Joint inspection of services to protect children and young people in the Glasgow City Council area March 2009 Contents Page Introduction 1 1. Background 2 2. Key strengths 3 3. How effective is the help children get when they need it? 4 4. How well do services promote public awareness of child protection? 7 5. How good is the delivery of key processes? 8 6. How good is operational management in protecting children and meeting their needs? 13 7. How good is individual and collective leadership? 15 8. How well are children and young people protected and their needs met? 18 9. What happens next? 19 Appendix 1 Indicators of quality 20 Appendix 2 Examples of Good Practice 21 How can you contact us? 22 Introduction The Joint Inspection of Children’s Services and Inspection of Social Work Services (Scotland) Act 2006, together with the associated regulations and Code of Practice, provide the legislative framework for the conduct of joint inspections of the provision of services to children. Inspections are conducted within a published framework of quality indicators, ‘How well are children and young people protected and their needs met?’ 1 Inspection teams include Associate Assessors who are members of staff from services and agencies providing services to children and young people in other Scottish local authority areas. 1 ‘How well are children and young people protected and their needs met?’ Self-evaluation using quality indicators, HM Inspectorate of Education 2005. 1 1. Background The inspection of services to protect children2 in the Glasgow City Council area took place in October and November 2008. It covered the range of services and staff working in the area who had a role in protecting children. These included services provided by health, the police, the local authority and the Scottish Children’s Reporter Administration (SCRA), as well as those provided by voluntary and independent organisations. As part of the inspection process, inspectors reviewed practice through reading a sample of files held by services who work to protect children living in the area. Some of the children and families in the sample met and talked to inspectors about the services they had received. Inspectors visited services that provided help to children and families, and met users of these services. They talked to staff with responsibilities for protecting children across all the key services. This included staff with leadership and operational management responsibilities as well as those working directly with children and families. Inspectors also sampled work that was being done in the area to protect children, by attending meetings and reviews. As the findings in this report are based on a sample of children and families, inspectors cannot assure the quality of service received by every single child in the area who might need help. Glasgow City is the most densely populated Council area in Scotland. It covers 175 square kilometres and is situated on the west of the central belt covering both the north and south banks of the River Clyde. The area served by the Council is urban in nature. It has borders with East and West Dunbartonshire, North and South Lanarkshire, Renfrewshire and East Renfrewshire Council areas. Glasgow has a population of 580,000, with 19.2% under the age of 18 years. The socio-economic context presents very significant challenges to those providing services to protect children. Unemployment levels are higher and earnings lower than the Scottish average. There is a growing community of migrant workers. Deprivation and levels of domestic abuse and drug related offences are high. The number of accommodated children in Glasgow is significantly higher than the national figure. 2 2 Throughout this document ‘children’ refers to persons under the age of 18 years as defined in the Joint Inspection of Children’s Services and Inspection of Social Work Services (Scotland) Act 2006, Section 7(1). 2. Key strengths Inspectors found the following key strengths in in how how well well children children were were protected protected and their needs met in Glasgow City Council area: Very effective arrangements to help children keep themselves safe. Very effective promotion of public awareness of child protection. Recently developed local support arrangements, including Local Management Reviews and Local Child Protection forums, for staff involved in child protection work. The strong vision, values and aims to guide staff involved in protecting children. The high priority given to child protection within the Council’s plans modernisation to plans. modernise its services. The strong leadership of partnership working within and across services by Elected Members and Chief Officers. 3 3. How effective is the help children get when they need it? Overall, children were listened to and given help to express their views. There was a good range of support available locally for vulnerable children and their families, particularly those on the Child Protection Register (CPR). Children at immediate risk of harm were referred to appropriate services. Services often responded well to children’s short term needs but success in meeting their longer term needs was more variable. Being listened to and respected The extent to which children and families were listened to and respected was good. Many children and families had contact with staff who understood their needs. Arrangements were often made so that families could continue to receive support from staff they knew and trusted. Most children in schools were listened to and respected. They were confident that a trusted member of staff would listen to them and help them if necessary. Staff in early years observed young children’s behaviour closely and were alert to any changes. Children with communication difficulties were helped to express their views with the support of skilled staff who knew them well. The needs of a number of children, whose names were not on the CPR, including looked after children, were not well understood. Some children and families were unable to build trusting relationships with those who were trying to help them. Staff communicated effectively with children and families at formal meetings. They asked for and listened carefully to their views. When families were returning to meetings, such as case conferences, appropriate attention was given to ensuring that the chairperson knew the family’s circumstances. At Children’s Hearings, panel members ensured children had opportunities to speak to them without other adults present. Some children had been helped to express their views very effectively. However, this was not consistent. Effective use was made of interpreters for children and families for whom English was not their first language. A few children and families did not have enough support to help them prepare for and participate in formal meetings. They felt anxious because they had not been given the chance to read reports before attending. As a result they were less able to participate fully. Being helped to keep safe Arrangements to help children keep themselves safe were very good. Health visitors and early years staff were quick to identify when children and families needed help. Staff in early years and family centres helped to promote young children’s physical, emotional and educational development. Young children and their parents were helped to gain confidence and self esteem by the Vulnerable Twos project. This provided strong support to families facing deprivation, parental addiction, domestic abuse and homelessness. Families were given good advice to develop more effective parenting skills. Programmes varied across areas and some families had to wait for a place to become available. However, a parenting strategy was being developed to bring about improvements. Most staff worked well with children and families to agree the most appropriate types of help and how to provide it. Parents and children were supported well by a range of community based projects including 4 those run by the voluntary sector. Some very vulnerable families were given valuable emotional and practical assistance by workers who visited them at home, sometimes more than once a day. Many children on the CPR were closely monitored through frequent visits to their homes. Some of these visits were unannounced. Children had very good opportunities to learn about how to keep themselves safe. They were provided with a wide range of interesting and relevant experiences to promote personal safety. Schools provided strong pastoral care and ensured that pupils had someone trusted to talk to about worries or concerns. Children had been involved in developing the Children’s Charter. This had helped them understand their rights to be safe and have positive relationships. Children’s understanding of how to keep safe in various life situations was increased as a result of very effective school personal and social development programmes. They showed good awareness of how to keep safe within relationships and to maintain good physical and mental health. They were aware of the risks involved in using the internet and chatrooms. The education service had effective arrangements for monitoring children missing from education and for supporting children educated at home. Children were aware of ChildLine and how to contact the service. The CPC had provided them with a pocket sized card with information and numbers to call if they needed help. Some children also made use of INCLUDEM’s 24-hour local helpline. Young runaways and others who frequented the city centre were supported very effectively by a number of projects. Some of these were run by the voluntary sector. Children were helped to feel safe in and around some schools by Campus Police Officers. Responses to school inspection questionnaires showed that children felt safe in school and their concerns were dealt with quickly. Some examples of what children said about keeping themselves safe. ‘When you are on the internet, don’t give your details and don’t say you will meet anyone’. ‘If we are worried about something, we can write it down and put it in the worry-box and the headteacher will come and see us’. ‘The Fire and Rescue Service help us to keep safe with fireworks’. ‘The Campus Policeman keeps us safe from gangs when we are coming to school and going home’. Immediate response to concerns The immediate response to concern was good. Across services, staff generally responded promptly and effectively when specific concerns about children were raised. There were occasional delays in the social work service responding when concerns were shared with it. It was sometimes slow to respond to accumulating concerns when children were experiencing neglect. There was a robust response by 5 police and other services to incidents of domestic abuse affecting children. The police and West of Scotland Social Work Standby Service (WSSS) worked effectively together in responding to concerns about children’s safety and welfare out of office hours. They carried out checks on the suitability of other family members or friends to care for children who were not able to remain at home with their parents. Children who were assessed as being at risk and not able to remain at home or with family members or friends were found alternative safe places to stay, for example, with foster carers, respite carers or in residential units. In responding to immediate concerns, children and families were usually kept well informed about what services were doing. Meeting needs Overall, approaches to meeting the needs of children and families were satisfactory. Many children and families benefited from a range of services for as long as they needed them. Children whose names were on the CPR were generally helped by the specialist supports and services they needed. However, some children had to wait too long for services. Sometimes this was because there was unequal provision across the city. Some vulnerable pregnant women and their unborn babies had their needs identified and followed through. However, this was not the case for all. Success in meeting children’s long term needs was variable. Some parents affected by long term substance misuse received well considered support from addictions workers to help them focus on the needs of their children. A specialist health team gave one-to-one support and offered a range of activities to promote the positive health and well being of children looked after away from home by the Council. Some children were able to keep contact with their families through the work of the Family Contact Centre. A team of social workers and health staff gave valuable support to homeless families to help them cope with a range of needs. The housing needs of the majority of children were met and most children leaving care at age 16 were able to be placed in suitable accommodation. However, this was not the case for all children. Some children’s health needs were not identified or identified early enough. The school nursing service had limited involvement in meeting the needs of individual children about whom there were child protection concerns. There was a range of specialist services to help children recover from abuse and trauma. Some children displaying sexually problematic behaviours received support from skilled staff in projects set up specifically for this purpose. Child and Adolescent Mental Health Services provided help for children experiencing mental health difficulties. However, demand was high and prioritisation varied across Community Health and Care Partnership (CHCP) areas. As a result some children experienced delays before getting the help they needed. Unaccompanied asylum seeking children received helpful support from a small team of social workers. 6 4. How well do services promote public awareness of child protection? The Child Protection Committee (CPC) was very successful in promoting public awareness of child protection and how to raise concerns about a child. They had produced a broad range of attractive high quality publicity materials. Members of the public contacted services when they were concerned about a child and staff usually responded promptly and appropriately. Being aware of protecting children The promotion of public awareness of child protection was very good. A range of attractive and easily recognisable leaflets and posters had been produced. These were prominently displayed in public places. They included advice and 24-hour contact numbers for anyone concerned about a child. The CPC organised community roadshows to raise public awareness of child protection. At these an ‘infomercial’ film successfully delivered the message about everyone’s responsibility to protect children. The CPC website was promoted very effectively. The CPC and NHS Greater Glasgow and Clyde (NHSGGC) websites were both informative and easy to use with age appropriate information and links to other helpful sites. There was a helpful link to the ‘infomercial’. Local child protection processes and relevant legislation were explained very clearly. An easy to use school survey was piloted using the CPC website. This was part of a project being developed by the CPC to gather children’s views. Strathclyde Police had developed a helpful children’s website and a magazine which drew children’s attention to personal safety. During roadshows, members of the public were surveyed and almost all indicated that they were confident about what to do if they were concerned about a child. A helpful public awareness leaflet was used for asylum seeking families to advise them of the legal implications of leaving children unattended. Members of the public were able to report concerns at any time. Strathclyde Police along with WSSS provided a 24-hour point of contact for anyone who wished to report concerns about a child’s safety. Police officers and social workers received anonymous referrals and referrals from neighbours and relatives. These were treated seriously and staff responded promptly and appropriately. Under the direction of the CPC, Strathclyde Police and the WSSS had worked together to improve arrangements for reporting concerns out-of-hours. As a result, access to WSSS had improved recently. 7 5. How good is the delivery of key processes? Staff across services shared information effectively to help keep children safe. When children and families were present at case conferences staff worked hard to explain things to them and involve them in discussion. Risks and needs were not always identified early enough. Procedures to ensure that the health needs of children were taken into account when there were child protection concerns were not robust enough. Arrangements for some medical examinations of children were unsuitable. Approaches to planning to meet the needs of some individual children were too variable. Involving children and their families The involvement of children and their families in key processes was satisfactory. Parents and carers often attended formal meetings such as case conferences where important decisions were being made about their children. They were encouraged to give their views and were assured that what they said would be taken into account. When parents and carers did not attend, alternative arrangements were sometimes made to involve them in the decision-making process. A helpful information leaflet for children and families involved in child protection processes had been produced. This explained the decision-making process and provided useful advice to prepare them for attending child protection case conferences and reviews. However, few children were invited to attend child protection case conferences and review meetings. As a result they were not able to hear or take part in discussions on important decisions about their lives. The reasons for their non-attendance were not routinely recorded. Family Group Conferences, in the North of the city, had successfully involved children and families in making important decisions about their lives. At Children’s Hearings, panel members worked hard to listen to children and encouraged them to give their views. They explained what was going to happen and made sure that children understood this. Children were issued with Having Your Say forms before attending Children’s Hearings. They were not always encouraged or given help to fill these in, so they were not used effectively to give their views to the panel. A significant number of children had to return to continued Hearings or to early reviews as a result of delays in completing reports. The views of a few children had been gathered using Viewpoint, an enjoyable interactive computer programme. This was helpful in making sure that their views were heard at case conferences. However, it was available in only a limited number of areas. Some children who were looked after away from home in residential Children’s Units were offered valuable advice from advocacy services provided by the Children’s Rights Service, Who Cares? (Scotland) and other voluntary organisations. Advocacy services were not routinely offered to all children who may have required such support. Across services there were helpful written policies and procedures for dealing with complaints. Leaflets on making a complaint were readily available in a variety of languages. Complaints from service users could be made in writing, by telephone or via websites. Timescales and appeals procedures were made clear to those making a complaint. All services had procedures for logging complaints and monitoring outcomes. When complaints were made, they were dealt with in line with agreed procedures. However, in a few cases, published timescales were not met. 8 Monitoring of complaints within Strathclyde Police had recently improved as a result of a force-wide procedure being put in place. Sharing and recording information Sharing and recording of information was good. Across services there was a culture of staff sharing information with each other when there were concerns about children. This was based on a shared understanding of staff within and across services of their collective responsibilities to protect vulnerable children and keep them safe. The establishment of CHCPs and the co-location of staff were beginning to improve information-sharing. There had been recent improvements in the management and recording of information. When staff attended meetings, information was shared effectively. Particular features of information-sharing included the following: health visitors, social work and early years staff regularly shared information about vulnerable children and families; early years staff helpfully monitored children’s attendance and contact with parents which they shared with health visitors and social work staff; school staff recorded information very effectively to monitor the welfare of children; recent improvements in arrangements for sharing information, particularly between police and WSSS and between the NHSGGC Child Protection Unit (CPU) and staff in other services; health visitors, school nurses and school staff were not always informed about domestic abuse incidents or less serious concerns about children they were working with; the largely paper based filing system used by Strathclyde Police for storing some child protection information made retrieval and sharing difficult; feedback was not routinely provided to staff who made referrals to social work; and information-sharing between services about vulnerable pregnant mothers was inconsistent. Helpful dated lists of significant events in a child’s life were featuring increasingly in school, early years, health visiting and social work records. There was some inconsistency in the type of information recorded and occasional gaps in details, but overall these were extremely helpful to staff when analysing information. Social work records were well structured and effective use was made of an activities, contact and observations sheet at the front of each file. Files had been reviewed and countersigned by managers. Important information about older children who were vulnerable, including those on the CPR, was not always recorded in school nurse records. Most staff were aware of the circumstances in which they needed to obtain the consent of children and families to share information. Parents and Children Together (PACT) referral forms provided confirmation that parents had been informed about information-sharing arrangements and parents signed these to confirm that they were aware of this. Hospital staff, health visitors, school staff and 9 educational psychologists advised parents that information may be shared with other services. They obtained consent and recorded that this had been given. However, across services, recording the consent of children and families to sharing information was inconsistent. Police and criminal justice social work staff shared information effectively regarding sex offenders who may pose a risk to children. In appropriate circumstances a member of staff from children and families social work attended meetings held under Multi-Agency Public Protection Arrangements. There was effective communication between police staff in Family Protection Units and those responsible for offender management. Police staff with force-wide responsibility for family protection and offender management were co-located in a single Public Protection Unit. There was effective communication between the police and local authority housing department. Additional local authority staff had recently been appointed to improve information sharing with other housing providers. Recognising and assessing risks and needs Recognising and assessing risks and needs was weak. Staff across services often recognised signs that children needed help. Public health nurses and some school nurses completed family health needs assessments that identified risks to children. Staff in Accident and Emergency departments routinely used a helpful checklist to identify concerns. Staff in sexual health and addictions services made use of appropriate risk assessment techniques. Health staff made use of helpful dated lists of significant events in children’s lives when assessing risk. They knew who to refer their concerns to and were confident in their use of the shared referral form. Sometimes, when they referred accumulated concerns to social work they did not get a prompt response. Staff in social work demonstrated an understanding of the impact of parental substance misuse on children. Thresholds for starting child protection procedures varied within and across areas. Health staff were not routinely involved in initial referral discussions about children for whom there were child protection concerns. This resulted in incomplete risk assessment in some cases. During investigations, helpful background information was gathered by social workers, including comprehensive health information provided by the CPU. However, the health information was only available within office hours. Arrangements to assess risks to unborn babies affected by parental substance misuse lacked rigour. There was a lack of emphasis on the need to carry out thorough pre-birth risk assessments involving all appropriate services. This resulted in some planning meetings being delayed until after babies had been born. Multi-Agency Risk Assessment Conferences and Non-Offence Referral Meetings made valuable contributions to the assessment of risk posed to some children. These approaches were being piloted in areas of the city. A new process, which helped staff to assess progress where children were experiencing neglect, had recently been introduced. The Vulnerable Young Persons (VYP) procedure was effective in helping staff to assess the risks posed to young people because of their own behaviour. The Family Contact Centre provided high quality assessment reports to inform decisions about planning for long term fostering and adoption for some very vulnerable children. The implementation of the Integrated Assessment 10 Framework was at an early stage and many staff were not confident in its use. Many assessments requested by the Children’s Reporter were significantly delayed. Suitably trained social workers and police officers carried out joint investigations when required. Arrangements for medical examinations of children about whom there were child protection concerns were coordinated poorly. Decisions about the need for medical examinations did not include all relevant staff. Doctors carrying out medical examinations were not always appropriately trained and examinations did not always take place in a suitable facility. Children’s health needs were not always identified or followed up. Paediatricians with child protection expertise were available to give advice at any time, but some perceived they only provided a service for sexual abuse examinations. Appropriate use was made of the Archway to examine young people over 13 years who had been recently sexually assaulted. Suitably qualified doctors undertook these examinations sensitively and followed through ongoing health needs. Addictions staff clearly understood the impact of parental addiction on children. They successfully identified children affected by parental substance misuse and knew what action to take. Some addictions staff had received training and were using a recently introduced assessment process. This included asking questions about children and carrying out a home visit as part of their assessment. The process was not yet being used by all addictions staff. Planning to meet needs Planning to meet children’s needs was weak. Staff planned together but some plans lacked detail and it was not always clear what changes were needed to improve children’s lives. For most children on the CPR, progress was regularly monitored and staff from different services worked together to make sure that decisions made at planning meetings were fully acted upon. For other vulnerable children whose names were not currently on the CPR, planning was less effective. There were delays in progressing plans to help children referred to Children’s Hearings. Priority was given to children on the CPR when assigning social workers to cases. All children on the CPR had an assigned social worker and a child protection plan. Case conferences were generally held on time and were chaired by a senior manager with authority to make decisions and allocate resources. Most case conferences were informed by assessment reports from some staff who knew the child and family. However, staff attendance at case conferences was inconsistent. Relevant services did not always send staff or provide reports. This meant that plans were not informed by all relevant information. The quality of child protection plans varied. Some set clear objectives and timescales and identified each person’s responsibilities. Others were vague and did not define the actions necessary to reduce risks. Delays in circulating case conference minutes resulted in occasions where key staff were unaware of changes in plans. Helpfully, case conference chairs had begun to distribute a note of key decisions taken, immediately after meetings. There were clear processes and timescales for planning to meet children’s future needs. Social workers prioritised tasks for young children requiring adoption and 11 many children benefited as a result. Planning for older children, where arrangements for them to return to their families were not progressing well, was less effective. Many children looked after by the Council did not have their care plans regularly reviewed and amended to take account of changing circumstances or lack of progress. Some children had been looked after at home on supervision orders made by a Children’s Hearing for a number of years, with little improvement in their circumstances. Plans were not always made and reviewed regularly to support young people leaving care. Overall, core groups worked well together to implement child protection plans for children on the CPR. However, in some cases they did not take place regularly or were poorly attended. There was effective coordination of support for young people at risk because of their own behaviour through VYP core groups. However, monitoring of progress for vulnerable children who were not involved in VYP or child protection core groups was not well coordinated. New information was not always shared or responded to. There was effective inter-agency planning for young children with complex disabilities and their families. 12 6. How good is operational management in protecting children and meeting their needs? An appropriate range of policies and procedures was in place to guide staff in their work to keep children safe. A recent review of the Integrated Children’s Service Plan (ICSP) and new planning structures gave an emphasis to services for vulnerable children and families. All services demonstrated a commitment to involving children and families in developing policies and services. In cases of staff absence, child protection was given priority. A range of effective training was available. Staff in most services were supported appropriately and challenged in their work in child protection. However, some staff did not receive regular reviews of their work and advice about workload management. Aspect Policies and procedures Comments Policies and procedures to protect children were good. Appropriate multi-agency child protection policies and procedures were in place. Helpful procedures, including those on domestic violence and parental substance misuse, guided staff in their work to protect children. Some information-sharing agreements were now being developed. The CPC had provided a lead in identifying the need for new policies and procedures. When these were developed, they were helpfully made available through its website and through multi-agency training. Some work was now being carried out to audit the effectiveness of policies and procedures. A new procedure to improve practice in relation to medical examinations had been introduced. The West of Scotland Inter-Agency Child Protection Guidelines were being reviewed. However, there had been lengthy delays. Operational planning Operational planning was good. The ICSP 2005-2008 had recently been reviewed. A revised plan drawn up by the Council and relevant partners including the Children’s Services Provider Forum reported progress on initiatives. It identified lead responsibilities, included costs, set clear timescales and took account of recent structural changes including the setting up of the CHCPs. A new children’s service planning structure which had been put in place gave a high profile to services for vulnerable children and early intervention. The Children’s Services Executive Group was in the process of evaluating the impact of earlier initiatives. Management information was available to staff in central services and to those managing services locally within CHCPs. However, its use to plan local improvements in services was not yet systematic. 13 Aspect Participation of children, their families and other relevant people in policy development Comments Participation of children and families in policy development was good. Services were committed to seeking the views of children and families about the services they received. Some routinely sought feedback from users to help shape publicity materials and programmes. Leaflets for children and parents about the work of the CPC were produced as a result of consultation with them. Children and young people were involved in developing the content and design of a children’s charter. There were many initiatives to encourage participation in policy development. However, there was no agreed approach across services to collect and analyse the views of service users. Recruitment and retention of staff Arrangements for recruitment and retention across services were good. The social work service had an effective recruitment programme in place which included a ‘grow-your-own’ approach. It had recently increased staffing. Retention of staff had improved following reviews of the structure of the service and staff gradings. In cases of staff absence, all services gave priority to child protection. Shortages of administrative staff created difficulties in producing case conference reports and minutes. Across services, safe recruitment policies were in place. There were appropriate procedures for investigating allegations against staff members. Development of staff Professional competence and confidence and staff development and training were good. All services provided child protection training and suitable learning opportunities. An inter-agency training programme complemented these. The impact of training programmes on practice was routinely evaluated. Child protection training formed part of the induction programme for many staff. A CD-ROM had been used effectively to raise awareness of child protection across staff groups. Many staff were supported and appropriately challenged by managers. However, personal development planning was not consistently used across services. A few staff did not receive regular review of their work in child protection or support with workload management. 14 7. How good is individual and collective leadership? Chief Officers and Elected Members had developed a very strong vision for protecting children. They communicated this vision well to staff and used it to inform the planning of services. Overall, there was effective leadership and direction within and across services. However, arrangements for the use of management information to improve services required further development. Partnership working was very effective within and across services. Senior managers across services had begun to take a more systematic approach to self-evaluation and quality assurance. Vision, values and aims The vision, values and aims to protect children were very good. Through the work of the Chief Officers’ Group (COG) and the CPC, a strong collective vision had been agreed. Leaders across services were committed to this and communicated it to staff at all levels. As a result staff had a clear understanding of their role to protect children. Services placed a strong emphasis on the promotion of social and cultural diversity and on ensuring equal opportunities. The Leader of the Council and Elected Members were very clear about their responsibilities for protecting children. They provided a very effective lead to officers working in this area. The Chief Executive of the Council was highly aware of his responsibility for child protection. His strong vision for this area of work was closely linked to very well considered plans to modernise arrangements for local government. The Chief Executive of NHSGGC Health Board was very committed to ensuring that child protection was given the highest priority within the Health Board. He had worked hard to secure resources to improve services to protect children and to ensure that staff at all levels were aware of their responsibilities. He had successfully communicated his vision for keeping children safe to the five CHCPs. Strathclyde Police placed child protection as a very high priority. Commanders in the three Divisions within the Council area had made very effective arrangements for key messages about child protection to be communicated to officers at all levels. This ensured that officers were kept aware of their responsibilities for work in this area. The review of the ICSP (2005-2008) identified some of the new thinking which had been developed by the city’s leaders about the future of children’s services. The children’s service planning structure was very effective in emphasising prevention, early intervention and planning for vulnerable children. Glasgow’s Single Outcome Agreement demonstrated a shared commitment to service improvement and made a clear link between protecting children and improving life chances. 15 Leadership and direction Overall, collective leadership and direction was good. Elected Members, Chief Officers and senior managers were aware of the national context in relation to child protection. Helpful recent developments, including the setting up of the Champions’ Board by the Council, ensured that the needs of vulnerable children were given a high profile. Strong leadership and direction from the CPC and the COG identified protecting children as a high priority. However, arrangements for assessing risks and for planning to meet these were not robust enough. Management oversight of these processes required to be further developed. Arrangements for overseeing the responsibilities of CHCPs were not explicit enough. The CPC was led well and its work was supported effectively by the Lead Officer. It had gained the confidence of staff in all services. An Independent Chair had recently been appointed to help strengthen its work. The CPC was given effective support by the Core Group to progress its business and action plans. It had been influential in directing the setting up of local Child Protection Forums and Local Management Reviews within CHCPs. These were beginning to ensure that local as well as city wide initiatives were promoted and supported. There was no formal strategic link between housing providers and the CPC. Senior managers within the Council had recognised the need to ensure sufficient staff to support a wider range of vulnerable children than those whose names were on the CPR. As a result, a significant number of additional children and families social work posts had been created. The social work service was being restructured to strengthen front line services and help meet levels of demand. Where appropriate, the voluntary sector was involved in planning and delivering services for vulnerable children. The newly set up Multi-Agency Resource Group and its subgroup were intended to ensure that the purchasing of specialist placements for individual children fully met their needs. It was too early to see the impact of these groups. Leadership of people and partnerships Leadership of people and partnerships across services was very good. Elected Members, Chief Officers and senior managers provided strong leadership and encouragement to staff to work together for the benefit of vulnerable children. Elected members expressed very high levels of confidence in senior managers. Planning structures, service structures and the CPC subgroup structure promoted a culture of working together at all levels. Benefits of the recent alignment of the education service with the five CHCP areas were beginning to be seen. Some joint management arrangements were at an early stage. Partnerships with housing providers were inconsistent. In addition to effective partnerships across services, the Council had strategic links with the business community which were beginning to benefit vulnerable children. The children’s panel received strong support from the Council which allowed it to function more effectively. New structures within the education service were building upon existing expertise to secure a team approach to the promotion of child protection. A multi-agency task force had been set up to coordinate responses to 16 diversity issues. The morale of some health and police staff with a role to protect children was low. Some staff felt that their work was not sufficiently valued. The Glasgow Children’s Services Providers’ Forum which forms the planning framework for the voluntary sector was represented on the CPC. The Council provided helpful direction in a number of important initiatives. For example, the Principal Officer (Child Protection) chaired Glasgow’s forum on young runaways which included several voluntary sector organisations. The Council’s Commissioning Team gave valued initial and ongoing support to colleagues in the voluntary sector providing services for Glasgow’s children. However, some voluntary sector organisations felt they were not able to make a full contribution to the work of the CPC. Leadership of change and improvement Leadership of change and improvement was good. The COG, the CPC and senior managers within individual services recognised the importance of taking a systematic approach to quality assurance and self-evaluation in order to ensure continuous improvement. An inter-agency self-evaluation had recently been completed. This was done by bringing together single self-evaluations carried out by police, health, social work, education services and the SCRA. Strengths and weaknesses had been identified. However, the inter-agency self-evaluation was not sufficiently robust. Too much emphasis was placed on describing services and how they were delivered and there was limited evidence of impact and outcomes. The CPC had a well established process for carrying out significant case reviews and a considerable number of these had been completed. Recurring themes and areas for development had been identified and action plans drawn up to secure improvement. The CPC monitored the progress of these plans closely. Some significant improvements had been achieved, for example, recording of lists of significant events in children’s lives, implementing the VYP procedure and ensuring that appropriate staff were invited to attend child protection case conferences. A number of multi-agency case sampling audits had been undertaken over the last three years. These were now coordinated by the CPC Quality Improvement Group. Strengths and areas for development had been identified and action plans agreed. Local Management Reviews involving health and social work managers, and more recently education managers, had been established in each CHCP. They had audited and reviewed practice to identify and progress areas for improvement, for example, in staff supervision. Quality reviews had been undertaken by the education service. As a result, consistency of practice was improving. The education service was using the results of a recent comprehensive audit of children’s additional support needs to assist in planning to meet needs. The health service had carried out a wide range of audit and reviews identifying strengths and areas for development. Across services, it was not always clear how improvement objectives arising from such a large number of audits and reviews were being coordinated, implemented and monitored to ensure that improvements were consistently achieved and sustained. 17 8. How well are children and young people protected and their needs met? Summary Inspectors were confident that suitable arrangements were in place for services to respond appropriately to immediate concerns about children. Most children were aware of how to keep themselves safe and had trusted adults to help them. Arrangements were in place for meeting the immediate and short term needs of vulnerable children. Weaknesses in planning for individual children meant that meeting longer term needs was more variable. There was a need to strengthen processes for assessing risks and needs. Elected Members, Chief Officers and the CPC have forged strong partnerships and have successfully promoted a very strong vision for protecting children. They are well placed to drive an improvement plan to deliver better outcomes for children. In doing so, they should take account of the need to: 18 put in place, without delay, appropriate arrangements for the medical examination of children about whom there are child protection concerns and ensure that these take account of children’s ongoing needs; ensure that health staff are involved in initial referral discussions about all children for whom there are child protection concerns; ensure consistency and management overview of arrangements for identifying and planning to meet the needs of vulnerable individual children, including unborn babies; ensure that staff from all relevant services contribute information to inform decision-making about vulnerable children involved in child protection processes; and ensure that staff and managers across services are clear and consistent about when to initiate child protection procedures. 9. What happens next? Chief Officers have been asked to prepare an action plan indicating how they will address the main recommendations of this report, and to share that plan with stakeholders. Within two years of this report HM Inspectors will re-visit to assess and report on progress made in meeting these recommendations. Clare Lamont HM Inspector March 2009 19 Appendix 1 Quality Indicators The following quality indicators have been used in the inspection process to evaluate the overall effectiveness of services to protect children and meet their needs. How effective is the help children get when they need it? Children are listened to, understood and Good respected Children benefit from strategies to Very Good minimise harm Children are helped by the actions taken Good in immediate response to concerns Children’s needs are met Satisfactory How well do services promote public awareness of child protection? Public awareness of the safety and Very Good protection of children How good is the delivery of key processes? Involving children and their families in Satisfactory key processes Information-sharing and recording Good Recognising and assessing risks and Weak needs Effectiveness of planning to meet needs Weak How good is operational management in protecting children and meeting their needs? Policies and procedures Good Operational planning Good Participation of children, families and Good other relevant people in policy development Recruitment and retention of staff Good Development of staff Good How good is individual and collective leadership? Vision, values and aims Very Good Leadership and direction Good Leadership of people and partnerships Very Good Leadership of change and improvement Good This report uses the following word scale to make clear the evaluations made by inspectors: Excellent Very Good Good Satisfactory Weak Unsatisfactory 20 Outstanding, sector leading Major strengths Important strengths with areas for improvement Strengths just outweigh weaknesses Important weaknesses Major weaknesses Appendix 2 Examples of Good Practice The following good practice examples demonstrated how services can work together effectively to improve the life chances of children and families at risk of abuse and neglect. PARENTS AND CHILDREN TOGETHER (PACT) A key priority in setting up the five CHCPs was the local provision of integrated health and social work services to children and families. Early years workers across services recognised the need to ensure there were opportunities for targeted support through a single point of access. Multi-Agency PACT teams were established by combining family resource teams and starting well teams. These provided local intensive support to families with pre-five children across the city. They worked closely with Culture and Sport Glasgow when delivering courses by sharing premises and crèche facilities. Families received a wide range of targeted support. This included parenting programmes, baby massage and first aid training. Positive relationships and high levels of trust were built between families and staff across services. This helped raise parents’ self esteem and confidence. A number of vulnerable families benefited from a five-day residential break supported by a local nursery. This experience provided effective role models and day-to-day support with practical issues. These included behaviour management, establishing bedtime routines and healthy eating. Pre-birth referrals to PACT allowed extra support to be offered early in pregnancy and had reduced the number of babies accommodated at birth. CAMPUS POLICE OFFICERS Strathclyde Police identified a need to help children feel safer within their schools and local communities. In particular it aimed to improve its engagement with a small hard to reach group of young people and to reduce offending and anti-social behaviour. Campus Police Officer posts were established in nine secondary schools within the Council area. The posts were jointly funded and recruited by Strathclyde Police and the education service. Campus Officers Forums included education service staff and provided opportunities to agree on local priorities for action. Campus Police Officers played a full part in the Integrated Support Teams within their schools. This provided valuable opportunities for them to share their knowledge of individual children and families within the wider community with staff from other key services. As a result, planning for vulnerable children was better informed. The involvement of the Campus Police Officers strengthened the impact of restorative practices in some schools. The Officers had set up a number of effective diversionary activities including cycling clubs. These had resulted in a number of children learning new skills, increasing their confidence and reducing offending behaviour. 21 How can you contact us? If you would like an additional copy of this report Copies of this report have been sent to the Chief Executives of the local authority and Health Board, Chief Constable, Authority and Principal Reporter, Members of the Scottish Parliament, and other relevant individuals and agencies. Subject to availability, further copies may be obtained free of charge from HM Inspectorate of Education, First Floor, Denholm House, Almondvale Business Park, Almondvale Way, Livingston EH54 6GA or by telephoning 01506 600262. Copies are also available on our website www.hmie.gov.uk If you wish to comment about this inspection Should you wish to comment on any aspect of child protection inspections you should write in the first instance to Neil McKechnie, HMCI, Directorate 6: Services for Children at HM Inspectorate of Education, Denholm House, Almondvale Business Park, Almondvale Way, Livingston EH54 6GA. Our complaints procedure If you wish to comment about any of our inspections, contact us at HMIEenquiries@hmie.gsi.gov.uk or alternatively you should write to BMCT, HM Inspectorate of Education, Denholm House, Almondvale Business Park, Almondvale Way, Livingston, EH54 6GA. 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 the 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: www.spso.org.uk. Crown Copyright 2009 HM Inspectorate of Education This report may be reproduced in whole or in part, except for commercial purposes or in connection with a prospectus or advertisement, provided that the source and date thereof are stated. 22