LBBD Multi Agency Safeguarding Hub (MASH) Guidance Version Control Author(s) This document has been written by: Damien Cole Version Author Comments 1.0 Damien Cole Original version 1.1 Damien Cole Updated 1.2 Mike Cullern Dan Monahan Additional Appendices LBBD MASH Guidance – February 2014 Changed made Date - Feb 2014 Appendix A added– MASH Staff list (finalised) March 2014 Appendix E – Agency specific MASH enquiry prompts Appendix F added– ICS Practitioner step by step guide March 2014 Page 1 Contents 1.0 Introduction Page 3 2.0 Governance Page 5 3.0 Legal context Page 5 4.0 Statutory responsibility Page 6 5.0 Overall responsibility Page 6 6.0 Local Delivery Steering Group Page 7 7.0 Information sharing and management Page 7 8.0 Purpose Specific ISA Page 8 9.0 Risk Management Page 8 10.0 Professional supervision Page 9 11.0 Professional difference Page 9 12.0 Performance monitoring Page 9 13.0 References Page 10 Appendices A MASH Staffing (Co located and Single Points of Contact) Page 11/12 B LBBD RAG Rating Page 13 C Triage and MASH Business Processes (flowchart) Page 14/15 D MASH Local Steering Group Terms of Reference Page 16 E Agency MASH enquiry guidance Page 18 F MASH ICS (Integrated Children’s System) step by step guidance Page 24 LBBD MASH Guidance – February 2014 Page 2 1.0 Introduction 1.1 This document relates solely to the governance issues and associated recommendations concerning the delivery of a Multi Agency Safeguarding Hub (MASH) in relation to the safeguarding of children. Additional issues arise should an adult safeguarding pathway be introduced within the process of the hub. Potential links with other statutory and non statutory public protection processes such as MAPPA and MARAC are not covered in this document. 1.2 The introduction of a Multi Agency Safeguarding Hub (MASH), designed to streamline referral routes supports recommendations made by the Lord Laming within his report ‘The Protection of Children in England: A progress report’ (HMSO, March 2009) 1.3 Specifically, recommendation 13 of that report states ‘Children’s Trusts must ensure that all assessments of need for children and their families include evidence from all the professionals involved in their lives, take account of case histories and significant events (including previous assessments) and above all must include direct contact with the child. (Laming 2009 p.87) Laming states there must be: ‘A child-centred, sensitive and comprehensive assessment. Assessment should involve gathering a full understanding of what is happening to a child in the context of their family circumstances and the wider community, using a variety of sources of information. It must, therefore, be a joint or parallel assessment with all professionals concerned for the child’s safety and welfare. Time needs to be spent making sense of this information involving the family where appropriate. Assessment processes should build up an increasingly clear understanding of a child’s situation over time, building up a picture of continuous neglect or cumulative concerns about abuse where this exists.’ (Laming 2009, p.28) 1.4 These recommendations, the failures identified in the cases reviewed and the judgement of professionals engaged in safeguarding activity all lend weight to the view that co-located staff, sharing and assessing all available information presents the best position to ensure effective safeguarding practice. 1.5 The original MASH concept for Children’s safeguarding was delivered with the intentions being to: Provide the highest level of knowledge and analysis of all known intelligence and information across the safeguarding partnership to ensure all safeguarding activity and intervention is timely, proportionate and necessary. 1.6 Once established it was intended to provide intelligence sharing within the safeguarding partnership in order for the following three key areas of activity using the combined knowledge to be able to be delivered: LBBD MASH Guidance – February 2014 Page 3 Tactical safeguarding activity (information based decision making with regard to risk) Victim identification and prevention Harm identification and reduction by location and individual 1.7 The MASH model suggests partners from Police, Children’s Social Care, NHS, Probation, Education and any other statutory or non statutory body with information of relevance to the safeguarding of children and vulnerable adults should be co located in a designated building. 1.8 A MASH does not replace established child safeguarding procedures for investigation and remedy. The MASH collates information from all available sources in order for the most informed decision to be made concerning any required intervention. All interventions are required to be necessary and proportionate. 1.9 The MASH undertakes research on a priority basis, with cases that present the highest potential risk being researched to produce a ‘product’. That product, the sum of information collated from all systems that partners use to store personalised information, is placed onto an I.T. system as designated by the relevant safeguarding partnership. 1.10 The system needs to be able to store secure (sensitive) information and restrict access to that information to only those within the MASH who ‘Need to Know’. 1.11 The duty of care for all information and intelligence remains with the originating organisation at all times whilst it remains within the confidential arena of the MASH. 1.12 Individual organisations alone have the right to withhold or allow the information to be disseminated out from the MASH. This duty also requires the originator to ensure that any redacting or sanitising of information is authorised by them prior to release. 1.13 This sensitive product can be sanitised by the MASH staff, and an open access non-sensitive product placed on case notes for general viewing. Where sensitive information is held back within the MASH but activity at some level is likely to be required a note is made on the case notes ‘signposting’ any professional who needs to be party to it can contact the information holder direct. This protocol ensures no information and or risk is hidden to those who operationally have a requirement to know but ensures it is only seen by those who have a legitimate need to see it. LBBD MASH Guidance – February 2014 Page 4 2.0 Governance 2.1 The Audit Commission (2003) defines governance to be ‘The framework of accountability to users, stakeholders and the wider community, within which organisations take decisions, and lead and control their functions, to achieve their objectives.’ 2.2 The same report carries on to detail that: ‘Good corporate governance combines 'hard' factors, such as robust systems and processes, with 'softer' characteristics such as effective leadership and high standards of behaviour, in particular: leadership that establishes a vision, generates clarity and fosters professional relationships an open and honest culture in which decisions and behaviours can be challenged and accountability is clear supporting accountability through systems and processes, such as financial management, performance management and internal controls an external focus on the needs of service users and the public (Audit Commission 2003, p6) 2.3 Governance Hard factors – sanctions 2.3.1 Any unauthorised release of information or breach of conditions contained within this agreement will be dealt with through the internal discipline procedures of the individual partner. 2.3.2 Regular auditing of ICS case record access will be undertaken across the MASH partnership and reported back to Children’s Services Departmental Management Team and B&D Safeguarding Children’s Board. 2.3.3 Non-compliance and/or breaches of the security arrangements with regards to police information will be reported to the MPS Barking & Dagenham Borough and reviewed with regards for any risk in the breach. 2.3.4 All parties are aware that in extreme circumstances, non-compliance with the terms of this agreement may result in the agreement being suspended or terminated and offending individuals removed from the MASH. 2.3.5 All partners will hold a copy of this agreement. It is the responsibility of each partner to ensure that all individuals likely to come in contact with the data shared under this agreement are trained in the terms of this agreement and their own responsibilities. 3.0 Legal context 3.1 Section 10 of the Children Act 2004 created a requirement for children’s services to make suitable arrangements for co-operation between the relevant partners in order to improve the wellbeing of children in the authority’s area. LBBD MASH Guidance – February 2014 Page 5 3.2 Statutory guidance for section 10 of the Act under “Working Together to Safeguard Children 2010” and the associated Information Sharing: Guidance for practitioners and managers” states that good information sharing is key to successful collaborative working and arrangements under this section should ensure information is shared for strategic planning purposes and to support effective service delivery. It also states these arrangements should cover issues such as improving the understanding of the legal framework and developing better information sharing practice between and within organisations. 3.3 Section 13 of the same Act stipulated that safeguarding boards must be created, with the objective under section 13 to: co-ordinate what is done by each person or body represented on the Board for the purposes of safeguarding and promoting the welfare of children in the area of the authority by which it is established; and ensure the effectiveness of what is done by each such person or body for those purposes. 3.4 Accordingly the requirements of the “London Child Protection Procedures - 4th edition (Apr 2011)” made by the London Safeguarding Children Board prescribe the local arrangements to promote cooperation between relevant partner agencies Under Section 10, the creation of the MASH can be seen as a suitable arrangement for co-operation. 3.5 Given the role of the safeguarding board under section 13(1) of the Act, it is clear that the board, whilst not having operational responsibility, has a role to play in ensuring the effectiveness of safeguarding practice. 3.6 It is therefore recommended that, in order to discharge the obligations under Section 13, the relevant Local Safeguarding Children’s Board considers the issues and recommendations of this document in relation to its duty to ensure cooperation and effectiveness in safeguarding children. 4.0 Statutory responsibility 4.1 The local authority has the general duty to safeguard children placed upon it by virtue of Section 17 of the Children Act 1989. It is therefore appropriate that the local authority should be seen as the lead agency for the development of joint partnership services within the MASH. 5.0 Overall responsibility 5.1 Section 18 of the Children Act 2004 requires local authorities with social care responsibilities to appoint a Director of Children’s Services. The Director of Children’s services (DCS) is appointed to exercise the functions of the local authority specified in section 18(2) of the act. Statutory guidance for this role outlines the responsibility of this post in relation to safeguarding activity. The guidance refers to the post being responsible for driving, leading and facilitating partnership working. 5.2 Given the responsibility the role holds, it is recommended the DCS holds overall responsibility for the quality of children’s safeguarding activity exercised within the MASH. However there is a need LBBD MASH Guidance – February 2014 Page 6 for all partners to retain ownership and responsibility for their own safeguarding activity and processes which may be present and delivered within the MASH environment. 6.0 Local Delivery Steering Group 6.1 Given that the MASH will be a partnership model delivering a statutorily driven outcome the design and delivery of it requires strategic commitment from all partners involved in order to deal with a range of issues. It is therefore recommended that a MASH Local Delivery Steering Group is created, with the Chair being the Assistant Director Children’s Services or answering to them. The Steering Group will continue post launch to monitor and review its operational effectiveness and oversee governance issues in the first instance. 7.0 Information sharing and management 7.1 Various acts contain expressed or implied powers to share information. The two which appertain to MASH style working and give the statutory framework within which a MASH operates are The Children Act 2004 and The Data Protection Act 1998. 7.2 A specific Information Sharing Agreement (ISA) for MASH style working in London has been prepared and is available from the Metropolitan Police Service. Previous guidance made it clear that information sharing in relation to individual cases does not require the creation of an information sharing protocol. 7.3 The (then) DCSF published a fact sheet in March 2010 designed to assist practitioners, and this detailed a process chart as shown below: LBBD MASH Guidance – February 2014 Page 7 7.4 The guidance stated ‘Where practitioners have to make decisions about sharing information on a case by case basis, the decision to share or not to share must be based upon professional judgement and in accordance with legal, ethical and professional obligations’ (Information sharing: guidance for practitioners and managers, DCSF 2009) 7.5 The same guidance made it clear that, in order to assist the decision making process, organisations should have in place codes of practice and procedures for information sharing. 8.0 Purpose Specific Information Sharing Agreement 8.1 This document should describe the chronological steps and considerations required after a decision to share information has been made, for example, the steps to be taken to ensure that information is shared securely. Information sharing procedures set out, in detail, good practice in sharing information. 8.2 All partners must ensure that the information sharing procedures take account of the requirements of the Criminal Procedures Investigation Act 1996 (CPIA) in relation to the disclosure of information. 8.3 Any MASH will need to use an existing I.T. system and data set to collate and record information appertaining to individual cases. These will likely be the current Children’s Service system being used within a particular Local Authority. Risks in relation to information held on these systems should therefore be managed by procedures in place within the authority as owners of the system. However, given that the MASH functions in a multi-agency environment it is recommended that the Senior Information Risk Owners (SIRO) for each partner agency represented within the MASH satisfy themselves that the recording and storing of information gleaned from their own systems accords with the standards that they require for information management. 8.4 The MASH will be handling sensitive personal data, and creating records that will hold that data. Whilst the responsibility for the management of the system upon which that record sits is held by the owner of the system, it is critical that the partners contributing information have confidence that the information will be held in accordance with the standards that they require. Whilst it is suggested above that partners should satisfy themselves that the processing of data by the MASH is in accordance with the standards that they require, the MASH itself should also demonstrate to partners that information processing systems are robust and accountable. For this reason it is suggested an annual information audit should take place within any MASH to ensure compliance with legislation and the 8 principles of good practice within the Data Protection Act 1998. 9.0 Risk management: 9.1 The aspect of risk management associated with the management of information has been addressed above. In addition, the functions of the proposed steering group include the management of operational and organisational risk associated with the MASH. 9.2 In order to support the identification and reporting of risk, it is recommended that an agency takes responsibility on behalf of the partnership for the creation and population of a risk register that can be considered by the steering group. Practitioners within the MASH should have access to the LBBD MASH Guidance – February 2014 Page 8 register, be aware of the content and have the opportunity to submit individual organisational or joint risks for consideration by the steering group. 10.0 Professional supervision: 10.1 The importance and role of professional supervision is well understood within social work and the medical profession. With staff deployed to a multi-agency environment, where they may be exposed to different pressures and influences, profession based supervision becomes even more important. Supervision in this environment will not only provide welfare and personal support for staff it will also be essential to ensure that their training and development needs are recognised, as well as to ensure and support objectivity in decision making. Maintaining independence within professions and the supervisory structures to support it is essential to prevent the risk of group dynamics and bias. 10.2 Whilst each agency deploying staff to the MASH should have processes in place to ensure that their staff have access to supervision, it is recommended that the Strategic Board satisfies themselves as part of the overall performance monitoring within the MASH that arrangements to provide supervision are robust and that staff are receiving appropriate levels of professional based supervision on a regular basis. 11.0 Professional difference: 11.1 B&D Safeguarding Children’s Board has in place a policy for resolving professional differences between partners within the safeguarding partnership. (Appendix 1: Conflict Resolution Protocol and Appendix 2: Personalisation Panel Terms of Reference) Given the fact that the work performed in the MASH can be seen as a gateway to decisions regarding future action, it is vital that staff have access to an accepted escalation process that enables them to resolve professional difference. 12.0 Performance monitoring: 12.1 Previous guidance in relation to the Roles and Responsibilities of the Lead Member for Children’s Services and the Director of Children’s Services states: ‘Every year, as part of the Children’s Trust annual report, the Chief Executive and the Leader of the Council should make an assessment of the effectiveness of local governance and partnership arrangements for improving outcomes for children and supporting the best possible standards for safeguarding and promoting the welfare of children.’ (DCSF 2009 p.23) 12.2 In order to support that assessment, there should be performance measures in place that monitor the critical areas where the MASH makes a significant contribution to outcomes for children and the standards of safeguarding. These are to be locally defined by the Policy and Performance Team) 12.3 The Local Authority should, through the steering group, design a performance monitoring regime which can monitor ongoing performance within the MASH. LBBD MASH Guidance – February 2014 Page 9 13.0 References: Audit Commission. 2003. Corporate Governance, Improvement and Trust in local public services, London, available at: http://www.auditcommission.gov.uk/SiteCollectionDocuments/AuditCommissionRepo rts/NationalStudies/CorporateGovernance.pdf DCSF, 2009. Statutory guidance: The roles and responsibilities of the Lead member for Children’s Services and the Director of Children’s Services London, available at www.teachernet.gov.uk/publications search using ref: DCSF-00686-2009 LBBD MASH Guidance – February 2014 Page 10 Appendix (A) MASH Staffing Co located Area Duty team personnel Manager contact Contact Details Mike Cullern LBBD internal Jon Maile LBBD internal Damien Cole LBBD internal Joy Coutts stella.hanson@nelft.nhs.uk olubunmi.shoyinka@nelf.nhs.uk Rolf Schamberger PDD@met.pnn.police.uk Carly Welsh Triage / MASH Social Worker lead for Triage screening and MASH investigations Lindie Lynch Franchesa Apau Tracey Phillips Rekha Sharma MAP East and South East MAP Jo Street North and Central MAP Ioannis Athanasiou West and South West MAP Azam Bhatti Craig Fitt-Cook ISA Team Borough wide Nicky Gates Lynsey Flowers Health Community and Acute Stella Hanson Olubunmi Shoyinka Jacqui Anderson Michelle Cohen Police Public Protection Desk Probation CAMHS CAMHS Tier 3 LBBD MASH Guidance – February 2014 Stephanie Rapp Dani Euston Lynne Bonner Julie Green Diane Brook Edwin Oguledo Kim Roberts-Waldron Sinclair Jenkins Katalin Vincent Edwin.Oguledo@london.probation.gsi.gov.uk Sinclair.jenkins@nelft.nhs.uk Page 11 Single Point of contact Area Localities Management Barking (West) Duty team personnel Lorraine Moore Debbie Pearkes Manager contact Contact Details Russell Lloyd barkingareaoffice@lbbd.gov.uk Andrew Walkinshaw dagenhamareaoffice@lbbd.gov.uk Carole Hayden Housing Localities Management Dagenham (East) Sandra Jackson Paul Seaman Housing Advice Sunny Mian housingadviceservice@lbbd.gov.uk Terrie Handley housingadviceservice@lbbd.gov.uk Joe-Anne Streeting Anthony Dennis-Obi Robert Harris Trevor Stephenson YOS Youth Offending (all) Ash Tooray Charlie Crawford / Jonathan Taylor YOSMASH@lbbd.gov.uk Lonnie Robinson Matthew Knights Adult Mental Health Community Safety (Neighbourhood) Probation ISA Team Gwen Alexander Link to Neighbourhood management/daily Police meetings/Private sector housing/ASB For 4 days p/w LBBD MASH Guidance – February 2014 Lynsey Flowers Katherine Gilcreast Lewis Sheldrake Donna Rose Kim Roberts-Waldron LBBD Internal LBBD internal Edwin.Oguledo@london.probation.gsi.gov.uk Page 12 Appendix (B) LBBD MASH RAG Rating A case will enter the MASH at the point that a Triage Social Worker has decided that a referral requires more interrogation and the input from partner agencies. It is at this initial point of the case entering the MASH that the Triage Social Worker will rate the contact as Red, Amber or Green. The initial rating will be determined by the level of risk the social worker has identified in the referral and how urgent information and analysis from partners is required in order to make a determination on further steps. The information and analysis provided by partners will then determine what RAG rating the contact exits the MASH. For example, a case may enter the MASH as Amber based on the initial information provided at the point of referral, but the information provided by partners may increase or decrease the level of identified risk, meaning that the case may exit the MASH as either Red or Green. The RAG rating of a case exiting the MASH will determine what level of intervention is identified as being best placed to meet the needs of the child. Partners contributing to the MASH process on a child are asked to RAG rate the information their agency holds which will assist in determining whether that information increases or decreases the risk to the child. The initial RAG rating entering the MASH will determine the timeliness of response required from partners. Please see table below. OPEN CASES - Cases that are currently open to the Local Authority Children’s Social Care will not be subjected to MASH at the initial receipt stage but forwarded securely via agreed local methods so that the lead professional and their manager are aware of the new matter. It is up to them to identify subsequent matters for consideration within MASH. Police will ensure that a CRIS reflects any new allegation of crime. LEVEL 1 - BLUE – No identified additional needs. (Does not need a Local Authority referral – from Police) Pre-MASH Screening LEVEL 2 - GREEN – Following Pre MASH screening, low to no risks identified. Low risks = Tasked to Multi Agency Panel for onward Tier 2 support. No risk identified - No safeguarding grounds on which to share outside of MASH. Information and advice to referrer/parent only. Timescale: Outcome recorded within 24hours. Enters MASH LEVEL 3 - AMBER - Complex needs likely to require longer term intervention from statutory and/or specialist services. High level additional unmet needs - this will usually require a targeted integrated response, which will usually include a specialist or statutory service. This is also the threshold for a child in need (s17) which will require a CSC intervention. Timescale: MASH investigation within 1 working day. Enters MASH LEVEL 4 - RED - Acute needs, requiring statutory, intensive support. In particular this includes the threshold for child protection (s47) which will require CSC intervention. These cases may also require immediate police intervention as the child has been identified to be at risk of harm. Timescale: MASH investigation within 4 hours (MASH partners notified immediately) LBBD MASH Guidance – February 2014 Page 13 Appendix (C) Triage and MASH Business Processes (A) Pre MASH Screening Protocol (within Children’s Services Front Door) MASH Social Worker Referral Officer or LSO Process for screening all contacts as they are received into the boroughs Multi Agency Safeguarding Hub (MASH) Contact into MASH Tel. call MARF Merlin CAF Yes Passed to allocated Social Worker End of process No New Contact created on ICS Tasked to a MASH Social Worker Is it a current Open case to Social Care? Recorded on ICS with Prac Manager oversight. Review of Contact No concerns [Info Advice to referrer only] or Suitable for Tier 2 support* No Yes Feeds into decision making process ISA PA / MAP Coordinator Tasked to MASH Practice Manager RAG decision Enters MASH No Tier 2 checks: eCAF CMS Establish what support is currently in place, engagement/progress Is the referer from a CAF trained setting Yes MASH Practice Manager Discuss with lead professional if appropriate. Referrer contacted directly, informed of decision and directed to initiate CAF or instructed to liaise with existing lead professional. Recorded and closed on ICS Escalation protocol Processed by MASH Business Support Officer Case oversight and final decision Potential review of Social Worker RAG. * If the child being referred is disabled, Tier 2 support will be coordinated via the Heathway Centre. The MASH DCT Social Worker will liaise directly with the Centre Manager and not pass down to MAPs. ** need to check whether ‘tasking’ is possible through eCAF. May need interim arrangement whilst eCAF is being implemented and in lieu of settings being eCAF trained. LBBD MASH Guidance – February 2014 Case added to CMS and tasked to MAP Officer Passed to appropriate MAP for onward Early Help. Recorded and closed on ICS Key: CAF = Common Assessment Framework CMS = Case Management System (Early Help) eCAF = electronic Common Assessment Framework (system) ICS = Integrated Children’s System MAP = Multi Agency Panel MASH = Multi Agency Safeguarding Hub RAG = Red Amber Green (rating) Page 14 (B) - MASH investigation process Only exists MASH as Green, cannot enter. Step across to MAP when Green prior to MASH enquiry. RAG decision for agency input, recorded on ICS MASH Practice Manager Within 1 working day Within 4 hours Social Care External Single Points of Contact Co located partners MASH Social Worker Cases entering the MASH system will be securing shared with the case appropriate agency contacts and independent of each others input Police Health Education/Targeted Support Probation CAMHS LBBD MASH Guidance – February 2014 Decision made Agencies selected for MASH input as appropriate to case Reports received back into MASH within RAG timescale, or processed without agency input. YOS Housing Adult Mental Health Substance Misuse Community Safety MASH agency reports reviewed within MASH IT system Information populated within ICS including summary of referral. Reports received back into MASH within RAG timescale, or processed without agency input. Manager generates final report based on MASH investigation. Enters Social Care Progressed to Assessment Team Onward Statutory intervention/ planning Early Help *Step Down Pathways Stepped across to MAP for Tier 2 support, Heathway Centre if child is disabled or back to original referer *Step down to Early Help See Pathways E,F,G and H for details Page 15 Appendix (D) MASH Local Steering Group Terms of Reference Purpose and Roles The Barking & Dagenham MASH Local Delivery Group has responsibility for improving safeguarding arrangements and promoting the welfare of children through the successful implementation of a Multi Agency Safeguarding Hub in B&D. The MASH Local Delivery Group is responsible for: Approving the start of the project by committing Barking and Dagenham to the five core elements. Accepting the Project Initiation Document (PID), ensuring that the scope is sufficient for success and agreeing project tolerances. Supporting the Project Manager and project team to deliver on time. Providing the London MASH Project Board and Barking and Dagenham Local Safeguarding Children’s Board with assurances that the MASH has been delivered and all local stages have been met. Identifying finance and resources from within stakeholding organisations for successful MASH implementation. Members of the MASH Local Delivery Group will also take responsibility for working within their own organisations and service divisions to promote the MASH concept, communicate progress and overcome obstacles. Membership Name Ann Graham Damien Cole Jon Maile Joe Derilo Rolf Schamberger Greg Vaughan Charlie Crawford Laura Clements Mike Cullern Chris Bush/Dan M. Agency Children’s Services, Children’s Complex Needs and Social Care (LBBD) Children’s Services, Strategic Commissioning and Safeguarding (LBBD) Children’s Services, Targeted Support (LBBD) Met Police, MASH lead Met Police, Public Protection Desk Children’s Services, Education Inclusion Adult Services, Community Safety and Public Protection Children’s Services, Care Management (LBBD) Kim RobertsWaldron Anne Baldock Children’s Services, Triage (LBBD) Children’s Services, Strategic Commissioning and Safeguarding (LBBD) Barking Dagenham & Havering LDU , Probation Service Housing and Environment, Housing Strategy Sharma Jeevan Mhembere Peggy Elevate ICT, Business Transformation Adult Services, Adult Safeguarding LBBD MASH Guidance – February 2014 Role Divisional Director (and Chair) Integrated Working Lead (& MASH Project Manager) Safeguarding Coordinator Detective Sergeant Sergeant Children Missing Education Manager YOS Prevention Manager Assessment & Care Mng Group Manager Triage Snr. Social Worker ICS and Commissioning Team Manager Senior Probation Officer Housing Advice Group Manager Business Development Mng. Adult Safeguarding Group Page 16 Dan Hales Kerri Clay Mari Davies Sue Newton Baljeet Nagra Terry Wood/Andy Bere Adult Services, Community Safety and Public Protection NHS Outer North East London Refuge (CVS) ONEL. Disabled Children’s Team Corporate Asset Management Manager (interim) Community Safety Group Manager Named Nurse, CP. DV Manager Designated Nurse Group Manager Team Manager Activities Agree with the Project Manager on that person’s responsibilities and objectives. Provide overall guidance and direction to the project, ensuring that it remains within any specified constraints and tolerances. Review each completed stage. Review and approve any exception plans. Provide or commission necessary resources (including time) to meet the demands of establishing MASH. Own any relevant project risks, taking responsibility for advising the Project Manager and group of their status and taking action, if appropriate, to reduce the impact. Approve any changes to the Project Plan. Contribute to and approve a final lesions learnt report. Confirm satisfactory completion of the project. Meetings For the lifetime of the project, the MASH Local Delivery Group will have regular and sufficient meetings to progress the agreed activities and outputs. Governance The MASH Local Delivery Group will report to Director of Children’s Services through locally agreed channels. T he MASH Local Delivery Group will apprise the London MASH Operational Delivery Group of progress and status. LBBD MASH Guidance – February 2014 Page 17 Appendix (E) Agency MASH enquiry guidance MASH Key Objectives Improved safeguarding decision making at the point of referral. Early Identification of harm and risk. Improved interface with early intervention services. This guide aims to provide partner agencies with an overview of the information and expertise required by the MASH in order to be able to achieve the key MASH objectives as set out above. The guide will provide a generic overview of the kind of information needed and will then proceed to specific guidance tailored to each agency around what information is needed in order to facilitate a more informed, proportionate and safe decision making process for children referred into the MASH service. You, as the agency sharing information, will be asked to RAG rate the information you hold. This will be explained further at the end of this document. There are 4 main areas of the children’s services database which you will have access to when requested through the MASH process to provide information. These four areas are; The top of the screen provides the child’s names, address and date of birth. The Contact Page. This page is where Triage record the presenting information from the referring agency and a decision from the Triage social worker as to why the case has been passed into the MASH. Relationship Page. This allows you to view family who are linked to this child and on who you may hold relevant information which may present as a safeguarding concern for the child / children in the home. Case notes. This is where you will be asked to record any information on the family which you deem as a known safeguarding or potential safeguarding concern for the child / children and any other relevant information you feel may be important for the MASH process and the safety of the child / children. The lists below are examples and guidance on how practitioners can focus the case recordings for the MASH but these are not exhaustive and there may be information relevant that you feel appropriate to share. Partner agencies are encouraged to be as analytical as possible around the information you hold and whether the information you hold presents any safeguarding concerns for the child / children. Where you deem information to be highly sensitive and confidential, please ensure that you clearly record whether the information can be shared outside the MASH. LBBD MASH Guidance – February 2014 Page 18 General Information required from partners Whether the child / family are known to your agency and in what context. How long have the family been known to your service. Whether you aware of the child / family being known or to have lived in any other local authority. Whether you are aware of any previous safeguarding concerns for the child / children. This may include information around Neglect, Physical / Emotional / Sexual Abuse or Domestic Violence. Whether you hold information on any household members in addition to the immediate family listed in relationships / family composition – who is living in the home in addition to those listed in the records? Health Is the child / children registered with a GP, which GP and where are they based? Whether there are any known health or disability issues. Is there a health visitor / children’s centre / Family Nurse Partnership practitioner working with the family? Are immunisations up to date and are there any safeguarding concerns relating to the child’s health? Has the child / children had any A&E admissions which raised any safeguarding concerns? Unborn children – are midwifery services aware of the pregnancy and are there any safeguarding concerns? Were there any concerns during previous pregnancies? If the referring agency is health, raising a concern around, for example, an injury / mark / – what analysis of the information have you made? Are there inconsistencies in the information which needs clarification or raise immediate safeguarding concerns? What further information has been gathered from the referring agency to inform your analysis of the concerns? What ongoing work or attempts have been made by health professionals to address any identified need for the child / children. CAF, Targeted Support Services, CAMHS, Specialist Assessments. Are there any known substance misuse, mental health or financial issues within the household? Housing Is the child / family living in local authority / privately rented accommodation? Do you hold any information on how long the family have resided in the area? Are there any safeguarding concerns specific to the neglect of the home conditions? Are there rent arrears on the property? Have there been any reports of anti-social / criminal behaviour from the child / family? LBBD MASH Guidance – February 2014 Page 19 Are the family facing eviction from their home or have previously been found intentionally homeless? Are you aware of the child / children / parent / carer having a disability? Are there any special adaptions to the property to meet the needs of the child / carer? If housing are the referring agency and are raising concern, for example, around an impending eviction, what support services have been offered to the family to attempt to address the issue? What plan could be put in place to reduce any risk to the child? Youth Offending Service Is the young person / siblings / parent or carer known to the YOS and in what context? Are there any current impending convictions / court appearances? What is the extent of the young person’s offending history? Has there been any assessment of the risks that the young person poses to others, including siblings / parents / wider community? If so, were any risks identified? Are you aware of any safeguarding concerns for the young person or any other children living in the home in relation to neglect, sexual, physical or emotional harm from the parent? Has the young person been identified as being at risk of exploitation, for example, Criminal or Sexual Exploitation? Are there any concerns that the young person is affiliated with a gang or there is suspected association with gang activity? What ongoing work or attempts have been made by YOS professionals to address any identified need for the young person? If YOS are the referring agency, what further support / assistance can YOS offer the young person / family to reduce any current / future concern? Education Is the child / children in an Education setting? If so, what setting are they currently attending? How long have they been at the setting? Do you hold any information on previous education settings? Are there any current issues regarding attendance / unauthorised absence? What is the potential impact of the attendance issue on the child’s future education and development if the attendance issue continues? LBBD MASH Guidance – February 2014 Page 20 How does the child / young person physically present in school? For Example, are they clean and dressed appropriately? How does the child / young person emotionally present in school? For example, do they have a group of friends, are they withdrawn or outgoing? What level of engagement has the setting experienced with the child’s parent? Is the parent proactively involved in the child’s education, for example, attending parents evening, shows a general interest in the child’s attainment? Are you aware of any current or previous safeguarding concerns for the child / children? Are you aware of any current / previous children’s services intervention? Does the child have a learning or physical disability? Does the child have any additional learning needs? For example, development delay, speech and language needs? Is their level of understanding age appropriate? What ongoing work or attempts have been made by education professionals to address any identified need for the child / children? CAF, Targeted Support Services, CAMHS, Specialist Assessments. If education are the referring agency, what support / assistance are education services able to provide to the child / family to reduce any current or potential concern? Probation Are the parent / carer known to Probation services and in what context? Is there information that anyone living in the home or connected to the family been identified as a risk to children and / or has offences against children? Is there a known history of domestic violence? Do the parent / carer’s previous criminal convictions pose a risk to their children in any way? What support has Probation offered to address any identified need for the child or parent / carer? What support could Probation offer in an attempt to reduce the identified need or concern for the child? Is there any substance misuse, mental health or financial issues within the household? Police Is the child / parent / carer known to Police and in what context? Is there any information that a parent / carer pose a risk to children? Are there any concerns that the child / young person pose a risk to other children? LBBD MASH Guidance – February 2014 Page 21 Is there a known history of Domestic Violence? Is there any information that the victim has declined to cooperate with Police? Is the child / children known to Police for any safeguarding matter, for example, Sexual, Physical, Emotional, Neglect or Domestic Violence issues? Is there any known substance misuse, mental health or financial issues within the household? Is there any information that parents behaviour or actions place the children at risk of harm? Is there information raising concern that a young person’s behaviour places them at risk of sexual exploitation? Does any criminal behaviour within the home or by external family place the children at risk? What support or services could the Police potentially offer in an attempt to reduce the identified need or safeguarding concerns for the child / children? Child and Adolescent Mental Health Service Is the young person known to CAMHS and in what context? Does the young person have a diagnosis of a mental health issue? During the course of the young person and their family engaging with your service, have there been any safeguarding concerns raised? Have there been any concerns raised that a parent is not prioritising the identified mental health need of their child. For example, failing to attend appointments on a regular basis. Are there any associated risks to any other children in the home or wider community? For example, does the child / young person display sexually harmful behaviour? Are there any services which CAMHS could provide to address the needs of the child or reduce any identified safeguarding concerns? Adult Mental Health Services Are the parents of the referred child known to Adult Mental Health Services? Does the parent have a diagnosed mental health issue or is receiving treatment for a suspected mental health issue? Does the parent’s mental health issue pose any risks to the child / children? For example, are there concerns that the children are at risk of physical violence. Does the parent find that their mental health issue incapacitates them in anyway which impacts on their capacity to meet the needs of the children? LBBD MASH Guidance – February 2014 Page 22 Does the parent’s behaviour pose any emotional harm towards the children? For example, are there concerns that the parent has an altered sense of reality which would impact on the child’s development? Have there been any concerns around Adult Safeguarding? Are there any services which Adult Mental Health Services able to offer in order to address the needs of the child or reduce any safeguarding concerns for the child / children? ISA Practice Advisor / MAP Coordinator Is the child / children known to CAF or MAP and in what context? Have the family attended any Universal Services, such as children’s centres? If the child currently has a CAF, what was the indentified need and what work is currently ongoing to address that need? If the child previous had a CAF, what was the identified need for the CAF and why was the CAF closed? If the CAF was closed as needs met, how were the needs met and by which service? Are the family currently working with targeted support services? What was the identified need to initiate this piece of work with the family? What progress has been made to address the identified need? Are you aware of any other agencies working with the family and in what context? Would the identified need for the child within the referral be best met through a CAF or targeted support? LBBD MASH Guidance – February 2014 Page 23 Appendix (F) MASH ICS (Integrated Children’s System) step by step guide Introduction The following is a how-to-guide on how to record on the Social Care database as part of MASH. Before logging onto ICS you will have received an email into your LBBD email account or LBBD group email account informing you that a MASH Check is required. Step 1: Logging in to ICS Once you have logged into Citrix via the FOB key, and clicked on the ICS Live ICS will open up on your screen and you can login with your ICS login details as below Once you enter your Username and Password ensure you click on the Task List button and then click Log in. LBBD MASH Guidance – February 2014 Page 24 Step 2: The Task List Your Task List will display every contact that has been sent to your team requiring checks as part of the MASH. In order to view the Tasks, you need to ensure you have ticked Teams Click on Teams, then click on All and then click on the Go button to display all available Tasks that have been sent to your team Step 3: Viewing your Task List All of the contacts you see on the Task List will have been emailed to your teams group email to alert you of the checks being required of you. Before clicking on your Tasks, ensure you check to see what priority the Tasks are Amber or Red (This will appear in the email too) and ensure that you prioritise the Red checks within 4 hours. The Task will state if it's a Red or Amber check required LBBD MASH Guidance – February 2014 Page 25 Step 4: Click on the Task Click on the Description link for the child's contact you wish to view. This will take you into the Contact screen where the full details of the Referral of why the child has been referred to Children's Services. Click on the Description Link to be taken into the Referral details Step 5: Reading the Referral Details You can read the full details of the referral from the Details box. Sometimes if the referral is very long, the remainder or the referral details can be found further down the screen in the Additional Commentary box. Referral details will be found in the Details text box. However on occasions when the referral is very long, you may find the information in the Additional Commentary LBBD MASH Guidance – February 2014 Page 26 Step 6: Accessing Relationships You can view the relationships of the child via the Relationships tab on the left navigation menu. The relationships we have on ICS are only the ones we are aware of; you may know that there are other family members living in the household. If this is the case, please make reference to these additional family members when you upload your information onto ICS in Step 7. Step 6: Uploading your information onto ICS Once you have read the referral and have found sufficient appropriate information to share with the MASH, this can be uploaded to ICS. (Please refrain from simply copying the information in its entirety and ensure you summarise the information you have). Click on Case Notes/Visits on the navigation menu and click on Create Case Note/Visit Select your case note from the dropdown menu Record a Headline for your note, such as Mash Checks Completed or Not Known and record your checks in the Notes box If there are siblings in the family then simply click Yes on the Copy note to family members button and select the siblings you wish to copy the note over to The screen will appear as below with the date and time inputting automatically for you LBBD MASH Guidance – February 2014 Page 27 Click on the Save icon at the top left hand corner of your screen Step 7: Sending your information over to the MASH Manager/Social Worker ICS has a built in workflow that enables you to send a task to the MASH Manager/Social Worker that alerts them to the fact you have uploaded your agency checks to ICS. Below will show you how to do this: Once you have recorded and saved your case note click on the Flag icon Click on the Add Action button in the middle of the screen Select the Action of Mash Checks Completed and enter the Action by date as today's date. Click on Add Person to find the person you are sending the checks back to (This will be the name of the person who sent you the original alert for checks to be carried out LBBD MASH Guidance – February 2014 Page 28 Search for the Person by Forename and Surname and click on Find Person at the bottom of the screen Your search results will appear at the bottom of the screen, always click on the Person Identifier number of the person - DO NOT click on their name Click on the Person Identifier number Once you have clicked on the Person Identifier number, click Save LBBD MASH Guidance – February 2014 Page 29 Step 8: Completing the Task once your checks have been completed Once you have completed the above steps to upload your information to ICS, you need to ensure that you complete the Task in the Task List to ensure it is completed and no longer appears in the list. Click on Task List at the top of ICS Place a tick next to the checks you have completed and remove from the Task List, then click on the Complete Task button You have now completed all steps required of you for the MASH when recording on ICS. Complete Steps 4-8 for each and every referral you receive that requires MASH Checks. If you have any issues or require further training please contact ICS Development Officer: Daniel Monahan Telephone Number: 0208 227 2161 Email: daniel.monahan@lbbd.gov.uk LBBD MASH Guidance – February 2014 Page 30