Joint inspection of services to protect children and young people in the East Dunbartonshire Council area. 25 February 2010 The inspection of services to protect children1 in the East Dunbartonshire Council area was carried out in November and December 2009. 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. Example 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 East Dunbartonshire is situated in the west of Scotland and covers an area of 175 square kilometres. While there are prosperous towns, including Bearsden, Milngavie and Lenzie within the Council area, there are also communities where there is severe deprivation. The Council area has a population of 105,850. The percentage of the population under the age of 18 is 21.3 compared to the Scottish average of 20.5. The number of children referred to the council for child protection enquiries increased between 2006 and 2009. The level of referrals is lower than that for Scotland as a whole. The proportion of children on the Child Protection Register (CPR) in East Dunbartonshire is 0.9 per 1000 which is lower than that for Scotland as a whole. 1 2. Particular strengths that made a difference to children and families • Staff communicating well and building trusting relationships with children. • Easy access to a wide range of support. • Staff are alert to the signs that a child may need help. • Effective leadership, giving clear direction to staff in child protection work. 3. Examples of good practice • The use of the drama “CyberSpyder” to raise children’s awareness of internet safety. • The work of the Befriending Scheme in increasing children’s confidence through safe and positive relationships. 4. How well are the needs of children and families met? A wide range of programmes in schools and early years services strongly promote children’s safety and wellbeing. A theatre company tours schools to raise awareness of safety, including the use of the internet. Vulnerable children are assisted to develop ways of keeping themselves safe at home and in the community. Children and families are helped by having early and easy access to a wide range of flexible and very effective support. They receive valuable practical and emotional help from these services. Children who are known to be 2 affected by domestic abuse or substance misuse are supported effectively by children’s workers from Women’s Aid and addiction services. However, the needs of all children affected by domestic abuse are not always recognised early enough. Highly effective parenting support is widely available and is helpfully tailored to meet individual family circumstances. Parents value this service and become more confident in managing their children’s behaviour and supporting their development. Children receive flexible childcare very quickly when they need it. Families at particular risk benefit from very high levels of support from Action for Children and the homecare service. A few vulnerable pregnant women are not offered support early enough. Staff are alert to, and treat seriously, concerns about children at risk of abuse or neglect. They recognise signs that a child may be in need of protection. Staff, particularly social workers, respond very promptly to ensure children are protected from harm. Overall, police and social workers work well together and are skilful in carrying out joint investigations. Families are kept well informed about what is happening during child protection investigations and legal processes. Staff action helps keep children safe. They carry out very effective initial assessments of risk, ensuring suitable support for children is given. When necessary this includes moving children to family members or foster carers who are suitably checked. Staff use legal measures to protect children appropriately. Police and health staff are not always fully involved in planning and carrying out investigations of children at risk of abuse and neglect. As a result, not all children who need a medical examination receive it. Overall, local services run by the council, the health service and voluntary organisations support children affected by abuse and neglect well. This usually continues for as long as they need it, including those whose names have been removed from the CPR. The health needs of some children who are at risk of abuse or neglect are not always being identified, assessed or met. Child and Adolescent Mental Health Services (CAMHS) give high priority to improving the mental health 3 and wellbeing of children recovering from the effects of abuse or neglect. Staff in the Delivering for Children and Young People’s Partnership (DYCPP) are working well to make sure that vulnerable groups of children are kept safe. Children missing from education are identified effectively, monitored and supported. Procedures to ensure the safety of children who run away from home are being reviewed. Arrangements to identify and protect children who are brought into or moved around the country illegally are being considered by the DCYPP. More effort is required to raise awareness of the issues created by young people’s sexual identity to make sure their needs are met. Children and families are listened to and supported by staff across services. They benefit from consistent and trusting relationships. Children on the CPR meet their keyworker regularly which helps them to talk freely about their personal circumstances. Staff closely observe and respond to children who are too young or find it difficult to communicate their feelings and views. Staff seek the views of children and families routinely and take these seriously. Parents and some older children are encouraged to participate well during meetings. Parents do not always get written reports far enough in advance to help them prepare for meetings. Children and parents who could benefit from the support of an independent person to represent their views do not always receive this service. 5. How good is the management and delivery of services? Staff are increasingly aware of the importance of meeting vulnerable children’s health needs as part of child protection work. However, health staff are not always sufficiently involved in gathering information about children or planning to meet their needs. Health visitors are not always included when plans are made for vulnerable unborn babies. There is no system in place to alert school nurses to children who may be at risk. Managers have reviewed the role of health visitors and are 4 currently reviewing the role of school nurses to ensure best use of these resources. Social workers and police communicate well when a child is at risk. However, in some cases social workers investigate concerns alone when it would be more helpful for police and social workers to do this together. Police officers do not attend all child protection meetings to share information and jointly assess risks. Paediatricians are available at all times to carry out medical examinations for children. However, they are not always involved in decisions about the need for such examinations. These decisions are still made too often by police and social workers without appropriate medical advice. Managers are confident that a recent agreement between services will ensure health staff are involved more fully in planning investigations. The wider health needs of vulnerable children can now be fully assessed at a clinic in Glasgow. Police officers are alert to risks to children living in situations of domestic abuse. They always refer any concerns to the Children’s Reporter quickly, but not always to other services. There is no agreed system to ensure these children’s needs are fully considered and they receive help at an early stage. Using helpful guidance, adult and children’s social workers, police and housing staff work together effectively. They share information and assess risks to help protect children from sex offenders who may pose a risk to them. Senior managers are strongly committed to improving outcomes for children. They direct and support staff and managers across services to review their work using a range of methods. These include staff surveys, group discussions and questionnaires. Early work has been done to ensure such reviews include children and families’ views about their experience of services and how they have been helped. Services have still to agree a joint action plan to direct improvements based on these reviews. 5 6. How good is leadership and direction? Staff benefit from effective leadership and clear direction. The DCYPP oversees work to protect children across East Dunbartonshire. This multi-agency group has reviewed and strengthened its shared vision to keep children safe. The vision of the group is promoted to staff at all levels and directs child protection work. As a result staff are clear about their responsibilities to protect children. The DCYPP and its sub-groups are directly accountable to Chief Officers in the Community Planning Partnership. Planning and direction takes full account of national guidance and meets local priorities. Together partners have agreed a child protection workplan. Further work is now needed to make sure that agreed tasks from this are completed and their results monitored. Leaders show a high level of commitment to partnership working in planning and delivering high quality services to protect children. They actively promote joint working for their staff. As a result, frontline staff work well in partnership to protect children and support vulnerable families. 7. How are services improving? Senior managers are working well together to strengthen services. The DCYPP keeps progress under review and has recently renewed the planning structure to help make sure that services continue to improve. The recently introduced assessment format is helping services to work together to carry out improved assessments of risks and needs. Continued good work and improvements in services to support children and families at an early stage is helping to meet the needs of many children. There has been a sizeable increase in the availability of foster care placements, and support for kinship carers is developing well. Many children are benefitting from the school counselling service which is on offer to all attending secondary schools. Service managers are making some progress in reviewing their work together to see what needs to improve. They are beginning to look 6 closely at their child protection work as part of a routine. This is helping them become clearer about the strengths of their services and to decide what needs to improve. As a result some improvements and changes to services have been made. Services now need to focus more on improving outcomes for children and families and on improving their practice when reviewing their own work. 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 improvements. We have agreed the following areas for improvement with services in the East Dunbartonshire Council area. • Continue to strengthen systems to ensure the health needs of children are met. • Identify, plan for and meet the needs of all children affected by domestic abuse. • Involve health and police fully in all child protection processes. 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 for the East Dunbartonshire 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 very good very good good good We also evaluated the following aspects of the work within the local authority area. Self-evaluation Improvements in performance good good Managing Inspector: Joan Lafferty February 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