Joint inspection of services to protect children and young people in the City of Edinburgh Council area. 14 January 2010 The inspection of services to protect children1 in the City of Edinburgh council area was carried out during September and October 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. 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 The City of Edinburgh council is situated in east of Scotland. It covers an area of 264 square kilometres. It is the capital city of Scotland. The City of Edinburgh council has a population of 471,650 with 17.1% 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 increased significantly between 2006 and 2008. The level of referral is considerably higher than that for Scotland as a whole. The proportion of children on the Child Protection Register (CPR) at the City of Edinburgh council is 4.1 per 1000 which is higher than that for Scotland as a whole. 1 2. Particular strengths that make a difference to children and families • Children have trusting relationships with their key worker. • Improved joint training has increased staff confidence in identifying children who need help. • Improved procedures and practice ensure that prompt action is taken to protect children. 3. Examples of good practice • Edinburgh Connect, a specialist mental health team for children looked after away from home which provide prompt support to both children and the staff looking after them. • Growing Confidence is a training programme for staff, children and their parents which promotes positive mental health and well-being in children. 4. How well are the needs of children and families met? Many children and families get very useful help and support from a range of services. This keeps them safe and helps them improve their lives. However, support is not always available early enough to help some children and families. Sometimes services only begin to help families when circumstances place children at increased risk of harm. Some services are removed too quickly. Young children usually get good support from staff in children and family centres and nurseries 2 but it is not always available for as long as they need it. Older children do not always get the support they need early enough. School staff help children to keep themselves safe, including how to use the internet safely. Some children get good individual support from social workers to help keep themselves safe but it is not available to all children who need it. There is a high level of awareness amongst staff of the need to share any concerns they have about the safety or welfare of children. They recognise when children are at risk and share their concerns quickly with their own managers and with police and social work staff. Police and social work staff respond promptly and effectively. Staff explain to children and families what is happening and support them well during investigations. When children are at significant risk of harm social workers and police officers usually act quickly to ensure their safety by placing them with relatives, friends or foster carers. Delays in placing a few older children are closely monitored by senior managers and additional support provided. Checks on the suitability of friends or relatives are usually carried out before the children are placed with them. Staff consider and use legal measures appropriately to protect children who are at significant risk of harm. Children are helped by a range of staff working together. The health of young children is a high priority for health visitors and staff working in children and family centres. Vulnerable children of school age are not always known to or helped by school nurses. Their wider health needs are not always identified or met. Children on the CPR are supported well by their social worker. However, other vulnerable children do not always have a named worker to help them. Despite an increasing number of foster places, there is still a shortage of places for older children. Children with mental health difficulties needing support wait several months to get the specialised help they need. When parents have difficulties, including mental health, substance misuse or domestic abuse problems children’s needs are sometimes overlooked. 3 Managers are aware of the risks to particular children and are working together to put arrangements in place to keep them safe. Effective systems are in place to track children missing from education. A joint approach helps to ensure the safety of children who run away from home. The Child Protection Committee (CPC) has produced attractive information leaflets explaining what to do if there are concerns about children who are brought into or moved around the country illegally. Most children and families feel that their key workers know them well, listen to them and understand their problems. Children and families have regular contact with their key workers. This has improved communication and helped build trusting relationships. However, sometimes staff work hard with parents but do not take enough time to communicate and build relationships with children who need help. Children and families who need support with communication are helped by specialist services, including interpreters. Parents and carers are encouraged to attend child protection meetings. Their views are listened to at these meetings and they are involved in the decisions taken. Children rarely attend child protection meetings and their views are not always heard. Few children on the CPR get help to express their views from someone independent. 5. How good is the management and delivery of services? Some staff consider risks to children and identify their needs well. Social workers are beginning to record assessments in a more standardised way. Some find the new paperwork difficult to use. Managers across services are introducing a more joined up way to assess and plan to meet children’s needs. This work is at an early stage. Once identified, some children are helped by effective planning to meet their short term needs. Some plans are well laid out with responsibilities for both staff and parents identified clearly. Progress is reviewed regularly through well attended meetings. However, a few children did not have a written plan. Children who are looked after 4 away from home have their plans reviewed regularly. However, children looked after at home or with family members do not always get their plan reviewed on a regular basis. When children require a medical examination, following allegations of abuse or neglect, they are seen quickly by a suitably qualified doctor. Staff working with sex offenders share information and consider risks to children well. Services are committed to reviewing their work to improve outcomes for children. A multi-agency quality assurance group has been established which monitors performance well. This group is now considering ways to assess the quality of the work carried out with children and families. Health visitors and social workers have looked closely at their records to seek improvements. Police officers have checked on the quality of their reports submitted for child protection meetings. Staff in children and family centres have looked at how well they work as a team and have made some improvements as a result of this work. Services had only just stared to look closely at their joint work to protect children. They had involved some staff but had not involved children and families. Managers have plans to review case files together. 6. How good is leadership and direction? Chief Officers across services have a clear vision for children and young people. They want to improve the life chances for all children, especially children needing protection from harm. A Chief Officer’s Group (COG) is now firmly established and members are fully aware of their collective responsibility to protect children. They provide leadership, support and challenge to the CPC. A Child Protection Improvement Board has been set up in the council to check that improvements and progress are being made. Successful changes have been made in the council to improve leadership of social work services. Social workers are supported by their managers and supervisors when working in difficult circumstances. Communication 5 has improved between health staff and their managers. Social work resources have been increased to improve staffing levels to help meet need. These have been targeted effectively towards children at highest risk, but consideration now needs to be given to improving services to help families much earlier. 7. How are services improving? The Integrated Children and Young People’s Plan has clear aims about what it wants to achieve. However, these do not focus clearly enough on the quality of service that children and families should expect. The CPC is monitoring performance effectively through the Quality Assurance Sub-group. A comprehensive improvement plan has been developed, however actions in the plan are not always based on self-evaluation. The improvement plan is closely monitored and findings discussed at the CPC and COG. Staff have reviewed services provided to children looked after away from home. As a result several improvements are planned. The Domestic Abuse Pathfinder was evaluated effectively which resulted in a clear statement of strengths and areas for improvement. An action plan which addressed improvements to the project was developed. Edinburgh Connect involve children in evaluating their work. Services are seeking better ways to gather the views of children and families who attend child protection meetings. Following the last inspection managers have worked hard together to make significant improvements to protect children. Better monitoring of performance has led to improvements across services. Improved access to appropriate training courses has made staff more confident when identifying children who need help and how to respond appropriately to concerns. Services need to continue to take forward a more joined up approach to identifying children’s needs and put in place shared plans to meet those needs. 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 monitor improvements. We have agreed the following areas for improvement with services in the City of Edinburgh council area. • Ensure children and families get support from services at an early stage before concerns become more serious. • Increase the involvement of children in decisions about their lives. • Continue to develop a more joined up approach to identify risks to children and plan to meet their needs. • Strengthen joint self-evaluation to improve outcomes for children. 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 these in the City of Edinburgh 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 satisfactory satisfactory satisfactory satisfactory We also evaluated the following aspects of the work within the City of Edinburgh council area. Self-evaluation Improvements in performance satisfactory satisfactory Fiona McManus Managing Inspector: January 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