PART 1 (OPEN TO THE PUBLIC) ITEM NO. REPORT OF THE LEAD MEMBER FOR COMMUNITY AND SOCIAL SERVICES TO THE CABINET ON 23 JANUARY 2001 TITLE : PRESSURES ON CHILDREN'S PERSONAL SOCIAL SERVICES RECOMMENDATIONS : That growth of £1,000,000 is provided for Community & Social Services for Children's Services for 2001/2002 EXECUTIVE SUMMARY : The report highlights the continuing pressure on personal social services for children in Salford. BACKGROUND DOCUMENTS : NONE (Available for public inspection) Cabinet Report 24 October 2000 Report to Social Scrutiny on Foster Carer Payments December 2000 Consultancy Report in the Threshold for Looked After Children July 2000 Adoption Review December 2000 CONTACT OFFICER : Paul Woltman 793 2243 Keith Darragh 793 3225 WARD(S) TO WHICH REPORT RELATE(S) N/A KEY COUNCIL POLICIES: Quality Protects Management Action Plan DETAILS (See Overleaf) DETAIL Background The pressures on the looked after system was last presented to Cabinet in a Joint Report on 24th October 2000. That report showed that Salford had experienced a high level of increase in looked after numbers between 1994 and 2000. Pressures were noted on foster care and residential care and on social work caseloads. It outlined a need to improve foster carer payments and the number of family placement workers, staffing in children’s homes and social worker staffing levels. Budget Forecast 2001/2 During the budget process, a projection on growth of children looked after was made using statistics up to October 2000. The projection indicated an 8.1% annual increase in numbers looked after, which is significantly less than the rate of growth experienced in 1999/2000, but still places enormous pressure on the looked after system, both financially and on staff. Over the last six years to 31 March 2000, the City has experienced 72% growth in the number of children looked after (i.e. from 336 in March 1994 to 579 in March 2000). On average, the growth has been 12% per year for the last six years. However, this average was greatly surpassed in 1999/2000 where there was a 20% increase in the looked after number. Since the budget was forecast based on October statistics, there has been a slight easing of the numbers looked after. However, it is too early to draw any conclusions and an upward trend is still anticipated. It would not be prudent to assume too low a level and the Authority is recommended to continue with the 8% forecast. Coping with Service Pressure In addition there are considerable pressures on social services for children which have been reported in various ways during 2000 and which demonstrate that this area of service is: 2 operating under enormous pressure in all aspects; and bearing very high levels of risk. Child Protection Register The Child Protection Register records children who have been subjected to, or are highly vulnerable to, abuse. On 31 March 2000, Salford had 175 children on its register, 33 per 10,000 of its child population. This is the second highest rate in Greater Manchester. Children on the register require a high level of social work supervision and supportive resources. Quality Protects Grant The Annual Quality Protects Grant has been used to improve services in a variety of ways: partnership homes, foster carer training and recruitment, implementing the national assessment framework, listening to children, helping to pay for a new IT system. However, the grant is intended to pay for improvements to services and is increasingly based on performance. If performance does not improve the grant is at risk. Residential Services Significant improvement has been achieved in residential resources. The second and third partnership homes were opened with a capacity of 11 and two small homes were opened by the City with a capacity of 7. The report to Cabinet in October 2000 noted that progress had been made on improving the staffing levels in homes but that £214,000 was needed to reach the level accepted by Community & Social Services Committee in November 1999. This is the level set in Children Act Guidance and will be required by the Care Standards Agency when it becomes operational in 2002. For much of the first half of 2000, the average occupancy of Salford's children's homes was at or over 100%. At the end of December the figure had fallen to 86% but the recommended level is 80%. This reduction was partly as a result of the opening of the latest partnership home. Some of Salford's homes have also been dealing with extremely difficult children. In the last three months one member of staff has been injured by a knife thrown by a young person, and quite separately a child in one home put rat poison in the milk. Foster Carers Problems have been experienced with foster care recruitment. Local promotion was stopped last summer as requested by Central Government because of the national recruitment campaign. Unfortunately there has been 3 no positive impact from this campaign yet. A local campaign has now been started in conjunction with the Health Action Zone, Manchester City Council and Trafford Borough Council to boost recruitment. External Scrutiny Two reports commissioned in 2000 (one on Moorfield Children's Home and one on Salford's threshold to the looked after system) both commented that, if anything, Salford's threshold for looking after children was too high and there were some very concerning cases of children being supervised at home because of the pressures on the looked after system. The Consultancy Report on Moorfield recommended that the home be closed and replaced by two small homes. This has been accepted by the Authority. From our experience of partnership homes it is estimated that £150,000 will be necessary to establish each of these new homes. Social Workers – Workload Pressures The Directorate is now introducing the new National Assessment Framework for children in need. This sets out a process for initial and comprehensive process for children in need with timescales which are monitored by Government. To meet this it has been necessary to establish Duty / Assessment Teams reducing the number of social workers deployed to deal with long term looked after children and children on the child protection register. Numbers of social workers have not been increased during the years of upward pressure on the looked after system. Three posts are now being moved from Manchester Children's Hospital to Children and Families Teams but pressure will remain intense. In Salford East there were 34 looked after children without an allocated social worker at the beginning of 2001. Two new posts will be allocated here and the third in Salford West. However, most social workers have caseloads made up almost entirely of difficult cases. They are working under considerable pressure. It is difficult to allocate time to activities such as student supervision which are necessary to ensure we have a supply of new social workers available. A further three social work posts (recruiting experienced workers) would cost approximately £80,000. Foster Care Allowances Apart from difficulties in recruiting foster carers the Directorate is also concerned about the level of payments. This was reported to Cabinet on 24 October 2000 and it was noted then that it would require £370,000 to bring payments to foster carers up to the basic rate recommended by the National Foster Care Association. Salford is falling behind not only independent fostering agencies but also other local authorities. This issue has been reported to Social Scrutiny Committee most recently in December 2000. 4 Salford also fares badly in the numbers of family placement workers to support foster carers. It has a ratio of 1:20 compared 1:16 to 1:10 in neighbouring authorities. The recently completed Review of Adoption has recommended that there should be specialist workers for adoption if we are to give this area the priority the Government requires. Thus three additional workers would help to improve performance in this area (£80,000 for experienced workers). CONCLUSIONS Thus, the following strengthening of service is urgently needed and will be implemented if the pressure of growth of looked after numbers allows. Description Amount £ Enhance staffing in children's homes to levels accepted by Community & Social Services Committee in Nov 1999 (submitted as growth bid for 2001/2 – not approved) £214,000 Improve foster carer payments to lower NFCA rates (submitted as growth bid for 2001/02 – not approved) £370,000 Three additional family placement workers £80,000 Three additional children & families social workers £80,000 Establish two small homes to replace Moorfield £300,000 Total £1,044,000.00 RECOMMENDATIONS It is critical that the growth element of £1m for looked after children be allocated to Community and Social Services Directorate as outlined in previous budget reports from the Director of Corporate Services. However, it should be noted that this funding is insufficient to meet both a) the anticipated growth in numbers; and 5 b) the very real base pressures in the looked after system. It is recommended that 1. 2. the allocation for pressures on children of £1m continue. in the absence of the Authority being able to agree to fund growth proposals for staffing measures in residential homes and the increase in Foster Allowance rates, the Director of Community and Social Services Directorate be allowed discretion on the use of the budget provision on the items shown above. 6