Joint inspection of services to protect children and young people in the Orkney Islands Council area. 26 November 2009 The inspection of services to protect children1 in the Orkney Islands Council area was carried out in August and September 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 Orkney Islands lie to the north of the Scottish mainland and are made up of around 70 islands, some of which are uninhabited. They cover an area of 990 square kilometres. The two main populated communities are in Kirkwall and Stromness. The Council area has a population of 19,890, with 20.3% under the age of 18 years compared to the Scottish average of 20.2%. The number of children referred to the Council for child protection enquiries increased and then decreased to the same level between 2006 and 2009. The proportion of children on the Child Protection Register (CPR) in the Orkney Islands Council area is 1.1 per 1,000 which is lower than the Scottish average of 2.9 per 1,000. 1 2. Particular strengths that make a difference to children and families • Helping those who are experiencing difficulties at an early stage. • Staff listening to them and taking account of their views. • Staff working hard to build trust with them and being able to help them better as a result. 3. Examples of good practice • The RESPECT programme which is raising awareness among children of domestic abuse. • The Triple P Project which is increasing the confidence and skills of parents to protect and care for their children. • The work of the Child Protection Committee (CPC) in looking closely at, and improving, how staff protect children. 4. How well are the needs of children and families met? Vulnerable children are able to identify someone to talk to if they need help or are worried about something. Staff from Women’s Aid Orkney are very good at helping children affected by domestic abuse to talk about their experiences and learn how to keep themselves safe. Children’s awareness of domestic abuse, bullying and how to keep safe is raised through their involvement in the RESPECT programme. Children are given helpful advice by staff in school and at the Camoran 2 Resource Centre about their safety when using the Internet. A few children who experience abuse and neglect have not always been given the particular help they need to be aware of dangers and keep themselves safe. Children and families generally receive effective help and support quickly and for as long as they need it. The Triple P Project provides a wide range of very effective services which improve parents’ skills and confidence in caring for their children. As a result, their children are safer and have improved life chances. Services are developing better coordinated support to meet the individual needs of vulnerable children at an early stage. More needs to be done to ensure that all staff are clear about their role in planning and providing this support. On most occasions staff recognise when children are at risk and take prompt and effective action when specific concerns are raised. When carrying out investigations, police officers and social workers explain carefully to children and families what action they are taking and why. Children and families are provided with helpful advice and support while this is happening. Children who are at immediate or significant risk of harm are kept safe by the early actions taken by staff. Appropriate legal measures are used when necessary to keep children safe. When it is not safe for children to stay at home appropriate checks on the suitability of friends or relatives are not always completed before children are placed with them. Overall, staff are good at meeting the needs of children affected by abuse or neglect. Staff from different services meet regularly to organise the help they provide. Most children’s lives improve as a result of the help they receive. Staff, including educational psychologists and speech and language therapists, give valuable support to children who need their help. Children not able to stay at home are looked after well by foster carers and residential staff at the Camoran Resource Centre. This allows more children to grow up in their local community closer to family and friends. The needs of some children are not met well because certain areas of their health or 3 development are not considered or assessed appropriately. An increase in mental health staff is beginning to ensure that appropriate support is available for children who need it. Specialist psychiatric help is not available for all children who need it to help them recover from their experiences of abuse or neglect. Police and social work staff respond quickly and effectively to make sure children are safe if they run away from home. A shared plan of action to ensure the needs of young runaways are assessed and met in all cases has yet to be developed. Appropriate systems are in place to trace children who go missing from education. Staff within the education service are working to ensure that all schools have a reliable system to alert parents and carers quickly if children are absent. Members of the Child Protection Committee (CPC) have considered how help and support will be provided to children who may have been brought into, or moved around, the country illegally and are at risk of harm. Children and families are benefiting from very effective communication with staff who know them well and listen to their views. Children attending child protection meetings are prepared very well by staff. Children and parents with communication difficulties receive very effective support to express their views and feelings. Looked after children are helped to raise issues which concern them at a Having Your Say group. Trusting relationships with children and families help staff provide high levels of support to improve their lives. The role and responsibilities of advocacy workers in supporting children and families are unclear. The help they offer also needs to be explained better to those children and families with whom they work. 5. How good is the management and delivery of services? Information-sharing is improving, but is still inconsistent between some services and in some areas. Some local doctors are reluctant to share relevant information, particularly about children’s parents. Staff work well together to share information about sex offenders who may pose 4 a risk to children. In most services recording of information has improved, particularly by social work staff. Health staff are not always involved in discussions or planning meetings with other staff when joint assessments of risks and needs are made. Staff involved in making these assessments do not always have access to important health information. However, there are some good examples of effective assessment of risk and needs. New style plans are being introduced which are successfully helping staff and parents focus more clearly on achieving good outcomes for children in the shorter and longer-term. Senior managers from different services have identified staff training priorities. Training for most staff is being provided more effectively. Some health staff require additional training to assess children’s needs more effectively. Managers are highly committed to strengthening services to protect children by taking a close look at their work and planning improvements. Services do this well, individually and together. Social work managers are reviewing the work of individual workers much more effectively. A regular audit of children’s case records by a sub-group of the CPC is identifying strengths and weakness in services. A process for reviewing the learning from particular cases has been introduced successfully. Managers follow national guidelines when carrying out significant case reviews. What they learn from these reviews is reported back to the CPC and other staff. Services now need to involve frontline staff more fully in evaluating their work and improving practice. Decisions about medical examinations do not always involve a paediatrician. These decisions are usually taken by police and social work staff. Staff rely on the advice of family doctors and school nurses when more specialist advice is required. As a result, the wider health needs of children are sometimes overlooked. 5 6. How good is leadership and direction? Senior managers across services have established a successfully shared vision for child safety and protection. They work well together to plan and develop their services. Reports on the progress they are making are regularly monitored and reviewed. They are strong in ensuring that children and families are treated equally and fairly. The membership of the CPC and Chief Officer’s Group (COG) has been reviewed and strengthened. The COG give clear guidance to the CPC. The CPC provide effective leadership and direction to staff. Staff across services generally work well together and with staff in the voluntary organisations. In the health service, there have been recent changes at a senior management level and children’s services are becoming a higher priority. Managers now need to provide stronger leadership and direction to make further improvements in services for vulnerable children. Arrangements to enable children in Orkney to get specialist psychology and psychiatry services in Aberdeen when they need it have been agreed recently. These need to be implemented without delay. 7. How are services improving? Senior managers are working hard to develop integrated children’s services. The Integrated Children’s Services Plan (ICSP) outlines clear improvement priorities, including those to help keep children safe and healthy. Young people have been involved in developing it. The plan is regularly monitored and reviewed and is helping to improve outcomes for vulnerable children and families. The regular reviews of children’s case records identify areas for development. As a result, improvements have been made, including increased attendance by staff at decision-making meetings. Some family doctors are also attending these meetings and submitting reports more often. Improvements in involving children and families in key decision-making meetings and seeking their views are being made. The findings of significant case reviews have been shared with 6 chief officers at CPC development sessions. These reviews include learning from a significant case in another area. A manager in health has just been identified to coordinate health involvement in information-sharing and decision-making meetings more effectively. Following the previous child protection inspection a number of areas for improvement were identified. The CPC developed an action plan and has made good progress in a number of these areas. The CPC is now receiving better information on performance. 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 improvement. We have agreed the following areas for improvement with services in the Orkney Islands Council area. • Continue to develop approaches to providing better coordinated support to meet the individual needs of vulnerable children at an early stage. • Ensure health staff are trained and supported to become more fully and effectively involved in key child protection processes. • Involve front-line staff more in evaluating and improving the effectiveness of services. 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 publications How well do we protect children and meet their needs? Following the inspection of each local authority area, the Scottish Government gathers evaluations of four important quality indicators to keep track of how well services across Scotland are doing to protect children and meet their needs. Here are the evaluations for the Orkney Islands Council area. Children are listened to and respected Children are helped to keep safe Response to immediate concerns Meeting needs and reducing long term harm very good very good good good We also evaluated the following aspects of the work within the local authority area. Self-evaluation Improvements in performance good good Kevin Mitchell Inspector November 2009 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 2009 HM Inspectorate of Education