Think Family Guidance Version 1.1 - Issued 16/11/2015 Quick Start Guide Click (or press ctrl-click) on the images below to jump straight to the relevant section of the guidance, alternatively please continue reading. Think Family Assessment Storing / Sharing Information Overview of the Think Family approach How to begin, complete and submit a Family Assessment Principles of how information should be stored and shared Planning Services Delivery of Services Working with other services Identifying what should happen next The role of the Lead Professional and guidance for service delivery Links with specific services / processes Closing the Think Family Intervention Together for Families Additional Support An overview of the requirements for the Together for Families programme Summary of support available to professionals How / when work should be completed Foreword Think Family means improving outcomes for children, young people, adults and families by considering and understanding the needs of all family members and co-ordinating the support they receive from professional services in a single family plan co-ordinated by a Lead Professional. Whilst this approach is not new, this guidance has been created to help all professionals and volunteers across all public services within Cambridgeshire to understand and use the Think Family approach in their work with individuals and families. It describes the processes and ways of working that have been agreed by all agencies supporting families in Cambridgeshire. This document has been designed as a reference guide to re-enforce and add detail to the concepts described within the Think Family training which is available (free of charge) for all professionals and volunteers in Cambridgeshire. Further details can be found in the Additional Support section of the document. How to use this document It is anticipated that professionals will want to look at specific sections and the guidance begins with an overview of Think Family before going into more detailed step-by-step guides to each stage of the process. Users can click on the contents table below and be taken to the appropriate sections or professionals can; Click here for the Think Family Process flowchart Click here for the Think Family intervention flowchart Click here for the Professional Support Pack (containing useful templates and materials) If you would like to provide feedback on this guidance or request that additional information is included please contact the Advice and Co-ordination Team on 01480 376666 or ACT@cambridgeshire.gov.uk Contents Quick Start Guide .............................................................................................................................................................. 1 Foreword ........................................................................................................................................................................... 2 How to use this document ................................................................................................................................................ 2 Think Family ...................................................................................................................................................................... 6 Background and context ............................................................................................................................................... 6 Think Family Approach.................................................................................................................................................. 7 The Think Family process .............................................................................................................................................. 8 The Think Family Intervention ...................................................................................................................................... 9 Quality Assurance ....................................................................................................................................................... 11 Assessment ..................................................................................................................................................................... 12 Family Common Assessment Framework ................................................................................................................... 12 Introduction ............................................................................................................................................................ 12 Benefits ................................................................................................................................................................... 12 The Assessor............................................................................................................................................................ 13 Before you start an assessment .................................................................................................................................. 13 Beginning the assessment....................................................................................................................................... 14 Consent ................................................................................................................................................................... 14 Completing the Family CAF ..................................................................................................................................... 16 Life cycle of the Family CAF / Recording changes ................................................................................................... 17 Submitting the Family CAF ...................................................................................................................................... 18 Other Assessments ..................................................................................................................................................... 18 Storing / Sharing Information ......................................................................................................................................... 19 Principles ..................................................................................................................................................................... 19 Storing and sharing the Family CAF ............................................................................................................................ 19 Storing and Sharing the Family Support Plan ............................................................................................................. 20 Planning Services ............................................................................................................................................................ 21 The voice of the Child / Young Person / Adult ............................................................................................................ 21 Respond to needs within own service ........................................................................................................................ 21 Request involvement from a Single Agency ............................................................................................................... 21 Team Around the Family (TAF) ................................................................................................................................... 22 Locality Allocation and Review Meetings (LARM) ...................................................................................................... 22 Delivery of Services ......................................................................................................................................................... 26 Family Support Plan .................................................................................................................................................... 26 Purpose ................................................................................................................................................................... 26 Identify Outcomes................................................................................................................................................... 28 Review ..................................................................................................................................................................... 28 Transition between early help and specialist services............................................................................................ 30 Lead Professional ........................................................................................................................................................ 31 Principles of the Lead Professional role .................................................................................................................. 31 Identifying the Lead Professional and where this is recorded................................................................................ 31 When the Lead Professional should be changed and what to do at handover ...................................................... 32 What is expected of the Lead Professional role ..................................................................................................... 32 What is expected of the Lead Professional role at different levels of need ........................................................... 33 What is not expected of Lead Professionals ........................................................................................................... 34 Things Lead Professionals may need to consider: .................................................................................................. 34 Managing a Lead Professional ................................................................................................................................ 34 Training ................................................................................................................................................................... 35 Engaging families ........................................................................................................................................................ 35 How to engage families........................................................................................................................................... 35 What doesn’t work in engaging families................................................................................................................. 35 Natural Consequences ................................................................................................................................................ 36 Introduction ............................................................................................................................................................ 36 Principles ................................................................................................................................................................. 37 A guide to using consequences ............................................................................................................................... 38 Working with other Services ........................................................................................................................................... 40 Social Care ................................................................................................................................................................... 40 Early Support............................................................................................................................................................... 40 The Education, Health and Care Plan.......................................................................................................................... 41 Background: The Education, Health and Care Plan Process ................................................................................... 41 Family CAF and Education, Health and Care Plans ................................................................................................. 41 Schools ........................................................................................................................................................................ 42 Pastoral Support Plans ............................................................................................................................................ 42 Individual Alternative Education Plans ................................................................................................................... 43 Closing the Think Family Intervention ............................................................................................................................ 44 How to know when the Team Around the Family (TAF) should be ended ................................................................. 44 Recording that the Think Family intervention has ended .......................................................................................... 44 Think Family Involvement ........................................................................................................................................... 45 Responsibilities of the Lead Professional.................................................................................................................... 45 Together for Families ...................................................................................................................................................... 46 Identification ............................................................................................................................................................... 46 What does this mean for families? ......................................................................................................................... 46 Family Progress Data and Closing Summary ............................................................................................................... 46 Family Progress Data toolkit ................................................................................................................................... 47 Closing Summary ..................................................................................................................................................... 47 Personalisation Budget ............................................................................................................................................... 47 What is the Personalisation Budget? ...................................................................................................................... 47 Is there anything that can’t be purchased using the personalisation budget? ...................................................... 48 How much money is available?............................................................................................................................... 48 Criteria for use ........................................................................................................................................................ 49 How do I request funding?...................................................................................................................................... 49 Guidance for submitting a funding request ............................................................................................................ 49 What happens once I have submitted my request? ............................................................................................... 50 How long will it take before I know if my request has been approved? ................................................................ 50 How are products / services purchased? ................................................................................................................ 51 Additional Support .......................................................................................................................................................... 53 Advice and Co-ordination Team ................................................................................................................................. 53 Think Family Training .................................................................................................................................................. 53 Clinical Supervision ..................................................................................................................................................... 54 How do I access the service? .................................................................................................................................. 54 Professional Support Pack .......................................................................................................................................... 54 Frequently Asked Questions ....................................................................................................................................... 54 Think Family This section contains information and guidance on the following; Background and context Think Family Approach The Think Family process Quality Assurance Background and context Research shows that outcomes for families with multiple needs can be poor. These families may encounter many different professionals over the course of their lives, who are often only able to work with them for a short period of time on a specific issue. This lack of service continuity, combined with the complexity of the needs, contributes to poor outcomes as the root causes of their problems have not been tackled. Think Family Research from an evaluation of the Common Assessment Framework in Cambridgeshire (Centre- 4 Excellence and Outcomes, 2012) and the Family Intervention Partnership team (York Consulting Ltd, 2014) shows that significant and sustained improvement in outcomes can be made and money can be saved by taking a coordinated Think Family approach. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 6 Think Family Approach In working with families, professionals can often see the needs of the individual through the lens of their specific job role or the organisation that they work for. It is important to consider an individual’s needs, but without considering the needs of all of the family members, the context and environment in which they live and how these needs interrelate, we are unlikely to get to the bottom of the difficulties. The image below illustrates the key components of the Think Family approach: Think Family One Lead Professional – nominated to co-ordinate the work with the family One thorough family assessment – which considers the needs of the whole family, how the issues interrelate and the wider context and relationships which surround presenting issues One overarching family support plan – one overarching support plan managed by the Lead Professional and reviewed regularly with the family and professionals involved through team around the family meetings A team around the family – all professionals who are involved with any member of the family working together to the support plan with agreed goals Limiting transfers families experience through our services - one coordinated intervention is more effective than services taking it in turns and transfers between teams consume time and energy, and so incur cost Commitment to putting the family’s needs at the centre and overcoming professional difference – for the professional to have a willingness to be open and reflective about their thinking and practices and understand the perspective of other professionals to enable better multi agency working. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 7 The Think Family process The flowchart below sets out the stages in the Think Family process: Do you think the family you are working with has needs beyond which you can address? Advice and Co-ordination Team (ACT): Open and close Think Family 'involvements' on CCC ONE System Record and track CAFs and LPs and support identification of LP where necessary Advise on processes Research wider involvements when appropriate and inform assessor/LP Advise on services which may be appropriate Contact details: Tel: 01480 376666 Email: ACT@cambridgeshire.gov.uk Together for Families cases All CAFs will be assessed by the ACT to see if meet TFF criteria If so LP will also need to complete Family Progress Data at the start and end of the Think Family process and a closing summary at the end Yes Child or Young Person, adult or family at risk of immediate harm? Call Contact Centre Tel: 0345 0455203 Fax: 01480 376748 Email: referralcentre.childrens@cambridgeshire. gcsx.gov.uk Yes No Does the family already have a Family CAF or a Lead Professional? Contact the Advice and Coordination Team (ACT) Contact existing Lead Professional and request to join / participate in the Team Around the Family Yes No Speak to family about initiating Think Family process and get consent from all where possible Are you trained to complete a full Family CAF, Single Assessment or other approved family assessment? No Complete ‘flexible use’ Family CAF with as much information as you have on the Family’s needs Yes Carry out full assessment as appropriate to the presenting needs. The ACT may be able to provide further information about needs and which agencies are involved. Send completed Assessment to ACT This could include; Request to attend a Locality Allocation and Referral Meeting (LARM) for multi-agency discussion based on the assessment Arrange a Team Around the Family (TAF) meeting with involved professionals. Request involvement from a single agency using the assessment Respond to needs within own service If the initial CAF assessment was partially completed consider if the assessment requires further work to fully reflect the wholes families needs and if so which trained professional will do it. The ACT can support with problem resolution. What kind of support is required? If unsure contact the ACT If a multiagency response is necessary to meet identified needs, confirm practitioners who will form the Team Around the Family and choose the Lead Professional. Inform the ACT of Lead Professional name, agency and contact details The LP can change throughout the intervetntion following the Think Family guidance Agree and implement a Family Support Plan for support including clear outcomes from the Outcomes Framework. LP to upload to Think Family involvement (themselves if CCC One User, or send to ACT securely to upload if not) Close TAF and inform the ACT Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Think Family Review as necessary through further TAFs (or LARMs if required) until needs are met. 8 The Think Family Intervention It is important to remember that there could be multiple services, involved with the family, who begin/finish their intervention at different times. However, the support that all services provide the family is considered as the ‘Think Family’ intervention. The first graphic below identifies the possible stages of a Think Family intervention: Think Family Intervention The services below are just examples of who could be involved in an intervention School(s) Police Officer Local Authority Assessment End of intervention Support Plan Job Centre Work Coach Housing Officer Think Family Health professional Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 9 The second graphic highlights some of the key timescales for the Think Family Intervention: Think Family Intervention The services below are just examples of who could be involved in an intervention School(s) Completed within 6 weeks of starting Think Family Involvem ent opened on ONE Police Officer Local Authority (Lead Professional) Job Centre Work Coach Support Plan Housing Officer (Lead Professional) Health professional Support First TAF Plan meeting uploaded within 2 onto ONE weeks of within 2 allocation weeks of of service TAF During the intervention, as a guide TAF meetings should take place no less than every 12 weeks, however they can be more frequent dependent on the need. End of Interventionthe ACT needs to be informed within 1 week of closure Think Family Involvement closed on ONE Support Plans will be uploaded onto ONE within 2 weeks of each TAF meeting For families that meet the criteria for the Together for Families programme, the Family Progress Data (FPD) toolkit needs to be completed following the first and last TAF meeting and sent to the TFF team within 2 weeks. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Think Family Assessment A case is allocated and a Team Around the Family (TAF) is set up If the Lead Professional (LP) role changes during the Think Family Intervention, the ACT needs to be informed within 1 week. 10 Quality Assurance All professionals (and their managers) undertaking the Think Family approach are responsible for quality assurance. This means ensuring that they use the processes and the systems appropriately and the Think Family intervention is delivered to a high quality. However, there are some elements of the process which will be audited and qualityassured at a County level. Think Family A robust quality assurance framework will be used to measure and monitor the quality and effectiveness of the Think Family approach. In the event that issues are identified with particular services / agencies advice would be given to identify any remedial action which needs to be put in place to resolve those issues. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 11 Assessment This section contains information and guidance on the following; Overview of the Family Common Assessment Framework (CAF) Before you start How to use the Family CAF flexibly Consent Submitting the Family CAF Links with other assessments Family Common Assessment Framework Introduction The Family Common Assessment Framework (Family CAF) is a standardised and holistic approach to conducting assessments of the additional needs of families. It is designed to support decision making about how these needs might best be addressed and to be used by anyone who works with children, young people, adults and families across the workforce, whether they are employed or volunteers, and working in the public, private or third sector. It can be used whenever you are concerned that a child, young person, adult or family has needs which might require additional support. Family CAF is the primary, generic early assessment tool used by practitioners working with children, young people, adults and families in Cambridgeshire. By providing a common approach it helps practitioners in different organisations to coordinate and plan their work and interventions to meet any identified needs. It can be used to support children of all ages and their families and to help identify and address any type of need which would prevent a child/young person reaching their potential. An example of a completed Family CAF is available as part of the Professional Support Pack which is available here. Benefits Creates a single record of the needs of a child/young person, adult or family and of the action being taken to help them. This avoids duplication, repetition and confusion. Gives children/young people, adults and families one assessment, one plan and one point of contact. Ensures that needs and strengths are considered holistically i.e. from a broad range of different angles rather than being focussed on any one agency, service or need; with a focus on the whole family and how the needs of individual members interact. Makes it easier for practitioners to see and share information about a child/young person and their family. This makes it easier to decide which services are needed, to coordinate delivery with others, and track progress. Ensures that information is stored and shared appropriately (i.e. within consent) and securely between agencies and practitioners Ensures that services are delivered efficiently and effectively and are proportionate to need. Better quality assessments will assist services to target support to those with the greatest need. Ensures that progress is continually monitored and plans adjusted to meet changing needs through regular reviews. Helps with cross-border, multi-agency working; the system works across geographic and organisational boundaries. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Assessment The Family CAF makes it easier to understand the family’s strengths and needs and for different practitioners to work together to meet them. The Family CAF: 12 Can help to identify unmet need and can be used to inform strategic service planning and commissioning. The Assessor This is the term used for those professionals who are involved in the assessment process. This will include the person who starts the assessment process as well as those other professionals who may contribute to the assessment. Depending on whether it is agreed to provide support to the family once the assessment is complete, a Lead Professional will be identified. The Lead Professional role, and how they are identified, is set out in more detail below. Please note that the assessor who commences the assessment is not automatically the Lead Professional. Support for Assessors can be obtained via the Advice and Co-ordination Team on 01480 376666 or ACT@cambridgeshire.gov.uk Before you start an assessment When to use the Family CAF You may undertake the Family CAF in order to assess the needs of a child, young person, adult or family when you think their needs are beyond those which you can address. If you feel that a child, young person or adult in the family is at immediate risk of harm then you should call the Contact Centre on 0345 0455203 Professionals can also use the Family CAF as part of the ‘step-down’ procedure when a family are coming to the end of a period of support from social care. It is not appropriate to use the Family CAF when: A child/young person/adult or family are progressing well and have no additional needs There are concerns that a child/young person/adult may have been harmed or is at immediate risk of harm. In those circumstances you should contact Social Care immediately (via the Contact Centre 0345 0455203). A CAF or Family CAF has already been completed for the child/young person/adult or family. You should check whether a family is already receiving a Think Family intervention and, if necessary, contact the existing Lead Professional. A family should never have more than one Family CAF at a time. If the child or young person or their parents and carers have not given their consent. Services can only act without consent if there is a statutory duty for them to do so because of child protection concerns or nonattendance issues at school. In these exceptional circumstances the Social Care Referral Form should be used to make a referral to social care, and the Statutory Intervention Form (SIF) should be used for school attendance related concerns, rather than undertaking a Family CAF. Check to see if there is an existing involvement of services It is important that professionals are able to check to see whether a CAF, Family CAF or Think Family intervention already exists before starting a new one. For this reason, there must be a record of each Family CAF on Cambridgeshire County Council’s case management system (which can be accessed by the Advice and Coordination Team). When you are considering starting a new assessment, it is important that you inform the Advice and Co-ordination Team by calling 01480 376666 and then send them a copy of the Family CAF. They will log the basic details of the Family CAF but none of the assessment information. The Family CAF is not currently available as an online form for completion although work is currently underway to develop a new electronic solution. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Assessment Electronic Family CAF form 13 Beginning the assessment Talking to the Family The Think Family approach is about a way of working, not just an assessment or a form. Time and care must be taken to ensure the process is underpinned by good communication and that the assessment is undertaken with respect for all parties. It is important that the process is collaborative and the discussion is family centred. Apart from a prenatal assessment, it is not possible to do a Family CAF without seeing or involving the child/young person or family. Key things to remember Each child/young person (or their parent/carer if appropriate) and adult must give informed consent, which means ensuring that they understand exactly what the process involves and what they are agreeing to. In addition: A Family CAF is not a guarantee that services will be provided. It is important that you manage the family’s expectations to avoid possible disappointment. A good Family CAF will take account of the family’s strengths as well as their needs, and your own professional judgement is key to identifying these and working with and advising the family and other professionals effectively. Try not to make the assessment too formal. The questions on the form will prompt you to consider various topics/questions but the form should not be used like a questionnaire; it is a way of recording your discussions with the family. However the information obtained should be recorded on to the Family CAF form itself. You will get a much better quality process if you reassure the family and ensure that the Family CAF is presented in a non-threatening way. Always make it clear to the family that they can decide how much information they provide and who it is shared with. Make use of information you already know about the family so they do not have to repeat themselves (provided they know that you are including this information). Use a method or style that is appropriate to the child/young person or family that you are dealing with. In some circumstances, you may wish to use pictorial prompts to engage children, or involve the child/young person or family in completing parts of the assessment themselves. Consent The Think Family process is entirely voluntary. You must discuss your concerns with the child/young person or their parent/carer before deciding to undertake an assessment and the family should be involved throughout the process. When you begin to talk to a child/young person and the family about Think Family, the first thing you will need to do is explain the process and tell them what will happen to their information. You will need to explain: What the Think Family approach is The benefits of the approach How the family’s information will be held, stored and used and their rights to see/change information held about them What the family will be consenting to (see below) By consenting to the Think Family approach, families support the Lead Professional in being able to share information in order to: Identify the family’s strengths and needs and work out what support they might find helpful Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Assessment Please note, sometimes young people or parents don’t want to give consent for other members of the family to see their information. You will need to weigh this up but it is usually in the best interests of everyone to share the information carefully and sensitively with each other, and over time- most family members understand the benefit of this. See also the Information Sharing section below. 14 Understand if the support the family has received or are receiving has been effective Share details about the family’s Lead Professional with other appropriate professionals on request to support the Think Family approach Evaluate the quality of completed Family CAFs and the Think Family process The Professional Support Pack contains guidance and hand-outs to help you explain the Think Family approach, and to help you get consent, these are available here. Gaining Consent Families will be asked to consent to be part of a Think Family approach and the consent statement on the assessment form outlines how information will be collected, stored and used as part of the intervention and beyond. Once you have completed the Family CAF you should ensure that this has been checked and signed by all members of the family aged over 12 to which the assessment relates to. The consent allows the Lead Professional to share information with the relevant agencies to support the delivery of the intervention. However, the Assessor/Lead Professional should share information proportionately to ensure that only relevant/appropriate information is shared to support the Think Family approach and the achievement of the outcomes identified as part of the assessment. This means you and the family may decide to only share portions of the assessment with other professionals. Refusal of Consent If consent is withheld or withdrawn at any stage in the process, it is important that you keep a record of this in your own case notes. You should also contact the Advice and Co-ordination Team to let them know that a Family CAF has been offered but refused. It is important that we are able to understand why this may be the case. There is a process in place to allow us to capture information on CAF refusals so that potential safeguarding concerns can be identified. The Advice and Co-ordination Team will check to see if this is a repeat refusal and investigative work will be undertaken on families that have refused a CAF on three occasions. If a family refuse a Family CAF at the outset you should continue to work with them and ensure that the Think Family process is explained clearly as they may decide to take up the offer of a Family CAF later on. If the family withdraw consent to receiving support at any time during the intervention then the process should cease immediately. The Lead Professional should alert both the Advice and Co-ordination Team and the other members of the Team Around the Family. It is important that the child/young person or family are involved in the process as much as possible. However, it may not always be appropriate for a child to provide consent. Professionals will need to judge whether the child is competent based on their perceived capacity to understand the implications of the Family CAF and make informed decisions. If you are unsure about whether a child is able to provide consent, consult the Fraser guidelines, seek advice from your manager or visit the Department for Education website for guidance: https://www.gov.uk/government/publications/safeguarding-practitioners-information-sharing-advice The Advice and Co-ordination Team will also be able to provide advice, they can be contacted on 01480 376666 or ACT@cambridgeshire.gov.uk Where parental consent is required, the consent of one parent is sufficient. In situations where family members are in conflict, you will need to consider carefully whose consent should be sought. If the parents are separated, the consent would normally be sought from the parent with whom the child/young person predominantly resides. Consent should not normally be sought from non-relatives or members of the extended family unless they are the child/young person’s primary carer. If the child is an unborn baby, consent should be sought from the mother. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Assessment Parent/carer consent 15 Recording Consent When you have obtained verbal consent from the family to start and store the Family CAF, this should be recorded on the Family CAF in the appropriate sections. Then, during the assessment, you should discuss sharing the information with other practitioners. If you want to share information with a professional outside of the Team Around the Family, then you must discuss and agree this with the family. Obtaining a signature When the assessment is completed, it is important to ensure that the child/young person or their parent/carer and adults sign a paper copy of the form. This should be stored securely by the professional for auditing purposes. Completing the Family CAF It is expected that, in most cases, there should be no more than six weeks between obtaining consent for a Family CAF and finalising the Family CAF assessment. This should allow time to involve other practitioners in the assessment if required but ensures that the family are not left waiting unnecessarily. It is important that the family see the assessment developing with momentum as this will help them to see that they are valued. The professional will need to use their judgment between completing the assessment as quickly as possible and pacing it for the family to suit the needs being identified. Professionals should pay particular attention to the following sections to ensure the Family CAF can be fully considered; Family Details – details of all the people living in the family home - You should record all those individuals who are part of the household. If the assessment relates to that individual then a ‘Y’ should be recorded in the appropriate box. All individuals who the assessment relates to should have an individual strengths and needs section completed and provide consent. Summary of reasons section - On the front page of the Family CAF summarise the reasons for initiating the assessment. This is not meant to be full summary but to highlight the areas of concern e.g. under education you might state ‘attendance issues causing concern’. It is suggested that this box is completed at the end of the assessment and please see below for guidance as to the type of needs/issues which need to be reflected in each section: o Education – including issues around attendance, exclusion, attainment/achievement, behaviour, missing from education. o Crime/Anti-Social Behaviour – proven offences, Anti-Social Behaviour interventions/orders, police callouts/involvement (anti-social behaviour related). o Employment/Financial Exclusion – receipt of out of work benefits, school leavers with no/few qualifications, high risk of becoming Not in Education, Employment or Training, risk of homelessness o Family Relationships – including domestic violence and abuse, police callouts (Domestic Abuse related) o Health – mental/physical needs, substance misuse, A&E admissions, child on an Education Health and Care plan o Other concerns – any other concerns which do not fit into the above What’s working / has worked and barriers and difficulties section - Provide details of what has / hasn’t worked as part of previous interventions from the perspective of the family. This can include the intervention itself, relationships with the worker and levels of engagement. If there haven’t been any interventions or it’s unclear what has/hasn’t worked please write ‘unknown’ rather than leaving it blank. Child / Adult strengths and needs assessments - A separate ‘Adult: Strengths and Needs’ or ‘Child: Strengths and Needs’ section should be completed for each adult or child included in the Family CAF. Please add attendance and progress at the time of the assessment so that progress can be tracked If you are concerned that there is a risk of child sexual exploitation, substance misuse or there is domestic abuse you may wish to consider undertaking a more specialist assessment. Specialist assessments / screening tools are available here Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Assessment Sections of the Family CAF 16 Analysis - When carrying out the assessment, you should consider how each person’s strengths and needs affect/interact with those of other members of the family. In addition, you should ensure that the assessment reflects the views of all parties noting where there is any particular conflict or disagreement. The key elements of the analysis are to look ahead, based on the assessment carried out, and consider what the future might hold for the family. You should identify what the (realistic) position of the family could be in the next 12 months if things do not change. This will help with planning interventions for the family. The voice of the Child / Young Person / Adult Children, young people and adults should be seen and listened to and included throughout the assessment process. Their ways of communicating should be understood in the context of their family and community as well as their behaviour and developmental stage. All members of the family should be actively involved in all parts of the process based upon their age, developmental stage and identity. The voice of each family member within the assessment is important as it ensures that professionals understand the impact of issues on each other. The ultimate aim of the assessment is to improve outcomes and life chances for all members of the family. The voice of the children, young people and adults should also be heard within the review process. Flexible Use The assessment document is a framework not a format to follow prescriptively – if you feel a ‘form’ will be a barrier to the family’s engagement, there is no need to use it directly with the family to order your assessment discussions. It is not essential to complete the whole form to start the process – there are a number of sections which are mandatory (identified with an * on the form) to ensure the assessment can be progressed, but beyond this it is for you to decide how much more you can complete based on your own knowledge, your relationship or role with other family members or your experience of doing assessment, and involvement of other professionals. If a child/young person or family has a very specific need you may decide to only include information in one or two of the sections on the assessment. However, remember that a comprehensive assessment at an early stage leads to swifter and more targeted plans and better outcomes for the family. The assessment you complete may be sufficient to start the Team Around the Family, or it may need to be built upon by another professional. The assessment can be completed by one or multiple professionals – the ACT can support you to identify other professionals who may already be involved with the family to support doing the assessment jointly. It is important to make reasonable endeavours to find out who else may be involved already to ensure the assessment is as good as it can be, as soon as possible. You should include strengths as well as needs, so if there are no needs in a particular section, consider highlighting the strengths. If you are sure that there is nothing to comment on in a particular section, simply indicate “not relevant”. The assessment can be completed when not all family members consent to participate – it is important to always attempt to encourage all members to participate. However, if, for example, one of the adults and one of the children are not willing, this can be identified by stating ‘N’ on page 2 in the column ‘does this assessment relate to this person’. If you state ‘Y’ in this column you are indicating that those individuals have consented to participate (or for children, parents have consented on their behalf) and there is a child or adult profile completed for them. Life cycle of the Family CAF / Recording changes The Family CAF supports the identification of the strengths and needs of the family at a particular point in time. There may be some circumstances where either support available to the family is delayed or where work is Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Assessment The assessment is not a rigid framework and practitioners are encouraged to use their professional judgement when using the Family CAF form. The form is intended to prompt you to consider all the sections, including areas not immediately evident, but you will need to decide how much detail to include depending on the individual circumstances. The following are guiding principles in relation to flexible use: 17 completed but families need additional support. In these situations it is important that the assessment remains relevant and reflective of the family’s circumstances. Therefore if the family re-engage with services after previously having had a Family CAF and the assessment is over 6 months old, or there has been a significant change in circumstances then the Family CAF should be re-done. During the Think Family intervention any additional information / strengths / needs should be recorded on the Family Support Plan and not the Family CAF. Submitting the Family CAF Once you have completed the Family CAF you should ensure that this has been checked and signed by all members of the family aged over 12 which the assessment relates to. Once signed, either the signed Family CAF can be submitted securely to the Advice and Co-ordination team via email ACT@cambridgeshire.gov.uk or via post to Advice and Co-ordination Team, Cambridgeshire County Council, Shire Hall, Cambridge CB3 0AP or the Family CAF can be submitted with a covering letter from the assessor confirming they hold a signed version. Please do not submit the Family CAF until consent has been obtained. It is the assessor’s responsibility to decide what action to take and which services to involve, please see the next section on planning and delivering services. Other Assessments In the majority of cases, a Family CAF will be the first assessment completed for a child/young person or family’s additional needs. However, if a Family CAF assessment reveals the need for a specialist service, a more specialist assessment might also be required in that specific area before a decision can be taken as to what support to provide. In this situation, a Family CAF may run alongside a specialist assessment. See the planning section relating to the alignment of planning processes when a specialist service is involved. Where this is the case the Family CAF should strongly inform the more specialist assessment and where possible information should be transferred between the two to avoid the need for the family to be asked to repeat their story again. This initial duplication will lessen the need for repeated information entry in future, and for manual searching between records held across various organisations or services. If the specialist assessment also provides a holistic assessment of the family’s needs, it may be that this would then supersede and replace the Family CAF as the family assessment. The key example of this would be a Social Care Single Assessment (section 17 assessments or Section 47 enquiry). Where the Family CAF is used to access the Education Health and Care Plan (ECHP) process, the Family CAF would still inform the Family Support Plan with the EHCP forming part of that process (see further references to the EHCP in this guidance). In most cases it will be helpful to keep the Family CAF assessment live, alongside the specialist assessment so that the family’s holistic needs are still captured as well as the more specific information from the specialist assessment. Where a child has had one or more specialist assessments in addition to their Family CAF it will be important that the Family CAF references the existence of these and explains how they can be accessed. This ensures that a single complete record of all the needs and actions for a child or young person is maintained. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Assessment For example, a specialist physiotherapy assessment would probably not capture all of a family’s needs and so would exist in addition to rather than instead of a Family CAF. 18 Storing / Sharing Information This section contains information and guidance on the following; Principles for storing and sharing the Family CAF and the Family Support plan Principles Whilst guidance cannot be given for every eventuality, it may be useful to consider the following principles when considering how and when information can / should be shared as part of the Think Family process i.e. sharing information recorded as part of the assessment or other information which comes to light as the Family Support Plan progresses; Storing and sharing the Family CAF Sharing With reference to the principles above, a copy of the completed Family CAF should be given to the family/individuals who have completed the Strengths and Needs section. The Family CAF may be shared with members of the TAF if the Lead Professionals feels this would support the development of the Family Support Plan. Storing The Advice and Co-ordination team will store the Family CAF securely and retain until the youngest child/young person reaches the age of twenty five years. The Lead Professional should also retain a copy of the Family CAF for one year after the Think Family intervention has been closed. This copy must also be stored securely. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Storing / Sharing Information ‘Dare to share’ – Serious Case Reviews often highlight improvements can be made in sharing information both across agencies as well as within internal services. Children are protected by sharing information, therefore professionals should consider very carefully if they decide not to share information to support the work with the family. Specific elements of the Family CAF can be shared - whole sections, individual strength / need sections, or specific information can be removed for the purposes of sharing. This includes situations where certain sections of the Family CAF may not be shared if, for example, there is animosity between family members, separated parents or other situations which could prejudice the effectiveness of the intervention if the information is shared. Sharing must be proportionate – whilst the consent allows information to be shared with all public services, the Lead Professional should only share data with those agencies who are relevant to supporting the needs of the family e.g. if there is no intelligence that there was crime / anti-social behaviour in the household then the full assessment wouldn’t be shared with the police (although a marker might be placed on their system to identify the family were receiving a multi-agency response). Level of information shared - usually it will be helpful for as much relevant information as possible to be shared with all members of the Team Around the Family and this should be promoted with families. However, their request to withhold certain parts of the assessment from other professionals should be respected. Flexible meetings - TAF meetings can be organised flexibly to respond to the dynamics of the individual family. Emerging safeguarding concerns - In all situations, professionals should continue to follow safeguarding procedures and refer to social care where there are child protection concerns. This should be discussed with the Lead Professional in advance if possible to avoid multiple referrals to First Response and Emergency Duty Team. 19 Storing and Sharing the Family Support Plan Storing The Lead Professional is responsible for ensuring the completion of (with assistance from other professionals if appropriate) and secure storage of the Family Support Plan once agreed by the family. The Table below outlines the responsibilities and actions required: If… the Lead Professional is from the County Council Then… the Lead Professional should upload the Family Support Plan to a communication log on the Think Family involvement on ONE – see separate ONE technical guidance available here the Lead Professional is not from the County Council or not a Capita ONE user but there is a County Council professional involved with the Team Around the Family the County Council Professional should upload the Family Support Plan to a communication log on the Think Family involvement on ONE – see separate ONE technical guidance available here the Lead Professional is not from the County Council and there is no County Council professional involved with the Team Around the Family the Lead Professional should securely send the completed Family Support Plan to the Advice and Coordination Team who will upload it to the Think Family involvement. For guidance on sending documents securely please contact the Advice and Co-ordination Team via 01480 376666 Sharing The Family Support Plan should be shared with the Family and with members of the Team Around the Family and this should be overseen and co-ordinated by the Lead Professional. At the first Team Around the Family meeting ensure an information sharing agreement is signed by all in the Team Around the Family and a template is contained within the Professional Support Pack located here. Members of the Team Around the Family should not share the Support Plan with other professionals without discussing with the Lead Professional. Storing / Sharing Information In complex family situations the Lead Professional should use their judgement on how to structure the review meetings (and documentation) to ensure that the parties involved feel confident in discussing the issues. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 20 Planning Services This section contains information and guidance on the following; Options for providing support Creating and managing a Team Around the Family Information on Locality Allocation and Review Meetings Once the assessment has been completed you should have a much better idea of what the strengths and needs of the Family are. If it is agreed that additional support is needed then the assessor (in conjunction with the family) should identify what they would like to happen next. The possible options include: Respond to needs within own service Request involvement from a single agency using this assessment as we believe that one agency can address the needs identified Arrange a Team Around the Family (TAF) meeting with all family members (if possible / appropriate) and involved professionals. This may involve requesting involvement with new services Request to attend a Locality Allocation and Review Meeting for multi-agency discussion based on this assessment because it is unclear what services could be appropriate for the needs identified If the Assessor is unsure, they can contact the Advice and Co-ordination Team on 01480 376666 or ACT@cambridgeshire.gov.uk The voice of the Child / Young Person / Adult Children, young people and adults should to be seen and listened to and included throughout the planning process. Their ways of communicating should be understood in the context of their family and community as well as their behaviour and developmental stage. All members of the family should be actively involved in all parts of the process based upon their age, developmental stage and identity. The voice of each family member within the planning process is important as it ensures that professionals understand the impact of issues on each other. The ultimate aim of the planning process is to improve outcomes and life chances for all members of the family. The voice of the Children, young people and adults should also be heard within the review process. Respond to needs within own service In a small number of cases, you might have started a Family CAF because the needs of the family were unclear but find that after the assessment the identified needs can all be met your own service/agency. In this situation, you will use the processes internal to your organisation to plan and deliver services. It will not be necessary to complete a Family Support Plan unless your service is part of Cambridgeshire County Council. On occasion the Family CAF may reveal the need for a more specialist assessment to be undertaken to discuss the detail of a more specific need(s). The assessor should use the assessment to support the request for support from the additional agency. Please be aware that some agencies require additional / specific information to support a request for services therefore this should be considered prior to making the request. The Professional Support Pack available here contains details of the current services which require additional information. If you are unsure which agency would be the most appropriate to provide support then please contact the Advice and Co-ordination Team on 01480 376666 or via ACT@cambridgeshire.gov.uk Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Planning Services Request involvement from a Single Agency 21 Team Around the Family (TAF) If it is clear, following the assessment that the needs assessed will require more than one service involved and you are clear which services should be involved, you should consider organising a Team Around the Family (TAF). The purpose of the TAF is to bring together a group of professionals, along with all members of the Family (where possible / appropriate), to help meet the family’s identified needs. The TAF could be just the Lead Professional and the family however it is likely that it will include a group of practitioners as well. If you are unsure which services should be involved or the family have particularly complex or difficult needs then you can discuss the family’s needs with the Locality manager through the Locality Allocation and Review Meeting (see below) or you can contact the Advice and Co-ordination Team on 01480 376666 or via ACT@cambridgeshire.gov.uk Before involving any other service you should review the Family CAF to ensure the child, young person or parent/carer has not withdrawn their consent to sharing information with that particular professional or service/organisation. Role of members of the Team Around the Family Professionals who are part of the TAF but aren’t the Lead Professional would be expected to: Understand and respect the role of the Lead Professional Continue to follow safeguarding procedures and refer to social care where there are child protection concerns. Discuss the need for this with the Lead Professional in advance if possible Participate in the gathering of information to inform assessment of family needs Update the Lead Professional on involvement, information gathered and work completed on a regular/agreed basis Ensure the work undertaken is reflected in the Family Support Plan and works towards the common goals agreed by the Team Around the Family. Be accountable for individual actions assigned to you and ensure these are carried out Commit to attend Team Around the Family meetings as a core function of your role to ensure work is well co-ordinated and consequently more effective with families. Where this is not possible to consider whether it would be possible / appropriate for a representative to attend instead and / or ensure that information is shared in advance of Team Around the Family meetings Agree to share information with other professionals in the Team Around the Family as agreed as part of the Family Support Plan Commit to put the family’s needs at the centre and be part of the solution to overcome professional difference. All members of the Team Around the Family need to share a willingness to be open and reflective about thinking and practices and understand the perspective of other professionals to enable better multi agency working Please note: In some settings and services such as nurseries and mental health services, a professional linked to a child or adult is known as a keyworker. This means they are the designated professional from that service for that child or adult, but does not mean they are the Lead Professional The Team Around the Family should be convened and have its first meeting within 2 weeks of completion of the assessment. However, consideration should be given balancing the need to secure the attendance of key professionals, meeting the needs of the family and avoiding drift. Locality Allocation and Review Meetings (LARM) *The County Council is currently reviewing the LARM process and this section will be updated in 2016* The Locality Allocation and Review Meeting (LARM) is a multi-disciplinary professionals meeting providing a timely, co-ordinated and integrated response to identified needs of families. It has a focus on the allocation of resources in Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Planning Services Timescale 22 terms of skill, expertise and capacity across services. It provides a forum for information sharing and problem solving. Tasks to support the identified needs of the child and family will be allocated to professionals through this process. Differences between the LARMs and TAF LARMs are multi-disciplinary professionals’ meetings aimed at providing a co-ordinated and integrated response to identified needs of children, young people and families. The “allocation” element of the meeting focuses on resources, information sharing and problem solving for children with more complicated or less clear needs. Cases return to the LARM at agreed points to be reviewed. LARMs are held regularly, with a consistent membership and consider several Family CAFs per session. TAFs are bespoke meetings held to consider a particular Family CAF assessment. They are held with the child, young person and family as well as the particular group of practitioners involved in meeting the family’s needs. It should be noted that LARMs and TAFs are not mutually exclusive, in some cases both processes could be used for a single Family CAF, for example with an initial discussion at a LARM leading to the agreement of the appropriate practitioners who will then meet as a TAF thereafter. Similarly a Family CAF that is being managed through a series of TAF meetings might run into a resource allocation problem and need then to go forward to the LARM for resolution. Types of LARM LARMs cover children, young people and families from age 0-19. They are configured differently according to the geographical size and number of schools in a Locality. Consideration should be given by the Assessor, in conjunction with the relevant Locality Manager, as to where the family would be best discussed. This decision should be based on either the complexity of need of the youngest child, or the level of need of other siblings/parents, whichever is greater. Assessors should make it clear to the family that there will be a range of different professionals at the LARM considering their case. LARMs will cover all age groups from 0-19 All children and young people discussed will have been involved in a Family CAF assessment Agendas and membership will be organised wherever possible to reflect core members’ area of responsibility and expertise and to make best use of everyone’s time It is recommended that wherever possible, LARMs will serve a geographical location covered by a school cluster (secondary, feeder primaries and relevant Early Year’s settings). If the child attends a school out of the cluster catchment, the locality manager will need to make a best fit decision about where the case should be discussed Cases discussed will be mainly those at Levels 2 and 3 of the Model of Staged Intervention (MOSI) The child, young person and/or parent must consent to the sharing of information with representatives of agencies attending All children, young people, adults and families discussed at the LARM will be allocated a Lead Professional Lead Professionals can ask the LARM for additional support / guidance but if the Lead Professional is within a specialist agency (e.g. social care) then this will only be done by exception Children, young people and families will not usually attend the LARM; their views and opinions will be represented by the Family CAF assessment and through the person who assessed them and/or the Lead Professional. If the child/young person and family want to attend, a TAF meeting should be organised instead Membership and Chairperson The LARM will be chaired by the Locality Managers with business support provided by locality teams unless there is a clear evidence that another arrangement would be more effective Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Planning Services Additional points to note: 23 Locality Managers may choose to delegate the role of Chair to Children’s Centre Manager for those LARMs which are focused on 0-5 yr olds, where appropriate All LARMs to have a named Vice chair Membership will consist of a Core Group and an Extended Membership Core Members will be expected to prioritise LARMs and to commit to regular attendance. As a minimum school nurses and a member of the Primary CAMHs team is expected to regularly attend at least one LARM in each locality per fortnight. The decision over which LARM to attend will be made by discussion between the Locality Manager and the Service concerned The Extended Membership will operate on an ‘invite-only’ basis and practitioners will attend only those sessions where there are children or young people identified as likely to benefit from their input into the discussion. The Locality Manager will take responsibility for liaising with and inviting practitioners in the extended membership where appropriate Core Membership: Under 5’s LARMs Health Visitors Children’s Centre Manager or senior representative Midwife Early years Education Representative Extended Membership-By Invitation Family Nurse Partnership Children’s Centre Family worker Early Years Settings Speech and Language Therapy Support for Learning Service Social Care as per Locality Agreement GP Police Early Support Housing CAMH Voluntary Organisations Other professionals invited as required for a specific discussion about a particular family Senior Family Worker/Family Worker Education Welfare Officer Cambridgeshire Community Services School Nurse (school aged) - One LARM per locality Secondary School Pastoral Staff as nominated by school (secondary school) Education Inclusion Officers (secondary school and primary to secondary transition) Youth Development Co-ordinator/young People's worker( secondary and transition) Primary Care CAMHs worker - one LARM per locality YOS Prevention Worker and Senior social worker when part of a Locality team Voluntary organisations Extended Membership: By invitation Primary specialist teachers Fire Guidance adviser (secondary) Police FIP workers Educational Psychologists Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Planning Services Over 5s LARMs 24 Portage CAMH tier 3 and 4 Alternative Provision provider YOS Early Support Area SENCO (Support for Learning) Social care (with reference to the social care/localities protocol) Nominated school attendees (primary, secondary and special) Early Years Settings Housing GPs CASUS and other Substance Misuse Providers Other relevant providers Community Paediatrician When to take a Family CAF to a LARM A Family CAF should be considered at a LARM when; The needs identified are more complicated and would benefit from a multi-agency discussion on the best approach The appropriate support required is not clear and initiator is not confident about how to proceed There is a need to discuss whether the required resource can be allocated There is a particular problem relating to a Family CAF or the support being provided which needs to be discussed or escalated for consideration An ongoing Family Support Plan is not working and needs to be reviewed and a new approach agreed Frequency Planning Services Locality teams can decide locally how best to configure their LARMs to ensure that every setting, early years, primary or secondary schools have access to a LARM every fortnight. The dates for all LARMs are available here. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 25 Delivery of Services This section contains information and guidance on the following; Creating, using and reviewing the Family Support Plan The role of the Lead Professional Engaging families Family Support Plan Purpose The purpose of the Family Support Plan is to allow the family and professionals to plan together how best to meet the short term and long term priorities identified within the assessment to address the family’s needs. The Family Support Plan should be used to record the outcomes the family wishes to achieve on all cases regardless of whether there is a single agency or multi-agency response. The Family Support Plan template (as well as an example of a completed plan) is available in the Professional Support Pack available here and should be used by all services who are working with families in Cambridgeshire and following the Think Family process. The only exception to this is where there is a child (ren) on a Child Protection Plan. Delivery of Services The graphic below provides a description of the key elements of the Family Support Plan and outlines how it should be completed. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 26 The overarching needs of the individuals within the family. These should be formed / summarised from the analysis and goals section of the Family CAF and framed as a need rather than problem The outcomes of the intervention are generated with the family, from a combination of the goals identified through the initial assessment, and input from the professionals (with reference to the outcomes framework). The outcomes should be measurable through using through the outcomes framework indicators. This will focus the TAF around what the family hope to achieve and being able to evidence the family achieving sustained and significant progress Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk The actions will be reviewed and progress noted at each review meeting. E.g. Child A’s attendance rate has improved and is now at 90% across 3 consecutive school terms Delivery of Services In consideration of the needs identified, the actions which need to be undertaken to progress the family towards achieving the outcome will need to be recorded, ensuring that a named professional / family member is attached to each action and timescale. There should be at least 1 family action included here 27 Identify Outcomes The outcomes and success measures recorded on the plan should be identified using Cambridgeshire’s shared Outcomes Framework (the Framework) which is available here There are 5 outcomes for Cambridgeshire which have a list of eligibility priorities and indicators to evidence improvements: Children are ready for and attend school, and make expected progress Adults and young people have the skills, qualifications and opportunities to succeed in the employment market and make a positive contribution Families enjoy good physical and mental health and have a healthy lifestyle Families are protected from harm and neglect and are provided with support with their problems before they become too difficult to manage, increasing their resilience Families contribute to the community and are not engaging in anti-social or offending behaviour The Framework has, in conjunction with Partner organisations, been designed to identify a standard suite of indicators which can be used to quantify the progress towards achieving or making sustained and significant progress towards the identified outcomes for families. Incorporating the Framework throughout the Think Family process ensures we are putting in place actions relevant to achieving genuine sustainable changes to a family’s life. When using the Outcomes Framework there is flexibility in the chosen indicators i.e. they can be made relevant to the family whilst ensuring their meaning is maintained. For example, if there is a desired goal for the family that does not align with an indicator on the Outcomes Framework it can still be included. If you have queries over which indicator to use please contact the Advice and Co-ordination Team on 01480 376666 or via ACT@cambridgeshire.gov.uk Review It is expected that during the Think Family intervention the Team Around the Family (or Lead Professional in cases where there is not a Team Around the Family) should meet at regular intervals to review the support being provided and identify the progress towards the identified outcomes the family is making. Where the Lead Professional feels they need additional support / advice then then the case can be taken to the Locality Allocation Review Meeting. These reviews should occur no less frequently than 3 months (for the duration of the Think Family intervention) but these could take place much more often depending on the needs of the family. Delivery of Services At the review meeting it is expected that there is reflection by both the family and the professionals on how the support is going, what is/isn’t working and whether the outcomes have been achieved. During the meeting the plan should be reviewed and updated. Families (as well as the Lead Professional) are encouraged to sign the support plan as an acknowledgement of the work they have been identified to complete. However, this is not a mandatory requirement. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 28 Reviewing the Plan The following sections provide a basic example of how the main body of the Family Support Plan should be structured alongside an example of how the plan should be reviewed / updated. There is also a video guide which is available as part of the Professional Support Pack available here. First Review Delivery of Services Note that the fourth column (Family Support Plan Review) is updated to reflect the progress towards achieving the identified outcome. As the outcomes have not been achieved the row has been added to the ‘New / on-going’ needs section and two actions have been replaced. If through this review process it is identified that there has been a significant change which has/is impacting on the family’s circumstances e.g. a death in the family or new needs have emerged then these should be identified and added to the ‘New and ongoing needs’ sections of the support plan (not added to the original Family CAF). Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 29 Second Review Note the ‘New / ongoing needs’ section from the first review has been copied to the top of the Family Support Plan and the progress noted. On the basis that the outcomes have been achieved this section is not added to the ‘New / ongoing needs’ section of the second review. If this was the final outcome to be achieved then the intervention is likely to close. Transition between early help and specialist services Specialist services including Social Care (for Child In Need level cases), Youth Offending Team, Family Intervention Partnership and Early Support will be using the same Family Support Plan template as Early Help services. As such, the Family Support Plan should travel with the family if they transition between these services to avoid multiple plans being open. Delivery of Services Specialist services should add additional needs/outcomes/indicators to the plan relevant to their intervention and continue to store the plan in accordance with the guidance above. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 30 Lead Professional Principles of the Lead Professional role The Lead Professional role aims to ensure the provision of holistic care and support to meet the individual needs of all children, young people and adults within a whole family. Lead Professionals should aim to uphold the following principles in their activity: The needs of adults and children will be addressed in the context of the whole family and not as individuals in isolation from one another The Lead Professional is for the family, not the individual. Where there are complex family needs there may be multiple services involved for different family members Children, young people, adults and families will be empowered to enable them to make informed choices, develop family resilience and also access universal and community services wherever possible The views of the child, young person, adults and family, and other professionals involved with the family will be listened to and respected The safeguarding and promotion of the welfare of children, young people and vulnerable adults remains paramount Children’s needs are usually best met by supporting their parents to look after them Needs are best met by timely assessments, support and provision of services; all experienced by the child, young person, adults and family as holistic, coordinated and seamless Service responses should be needs-led, aim to support the child, young person, adults and family, respect their private life and prevent unnecessary problems from arising Diversity will be valued and fully considered in agency responses Identifying the Lead Professional and where this is recorded The Lead Professional can be anybody who works with children, young people, adults or families, and should have access to the appropriate training and supervision in order to undertake the role. The Advice and Co-ordination team may assist in the identification of the Lead Professional where it has not been possible through usual routes. There will be some professionals who are more likely to undertake this role than others but in all cases the following principles should be considered when identifying who should be the Lead Professional: It should be decided in partnership with the family where possible It is often the person who is most involved already The Lead Professional is not necessarily the person who initiated the involvement or assessment. If the family begin working with Children’s Social Care under section 47, Child Protection, the Social Work Unit will always take the Lead Professional role. If the Family Intervention Partnership team become involved, they will always take the Lead Professional role unless Children’s Social Care is involved under section 47, Child Protection. If the family begin working with a statutory service such as Children’s Social Care under section 17, Child in Need, or Adults Social Care or the Youth Offending Service, a discussion should be held between the existing Lead Professional and statutory service to discuss who is best placed to hold the Lead Professional role. Where it is possible the statutory service involvement will be short term, it is likely therefore to be appropriate for the existing Lead Professional to retain the role. The Lead Professional does not in these circumstances assume any responsibility for the delivery of the statutory obligations of the statutory service. Central records of who is taking the Lead Professional role for families are held on the County Council’s ONE system. ONE users are able to view this record themselves in the ‘Think Family’ involvement screen. Non County Council users are able to contact the Advice and Co-ordination team to request information or update the record following a change. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Delivery of Services 31 When the Lead Professional should be changed and what to do at handover The Lead Professional may be changed if: a statutory service or the Family Intervention Partnership team become involved as above the relationship is not working the Lead Professional is a member of school / Early Years setting / college or employment staff and the child or young person moves school or setting the family moves to another location the service the Lead Professional works for has completed their work with the family the Lead Professional leaves their job/moves away there is a need for a transition of responsibilities e.g. child with main needs is now over 18 and there is a need to transfer responsibility to adults services. it is felt appropriate for another reason and this is agreed by the family and the Team Around the Family The family should always be part of discussions about changing the Lead Professional but when an existing Lead Professional hands over the role to a new Lead Professional then: The handover should be well planned and all information, including the assessment, and previous Family Support Plans, should be given to the new Lead Professional. County Council ONE system users will have access to Family Support Plans through the Think Family involvement. CCS System ONE users will have access to Family Support Plans for those on the Early Support Pathway through System One. The new Lead Professional must inform the Advice and Co-ordination Team that they are the new Lead Professional. The Advice and Co-ordination Team will update the central record. If the family is part of the Together for Families cohort then the existing Lead Professional must handover the Family Progress Data Toolkit to the new Lead Professional for completion when the Think Family intervention ends. Wherever possible a joint meeting between the old and new Lead Professional should take place. What is expected of the Lead Professional role It is unlikely that the Lead Professional will personally carry out all of the functions outlined below. They should however, ensure they are being carried out, as appropriate, by someone within the Team Around the Family. Co-ordination Facilitate Team Around the Family meetings (or arrange for someone else to do so), ensuring they are held regularly as required. The Team Around the Family is a multi-agency team of professionals that have been identified by the Lead Professional and family as being best placed to support the family to meet their needs. Ensure any services which are needed in addition to those already identified, are contacted and involved. Negotiate with those services where necessary Be a central contact point for families and professionals. Ensure everyone is working to a common purpose using the Outcomes Framework Coordinate any interventions that the family is receiving and help minimise duplication Proactively manage the potentially difficult dynamic inherent in multi-agency working. Ensure members of the Team Around the Family understand the role of the Lead Professional and their role as a member. Encourage openness and sharing the purpose of the role of all members of the Team Around the Family. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Delivery of Services Emotional and practical support Build a trusting and collaborative relationship with the child, young Person and family. Be persistent to engage them where necessary Help them feel part of their plan and in control of their lives, despite involvement from what may be several services Provide emotional and practical support via regular contact with the child, young person or family (not just in times of crisis) e.g. by phone, visits, email. Or arrange for others in the Team Around the Family to do so. Empower families to take the initiative where possible and keep them central in decision making Advocate for families in accessing or communicating with other agencies as needed Support families to help them navigate and access services needed for their child and family. 32 Seek advice from line managers or Together for Families clinicians (see below for details) where the dynamics are becoming a barrier to progress. Assessments and planning Ensure there has been an assessment of the whole family’s needs using either the Common Assessment Framework (Family CAF) or other approved family assessment (Single Assessment, Family Intervention Partnership assessment) Ensure there is a Family Support Plan which clearly identifies the outcomes the Team Around the Family are working towards, the role of all family members and professionals in achieving these outcomes, and how success will be measured from the Outcomes Framework Ensure the Family Support Plan is regularly reviewed and updated in accordance with Family Support Plan guidance and shared with the family and other Team Around the Family members. All professionals will use the Family Support Plan unless there is a Child Protection Plan/Child In Need Plan Be mindful through ongoing assessment and discussion with the Team Around the Family of any changing circumstance which may require the child, young person or family to require more specialist support Identify the strengths and needs of all family members involved and identify associated risks and areas for concern Information sharing At the first Team Around the Family meeting ensure an information sharing agreement is signed by all in the Team Around the Family. A standard template for this can be found in the Professional Support Pack available here. Ensure the family are clear about what will be shared and what won’t and with whom. Ensure information is being shared in line with the agreement between professionals and with the family. Provide the family with accurate and up to date information Promote seamless integration of specialist, enhanced and universal services Records County Council Lead Professionals will ensure the record on the County Council’s ONE system is updated. If not, Lead Professionals should inform the Advice and Co-ordination Team. Users of the County Council ONE System must upload their Family Support Plan onto the Think Family involvement. Those who are not users of the County Council ONE System must send their Family Support Plans to the Advice and Co-ordination Team who will update the central record. For Together for Families cases, ensure the Data Toolkit is completed at the beginning and the end of the intervention, and a closing statement is completed when the Family Support Plan comes to an end. What is expected of the Lead Professional role at different levels of need Emerging needs Unlikely to have a complex Family Support Plan and Lead Professional will take a minimal role Short term support, unlikely to require frequent and regular proactive contact Targeted needs Likely to have quite a complex Family Support Plan requiring more Lead Professional activity as there will be multiple professionals involved Family may benefit from frequent and regular proactive contact and responsiveness in early stages, but likely to reduce after a short period of time May require hands on and practical help Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Delivery of Services The level of work required to perform the role of Lead Professional will vary depending on the needs of the family. The role includes the same themes in relation to activity; however, the level of activity will be proportionate to the situation. It is important that Lead Professionals and managers take account of the wide range of factors which can contribute to the level, intensity, frequency and number of functions that children, young people and their family may require. This includes the level of need, complexity of the package of support and the family’s resilience, resources, support networks and times of transition or change. 33 Complex needs Likely to require a complex Family Support Plan, and intensive Lead Professional activity over an extended period of time, with involvement of multiple practitioners Family may benefit from a Lead Professional who can dedicate a significant amount of their time, at least in the early days or at times of crisis, to offer this intense level of support Persistent and assertive challenge to the child, young person and family may be required May require hands on and practical help What is not expected of Lead Professionals The Lead Professional is not an expert in all aspects of the different needs the family presents. It is therefore vital that all members of the Team Around the Family contribute fully. In addition: The Lead Professional is not responsible or accountable for the actions required by or carried out by other professionals within the team around the family Being the Lead Professional does not mean that person is the ‘best’ professional within the Team Around the Family, all professionals are experts in their own field and all contributions valued as such The Lead Professional is not expected to respond personally to unmet need but rather to consider with the Team Around the Family how this could be met Things Lead Professionals may need to consider: Family Family needs: parental capacity, emotional needs, social isolation, support networks, working patterns Living conditions: housing Changes in family life e.g. moving house, divorce, new baby Consider the implications of race, ethnicity, gender, religion, language, SEN and disability Social development Peer interaction Transition to adult services Supporting Independence Care Medical needs Medical needs of other family members Special Educational Needs and Disability School attendance Exclusions Transition into Further Education/ Employment/ Training Managing a Lead Professional It is important that for your organisation, work has been completed as part of Think Family implementation to create a framework which helps determine how many families professionals/workers/volunteers within your organisation can be expected to be Lead Professional for. The framework should include processes to: Ensure that the Lead Professional feels well supported. This will be through the organisation’s own supervision arrangements, or through an agreement with another organisation Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Delivery of Services Learning / employment Good start at school Transition to setting or school Transition to secondary school Other family needs and their relationship with school Special Educational Needs and Disabilities 34 Ensure the Lead Professional has access to all the training that they need to carry out the role well. All Lead Professionals should complete the Think Family Lead Professional module. Offer advice in the case of difficulty, or know where to point the Lead Professional for that advice Endeavour to ensure through regular communication that the Lead Professional has a manageable caseload, taking into account the number of families they are Lead Professional for, and the level of involvement or potential involvement with those families Training A full range of training sessions have been developed to support practitioners in working through the Lead Professional role. It is recommended that all professionals who are likely to take on the Lead Professional role undertake at least the Lead Professionals module, and then assess their own professional development needs and attend other modules as appropriate. The training modules / support available for both Lead Professionals and other professionals involved in the Team Around the Family are outlined in the Support section below. Engaging families How to engage families Positive engagement methods should always be used. Research evidence shows that to engage families agencies to consider the following: What doesn’t work in engaging families Highly controlling professionals with a rigid adherence to rules - Flint (2011) notes that ‘engagement with a project [does not] occur in a social or emotional vacuum in which the quasi-legal and contract-based rationalities of sanction or threat of enforcement [are] of primary significance’ Disregarding individual circumstances - failing to locate the person/family in their social and cultural context. Morris and Featherstone (2010)1 note the importance of ‘listening to parents and children’s experiences of 1 Morris, K and Featherstone, B (2010) ‘Investing in children, regulating parents, thinking family: a decade of tensions and contradictions’ Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Delivery of Services Being realistic: it takes time to change entrenched behaviours – expect lapse and relapse. Favour approaches that create rapport and build positive relationships: People are influenced to change (and not to change) by those whose advice they respect and whose support they value. Develop open, trusting, moral, warm and good humoured relationships. Flint (2011) notes that the evidence from Intensive Intervention Projects shows that ‘securing the support and co-operation of young people and their families and the ability to informally challenge them, coupled with the use and withholding of rewards, were the central mechanisms in facilitating engagement and behavioural change, rather than recourse to formal sanctions of enforcement’. Respect individuality: a one size fits all approaches run the risk of fitting no-one. Recognise the significance of social contexts: engaging people to work to give up crime or other forms of behaviour requires the building of new networks of support and opportunity in local communities and a new attitude towards the re-integration of people. Co-produce: this is not what the practitioner does but what s/he does in collaboration with the service user, i.e. co-relate, co-engage, co-assess, co-plan, co-review and act as a font of hope for the future. Promote redemption: recognise and reward efforts to give up crime or other behaviour as to encourage and confirm positive change and promote engagement. Working restoratively: people will make positive changes when those in positions of authority do things with them rather than to them or for them. According to the Social Discipline Window, a restorative approach requires a balance of high levels of limit setting, boundaries and challenge with high levels of support, encouragement and nurture. Flint (2011) notes that ‘more likely to bring about engagement with support packages is … a clear and non-negotiable structure of expectation in which the persistent and assertive approach of … interventions … based upon the positive relationships established with families, with an emphasis on guidance and reflection rather than simplistic notions of challenge’. 35 family life; paying close attention to how they go about making moral and practical decisions in particular contexts; understanding the contemporary array of family forms…[and understanding] people’s experiences of transitions’. Trying to fix people – all approaches need to work towards empowerment for people to ‘do’ for themselves not have professionals ‘do’ for them Labelling people - labelling and stigmatising people runs the serious risk of establishing negative identities rather than diminishing them. Failing to use judgement as to the reasonableness of pursuing sanctions and the nature of failures e.g. wilful non-compliance or the person’s level of maturity inhibits their understanding of requirements. Natural Consequences Introduction Within Cambridgeshire the term ‘natural consequences’ is used to describe to families what possible outcomes there could be if behaviour or their situation does not change. The word consequences is therefore used throughout this strategy as a collective term to describe the various sanctions, tools, powers and levers that are used by public sector organisations in Cambridgeshire. A key element of the Think Family approach is to develop more persistent, assertive and challenging practice with families where appropriate. There has been a growth in recent years of policy rhetoric relating to the provision of ‘non-negotiable’ support by linking non-engagement with the support to a sanction. Flint (2011)2 argues that the rationality of ‘non-negotiable’ support fails to be translated into practice. This is due to ‘misunderstanding of the impact of potential sanctions on the subjectivities and conduct of individuals, the voluntary basis of intensive intervention and the primary influences upon behavioural change being located in the informal aspect of the relationship between the providers and the subjects of support’. In all cases it is therefore vital as a first principle that positive engagement methods are employed to begin and maintain a working relationship with families. However, agencies in Cambridgeshire will need to continue to use the tools and powers available to them for the purposes of child, adult, family and community safety. Therefore there are three key reasons why guidance in this area is needed: 1. To prevent use of consequences by one agency when information from another would indicate this to be inappropriate Case example A mother who was on Jobseekers Allowance missed an appointment with her JCP Advisor as she was the victim of a serious episode of domestic violence and was placed following emergency intervention in a hostel for her and her children’s safety. Unfortunately as the JCP Advisor was unaware of this, due to her non attendance, the mother was put forward for a sanction to stop her benefits payment. 2 Flint, J (2011) ‘The role of sanctions in intensive support and rehabilitation: rhetoric, rationalities and realities’ Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Delivery of Services The majority of public sector organisations working with children, adults and families have a range of tools and powers available to them. When there are several different professionals involved with a family it is possible for the use of these consequences to be a source of disagreement between professionals and cause further problems for families who experience fragmentation in approach and disunity between agencies. At worst, the application of a consequence could cause a high degree of additional distress to families and unnecessary cost to other agencies. 36 2. Where appropriate to make better use of consequences to promote engagement of families who are less initially willing to engage with services Research conducted by the national Troubled Families team indicates that families who have been less willing to access support services may be more willing to accept support at the point of crisis. There are key crisis points which can lead to families being willing to accept support: o Loss of home o Loss of liberty o Loss of children o Loss of finances The presentation to families of the risk of these events occurring therefore could provide a one-off opportunity to engage families with support services. Case example A family who were perpetrators of long term Anti-Social Behaviour in their community had been offered support by a range of agencies over a period of time but had refused to engage with the support. The housing provider then felt forced into a position to serve a Notice of Seeking Possession and move to evict the family due to the impact on the community. At this point no agencies offered to support the family to change their behaviour at this point of crisis for the family. As a result the family were evicted and the issues continue at their new property. 3. To promote greater openness and transparency with families about the possible consequences of their situation not changing; greater partnership working about the management and application of consequences and generally promote better understanding and communication of how consequences are used. To support the management of an effective Family Support Plan for a family, it is important that families are clear about the possible consequences of their situation not changing. This is not about presenting threats to families, but rather ensuring that there is no hidden agenda and if there is a risk of a consequence happening that this can act as continued motivation for families to continue to engage and work to improve their own situation. These consequences can be set out in terms, not just of levers and powers available to partner organisations, but also possible negative outcomes for family members. Case example A family experiencing a wide range of difficulties including problems with a chaotic family lifestyle, behaviour and attendance at school of 3 children, mother’s substance misuse, and a partner who was in prison for assault but due out shortly to return to the family home. The mother began to disengage from services complaining there were so many professionals making demands of her that she didn’t know what to do first and she felt judged by them. The model of delivery for the Think Family working is based on the principle of building a co-ordinated support plan for the whole family, which pulls agencies together and meets all needs. This should include the family’s objectives, individual family members’ contributions (where appropriate) and the contribution of services, with timescales and reviews built in to ensure accountability. Our first principle is that positive engagement methods (see below) should always be used, including at times when consequences are being actioned. Consequences are primarily seen as a potential lever for change and an opportunity to (re-)engage as opposed to a punishment. Consequences are not limited to formal powers and levers but also the potential to not secure positive outcomes or indeed miss out on a potential reward. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Delivery of Services Principles 37 Where it is possible and appropriate a decision to use a particular consequence should be made in partnership with other agencies involved with the family. This will rely on timely and proactive information sharing and gathering by those responsible for the consequence, before the consequence is applied. It is important that the consequence is considered proportionate to the families’ situation, recognises the full range of their needs and attempts where relevant to balance the needs of the family with that of their community. All professionals are encouraged to recognize the different priorities of individual agencies and to respect these as valid priorities. Professionals should not threaten a consequence they are not prepared to carry out, or don’t know is possible. Where possible the consequences of things not changing for families should be made clear to them at the outset of work starting and be made clear to all in the Team Around the Family. Where consequences are linked to particular targets or requirements for families to achieve change, it is important these requirements are realistic and linked to/based on the holistic assessment of the families’ needs. It is likely there will be times where there is professional disagreement about how consequences should be used. Where there is professional disagreement about the use of consequences this should be discussed and debated between professionals. It is important that families are not aware of professional disagreement. A guide to using consequences The following section aims to provide a non-exhaustive guide to working in partnership with consequences. As every situation is unique, whilst this may be a helpful starting point, professionals will need to, with the support of managers, learn to apply the principles set out above both around how consequences should be used but also around positive engagement. Different types of consequence Non-attainment of positive outcome - professionals may use the Support Planning process to set out clearly to families what positive outcomes they could achieve in family life with changes they may be able to make. This is part of helping families to have their own goals of what they want to achieve. Therefore a consequence of no change, is not achieving these positive outcomes. Non acquisition of rewards - professionals may use small and specific rewards with children, young people, adults and families to promote and encourage motivation and therefore change. The reward may be provided by the parent to the child, or indeed from the professional. Formal consequence - where professionals/agencies use the formal tools and powers available to them in response to the action or inaction of a child, young person, adult or family. Whilst the use of the first two types of consequence are important, there is potential for more disagreement or higher impact from poor co-ordination of the latter and this is therefore the focus of this guide. I am considering using a consequence with a family and I am aware there is a Team Around the Family It may be appropriate to hold a professionals meeting, without the family present, to discuss this to ensure that professionals are outwardly in agreement about the action to be taken. It is important families are made aware this meeting is happening unless it is felt this is likely to cause additional risk. It will be important for members of the Team Around the Family to ask the following questions: Has the possibility of this consequence been clear to the individual/family for sufficient time? Has sufficient support been offered to the individual/family to change? What is the individual’s/family’s capacity to change? What is the likely outcome of applying the consequence? Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Delivery of Services In this situation it is important that the Team Around the Family are engaged in a discussion about the appropriateness of applying this consequence at this point in time. 38 What are the possible positive and negative unintended consequences, to all members of the (extended) family? I am considering using a consequence with a family and there isn’t a Team Around the Family that I am aware of In this situation it is possible there is other work happening or pending with the individual/family which you are not aware of. It is important to stop and think about the wider family and assume, to start with, that there is wider involvement. It is therefore essential to make reasonable attempts to find out if this is the case before proceeding. Ways of doing this include: Contacting the Advice and Co-ordination Team on 01480 376666 or ACT@cambridgeshire.gov.uk to ascertain whether there is current social care involvement Using local informal approaches to partners organisations Once you are aware of involvement, the questions above for TAFs should be applied. I don’t agree with action another professional is taking in applying a consequence This is the most challenging circumstance and will require careful and professional response. It is important to first recognise the shared principle ‘All professionals are encouraged to recognize the different priorities of individual agencies and to respect these as valid priorities’. Whilst this may oppose the priority you have as a professional, to help manage your personal response to this, recognising the motivations of the professional is important. The first step should always be ensuring there has been a full Team Around the Family discussion about the consequence, to try to resolve differences of opinion and agree an appropriate course of action. It is true that some consequences have to happen regardless of professionals’ opinions, there may be no choice. In this situation it is still important to co-ordinate our responses to potentially lessen the negative impact of the consequence and if possible use the consequence as a lever for change. It is recommended where it is possible to choose whether or not to proceed and there is not a unanimous view that a vote is taken and a minimum of two other professionals must be in agreement with the action being taken. Delivery of Services Once the decision is made, it is important that professionals present a united front to the family and are not outwardly in disagreement. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 39 Working with other Services This section contains information and guidance on how specific services including Social Care, Early Support, Schools and the Education, Health and Care Plan Social Care If the involvement of Children’s Social Care with a child and their family is coming to an end after a period of support then the Family CAF can be used to assess what the ongoing needs of the child / young person or adult will be and which agencies should be involved in supporting them further. The Social Worker will consider and liaise with the professionals that they believe will be best placed to meet the family and child’s continuing needs at a lower level of intervention. They will then invite these professionals to a final Child In Need (CIN) meeting to agree jointly with the family what the new arrangements and plan will be once Social Care are no longer involved. This should be done with the child and family’s consent. At this meeting the transfer of the Lead Professional role from the Social Care Worker to the most appropriate practitioner will be agreed, again with consent from the child and family. The new Lead Professional would then begin a new Family CAF (if one hasn’t previously been completed) to manage the work going forward. However, to avoid the need for the family to tell their story again, the existing Single Assessment and / or Child in Need Plan would be used as the basis for the ongoing support provided that these were still relevant and up to date. The Lead Professional might therefore complete just the first two pages of the Family CAF, additional strengths and needs sections, consent agreement and update the Family Support Plan and reference to the appended Child In Need Plan / Single or Initial Assessment. As part of the Step Down from Social Care into the Family CAF, the new / updated assessment needs to be logged with the Advice and Co-ordination Team. The Lead Professional should contact the ACT on 01480 376666 or ACT@cambridgeshire.gov.uk to log the Family CAF / update the Lead Professional details. In the majority of cases it will be good practice to have a handover ‘Child in Need’ Meeting to ensure that the child and family are aware of and comfortable with the new arrangements. In some cases it might also be helpful for the ‘step down’ from Social Care Services to be managed through the Locality Allocation and Review (LARM) process. This is likely if the situation is complex and the resource required is not clear. In these cases the Social Care Worker would be invited to attend the LARM to present the work to date and to agree which agencies will be involved in future. The Team Around the Family meeting would then be held with the family after the LARM to ensure that there is consent for what is agreed. Early Support coordinators provide additional support to professionals working with families of children who meet the Early Support criteria to ensure the Think Family process is followed and ensure these families receive all information and support they are entitled to. All families who have a child or children who meet the Early Support criteria will be following the Think Family process. Early Support is an enhancement to the Think Family process for children 0-5 years who have significant and complex needs affecting their development and learning. All have lifelong needs requiring considerable specialist support from across Education, Health and Care. The key points to note are; The Think Family process may or may not continue after the Early Support involvement has ended. For example the additional needs of the Family have been met but a child(ren) require additional (and potentially lifelong) support. The involved professionals may not be working towards an outcome of reducing the support provided to the child(ren) and as such the Think Family intervention would close but professionals would remain involved Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Working with other Services Early Support 40 Professionals who are working with families also following the Early Support Pathway will have additional support from the Early Support Co-ordinators. This additional support is detailed in the Early Support Pathway document available from the Early Support web page The Education, Health and Care Plan Background: The Education, Health and Care Plan Process Education, Health and Care Plans (EHC Plans) have replaced Statements of Special Educational Need. The EHC Plan is for children and young people aged 0 – 25. It focuses on identifying individual outcomes and puts children, young people and their families at the centre of the assessment, planning and review process. An SEN Support Plan is completed by the School and supports the School in identifying the need for an EHC Plan. Once it has been agreed a child should have an EHC Plan, the SEN Case Officer will take on a Lead Officer role for the EHC Plan. This is not the same as the Lead Professional role. The EHC plan when completed may contain other plans as part of its appendices – this is a statutory requirement around how the plan is presented. Family CAF and Education, Health and Care Plans Where no Family CAF already exists When a school/setting decides there is a need to apply for an EHC Plan, and there is no Family CAF and Family Support Plan in place, the school/setting need to contact the Advice and Co-ordination Team (ACT) to inform them they will be starting a Family CAF. They may also wish to seek advice from the ACT about other services / professionals to involve in completing the Family CAF. As part of this process they will need to identify all the professionals who need to be or are already involved with the family If a parent requests an EHC Plan then the expectation is that there should be a Family CAF already and if there isn’t one, the school/setting would initiate Once the Family CAF is completed this should be submitted along with the EHC application form. The only circumstance where an EHC application would be accepted without a Family CAF is when the Statutory Assessment and Resources Team (START) agree to this. Where the needs in the family centre mainly around the child with SEN, it may be that the SENCO is the best placed professional to act as Lead Professional. However where the needs are more complex, it is likely that another professional will need to take this role. Where a Family CAF and Family Support Plan are already in place This is the more likely scenario as the Family CAF is likely to be already in place to access SEND specialist services. In this situation the Family CAF and Family Support Plan should be submitted along with the EHC application. The SEN Case Officer will take responsibility for facilitating the drafting of the EHC Plan. The school/setting should ensure the existing Lead Professional is fully aware of the application for an EHC Plan and that this is detailed in the Family Support Plan. All professionals involved with the child / family ensure that together, the Family Support Plan and EHC Plan identify the needs and set out a complementary set of actions to facilitate the achievement of the agreed outcomes for the Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Working with other Services The SEN Case Officer will facilitate the development of the EHC Plan for the parent and child, organising and chairing the planning meeting. At the planning meeting, the group will need to decide who is best placed to take the Lead Professional role for the whole family. 41 relevant members of the family. To facilitate this, the SEN Case Officer should be part of, and participate in, the Team Around the Family Review arrangements EHC Plans are, by statute, reviewed annually, however reviews may happen more frequently. The Lead Professional may also decide in conjunction with the family and other professionals, that at the EHCP Review, the full Family Support Plan is reviewed with all family members involved. This must be decided on a case by case basis as this may not be appropriate in all circumstances. There is flexibility for professionals and the family to decide whether Team Around the Family and ECHP Review meetings are combined or not. Transition arrangements (in relation to old CAFs and Statements) Where there is an existing CAF assessment and Support Plan but these were created before the Think Family launch and are therefore not Family CAF/Support Plan, these can still be used to support the application for EHC. The Lead Professional should take a Think Family approach regardless. There are many Statements of SEND currently in place and will continue for up to 4 years. The same principles regarding joint planning and review with the Think Family process should apply. If there is a Statement in place and no Family CAF/Support Plan and it is felt that this is necessary, this process should be started. The ACT can assist in identifying appropriate professionals to support. There may have been a CAF in the past which has been closed. In these circumstances a new Family CAF should be started. Schools Pastoral Support Plans Background: The Pastoral Support Plan Process A school will commence a Pastoral Support Plan (PSP) to meet the needs of a child or young person with Social, Emotional or Mental Health (SEMH) needs. It may have been decided that additional support is required from a Specialist Teacher (Primary) or Education Inclusion Officer (Secondary). A PSP contains specific and detailed information about one child or young person, and their school based needs only, and is written in full conjunction with the child/young person and family. A child or young person may have a Family Support Plan and a PSP at the same time. The PSP addresses the educational needs of one child. The Family Support plan addresses all the needs of all family members. If the school or those professionals working with the child or young person has any concerns about the child / young person or their family which fall outside of the remit of the PSP, then a Family CAF should be started. It is likely that the person who has noticed the concerns is best placed to start the Family CAF, however this can be done flexibly. The Think Family guidance should be referenced. Once a Family Support Plan is in place, the PSP for the SEMH needs should then be referenced as part of the Family Support Plan. Relevant and up to date information from the PSP should be copied across to the Family Support Plan to prevent the family from having to repeat themselves. If there is a Family Support Plan already in place, when and how should a PSP be started? Where there is a Family Support Plan already in place, and specific, school based concerns about the child or young person’s SEMH needs become apparent, it may be necessary to start a PSP. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Working with other Services If a PSP is in place, when and how should a Family CAF be started? 42 If, following discussion, it is decided that those needs are more specific and detailed than is appropriate for the detail in the existing Family Support Plan, then a PSP should be started and referenced in the Family Support Plan. Relevant and up to date information from the Family Support Plan should be copied across to the PSP to prevent the family from having to repeat themselves. Team Around the Family and PSP Reviews If there is a Family Support Plan, then the family will have regular reviews with the Team Around the Family. If a PSP is used to address a certain aspect of the child’s needs, it should be included as a specific outcome and action on the Family Support Plan and then covered as part of any reviews. PSP Reviews could be amalgamated with this process depending on the needs and wishes of the child / young person and family. If a PSP review is needed outside of planned TAF dates, then this should go ahead and the outcome fed back into the next Team Around the Family meeting. Individual Alternative Education Plans Working with other Services In those very few cases where a decision is made that there is a need for a pupil to be educated for a period of time at an alternative site, a plan is needed for entry to (and possibly exit from), that provision. This is sometimes called an Individual Alternative Education Plan. This should be planned and written as part of the Family Support Plan, alongside the PSP where there is one. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 43 Closing the Think Family Intervention This section contains information and guidance on how to know when to end the intervention with the family and how to record this The Think Family intervention is expected to represent a period in the family’s life during which support is provided to meet the additional needs of the family. It is not expected that a Think Family intervention will continue indefinitely and therefore there should come a point when the family have either achieved the identified outcomes or where there has been significant and sustained progress towards meeting those outcomes to allow the family to continue without extra support. The existence of a Think Family intervention, and associated Team Around the Family, represents the need for co-ordinated support from a number of different professionals due to the range of needs of the family. Once this is no longer needed the Team Around the Family will finish meeting/working together and the Think Family intervention should be closed. How to know when the Team Around the Family (TAF) should be ended All cases will be different and considered in relation to their individual circumstances. However the following provides a guide around some of the indicators which would show it is possible to end the Team Around the Family: The outcomes the TAF were working towards have been met and are likely to be sustained. The outcomes the TAF were working towards have been met. There may be ongoing involvement of services but the TAF feel that there is no need for professionals to continue to work together through a TAF. This may happen where there is a family member with a disability who may be receiving low level ongoing support in relation to their condition. It may be appropriate to start the Think Family process again should needs become more complex. Some of the outcomes the Team Around the Family were working towards have been met and the TAF believe the family will continue to work towards the remaining outcomes or feel the progress is sufficient/good enough Despite considering and attempting all methods to re-engage positively, the family have disengaged from all professionals and there is insufficient concern to warrant involvement of statutory services Recording that the Think Family intervention has ended When the Team Around the Family has finished meeting/working together, the central record of the Think Family intervention needs to be closed. This is the Lead Professional’s responsibility and they should state the reason for the closure on the Family Support Plan and inform the Advice and Co-ordination Team. The reasons are; Needs met in full – all outcomes relating to the identified needs have been achieved Needs partially met – some outcomes relating to the identified needs have been achieved Needs not met– no outcomes relating to the identified needs have been achieved Family disengaged – family have disengaged from the process / consent has been withdrawn / family has moved out of county Cases which are identified as part of the Together for Families cohort will also require a short closing summary of whether the intervention was a success (or not) or clearly state why the intervention is coming to an end. This forms part of the Family Progress Data toolkit and guidance will be provided directly to Lead Professionals at the appropriate time. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Closing the Think Family Intervention The Lead Professional should lead the process of deciding when the TAF can be closed with other members of the family. 44 Think Family Involvement **This section is relevant to Cambridgeshire County Council staff only** The Think Family Involvement replaces the existing CAF and Together for Families involvement on Capita ONE. It will allow other professionals to identify families which have a Family CAF and / or meet the criteria for Phase II of the Together for Families programme. Responsibilities of the Lead Professional The involvement will be open / closed by the Advice and Co-ordination Team and will be opened against the whole family. The Lead Professional (and other County Council services) will continue to open and manage their service involvements in the usual way). However, Lead Professionals will be required to; Advise the Advice and Co-ordination Team via 01480 376666 or ACT@cambridgeshire.gov.uk that they are Lead Professional, or if they are ceasing to be the Lead Professional. Upload the Family Support Plan to the Think Family involvement in accordance with the requirements outlined in the Family Support Plan section above Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Closing the Think Family Intervention Panel 1 will be of most use to Lead Professionals and the graphic below shows the key information available 45 Together for Families This section contains information and guidance on; The Together for Families programme in Cambridgeshire How families are identified Data collecting requirements for Lead Professionals The Personalisation Budget The Together for Families (TFF) programme is responsible for both supporting the embedding of the Think Family approach across Cambridgeshire’s Public Services as well as serving as our local response to the national Troubled Families programme. The National programme is concerned with identifying and supporting those families who present a high cost to the public sector and have poor outcomes. More information on the programme can be found here, Between 2015-2020 there will be a managed cohort of at least 2820 families representing the families with the most complex needs who will most benefit from a co-ordinated Think Family approach. The following sections highlight the benefits and requirements for Lead Professionals when working with a family who meets the criteria for the programme. Identification Families will be identified to be included in this managed cohort if they meet 2 of the 6 nationally defined criteria and due to their complex needs (or phrase from the top of the nom matrix) would benefit from a multi-agency response. The Advice and Co-ordination Team will review all completed Family CAFs to see if this criteria is met and will notify the Lead Professional if the family is to be included. In addition, Professionals are able to use the TFF Nomination matrix which is available via the link above in the event that there is no Family CAF or the family’s circumstances have changed. What does this mean for families? As it is our aim to ensure that all families we work with receive a Think Family intervention, families included within this cohort will not experience a different intervention/service than described in this guidance document. However, there will be greater local and national scrutiny over the outcomes these families achieve (or not) and whether they have been sustained. As part of the local and national evaluation of the TFF programme, the County Council (through the Lead Professional) is required to provide: 1. A small amount of personal information for every individual assessed for the programme in order for the Government to conduct a National Impact Study (NIS), and 2. Family Progress Data (FPD) for all individuals in families who are being supported by the programme against a small number of measures for which there are no national administrative datasets Through the participation in the NIS it will allow both a reduction in the requirements on Lead Professionals to collect information and will provide a wide range of information on outcomes for families on the programme. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Together for Families Family Progress Data and Closing Summary 46 However, there are a number of important issues not available from national administrative datasets so the County Council is required to collect these separately. These are: Number of evictions Number of homelessness applications Number of weeks of homelessness How much is owed in rent arrears? Number of Anti-Social Behaviour incidents resulting in further action Number of Anti-Social Behaviour incidents resulting in no further action Number of domestic violence incidents Number of police callouts Engaging in alcohol misuse Engaging in drugs misuse Suffering from mental health issue NEET – not in education, employment or training (16-24 only) Missing from school Combining the information from the NIS and FPD will allow us to fully understand family progress and estimate cost savings resulting from any improvements. Family Progress Data toolkit Data should be collected at the beginning and end of the Think Family intervention. An electronic Toolkit has been developed to assist in the collection of the indicators which we are unable to obtain centrally. The Toolkit has been designed to be simple to use by Lead Professionals and it contains clear guidance and useful hints and tips to assist you in completing the required information. However, Lead Professionals can also contact the TFF Data Team on 01223 715460 or view the instructional video if they require additional support which is available here Closing Summary At the end of the intervention, demonstration that an eligible family: 1. Has achieved significant and sustained progress, compared with all their problems at the point of engagement, and / or 2. An adult in the family has moved off benefits and into continuous employment The Closing Summary has been built into the Toolkit (described above) to allow the Lead Professional: 1. To summarise the needs of the family at the beginning of the intervention and whether there are any outstanding needs at point of closure. 2. To use their judgement / knowledge / data and Team Around the Family input, to advise if all members of the family have achieved (or made significant progress) towards achieving the identified outcomes and no longer need significant intervention from public services. The toolkit has clear guidance and useful hints and tips to assist you in completing the Closing Summary. However, Lead Professionals can also contact the TFF Data Team on 01223 715460 for further assistance. Personalisation Budget What is the Personalisation Budget? The Personalisation Budget (PB) is additional funding available for families who are part of the Together for Families cohort. The funding is intended to encourage creativity, innovation and co-production between the family, Lead Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Together for Families is required. 47 Professional and Team around the Family in defining how identified needs might be met. The funding should empower families to become active participants in the identification of their strengths and needs and in defining how the identified needs might be met. It may be used in a number of different circumstances: Where there are identified gaps in service provision – for example accessing play therapy ( see note below) or relationship counselling Where a particular purchase may encourage engagement of the family in working with professionals to resolve their needs – for example, a replacement bed for a child who bed wets with associated protection and adequate bedding may be number one priority for the family and resolving this would reduce anxiety and help them to engage with professionals to improve their lives To reward and encourage progress – for example, purchasing a positive activity for a young person who has reached an attendance goal Is there anything that can’t be purchased using the personalisation budget? The budget is very flexible and there are very few exclusions around what can be purchased. However the following points should be noted: The funding will not cover costs relating to the provision of education which should be part of a child or young person’s school timetable as these needs should be met through school or the Education, Health and Childcare Plan. The funding also does not replace that available to social care units through Section 17 funding and this should be used as normal prior to requesting a PB. Direct Payments to families may be considered, however additional checks and safeguards will be required. If the request contains a request for therapeutic work such as play therapy or family therapy, as part of the approval process we would ask for a TFF clinician to discuss the case with the Lead Professional to ensure this is an appropriate intervention. The funding is not intended to be a long term arrangement, for example, for long term transport costs, as this does not promote sustainability. It is important that Lead Professionals have considered why the family can’t afford to purchase the item themselves, and also have considered other streams of funding such as grants. How much money is available? Together for Families We don’t anticipate by any means that all Lead Professionals will need to access the budget as this will be on a case by case basis and dependent on the needs of the family. We also expect that Lead Professionals will consider always consider getting the best possible value, to enable us to maximise outcomes for all families in Cambridgeshire. Some requests for funding in the past have been as small as £10. As a maximum requests would be considered up to £1,000 per family – the family would not be eligible for any further funding once this threshold was reached (regardless of the length or number of interventions). Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 48 Criteria for use Before starting your funding request please check that you and the family you are applying on behalf of meet the following criteria The family been identified for meeting the criteria for Phase II of the Together for Families programme You are the Lead Professional for the family There is a whole family assessment and family support plan3 in place and being worked to? You have completed the Family Progress Data (FPD) template for this family If you have met all of the above then proceed to completing the PB request form. If you / the family do not meet any one of these requirements your funding request will not be processed, therefore you may wish to take the following steps as appropriate: If the family you require funding for has not been identified as meeting the criteria for Phase II, contact the TFF Data Team for a Nomination Matrix and consent form togetherforfamilies@cambridgeshire.gov.uk If you are not the Lead Professional, and are not aware who is, contact the TFF Data Team to find out who the LP is and then discuss the funding request with them. If you are unsure how you complete a whole family assessment or family support plan, consider accessing the relevant Think Family training module http://www.cambridgeshire.gov.uk/learntogether/social If you have not completed the FPD contact the TFF Data Team via togetherforfamilies@cambridgeshire.gov.uk for guidance How do I request funding? All funding requests must be made using the PB Request Form available within the Professional Support Pack available here with reference to the guidance set out in the following section. The PB Request Form enables Lead Professionals, the TFF Data Team and the person approving your request to ensure the request meets the criteria and also track the progress of the request. When completing the PB Request Form you will need to be able to evidence (either in the Family Support Plan or using the ‘supporting evidence’ section of the PB Request Form) the following: Your plan reflects the needs of all family members which have been assessed using an approved family assessment tool (Family CAF assessment, Single Assessment, FIP assessment) The purchase(s) support(s) achievement of the outcomes in the family’s support plan The family will not make progress against the relevant desired outcomes without the purchase 3 This could include a Family CAF and Support Plan, FIP Assessment and Support Agreement, YOS Asset Plus with Family CAF and Family CAF Support Plan, Single Assessment and CIN /CP plan Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Together for Families Guidance for submitting a funding request 49 Your plan has clear measurable outcomes identified from the Outcomes Framework (see separate guidance). This will help you be able to be clear how you will know if a difference has been made. The outcomes achieved through the purchase can sustained once the service / item provided through the funding has stopped Why the purchase cannot be made by the family or how much they may be able to contribute towards it. A contribution from the family can encourage their buy in to the outcomes intended. Why this is the best timing to make the purchase. Receiving several items at the same time is not always successful in helping a family to achieve their goals. A purchase could be linked to goals being reached rather than getting them beforehand. If there any risks associated with the purchase and if there are how you have mitigated them. You or the family have accessed quotes for the service/item and provided this. Do’s and Don’ts of completing the PB Request Form Do… provide as much evidence as possible to evidence the points above Do… ensure that you are clear what the funding will be used for and how you know if it is successful or not Do… send your funding request to the TFF Team, ensuring you also send the family support plan and the assessment to: togetherforfamilies@cambridgeshire.gov.uk Do not be surprised if you are asked for additional information from the reviewer if the above is not clear What happens once I have submitted my request? Once you have submitted your request it will be checked first by the TFF Data Team to ensure it meets the initial criteria. It will then be reviewed by the relevant approving manager along with the evidence provided, to ensure it meets the required standards. If the approving manager has any queries or questions about the request, these will be raised in a timely manner. How long will it take before I know if my request has been approved? Due to the need to process and review the request in accordance with the guidelines set out here as well as ensuring compliance with Cambridgeshire County Council (CCC) financial procedures it is not always possible to arrange immediate payment. Therefore please plan your request ahead of time to avoid any situation where a payment is needed to be made immediately. Please allow 10 working days for a request to be fully processed. Together for Families Once a decision has been made this will be communicated via email. Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 50 How are products / services purchased? If your request for funding has been successful, you are able to go ahead and make the purchases. The purchasing process differs depending on which service you are in. Locality Team or Family Intervention Partnership You are responsible for sourcing and making the purchases for the family yourself or via your business support team. This can be done using the following payment methods: Group Purchasing Card (GPC) Petty cash via Imprest By cheque or invoice Please recharge the costs to the TFF cost codes (CD21203 30990 000) and email receipts to togetherforfamilies@cambridgeshire.gov.uk. Technical guidance is available in the Professional Support Pack Other services (not Locality Teams or Family Intervention Partnership) You are able to purchase items via the following methods: Using your own payment method (e.g. GPC, petty cash) and recharge it to the TFF cost codes (CD21203 30990 000) TFF Business Support Assistant purchases the item/service. Where this is the case, the LP must complete a Purchase Details Form which will be provided by the TFF team when this is the planned method of purchase If your request to purchase any of the following items then these must be purchased by the Lead Professional; Taxi fares Train fares Fuel All receipts should be scanned and emailed to the TF Team via togetherforfamilies@cambridgeshire.gov.uk Purchasing Notes Where the purchase is for a train fare, taxi or petrol, the TFF team will not purchase these items for you. As Lead Professional, you are responsible for purchasing and then recharging the cost to TFF using the TFF cost codes. Direct payment to families may be considered if the LP can evidence that the following has been considered: 1. All other options of payment have been investigated but are not possible and why 2. How you as the Lead Professional will seek proof that the money has been used for what it was intended for (i.e. receipts) 3. What risk mitigation has been put in place (i.e. staggered payments) 4. What the consequences will be if the money is not used as intended Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Together for Families Follow the technical guidance for purchases set out in Appendix 3 51 Together for Families Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk 52 Additional Support This section contains information and guidance on the additional support available to professionals In addition to the below, all County Council Locality Teams (Enhanced and Preventative Services) have a Think Family Champion who can offer further support. For more information please see the list of Locality Team Managers available here or contact the Advice and Co-ordination Team on 01480 376666 or via ACT@cambridgeshire.gov.uk Advice and Co-ordination Team The Advice and Co-ordination Team is available to provide advice in relation to Think Family processes and services available for children, young people, adults and families. Support is available from 09:00 – 17:00 Monday to Friday via telephone 01480 376666 or via ACT@cambridgeshire.gov.uk Advice service for professionals: A talking service directory: expert advice around local services and contacts appropriate to presenting need Advice on processes for accessing services: How to respond to concerns and initiation of the Think Family process / Family CAF or escalation to safeguarding if appropriate Information about whether a Family CAF already exists, who else is involved with the family and whether there is a Lead Professional and how to contact the Lead professional Co-ordination: Logging the start of a Think Family involvement (Family CAF started) Conducting multi agency research in relation to current needs, strengths, resources and apparent risk for a family where there is sufficient evidence to indicate this may be necessary Supporting identification of a Lead Professional Facilitating referrals into services where appropriate Logging and tracking who is Lead Professional in all cases regardless of level of need Supporting establishment of Teams Around Families (remotely) Identifying families for the Phase II Together for Families cohort Following up families referred to the First Response Team who do not meet social care thresholds and would benefit form support from preventative services to the most appropriate agency Think Family Training We will no longer offer separate Family CAF training sessions but will instead provide clear packs and guidance for use regarding the form and process. Other aspects of completing a good quality Family CAF such as Assessment and outcome planning will be covered in the relevant Think Family sessions. The Family CAF will be covered in the Think Family overview. The courses are: Think Family and Family CAF Overview – this is a one day course designed for those who will be part of a Team around the Family but not in a Lead Professional role. Experienced staff should discuss with their Line Manager prior to attending. Think Family courses for those in a Lead Professional Role – a series of five one day courses designed for those who will be the Lead Professionals of a Team around the Family. These are: o The Lead Professional Role o Whole Family Assessment Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Additional Support There are a number of courses for those working as a Lead Professional or as part of a Team Around the Family. The sessions will support professional practice and confidence in supporting children, families and young people and build an understanding of the roles and processes employed across Cambridgeshire in the Think Family context. 53 o o o Family Support Plans Identifying and responding to risk Engagement, assertiveness and challenge There is no expectation that staff will undertake all five courses, the recommendation is that they undertake the Lead Professional course and others should only be attended following discussion with their Line Manager to establish current levels of knowledge/experience and to identify where gaps need to be filled. For course details and booking please go to: http://www.cambridgeshire.gov.uk/learntogether/social Clinical Supervision All lead professionals (regardless of which service they come from) will have access to Think Family Supervision - a service which is designed to embed a systemic, whole family way of working. There is evidence to suggest that access to clinical supervision can contribute to better, safer outcomes for families, and also helps professionals feel better supported. It allows time for practitioners to step back and explore their work with a family, and consult with the supervisor and their peers in a facilitated, supportive way. It also involves some teaching and training elements, to complement the Think Family Training. Clinical Supervision does not change or replace case management decisions which Lead Professionals should continue to discuss with their line manager. The Together for Families (TFF) Specialist Clinicians offer: Group supervision One to one consultation In some circumstances and following discussion, accompany workers on home visits to support skills development, e.g. tricky assessments or challenging complicated situations. Email or telephone contact for consultation Training / skills building sessions How do I access the service? The TFF Clinicians operate on a countywide basis. Please contact the Advice and Co-ordination team via 01480 376666 or ACT@cambridgeshire.gov.uk to find details of the TFF Clinician in your area. Professional Support Pack The Professional Support Pack is available here and contains a suite of documents including but not limited to: Family CAF form Family Support plan Examples of completed Family CAFs and Family Support Plans Specialist referral forms / screening tools LARM dates Personalisation Budget request form Frequently Asked Questions A Frequently Asked Questions documents is actively maintained and contained within the Professional Support Pack available here Contact the Advice and Co-ordination Team for advice and support │ 01480 376666 │ ACT@cambridgeshire.gov.uk Additional Support 54