First Teachers home support programme successfully promotes parenting skills in families from pre-birth to when children are 3 years old. 4. How well are the needs of children and families met? School aged children benefit from helpful advice on how to keep themselves safe in a wide range of situations through Operation Safety. They also receive valuable guidance on how to stay safe when using the internet, social networking sites and mobile phones. Some children get individual support from a variety of staff to help keep themselves safe. Children and families benefit from a range of services providing practical assistance and emotional support. These services help families care for their own children and keep them safe. 2 When vulnerable pregnant women and their babies are identified, staff provide early and effective help. Families gain confidence from support provided which improves their parenting skills and helps them deal with the effects of domestic abuse and substance misuse. However, some children and families are not getting this help early enough and it is not always available for everyone who needs it. Staff are alert to children who may be at risk of abuse or neglect. Police and social workers respond promptly to protect children and keep them safe. Very useful planning meetings are held regularly where staff agree what they should do next and how they will do it. The views of health staff or staff who know the child and family well are not always taken account of early enough at these meetings. Managers are taking steps to ensure all relevant staff are involved in these meetings at an early stage. Children and families are kept informed about the actions police and social workers are taking. They are supported through investigations and helped to understand what will happen next. Checks are usually made to ensure that placements with relatives are suitable when it is not safe for children to stay at home. When children are known to be in need of protection staff work well together to help improve their circumstances. Involving the wider family in planning the care arrangements for some children is very effectively helping to meet their needs and keep them safe. The Young People’s Support Service helps children excluded from school return to school. Children and families affected by substance misuse receive very effective support from the Integrated Substance Service. Staff provide very good support to relatives to help them care for children who can no longer stay at home with their parents. Most children whose names are on the CPR and those who are looked after away from home have their health needs met well. Although many children receive the help they need, some children wait too long to get help and for others services stop too quickly. Steps need to be taken to ensure all children get the help they need to prevent difficulties increasing. Some children who need specialist help to recover from 3 abuse and to improve their mental health do not receive help quickly enough. Staff pay close attention to the needs of children who are educated at home. There are effective systems in place to trace children who go missing from education. Police have procedures in place to trace children who run away from home. The Child Protection Committee (CPC) is improving ways of ensuring that children who run away from home are kept safe and well. They are aware of the risks for children who may have been bought into or moved around the country illegally and plan to introduce procedures to help staff identify and assist these children. Staff are aware of the needs of lesbian, gay, bisexual or transgender young people and there is a range of local services available to offer them support and advice. Most children and families benefit from regular contact with staff who built trusting relationships with them. They have confidence to talk to staff openly about their personal issues. Most staff seek the views of children well and ensure these are recorded and properly represented at child protection meetings. Families are usually prepared well and supported to attend meetings. However, a few families do not have the opportunity to read reports in good time before meetings. Young people are not routinely invited or encouraged to attend key child protection meetings. Although some staff help and support children to express their views independent support services are limited for children on the CPR who could benefit from such support. 5. How good is the management and delivery of services? Services are committed to continue improving the quality of their work to protect children. Senior managers encourage staff to review their practice to improve outcomes for children. Within and across services managers and staff have identified strengths and priorities for improvement and action plans have been produced. Although staff are increasingly involved more needs to be done to include children and their families in these processes. 4 Strong working relationships between staff has helped to improve information sharing. Information is shared effectively at child protection meetings and in day-to-day working. However, some review child protection meetings do not benefit from up-to-date information from all services. Staff work well together to share information about sex offenders who may be a risk to children. When considering immediate risks to children, police and social workers need to ensure they gather information from staff in all relevant services more consistently before deciding a course of action. Staff consider children’s needs well, but greater attention needs to be given to continually assessing the changing risks to children. Training and guidance is helping improve staff’s understanding of risk and how best to respond to it. A new approach is being introduced which is beginning to help staff consider risks to children more effectively. Appropriately trained staff conduct medical examinations in a child friendly environment. Examinations for sexual abuse take place out with the area. Appropriate follow up treatment and support is provided for those children who need it. Guidance has recently been issued to improve planning to meet children’s needs at case conferences. However, more needs to be done to ensure all staff follow new guidance and procedures fully. Ways of meaningfully involving more young people in child protection meetings have still to be developed more fully. A helpful new format for a child’s plan has been introduced but the quality of individual plans varies. Plans are increasingly meeting children’s short term needs, but more should to be done to improve longer term planning. 6. How good is leadership and direction? Chief Officers have set out a joint vision for children’s services and staff across services are aware of it. Senior managers are taking steps to ensure that strategic plans for children’s services are aligned to each other and the Single Outcome Agreement . These plans do 5 not always help direct staff in their work. The leadership and direction provided by the CPC is becoming more focused. Chief Officers have set a joint budget to take forward improvements in services to protect children. All the subgroups of the CPC need clearer direction to help them take forward their work. Agreed priorities for actions need to be more clearly stated and then implemented. Stronger monitoring of actions requires to be put in place so that senior managers know if these are progressing well. There are many recent joint initiatives to protect children being tried out in a number of areas. These now need to be put in place more consistently across the council area and their impact evaluated. Senior managers across services are working more effectively together at a strategic level. The involvement of the voluntary sector in the CPC has strengthened partnership working. Senior managers have recently restructured planning processes to improve links between the way services are planned and provided at a local level. It is too early to assess the impact of this change. 7. How are services improving? The Integrated Children’s Service Plan identifies clear priorities, which include protecting children. Progress is slow in taking forward many planned actions. Improvements made following previous inspections or self-evaluation are often limited. Changes planned as a result of service reviews should be implemented more quickly. Chief Officers are becoming more aware of trends on child protection activity, and are beginning to receive regular reports from the CPC. More key information on how effective processes are in protecting children could be gathered routinely across services to help them plan improvements. Some improvements in processes, such as staff sharing information better and planning to meet children’s needs are evident but these are inconsistent across the area. Although improvements in processes have been made their impact on better outcomes for children and families is not yet clear. 6 8. What happens next? We are confident that the services will be able to make the necessary improvements in light of the inspection findings. As a result, we will make no more visits in connection with this inspection. Our link inspector will maintain contact with services to support and monitor improvements. We have agreed the following areas for improvement with services in the Dumfries and Galloway Council area. • Ensure children and families get help and support early enough to prevent difficulties arising or increasing. • Improve outcomes for children and their families by ensuring staff provide a good quality service more consistently across the area. • Ensure planned improvements result in better outcomes for children and families. 7 Quality indicators help services and inspectors to judge what is good and what needs to be improved in the work to protect children and meet their needs. You can find these quality indicators in the HMIE publication How well do we protect children and meet their needs? Following the inspection of each local authority area, the Scottish Government gathers evaluations of four important quality indicators to keep track of how well services across Scotland are doing to protect children and meet their needs. Here are the evaluations of these for the Dumfries and Galloway Council area. Children are listened to and respected Children are helped to keep safe Response to immediate concerns Meeting needs and reducing long term harm good satisfactory good satisfactory We also evaluated the following aspects of the work within the local authority area. Self-evaluation Improvements in performance good weak Managing Inspector: Fiona McManus May 2010 8 To find out more about inspections or get an electronic copy of this report go to www.hmie.gov.uk. Please contact the Business Management and Communications Team (BMCT) if you wish to enquire about our arrangements for translated or other appropriate versions. If you wish to comment about any of our inspections, contact us at HMIEenquiries@hmie.gsi.gov.uk or alternatively you should write in the first instance to BMCT, HM Inspectorate of Education, Denholm House, Almondvale Business Park, Almondvale Way, Livingston EH54 6GA. Our complaints procedure is available from our website www.hmie.gov.uk or alternatively you can write to our Complaints Manager, at the address above or by telephoning 01506 600259. If you are not satisfied with the action we have taken at the end of our complaints procedure, you can raise your complaint with the Scottish Public Services Ombudsman (SPSO). The SPSO is fully independent and has powers to investigate complaints about Government departments and agencies. You should write to SPSO, Freepost EH641, Edinburgh EH3 0BR. You can also telephone 0800 377 7330, fax 0800 377 7331 or e-mail: ask@spso.org.uk. More information about the Ombudsman’s office can be obtained from the website at www.spso.org.uk. This report uses the following word scale to make clear judgements made by inspectors. excellent very good good satisfactory weak unsatisfactory outstanding, sector leading major strengths important strengths with some areas for improvement strengths just outweigh weaknesses important weaknesses major weaknesses Crown Copyright 2010 HM Inspectorate of Education