Voice response to the Care planning, placement and review (England) Regulations 2010 and care planning, placement and review statutory guidance and IRO Handbook Introduction Voice welcomes the opportunity to respond to the consultation on the Care planning, placement and review regulations and guidance and IRO Handbook. Voice is one of the UK's leading voluntary organisations working and campaigning for children and young people in care of the state. We are committed to empowering children and young people and we campaign for change to improve their lives. We provide advocacy for children and young people who are looked after, in need and who are care leavers. Voice runs a national helpline providing advice and advocacy support to children and young people who have concerns about their care. We provide community based and visiting advocacy for children and young people in children's homes, foster care, and in the secure estate and employ specialist advocates for unaccompanied asylum seeking child, mental health, disability and over 16s. We also provide an independent visitor service. Voice has a young people’s policy forum with whom we discussed this consultation. Their views and the experiences of children and young people with whom we work inform this response. We are responding to the consultation by reference to the format of the regulations bringing in guidance and the IRO Handbook where appropriate. General comments Overall we welcome these documents in promoting the child’s voice, developing a child centred approach to practice and providing mechanisms to protect the rights of children. There are of course areas where we think that this should be strengthened and this is set out below. We understand the benefit of a separate Handbook for IROs but have found there is not always consistency between the guidance and the Handbook. It is clearly important that this should be so. We wonder if it would be more helpful to remove the sections of the guidance about reviews and IROs and replace that with the contents of the Handbook. It could still be a stand alone document for IROs. Advocacy As a children’s charity providing advocacy services and having campaigned for many years for its extension we welcome the reflection of the then Minister’s assurances in debate of the 2008 Act that the child’s right to advocacy would be highlighted in guidance and in particular that the concept of ‘representation’ was intended to be read widely. However, we 1 note that the contents of the guidance and the IRO Handbook are not consistent. Not only should policy statements be consistent for all those who are involved in the care planning and review process but we are concerned that those who are not IROs will not necessarily read the IRO Handbook. In our view the formulation of advocacy in the IRO Handbook is clear and put well showing clearly that the right to advocacy is broader for children wishing to make representations about their lives without having to invoke the complaints procedure. There is also an understanding in the Handbook that while advocacy is about empowering children and young people to express their wishes and feelings it is also about promoting children’s rights reflecting Standard 2 of the National Advocacy Standards. We would therefore propose that paragraphs 3.8.1 – 3.8.3 in the Handbook are inserted into paragraph 1.10 of the Guidance under a separate heading of advocacy. All the young people we consulted with (not all of whom had experienced advocacy) supported advocacy as of right and highlighted the importance of independence. They thought that as well as providing support to them an advocate made a big difference in speeding up the review process and ensuring that things got done. They valued the independence of advocates compared to their experience of the IRO whom they did not perceive as independent of the local authority. However, they recognised that resources will limit availability they came up with proposals for when advocacy should be provided at key stages in their lives. This included in relation to health issues, for younger children who would lack the skills to speak up for themselves, in relation to separation from siblings, before leaving care, while in custody and when about to leave custody. In other parts of this response we will also indicate where we believe that advocacy for children and young people could be strengthened. Part 2 – arrangement for looking after a child Planning and contact We welcome the inclusion in Schedule 1 of the regulations that contact between siblings should be explicitly considered in relation to the care plan. We hope that para 8.15 of the guidance can also highlight the importance of contact between foster siblings. For children these relationships can be as significant as between birth siblings given the number of years in which they may have been living together. We have experienced one very long standing case in which in two groups of siblings had been placed together for five years; one sibling group of two was moved and for various reasons contact was not allowed causing enormous distress to the three children who remained in placement and for whom we provided advocacy. 2 The young people with whom we consulted also felt strongly that advocacy should be available to children and young people where there was a dispute with the local authority about sibling contact. Part 3 - Placements - general provisions Placements – general While there is a great deal about the placement plan in regulations and Schedule 2 we note that there is nothing that explicitly requires the local authority to consult with the child about the placement and obtain their wishes and feelings. Paragraph 10.10 of the guidance states that it is particularly important to discuss priorities of placement with children and young people and take into account their views. This is in the context of placements with a ‘connected person’ and is not identified as a feature of good practice in relation to placements in general. Young people have consistently told us that they want to be a have a say about the type of placement and wherever possible for there to be a choice about the placements offered to them. We suggest the following addition to regulation 9 ‘(aa) C’s wishes and feelings about the proposed placement having regard to C’s age and understanding’ Placement moves at KS4 We welcome the requirement for decision making about moves at KS4 to be taken by the Director of Children’s Services as this reflects the serious impact that such a move can have on the young person’s education and general placement stability. In our experience, young people have been moved from placements outside the authority round about their 16 th birthday, which inevitably impacts significantly on their education and life chances. This has become less pronounced but still occasionally happens. Where having given due consideration to the young person’s views the DCS considers that the move should go ahead and the young person disagrees with this decision we would propose that the decision is frozen and the child is offered an advocate as reflected in the following proposed new paragraph in the regulation: Add new paragraph Other than where there is an immediate risk of significant harm to C or serious injury to others, the responsible authority must freeze the decision to change C’s placement – (a) where C requests an advocate (b) where C submits a complaint under section 26 Children Act 1989 (c) where the IRO initiates the dispute resolution process.’ 3 Termination of placements We welcome the requirement in regulation 14 for a review to be held before a placement is terminated. Together with section 22D this means that decisions about placement change must be considered at a review unless there are immediate safeguarding concerns. However, we find the wording of this regulation rather confusing. Reg 14(2) reads as if the decision to terminate the placement is quite separate from the outcome of the review. Unless there are safeguarding issues in which urgent decisions clearly need to be made we would have thought that the local authority should have considered alternative placements before a review is convened and should have already informed the IRO of its intentions and the child and others to whom notification needs to be made. In our view, the regulation should distinguish between a proposal to terminate a placement and the process to be followed once that decision has been made. We would therefore propose that reg 14(2) is amended to read: Line 1, after ‘before’ delete ‘terminating’ and insert ‘proposing to terminate’ Line 3, before ‘make’, delete ‘make’ and insert ‘consider’ Line 4 – 8 - delete And then a separate paragraph to reflect the existing paragraph (2) It is very important that children and young people are given the opportunity to express their views about their existing placement before it may be brought to an end. All too often in our experience, children and young people are told that they have to move, often at very short notice, without the opportunity for the decision to be reconsidered and the only way for this to be challenged if the local authority do not agree to freeze the decision pending a complaint is to take legal action. We appreciate that in our work we encounter situations which have gone wrong for young people but these occasions can be very distressing for the children and young people concerned. It is our view that a proposed move, other than for safeguarding reasons, may constitute a breach of the child’s article 8 rights to respect for private and family life. In those circumstances, the local authority must ensure that the child is offered access to an independent advocate at their review and that the review does not take place without the appointment of an advocate unless the young person elects not to appoint one. We therefore propose the following additions to the regulations as follows: Add new subparagraph to (2) ‘(d) give due consideration to the wishes and feelings of C regarding the placement having regard to age and understanding’ 4 Add new paragraph ‘Subject to paragraph (3) the responsible authority must freeze the decision to terminate the placement – (a) where C requests an advocate (b) where C submits a complaint under section 26 Children Act 1989 (c) where the IRO initiates the dispute resolution process.’ Another matter of concern is the exclusion from the requirement to review children in kinship placements where the temporary approval has expired and the carer has not been approved as a foster carer. The child may have been in placement for 24 weeks and more if the carer has applied to review the decision. We are concerned that the child may have no opportunity to express their views at the conclusion of the placement. At the very least at the four month review alternative placements must be considered for the child as a contingency in the event of full approval not being granted and contact with the carer and their family must be considered. Part 4 – provision for different types of placement Placement – foster care We welcome the new provisions for emergency placements and the extended period for placement on temporary approval of foster carers who are connected with the child. However, in everyday usage the term ‘connected person’ does not convey its meaning which is generally understood as kinship care. The guidance should refer to these placements as kinship placements or placements with family and friends. There is reference in these regulations to the Fostering Services Regulations 2002 which we understand will be revoked entirely. We are not sure whether the contents of these regulations fit better in the revised Fostering Services Regulations as at present or in these regulations. There needs to be clarity and link up also with the NMS. The heading of regulation 23 refers to placement with a local authority foster parent and yet regulation 23((2)(a)(ii) and (3)(c) refers to another fostering service provider and independent fostering agency. This is confusing. Ideally we believe that children and young people, unless babies and very young children, should be able to visit the foster home before the placement. We do appreciate that it may not always be possible to arrange this and it may not always be appropriate. However, we do believe that it is important for the child to at least meet with the new foster carer before placement so that they have every possibility to be fully prepared before the placement starts. We would suggest the following new regulation. ‘Before placing C with F the responsible authority must, having regard to C’s age and understanding arrange for C to meet with F unless it is not reasonably practicable or appropriate to do so’. 5 Placement - children’s homes You specifically ask for comments about children’s home both in the regulations and guidance. There is clearly a link between the revised Children’s Homes Regulations and NMS and these regulations and guidance. However the former relate to the responsibilities of providers and the latter to those who are responsible for placement decisions in the care plan. It is noticeable that there is no reference at all to placement in children’s homes in either the regulations or guidance in contrast to all other placement options. We believe that this should be rectified. It seems to us that there needs to be an equivalent regulation to regulation 23 in relation to foster carers, namely conditions to be complied with before placing a child in a children’s home. The local authority will need to be assured that the home is registered and meets the requirements of the Care Standards Act and amended Children’s Homes Regulations in relation to the provision of the service and has considered any OFSTED inspection reports. Children who are placed in residential care tend to be older and it is essential that they have the opportunity to visit the home before a final decision is made. We therefore suggest the following regulation: ‘Before placing C in a children’s home the responsible authority must, having regard to C’s age and understanding, arrange for C to visit the children’s home unless is not reasonably practicable or appropriate to do so’ Guidance needs to set out clearly how the social worker works with residential care staff to support the placement. This should include: Visiting placement prior visit, ensuring that child has an opportunity to visit placement prior to placement and worker from placement to visit child prior to placement (unless not in best interest of child. If not in best interest this must be documented and explained). Ensuring that the placement plan is completed within the time scales and that the necessary paperwork is provided in accordance with the residential placements procedures and on admission. When social worker visits young person they must ensure that they look at communal areas within the placement and the child’s bedroom, to ensure that it continues to meet the child’s needs. Placements – ‘other arrangements’ The 2008 Act and these regulations allow for young people under the age of 16 to be placed in other arrangements. We cannot see any justification for placing young people under 16 in a non regulated placement and we would urge the guidance to reflect the expectation that this will not happen other than in very exceptional circumstances in which case the child would have to be accompanied by an adult. 6 We welcome the requirement in regulation 28(b) for the local authority to arrange for the child to visit the accommodation. However, we believe that it is too restrictive as drafted and that the emphasis should be shifted to reflect a presumption that the child should always be given the opportunity to visit the accommodation. We can see no reason for this being limited to the child’s age or understanding given that these young people will be 16 plus. We would suggest the following amended wording: ‘must arrange for C to visit the accommodation unless it is not reasonably practicable’ It seems to us that the factors in Schedule 6 need to be strengthened. At present the emphasis is very much on the nature of the accommodation and, while this is clearly important, it is not sufficient. Our particular comments are as follows under the headings of the schedule: Location – this should also reflect the importance of sustaining relationships with family and friends. It may also need to include the need for the young person to move out of a particular area to give themselves the opportunity a fresh start away from the area in which they may have been involved in criminal or gang activities or at the receiving end of such activities. Support – this needs to be related to the young person’s identified needs in the care and pathway plan. Tenancy status – this is too prescriptive as young people under 18 are generally not granted tenancies but a licence. They still need to understand their responsibilities but this paragraph should clarify who will facilitate this on their behalf and support to be offered where difficulties arise. Young person’s views – again this seems to be too prescriptive without giving the opportunity for the young person to express their views about the proposed placement and their support needs. Part 5 – visits by the responsible authority’s representatives etc We welcome extension of the legal requirement to visit children in all placements (not just those in foster care) including those on care orders who are detained in custody and by implication any other placement such as a hospital. We also welcome the clear obligation on the local authority that the child can request visit at any time and that the child must usually be spoken to in private. We are concerned by regulation 30(c) which states that the child may not be seen if ‘R is unable to do so’. This seems like a let out clause and guidance should specify the circumstances in which this might be relevant such as if the child is out. Paragraph 14.8 is also concerning when it states that the need to see the child alone will be decided on during the course of the placement. Speaking to the child in private is an important principle which should not be diluted unless the child refuses to do so. 7 In our view, all visits should be recorded in the usual way with the child having access to their record if they wish. We do not believe that it is necessary or appropriate for a more formal written report to be made of each visit. We are concerned that this may tend to a bureaucratic exercise rather than focusing on forming a relationship with the child so that they feel confident with speak openly with their social worker. All the young people with whom we have been involved say clearly that they want consistent relationships with their social worker. Clearly, where there are safeguarding concerns the normal systems must apply. We are in particular concerned about the requirement to give copies of the report to those with whom the child is placed as there is no caveat as there is with parents ‘unless to do so would place the child at risk of significant harm. Given that one of the key features of the visits is of a safeguarding nature and children must feel safe to disclose anything that is worrying them. The young people whom we consulted consistently highlighted the importance to them of having information about their rights including their right to an advocate and how to find one. Get it sorted guidance states that children should be informed about their right to make a complaint and about advocacy when they are first looked after and at each review. We propose that the LA representative should inform the child about advocacy at each visit and also in between visits reflecting their duty under regulation 33 to provide advice, support and assistance to the child. Part 6 - reviews of the child’s case Reviews We welcome the changes in the regulations about when a review must be held and when the time frame must be brought forward in order to reflect the reality of the issues in the child’s life such as at the end of a period of remand or custody or where there is a proposal to terminate a section 20 placement and where the IRO considers this necessary. We support the additional circumstances in the Handbook in which IROs will call a review. Child centred care When asked what would make participation in their review most useful, our young people said having an advocate and also being helped with selfadvocacy skills to help them speak up for themselves in those difficult situations with their foster carers and social worker present. As one young person said ‘How can I really be expected to be honest?’ They also spoke about being supported after the review, a recognition that they have to go back to the carer whom they may have criticised in the review. They also commented that they would like a cooling off period after the review with a fun activity planned. As well as the views that young people give to us direct, Voice has also carried out project work with Kirklees Council in developing an exemplar for 8 child centred reviews and the delivery of training, It’s my Review, how reviews can be more child centred. Voice together with Kirklees Council, won the winner of winners 2009 Accolades Award co-sponsored by Skills for Care and Department of Health. We would be happy to give the Department further assistance in relation to the development of child centred reviews. We strongly support the emphasis in the IRO handbook which highlights the importance of the review process being child centred. In paragraph 3.6.1 it refers to the review as being the child’s meeting stresses the importance of child centred reviews. This is in contrast with paragraph 15.17 in the guidance which reads in much the same way as the existing guidance. In our view the ingredients of child centred care need to be spelled out more specifically. Our experience has taught us that this comprises active participation of children and young people in setting the agenda, making choices about venue and timing, being properly prepared and supported to attend the review meeting and being assisted to input into key decisions. The requirement for local authorities to develop a policy about reviews gives the opportunity for adults and children to develop this together. In our experience this was a key element in progressing child centred care in Kirklees and the resulting dramatic increase in the participation of children and young people in their reviews. As already suggested we would like to see the contents of the IRO handbook replace the sections in the guidance on reviews and the IRO. Reviews being held with other meetings We understand that there are differences of opinion about whether LAC reviews should be held at the same time as other meetings particularly child protection conferences. Our young people did not specifically address this issue. However, in general they do not like endless meetings which talk about the same issues with a large number of people. They would like everything to be sorted at the same time. Young people have also been clear that they want their LAC reviews to be child centred with them playing a key role in how they are conducted. There is therefore greater flexibility in relation to LAC reviews than there is in relation to child protection conferences where specific statutory requirements need to be followed. Each conference has a specific purpose which is different. On balance we believe that a LAC review should be held separately from a child protection conference with the child protection conference being held first. Ideally they should be held on the same day so that the child has the opportunity of attending both if they so wish but without the burden of a long gap between the two. However, in our view it makes sense for a review to be held in conjunction with the resettlement review meeting (held a month before discharge from 9 custody) as many as issues such as plans for accommodation and education for example are common to both. IROs We welcome the contents of the IRO Handbook and the more proactive role of the IRO. In our experience, IRO practice varies enormously and this is often tied in with their lack of independence from the local authority. Some of the young people whom we consulted made comments about the IRO which highlight the lack of independence that they have perceived and poor practice. They also commented that they would have benefited from the IRO giving them more information about their rights. Others had good experiences, having met with their IRO well before the review who had provided them with information about their rights and discussed the review process. We fully support IROs having a case load that will enable them to be able to carry out their tasks effectively in the interests of the child but we are unable to comment about what that caseload should be. We also support the provision of independent legal advice to assist them in making decisions in sometimes very complex cases. Our comments about the IRO role focuses on the relationship between the role of the IRO and advocacy and circumstances in which we consider that children and young people should be assisted by an advocate to have their voices fully heard and their rights upheld. It is not possible for the IRO who chairs the meeting and is responsible for making decisions in the best interests of the child to also act in the role of the child’s advocate. We welcome paragraph 3.8.2 of the Handbook which says that IRO must give information about advocacy to the child before every review. In order to ensure consistency of information we would suggest that the National Children’s Advocacy Consortium would be able to provide the best explanation about the role of advocacy and we would be happy to assist. In addition we propose that the IRO should take a more active role in ensuring that the child obtains an advocate by adjourning the review in the following circumstances until an advocate is in place, unless of course the child says that they do not want an advocate: Where the child says that they do not agree with the care plan Where the child has already asked for an advocate and the local authority has not facilitated this in time. Whenever there is a proposal that the child has to leave care before legal adulthood Where there is a planned move to ‘other arrangements’ before 18 Where there is a proposal to discharge a young person from section 20 accommodation In the following circumstances where the proposed events are imminent: o Move from a settled placement 10 o Unplanned change to accommodation which will disrupt education at KS4 Paragraph 6.1.2 of the Handbook says that the IRO must inform the child about complaints and advocacy where the informal dispute resolution process has failed. We suggest that young people should be informed about their right to advocacy at the outset of this process as earlier intervention through advocacy, coupled with complaint if necessary, could be helpful and contribute to twin track approach. We understand that many IROs experience advocacy as providing a more effective way of achieving change on behalf of the child. We suggest also that where the IRO considers that there are grounds for a referral to CAFCASS, if not before, they must give advice to child or young person about independent advocacy and explain that the advocate will be able to seek legal advice for the young person. Regulation 47 already provides that they must ensure that the child knows of their right to seek and apply for a section 8 order or to discharge their care order and to assist the child seek legal advice if there is no-one else available to do so. However, this does not relate to any potential human rights breach. In relation to younger children and babies the IRO could directly approach an independent advocacy organisation for the provision of non instructed advocacy. Part 7 – arrangements made by the local authority for ceasing to look after a child We do not think that eligible children should be included under this heading as they do not cease to be looked after by the local authority. We do however, agree that they should be included in these regulations and guidance as this reflects the government’s intention that children and young people should not in general cease to be looked after before legal adulthood. Termination of section 20 accommodation for a child under 16 We welcome the recognition that children discharged from section 20 accommodation prior to their 16th birthday can suffer significant disadvantage as they loose entitlement to care leaving status. However, both regulation 41 and paragraph 16.1 and 16.2 in the guidance appear rather vague. A distinction is also drawn between those children who are returned home to their parents or others with parental responsibility and those who are not. The local authority is not obliged to hold a review for those who are returned home to their parents whereas in accordance with regulation 35(3)(e) they are obliged to hold a review for those for whom they ‘propose to cease to provide accommodation’ and who will not be returned to their parents. We question the circumstances in which a local authority can deaccommodate a section 20 child other than to the care of the parents unless 11 the parents give notice to remove their child from accommodation and place them elsewhere. However, we do have experience of local authorities putting pressure on parents for their children to return to them shortly before their 16th birthdays. This has appeared to them, and us, that this has been done to circumvent their rights under the leaving care provisions. We cannot see that there are any legitimate circumstances in which section 20 accommodation is discharged prior to the young person’s 16th birthday unless the parents choose to discharge that young person from accommodation. We would urge the guidance to make clear that it is not acceptable for local authorities to seek to avoid their leaving care responsibilities to young people. We welcome the fact that the care plan will specify advice, assistance and support to the child once they are no longer looked after. Given that this will be provided under section 17 it is very important that social workers continue to give priority to these young people. Where a review is held we believe that all young people must be supported by an independent advocate, unless they choose not to be, given the significant consequences for them of losing their leaving care rights and the possibility of being placed in unsuitable accommodation. Part 8 – Independent Reviewing Officers and Independent Visitors We suggest that the additional functions of IROs are transferred to Part 6 about reviews. Independent visitors The young people whom we consulted were positive about the function of the independent visitor (IV) and felt that all young people should be asked if they wanted an IV so that they had the benefit of having someone to talk to. They were clear about the distinction between and IV and and advocate and saw the IV as being someone independent of their social worker who was consistent in their life over a long period of time who was there to talk to, as a friend and mentor. Two of the young people had been told that they would be offered an IV but it never happened. Paragraph 9.7 states that the social worker will have been involved in the process of identifying whether the child would benefit from an IV. Experience from our IV service suggests that children and young people or their carers should also be able to self refer as in their experience the overinvolvement of the social worker can sometimes make it feel as if the independent nature of the role is compromised. Our young people understood the need for record keeping but felt that this should be kept to a minimum to reflect the distinct role and that together they and their IV could complete the record. Unless the child requests their IV to attend with them we do not believe that it is the role of the IV to participate in meetings at the request of the 12 local authority as suggested in paragraph 9.28. This would severely undermine the independence and specific role of the IV as long term support to the young person. We do not believe that the paragraph on advocacy (paragraph 9.29-9.30) is appropriate in this section on IVs. It is something quite separate and is reminiscent of the conflation of the role of IVs with advocacy in the Care Matters Green Paper which was subsequently dropped by government. It is of course very important for IVs to be able to identify when the child may need support from an independent advocate. However, is should be stressed that advocacy is not the role of the IV although there may be circumstances where the child asks the IV to raise something on their behalf with the local authority. In our experience this is best done by the IV manager so that the relationship of the IV with the child is clearly protected. Additional comments Youth justice We very much welcome the separate section on youth justice in both the guidance and the IRO Handbook. This is a complex area of law and it is very helpful to clearly identify those children who have looked after status and the distinctions between those on care orders and section 20 when sentenced to custody. All too often in our experience there is insufficient attention focused on those young people in the youth justice system with young people not being offered the service to which they are entitled. Our own specific experience derives from our visiting advocacy services in the secure estate. Our focus therefore is on those children who are sentenced to custody. Those providing this service welcome this guidance and state that if followed would make a difference to young people in custody. We would welcome clarification in relation to Paragraph 17.19 and the reference to section 23ZA and separate guidance about the duty to visit children who were section 20 accommodated. As we read regulation 29(3) the requirement to visit is in relation to children on care orders only. We wonder if there is in fact no duty but that good practice will be contained in statutory guidance. For the sake of completeness it would be helpful to set out in this section of the guidance the key points from the separate guidance referred to. This impinges on the section on planning for release in paragraphs 17.4417.45 which in our view at present requires considerable strengthening. We appreciate that this is a difficult area and we would be very willing to have additional discussions with you to get this right. We have a major concern about children in custody who have been looked after under section 20. There is a need to sustain important relationships and to have a positive plan for resettlement that ensures that the future is secure. This is particularly important when the child or young person is unlikely to return home to their parents. 13 It is often in relation to planning for release that draws most heavily on advocacy support for young people for whom no adequate plans have been made. In our experience, the rights of those young people who have been section 20 accommodated and are care leavers on release or are children in need of section 20 accommodation on release are frequently not met by local authorities despite the judgment in G v Southwark Council 2009. Conclusion We would be very happy to assist the department in relation to any matters that we have raised in this response. We are also making a specific offer with the National Advocacy Consortium to provide an explanation about advocacy for IROs to give to children and young people, in relation to any further work about developing an exemplar for child centred reviews. Voice 12 February 2010 Contacts Nicola Wyld, Legal and Policy Manager, 020-7520-3777 John Kemmis, Chief Executive, 020-7520-3778 14