Joint inspection of services to protect children and young people in the Highland Council area 4 May 2010 The inspection of services to protect children1 in the Highland Council area was carried out in January and February 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 The Highland Council is Scotland’s largest local authority area in size. It covers an area of 25,659 square kilometres. Around a quarter of the population live in Inverness. More than 63% of the population lives in remote areas. The Council area has a population of 219,400 with 17.8% 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 significantly lower than that for Scotland as a whole. The proportion of children on the Child Protection Register (CPR) in Highland is 1.8 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 • Effective communication and the development of trust with staff. • The wide range of support services provided to them at an early stage. • Action taken to protect children when identified as at risk of immediate harm. • Joint approaches by managers and staff to reviewing their work to improve services. • Senior managers encouraging and supporting staff to work together well to improve outcomes for children. 3. Examples of good practice • Using police child concern forms to share information which helps meet children’s needs at an early stage. • The work done by children’s services workers to support families. • The involvement of staff across services in revising child protection guidance and reviewing the effectiveness of services. 2 4. How well are the needs of children and families met? Staff are helping children to be aware of personal safety through carefully planned individual work and imaginative programmes in schools and nurseries. As a result, children understand their right to keep safe and know how to keep safe when using the internet and mobile phones. Families, including vulnerable pregnant women and their partners, benefit from a wide range of services to prevent difficulties arising or getting worse. These include support from early years workers and children’s services workers. Support services are available for as long as families need them. Increasing numbers of families are benefitting from programmes to help parents develop skills and confidence in caring for their children. Many families are confident that their lives are improving as a result of staff working well together to help them. In almost all cases, staff take prompt and effective action when immediate child protection concerns are raised. They ensure children and families know what is going to happen when concerns are being investigated by carefully explaining their actions and keeping them informed of decisions made. When it is unsafe for children to remain at home, staff find an alternative safe place for them to stay with family, friends, foster carers or residential staff. Police and social workers use the law effectively to keep children safe. In a few cases, education and social work staff do not share information quickly enough when there are concerns about children. Children across the council area are benefitting from a wide range of support which is helping to meet their physical, emotional and social needs. Increasingly, staff are working together well to ensure children’s needs, including health needs, are identified and met. Staff anticipate and plan effectively to meet the long-term needs of most children. However, in some cases, the desired longer-term outcomes for children are unclear. Staff do not always give enough thought to how to meet children’s needs if plans are unsuccessful or if parents 3 are unable to improve care of their children. Children who need particular help to recover from the effects of abuse and neglect are supported well by a range of services, including children’s mental health services and voluntary organisations. Staff review children’s needs carefully to ensure those in greatest need get help quickly from the most appropriate service. Some specialist services to help older children who have experienced trauma or neglect are not available in all areas. Staff are aware of the risks to children who go missing. Robust systems are in place to track children who are missing from education and staff use these very well. Staff know what action to take if children run away from home, residential or foster care. They work together effectively to assess risks, trace children and support them to return. The Child Protection Committee (CPC) provides clear guidance to help staff identify and support children who may be at risk because they have been brought into or moved about the country illegally. It has provided information to the public to help them report concerns about children they suspect may be at risk. Awareness is growing of the particular needs of gay and lesbian young people and training is available to help staff provide appropriate support. Staff work hard to develop trusting relationships with children and families. Staff communicate effectively, taking time to explain their actions and what is expected of parents to keep their children safe. Children and parents feel confident to discuss difficult issues with them. Staff are sensitive to the needs of babies, younger children and those with communication difficulties. Where English is an additional language, children and parents are helped to express their views through interpreters. Across services, attention is paid to seeking children and families’ views, recording them and taking account of them when important decisions are being made. Some children and parents benefit from having independent supporters to help them give their views. This is not yet available for all children and families who could benefit. 4 5. How good is the management and delivery of services? Across services, staff clearly recognise children who may be at risk. Staff who work with adults are confident about reporting concerns and work effectively with children’s services staff to ensure children are kept safe. In almost all cases, when concerns about children’s immediate safety are reported to social work services, staff take very prompt action to assess and reduce risks. Where risks are less immediate, social workers sometimes make decisions about what action to take without speaking directly to the person raising the concern. Managers should ensure that staff gather full information in all cases and that the person raising the concern is kept informed of what is happening. Police officers and social workers work very well together to plan child protection investigations. Staff have clear guidance to seek the views of a doctor when considering whether a medical examination is needed but this guidance is not always followed. Where children may have experienced physical injury or neglect, advice is now readily available from a specialist children’s doctor. However, some children who have recently reported sexual abuse have to wait too long to be examined because suitably trained doctors are not available outside office hours. Staff are working hard to improve the quality of assessments and children’s plans. There is growing attention to ensuring clear targets against which progress can be measured. Helpfully, plans are focusing increasingly on the specific needs of children rather than the needs of parents. Chief Officers and senior managers are strongly committed to improving outcomes for children. They consistently encourage staff to review the effectiveness of their work. Priorities and plans for improvement have been directed by learning from a large number of reviews carried out by individual services and by staff in services together. Staff seek a wide range of views when considering their own 5 work, including the views of children and families who use services. 6. How good is leadership and direction? Child protection in Highland is strongly led by the Chief Officers’ Group, the Lead Officers’ Group and the CPC. Chief Officers and senior managers across services, including the voluntary sector, work together very effectively to help staff provide high quality services for children and families. A shared vision promotes high ambitions for all children, regardless of disability, race or background. Staff clearly understand the vision and their responsibilities to keep children safe. Managers are working together very well to plan, develop and deliver services. They follow national policies and carefully adapt services to meet local needs and circumstances. Services helpfully share resources to meet agreed goals. Chief Officers and managers have successfully led the implementation of new assessment and planning processes across the Highland area. Effective leadership is helping ensure all vulnerable children have a single plan and that staff from different services work closely together to ensure children get the right help at the right time to improve their lives. Staff across services are strongly committed to closer working and continuous improvement. Chief Officers and managers now need to work together to achieve the necessary improvements in arrangements for medical examinations for children who report sexual abuse. 7. How are services improving? The Integrated Children’s Services Plan For Highland’s Children sets out a clear shared vision and appropriate aims for children’s services, including child protection. Taking into account lessons learned from a review of the previous plan, a very effective system has been set up to monitor how the plan is working. The CPC’s work plan helpfully identifies priorities and keeps track of progress through regular monitoring. Managers and staff have achieved success in two important areas. These are reducing the number of meetings which 6 children and families have to attend and increasing the time social workers can spend directly helping children and parents. Families are increasingly satisfied with how well they are involved in decisions about their children. Systems for gathering management information are effective overall and developing rapidly. Social workers now provide reports for the Children’s Reporter more quickly and delays in planning have reduced significantly as a result. The work of the quality assurance and reviewing officers who chair key decision-making meetings is helping achieve greater consistency in assessment of risks and needs and improving the quality of children’s plans. Managers have a sound understanding of services’ strengths and areas which require further improvement. Staff and managers are working together very well to continue to improve outcomes for children and families. 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 Highland Council area. • Further develop joint initial assessments to support effective early help to children and families. • Further improving arrangements for medical examinations for children who report sexual abuse. 7 Quality indicators help services and inspectors to judge what is good and what needs to be improved in the work to protect children and meet their needs. You can find these quality indicators in the HMIE publication How well do we protect children and meet their needs? Following the inspection of each local authority area, the Scottish Government gathers evaluations of four important quality indicators to keep track of how well services across Scotland are doing to protect children and meet their needs. Here are the evaluations of these for the Highland 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 very good 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: Helen Happer April 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 Inspectorate of Education