SMOKING POLICY FOSTER CARE AND SUPPORTED LODGINGS Overview “The overriding priority in foster care must be the welfare of the child. Foster care provides a positive environment for children, helping to improve their chances of being happy and healthy as they grow older. A foster carer who smokes is no less able to provide this care. However, second-hand smoke presents a serious risk to a child’s health and an adult role model who smokes significantly increases the likelihood that a child will smoke. It is in the interest of all children to be raised in a smoke-free home. All fostering services should be moving towards a position where children and young people in care are only placed in smoke-free homes, regardless of whether the foster carer is a smoker or non-smoker. Local authorities must protect children from second-hand smoke while doing their best to ensure that no child in need goes without a foster place. Balancing the risk of exposure against the benefits of good and appropriate care is challenging but by focusing on the individual child’s needs, the right decisions can be made.” The Fostering Network. Aims The aim of Swindon Borough Council is to protect children and young people in our care from the effects of passive or active smoking. Policy statement Swindon Borough foster carers, supported lodgings carers and staff are always expected to ensure that all children in placement are not exposed to the harmful effects of smoke; by ensuring that children are not passively exposed to smoke within foster homes or vehicles. Foster carers, supported lodgings carers and staff who smoke are required to ensure that any smoking takes place outside of the carer’s home and vehicle and well away from foster children so they are not observed by them. As corporate parents we have the responsibility to balance the needs of looked after children against the rights of foster carers and supported lodgings carers to do as they wish in their own home Impact of exposing children to Smoking/second-hand smoke The health risks of smoking and exposure to second hand smoke are well documented Looked after children are amongst the most vulnerable in our society. They are more likely to suffer health inequalities and face poor life chances and outcomes. Two thirds of children in care smoke this is far higher than the national average. Suffering mental trauma as a child is also a predictor of smoking in later life. Children within the care system are more likely than others to have their life chances cut short through smoking habits. Children are particularly vulnerable to the damaging effects of second hand smoke because of their smaller immature and developing organs. Second-hand smoke is a preventable cause of conditions including sudden infant death syndrome, Bronchitis, asthma and pneumonia. Children exposed to second hand smoke have more days off from school and there is some evidence to suggest that second hand smoke can impair mental development We know that children who live with parents who are smokers are as much as three times more likely to become smokers themselves. Foster carers should be aware that their own smoking may influence the behaviour of children in their care. Children of smokers are much more likely be taken to hospital within their first year of life with chest problems than those of non-smokers they also have more ear, nose and throat infections that nonsmokers children. Children exposed to smoke are much more likely to develop breathing problems in adulthood Placements of children under 5yrs As the effects of passive smoking are potentially more serious for younger children, no child under 5 will be placed by Swindon Borough Council in a household where a carer or other household members smoke. In exceptional circumstances e.g. Kinship placements or where existing carers are smokers some discretion may be applied. This will be subject to a full risk assessment being carried out and evidence that the living environment is smoke free and the placement is seen to be in the best interests of the children. Children /young people with disabilities No disabled child or child with a medical condition (e.g. asthma, chest problems, heart disease or other medical problem seen as relevant by the medical advisor) will be placed by Swindon Borough Council in a household where a carer or other household members smoke. In exceptional circumstances e.g. Kinship placements or where existing carers are smokers some discretion may be applied. This will be subject to a full risk assessment being carried and it can be evidenced that the living environment is smoke free and the placement is seen to be in the best interests of the children. Placement of children aged 5+ Where any members of the household are smokers, the issue of their smoking habits should be discussed and a risk assessment carried out. The child’s Social worker and family should be made aware of the fact that the carers smoke and the strategies in place to ensure that the child /Young person is living in a smoke free environment. Many young people who come into local authority care are already smokers. Others become smokers whilst in care. Carers and staff must never buy cigarettes for children/adolescents nor should cigarettes ever be used as a reward for good behaviour. Where foster carers provide a placement to a child that smokes clear guidelines about how this will be managed will be agreed with the young person’s social worker and parents at the placement agreement meeting. . Carers are expected to discourage smoking by foster children just as any responsible parent would. Recruitment In order to move to a position where every child is placed in a smoke free home the issue of smoking will be discussed in an honest and robust manner. Whilst Swindon Borough would not like to create the view that application from smokers are unwelcome, all applicants should be made aware of the health risks to looked after children posed by smoking and will be advised of the requirements set out in this policy. Discussion will include the smoking of carers and others within the household, and how smoking is managed including any arrangements or family routines that have been made to minimise the risks of passive smoking to other members of the household. Foster carers and supported lodgings carers are asked not to smoke when transporting children and young people in their vehicles so that a smoke free environment is maintained. Carers are also required to ensure that children/young people are not exposed to smoke when visiting friends or relatives of the foster carers or when other smokers visit their home. All foster carers should receive information about the effects of smoking on health and should be made aware that smoking habits will be considered alongside other health factors when considering their fostering re-approval at their annual review. Help and support If foster carers have any queries about the above, or if they or a child in their care needs any advice or support in order to reduce or stop their smoking, this should be discussed with their supervising social worker who will signpost them to the appropriate health service for advice.