Joint inspection of services to protect children and young people in the East Renfrewshire Council area 16 September 2010 The inspection of services to protect children1 in the East Renfrewshire Council area was carried out in May 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 East Renfrewshire is situated in the west of Scotland. It covers an area of 174 square kilometres. Although it is one of the least deprived council areas, 10% of the population live in one of the 25% most deprived areas in Scotland. East Renfrewshire has a population of just under 90,000 with 23% under the age of 18 years compared to the Scottish average of 20.5%. The number of children referred to the council for child protection enquiries decreased between 2006 and 2009. The level of referrals is lower than for Scotland as a whole. The proportion of children on the Child Protection Register (CPR) in East Renfrewshire is 1.6 per 1000 which is lower than the national average of 2.9 per 1000. 1 2. Particular strengths that made a difference to children and families • Children and families benefiting from high quality relationships with staff. • Shared responsibility amongst staff across services for keeping children safe and meeting their needs. • Self-evaluation effectively achieving improved outcomes for children. • Outstanding leadership and direction provided by Chief Officers and the Child Protection Committee (CPC). 3. Examples of good practice • What About Me? Project enhancing the experiences of children affected by parental substance misuse. • Successfully tackling health inequalities for looked after children. • Improving children’s well-being through an effective approach to joint self-evaluation. 4. How well are the needs of children and families met? Children are benefiting from highly effective support to keep them safe. As a result, children can identify trusted members of staff who they feel confident to speak to if they are worried about themselves or another child. They have a very clear understanding of how to keep safe when using the internet and mobile phones. Children and young people have participated in developing interactive programmes on-line which help increase their knowledge and skills about how to keep safe. 2 Services have developed a wide range of ways to identify vulnerable children and families and give them enough help at an early stage to prevent problems arising or getting worse. Parents are getting helpful advice and practical support to help them improve the care of their children. Frequently the right help is given at the right time to reduce risks. Better coordination of help with parenting would benefit some parents especially those with the most difficulties. The What about me? Project has developed a range of very valuable services to help ensure that children whose parents have problems with drugs or alcohol get a good start in life. Services could further enhance the ways in which they share information about children affected by domestic abuse to ensure children always get the support they need. Staff review regularly the help they are providing to children and families, making changes as necessary to ensure it is improving children’s circumstances. Staff across services have a thorough understanding of their responsibilities to keep children safe. They are very alert to risks to children and act quickly to investigate any concerns. They keep children and families informed well about the actions they are taking during investigations. They explain clearly what is going to happen and why, and give families easy-to-read information about all child protection processes and meetings. Staff are using legal measures appropriately to protect children. Where it is not safe for children to remain at home, they make alternative arrangements for them to be cared for by relatives or foster carers. Staff always carry out checks carefully to make sure children are found safe and suitable places to stay. Children’s needs are met very well by staff from different services working closely together. Everyone takes responsibility for playing their part in improving children’s circumstances. Families are given high quality and carefully planned support to help them make and sustain positive changes in the care of their children. A very effective system is in place to ensure health needs are assessed and met for all children who become looked after, including children who are looked 3 after at home under a requirement from the Children’s Panel. Routine health assessments are not yet in place for all other vulnerable children who could benefit from them. Staff across services have a very good understanding of children’s needs and ensure services are available to nurture children and promote healthy physical and emotional development. Most children who need specialist services to help them recover from abuse and neglect get them without delay. Education staff monitor children’s school attendance carefully and take appropriate action to trace any child who goes missing from education. Services work well together to identify and support young people who may be at risk of running away from home or from care placements. Training for CPC members and a series of staff briefings is raising the awareness of the risks to children who may have been brought into or moved around the country illegally. Staff have involved young people themselves in plans to improve services for those who want advice and support about their sexual identity. Staff across services know children very well and have an excellent understanding of their particular circumstances and needs. Social workers see children regularly, spending time with them, listening to them carefully, and finding out and recording their views. They take time getting to know young children and children with communication difficulties, carefully observing their behaviour to understand any changes which might give cause for concern. Staff communicate very effectively with children and families and deal with difficulties honestly and sensitively. They use interpreters well to communicate with families where English is not their first language. They provide written information in an easy-to-read form and give families enough time to read them and ask questions. As a result, children and families have a very high level of trust in staff to help them with any difficulties. 5. How good is the management and delivery of services? The assessment of risks and needs is much improved. Staff carefully gather and share information to identify risks to children at an early 4 stage. The information provided by health staff when there are concerns about children is more comprehensive. Staff now need to ensure that they routinely seek a medical opinion at an early stage about all children who may need a medical examination. Staff carry out skilful analyses of risks and make sound plans to keep children safe and to make sure they get the help they need. Assessments of the needs of children affected by their parent’s substance misuse are carried out very effectively. Almost all children at risk have their health needs assessed well. A suitably trained Doctor is available at all times to give advice and to carry out medical examinations of children who may have been abused. Older children who may have been sexually abused are seen by specialist doctors in a suitable setting. Planning to meet the individual needs of children has improved considerably. Plans to keep children safe and to meet their needs are drawn up quickly. Staff and families actively share the responsibility for creating plans and making sure they are carried out. Meetings to review the progress of individual children’s plans involve the right people. Plans to provide support for children and families continue after their names are removed from the CPR. Services now need to make sure that police are more fully involved in decision making meetings about children at risk and that health and education staff submit reports routinely after sharing these with children and families. Staff work well together to manage the risk posed to children by sex offenders and share relevant information well. Chief Officers and the CPC are strongly committed to improving services to protect children and have high expectations. Staff are always trying to improve how they work together so children and families at risk get the best help that can be provided all of the time. They are increasingly focused on improving outcomes for children. Managers and staff across services are strongly encouraged to review the effectiveness of their work. They routinely review what is working well and what needs to improve. Staff work closely together to make informed plans for improvement. The CPC is developing ways of taking more account of the views of children and families who use services to protect children. 5 6. How good is leadership and direction? Elected members, Chief Officers, leaders of the Community Health and Care Partnership (CHCP), and members of the CPC have a shared ambition to provide excellent services to protect children. Chief Officers and senior managers across services plan effectively together ensuring that services respond at an early stage to improve the life chances of vulnerable children and families. Chief Officers set priorities to improve the quality of services to protect children and resource the CPC to deliver on these successfully. There is a strong shared vision of continuous improvement in services for children. Staff are supported well to achieve high standards of practice and develop new ways of working together. The Chief Officers’ Group take collective responsibility for public protection arrangements and maintain a strong overview of child and adult protection, and the management of sex offenders. This approach could be further strengthened by including domestic abuse. The CHCP and Education Service have helped staff to work together in a better and more targeted way to deliver services for vulnerable children and families. The Family Protection Unit benefits from strong leadership by the police. Staff across services are valued and recognised for their contribution to delivering high quality services. 7. How are services improving? Chief Officers and the CPC are successfully finding new ways to make better use of management information to show how well services to protect children are improving over time. Integrated children’s services planning is delivering substantial service improvements which are benefiting vulnerable children and families. The current plan is making it easier to measure improved outcomes for children. The CPC is starting to adopt a similar approach to their annual report and business planning. The self-evaluation and quality assurance sub-group of the CPC is delivering ongoing improvements in the effectiveness of key processes and service users experiences. The CPC takes thorough account of any issues identified locally and is keen to apply any 6 learning from national groups and publications. Technology is used imaginatively to support more effective staff training and communication with service users. Social workers are supported well to reflect on their practice regularly and make improvements in the work they do to help individual children and families at risk. Supervisors of health visitors and school nurses are now adopting a similar approach. There are many examples of how the lives of vulnerable children and families have got better as a result of self-evaluation. Multi-agency reviews of the safety and well-being of vulnerable children in school catchment areas are evolving successfully and resulting in improvements in meeting children’s needs. The main actions Chief Officers and the CPC were asked to take forward from the previous inspection have resulted in significant improvements to services. The health and development of children in need of protection has improved due to the provision of a comprehensive child protection medical examination service. Risks to children are being reduced and their needs better met within shorter timescales due to more effective planning for individual children. Parents’ reports to child protection case conferences are routinely submitted and are starting to be analysed to inform future service development. The views of children whose names are on the CPR are recorded more fully and systematically using their own words when possible. 8. What happens next? We are confident that services will continue to provide a very high quality of provision and will be able to make further improvements in the light of 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. 7 We have agreed the following area for improvement with services in the East Renfrewshire Council area. • Further develop ways to measure improved outcomes for children in need of protection. 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 East Renfrewshire 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 excellent very good very good very good We also evaluated the following aspects of the work within the local authority area. Self-evaluation Improvements in performance very good very good Managing Inspector: Emma McWilliam September 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