Setting

Foster Care NCH

479 Margate Road Broadstairs Kent CT10 2QA

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Commission for Social Care Inspection

Launched in April 2004, the Commission for Social Care Inspection (CSCI) is the single inspectorate for social care in England.

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Commission for Social Care Inspection

The Commission combines the work formerly done by the Social Services Inspectorate (SSI), the SSI/Audit Commission Joint Review Team and the National Care Standards Commission.

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The role of CSCI is to:

• Promote improvement in social care • Inspect all social care - for adults and children - in the public, private and voluntary sectors • Publish annual reports to Parliament on the performance of social care and on the state of the social care market • Inspect and assess ‘Value for Money’ of council social services • Hold performance statistics on social care • Publish the ‘star ratings’ for council social services • Register and inspect services against national standards • Host the Children’s Rights Director role.

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Inspection Methods & Findings

SECTION B of this report summarises key findings and evidence from this inspection. The following 4-point scale is used to indicate the extent to which standards have been met or not met by placing the assessed level alongside the phrase "Standard met?"

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The 4-point scale ranges from:

4 - Standard Exceeded (Commendable) 3 - Standard Met (No Shortfalls) 2 - Standard Almost Met (Minor Shortfalls) 1 - Standard Not Met (Major Shortfalls) 'O' or blank in the 'Standard met?' box denotes standard not assessed on this occasion. '9' in the 'Standard met?' box denotes standard not applicable. 'X' is used where a percentage value or numerical value is not applicable. Foster Care NCH Page 1

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Fax No Address

479 Margate Road, Broadstairs, Kent, CT10 2QA

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Date of latest registration certificate

Date of last inspection 13.01.04 Foster Care NCH Page 2 Date of Inspection Visit 20th January 2004 ID Code

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Date of latest registration certificate

Name of Inspector 1 Mrs Sue Gaskell 081981

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inspections and bring a different

perspective to the inspection process. Name of Specialist (e.g.

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INTRODUCTION TO REPORT AND INSPECTION

Independent and local authority fostering services which fall within the jurisdiction of the National Care Standards Commission (NCSC) are subject to inspection, to establish if the service is meeting the National Minimum Standards for Fostering Services and the requirements of the Care Standards Act 2000, the Fostering Services Regulations 2002 and the Children Act 1989 as amended.

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INTRODUCTION TO REPORT AND INSPECTION

This document summarises the inspection findings of the NCSC in respect of Foster Care NCH. The inspection findings relate to the National Minimum Standards for Fostering Services published by the Secretary of State under sections 23 and 49 of the Care Standards Act 2000, for independent and local authority fostering services respectively.

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INTRODUCTION TO REPORT AND INSPECTION

The Fostering Services Regulations 2002 are secondary legislation, with which a service provider must comply. Service providers are expected to comply fully with the National Minimum Standards. The National Minimum standards will form the basis for judgements by the NCSC in relation to independent fostering agencies regarding registration, the imposition and variation of registration conditions and any enforcement action, and in relation to local authority fostering services regarding notices to the local authority and reports to the Secretary of State under section 47 of the Care Standards Act 2000. The report follows the format of the National Minimum Standards and the numbering shown in the report corresponds to that of the standards.

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INTRODUCTION TO REPORT AND INSPECTION

The report will show the following: • Inspection methods used • Key findings and evidence • Overall ratings in relation to the standards • Compliance with the Regulations • Notifications to the Local Authority and Reports to the Secretary of State • Required actions on the part of the provider • Recommended good practice • Summary of the findings • Report of the Lay Assessor (where relevant) • Providers response and proposed action plan to address findings

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INSPECTION VISITS

Inspections will be undertaken in line with the agreed regulatory framework with additional visits as required. This is in accordance with the provisions of the Care Standards Act 2000. The following inspection methods have been used in the production of this report. The report represents the inspector's findings from the evidence found at the specified inspection dates. Foster Care NCH Page 5 BRIEF DESCRIPTION OF THE SERVICES PROVIDED. Foster Care NCH is based in Broadstairs, Kent. At the time of the inspection, it was providing placements for 59 children and young people in 42 foster homes. Foster Care NCH Page 6

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Inspector’s Summary

(This is an overview of the inspector’s findings, which includes good practice, quality issues, areas to be addressed or developed and any other concerns.) The Inspector was pleased to acknowledge the preparation by the Agency, which greatly facilitated the Inspection process. It is clear from the Pre-inspection Questionnaire, documentation, and discussions with staff and the Manager that the Agency is managed effectively and has actively pursued the requirements and recommendations from last year’s Inspection. The Inspection process included private interviews with Foster carers, and children, and also benefited from observation of the Panel meeting consisting of Foster carers, children, Social Work and management. The feedback from Foster carers and children was very positive, with confirmation of a high level of training and support from individual link workers and from the Agency out of hours team. There were no children at the

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Inspector’s Summary

Fostering Panel, although their input re: issues are sought. Foster Care NCH Page 7

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(Local Authority Fostering Services Only)

The following statutory Reports or Notifications are to be made under the Care Standards Act as a result of the findings of this inspection:

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(Local Authority Fostering Services Only)

NO Report to the Secretary of State under section 47(3) of the Care Standards Act 2000 that the Commission considers the Local Authority's fostering service satisfies the regulatory requirements:

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(Local Authority Fostering Services Only)

NO Notice to the Local Authority under section 47(5) of the Care Standards Act 2000 of failure(s) to satisfy regulatory requirements in their fostering service which are not substantial, and specifying the action the Commission considers the Authority should take to remedy the failure(s), informing the Secretary of State of that Notice: NO Report to the Secretary of State under section 47(4)(a) of the Care Standards Act of a failure by a Local Authority fostering service to satisfy regulatory requirements which is not considered substantial:

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(Local Authority Fostering Services Only)

NO Report to the Secretary of State under section 47(1) of the Care Standards Act 2000 of substantial failure to satisfy regulatory requirements by a Local Authority fostering service:

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Implementation of Statutory Requirements from Last Inspection

Requirements from last Inspection visit fully actioned? YES

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STATUTORY REQUIREMENTS

Identified below are areas not addressed from the last inspection report which indicate a non-compliance with the Care Standards Act 2000 and Fostering Services Regulations 2002. No. Regulation Standard Required actions Timescale for action

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Action is being taken by the National Care Standards Commission to monitor

compliance with the above requirements. Foster Care NCH Page 9

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registration are listed below, with the inspector's assessment of compliance from

the evidence at the time of this inspection.

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Comments

Lead Inspector Sue Gaskell Signature S Gaskell

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Second Inspector Signature

Locality Manager William Wallace Signature Date 9/3/04 Foster Care NCH Page 10

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STATUTORY REQUIREMENTS IDENTIFIED DURING THIS INSPECTION

Action Plan: The appropriate Officer of the Local Authority or the Registered Person (as applicable) is requested to provide the Commission with an Action Plan, which indicates how requirements and recommendations are to be addressed. This action plan will be made available on request to the Area Office.

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STATUTORY REQUIREMENTS

Identified below are areas addressed in the main body of the report which indicate non- compliance with the Care Standards Act 2000, the Children Act 1989, the Fostering Services Regulations 2002, or the National Minimum Standards for Fostering Services. The Authority or Registered Person(s) is/are required to comply within the given time scales in order to comply with the Regulatory Requirements for fostering services. No. Regulation Standard * Requirement Timescale for action

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

Identified below are areas addressed in the main body of the report which relate to the National Minimum Standards and are seen as good practice issues which should be considered for implementation by the Authority or Registered Person(s). No. Refer to Standard * Recommendation Action

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

* Note: You may refer to the relevant standard in the remainder of the report by omitting the 2-letter prefix e.g. FS10 refers to Standard 10. Foster Care NCH Page 11

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PART B INSPECTION METHODS & FINDINGS

The following inspection methods have been used in the production of this report Number of Inspector days spent 3

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PART B INSPECTION METHODS & FINDINGS

Survey of placing authorities YES Foster carer survey YES Foster children survey YES Checks with other organisations and Individuals • Directors of Social services YES • Child protection officer YES • Specialist advisor (s) NO • Local Foster Care Association NO Tracking Individual welfare arrangements YES • Interview with children YES • Interview with foster carers YES • Interview with agency staff YES • Contact with parents NO • Contact with supervising social workers YES • Examination of files YES Individual interview with manager YES Information from provider YES Individual interviews with key staff YES Group discussion with staff YES Interview with panel chair YES Observation of foster carer training NO Observation of foster panel YES Inspection of policy/practice documents YES Inspection of records YES Interview with individual child YES

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PART B INSPECTION METHODS & FINDINGS

Date of Inspection 20/01/04 Time of Inspection 09:30 Duration Of Inspection (hrs) 21 Foster Care NCH Page 12 The following pages summarise the key findings and evidence from this inspection, together with the NCSC assessment of the extent to which the National Minimum Standards have been met. The following scale is used to indicate the extent to which standards have been met or not met by placing the assessed level alongside the phrase "Standard met?"

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PART B INSPECTION METHODS & FINDINGS

The scale ranges from: 4 - Standard Exceeded (Commendable) 3 - Standard Met (No Shortfalls) 2 - Standard Almost Met (Minor Shortfalls) 1 - Standard Not Met (Major Shortfalls)

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PART B INSPECTION METHODS & FINDINGS

"0" in the "Standard met?" box denotes standard not assessed on this occasion. "9" in the "Standard met?" box denotes standard not applicable. “X” is used where a percentage value or numerical value is not applicable. Foster Care NCH Page 13

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The intended outcome for the following standard is:

• There is clear statement of the aims and objectives of the fostering service and the fostering service ensures that they meet those aims and objectives.

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There is a clear statement of the aims and objectives of the fostering service and of

what facilities and services they provide. Key Findings and Evidence Standard met? 2 Since the last Inspection, the Agency has revised the Statement of Purpose in line with the requirements and it now clearly states the Agency’s aims, values and methodology. The Agency has also updated the Children’s Guide. This took considerable time as the Agency consulted with children and young people to ensure its usefulness and then the Guide required ratification at national level. It was recommended that other forms of access should be considered for children and young people whose first language is not English. Foster Care NCH Page 14

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The intended outcomes for the following set of standards are:

• The fostering service is provided and managed by those with the appropriate

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work efficiently and effectively and have the necessary knowledge and experience of

childcare and fostering to do so in a professional manner. Key Findings and Evidence Standard met? 3 The manager has confirmed that she has passed the Diploma in Management Studies. It is clear from interviews with the Registered manager and the staff group that this Standard has been met. The financial reporting system has been improved with a quarterly financial management meeting involving the Financial manager, the Responsible individual and the Registered manager.

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Any persons carrying on or managing the fostering service are suitable people to run

a business concerned with safeguarding and promoting the welfare of children. Key Findings and Evidence Standard met? 3 The Inspectors were satisfied that those responsible for carrying on or managing the Agency are fit to do so. Foster Care NCH Page 15

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The intended outcomes for the following set of standards are:

• The fostering service is managed ethically and efficiently, delivering a good quality foster care service and avoiding confusion and conflicts of role.

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There are clear procedures for monitoring and controlling the activities of the

fostering service and ensuring quality performance. Key Findings and Evidence Standard met? 3 It is clear that as an organisation the Agency benefits from access to considerable administrative support. This is further enhanced by local arrangements evidenced in the quality of the pre-inspection information.

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Number of statutory notifications made to NCSC in last 12 months:

Death of a child placed with foster parents. 0

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Referral to Secretary of State of a person working for the service as

unsuitable to work with children. Serious illness or accident of a child. 5 Outbreak of serious infectious disease at a foster home. 0 Actual or suspected involvement of a child in prostitution. 0

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Serious incident relating to a foster child involving calling the police to a

foster home. Serious complaint about a foster parent. 0 Initiation of child protection enquiry involving a child. 1

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Serious incident relating to a foster child involving calling the police to a

Number of complaints made to NCSC about the agency in the past 12 months: 0 Number of the above complaints which were substantiated: 0

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Standard 5 (5.1 - 5.4)

The fostering service is managed effectively and efficiently. Key Findings and Evidence Standard met? 3 The Agency continues to be managed appropriately, indeed, staff commented on and praised the openness of the culture of the organisation. Foster Care NCH Page 16

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The intended outcome for the following set of standards is:

• The fostering service promotes and safeguards the child/young person's physical, mental and emotional welfare.

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The fostering service makes available foster carers who provide a safe, healthy and

nurturing environment. Key Findings and Evidence Standard met? 3 The Inspector visited four foster homes, and after discussion with the foster carers concluded that those children and young people are provided with a service which aims to provide a safe, healthy and nurturing environment. The recommendation from the previous inspection that written agreement be sought prior to the use of shared rooms by siblings, has been carried out and this Standard is now assessed as met.

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The fostering service ensures that children and young people, and their families, are

provided with foster care services which value diversity and promote equality. Key Findings and Evidence Standard met? 3 The Registered Manager confirmed that the policies regarding the value and promotion of diversity and equality are interwoven and incorporated into other policies. The inspector observed that at the panel meeting, discussion around the needs of unaccompanied asylum seekers demonstrated an awareness of the needs of children from different cultural backgrounds. Further there was also discussion indicating that incidents of racism had been managed appropriately. One of the foster carers showed the Inspector information provided by the Agency to enable families to gain more of an insight into the needs of different cultural and religious backgrounds, and again confirmed that incidents of racism had been managed appropriately and sensitively. Foster Care NCH Page 17

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carers only if they represent appropriate matches for a child for whom a local

authority is seeking a carer. Key Findings and Evidence Standard met? 3 Emergency referrals continue to be dealt with through the duty system and in the event of an emergency placement; information is sought as soon as possible after placement. The Inspectors were satisfied that the Agency has appropriate systems in place to aid good practice and that additional support is provided where appropriate. Foster carers confirmed that there is additional support for children with special needs or from particular cultural groups. The Inspector was satisfied that every effort is made to ensure that childrens’ needs are matched with what can be provided by the carers.

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The fostering service protects each child or young person from all forms of abuse,

neglect, exploitation and deprivation. Key Findings and Evidence Standard met? 3 There is evidence of detailed knowledge of matters relating to child protection, underpinned with the organisation’s own written policy and guidance. There was evidence at the panel meeting that all allegations of abuse have been considered appropriately and seriously, but have included consideration of the impact on the carers ie balancing the rights of the young people and the foster carers. The Inspectors noted that files contained details of the safer care plan assessments which have been introduced since the last inspection.

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encouraged to maintain and develop family contacts and friendships as set out in

her/his care plan and/or foster placement agreement. Key Findings and Evidence Standard met? 3 The Inspector spoke to the contract co-ordinator and was satisfied that this standard continues to be met. Foster Care NCH Page 18

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others significant to the child, are sought over all issues that are likely to affect their

daily life and their future. Key Findings and Evidence Standard met? 3 The Inspectors are pleased to acknowledge the role of the Children’s Panel which aims to improve the children’s participation in, and influence on, the organisation. Minutes are kept of the children’s panel meetings. The children have also participated in the preparation of the Children’s Guide. The Inspector spoke to one young person involved in the children’s panel, who confirmed that the panel mixes work with fun.

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training appropriate to her/his age and understanding to enable informed participation

in decisions about her/his health needs. Key Findings and Evidence Standard met? 3 This standard continues to be met. An inspection of the records confirmed that carers are required to maintain records of any healthcare requirements and how they have been addressed. Foster carers confirmed that they are required to maintain daily records in order for the Agency to provide regular reports to Social Workers, and that a high priority is placed on providing training on health care issues.

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child or young person in foster care and ensures that she/he is encouraged to attain

her/his full potential. Key Findings and Evidence Standard met? 3 The Inspector noted that evidence on file confirms that members of staff receive ACE training, in order to offer additional support to foster carers. There was also evidence of the individual input to carers to meet educational needs and assist with the encouragement of young people. Foster Care NCH Page 19

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The fostering service ensures that their foster care services help to develop skills,

competence and knowledge necessary for adult living. Key Findings and Evidence Standard met? 2 Based on the organisation’s own self assessment, there still remains a need to develop good practice in this area. Whilst staff interviewed were familiar with the legislation, they identified a need for more training. This appears to be an issue for the organisation at national level. Foster Care NCH Page 20

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The intended outcome for the following set of standards is:

• The people who work in or for the fostering service are suitable to work with

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number of staff and carers and their range of qualifications and experience are

sufficient to achieve the purposes and functions of the organisation.

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Any people working in or for the fostering service are suitable people to work with

children and young people and to safeguard and promote their welfare. Key Findings and Evidence Standard met? 3 This standard continues to be met. The Agency maintains a thorough and rigorous recruitment and selection procedure which applies at all levels for staff and carers. Some relatively inexperienced foster carers confirmed that thorough checks are carried out.

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Staff are organised and managed in a way that delivers an efficient and effective

foster care service. Key Findings and Evidence Standard met? 3 From discussions with the staff group it was clear that they feel that the organisation and management is efficient and effective, despite having one member of staff on long-term sick leave. Foster Care NCH Page 21

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qualified staff and recruits a range of carers to meet the needs of children and young

people for whom it aims to provide a service. Key Findings and Evidence Standard met? 3 Since the last inspection all social work posts have been filled and there are currently 8 full time posts and 2 part time posts.

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The fostering service is a fair and competent employer, with sound employment

practices and good support for its staff and carers. Key Findings and Evidence Standard met? 3 The Inspectors were satisfied, from the policies and procedures submitted, and from corroborating evidence, that the Agency is continuing to meet this Standard, and that this is underpinned by the central organisation. The Inspector was given examples of considerable support to staff through a difficult period.

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There is a good quality training programme to enhance individual skills and to keep

staff up-to-date with professional and legal developments. Key Findings and Evidence Standard met? 2 The Agency continues to show commitment to training. There are some shortfalls but the Inspector acknowledged that this is beyond the control of the Agency. Foster Care NCH Page 22

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Standard 20 (20.1 - 20.5)

All staff are properly accountable and supported. Key Findings and Evidence Standard met? 3 The Inspector was satisfied that this Standard continues to be met. Staff confirmed that they are well supported and staff supervision records indicated a clear system with targets and appraisals to ensure that staff are accountable.

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Standard 21 (21.1 - 21.6)

The fostering service has a clear strategy for working with and supporting carers. Key Findings and Evidence Standard met? 3 The Inspectors were satisfied through discussions with the foster carers and examination of the Agency’s records, that foster carers are provided with regular support and advice through home visits by link workers or through telephone or written advice. The Agency remains clear as to its role in supporting carers and its potential conflict with placing agencies unable to meet their responsibilities to children. The Inspectors were advised of specific cases of clearly defined appropriate intervention.

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The fostering service is a managed one that provides supervision for foster carers

and helps them to develop their skills. Key Findings and Evidence Standard met? 3 The organisation has recently prepared a new handbook, and in anticipation of it being circulated to all foster carers in the near future, this standard is now met. Foster Care NCH Page 23

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provide high quality care and meet the needs of each child/young person placed in

their care. Key Findings and Evidence Standard met? 3 From conversations with the Training Officer it is clear now that there has been a change of strategy in promoting attendance at training courses, involving identifying courses, prioritising those who should attend and monitoring by the panel. The Agency has taken a far more proactive stance on this issue since last year’s inspection. The Inspectors were also advised by the Agency, and by the foster carers, that a training manual is provided to all carers which lists the training courses available. Foster Care NCH Page 24

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The intended outcome for the following set of standards is:

• All appropriate records are kept and are accessible in relation to the fostering services and the individual foster carers and foster children.

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maintained for each child or young person in foster care which details the nature and

quality of care provided and contributes to an understanding of her/his life events.

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Relevant information from the case records is made available to the child and to

anyone involved in her/his care. Key Findings and Evidence Standard met? 3 The Inspector examined a number of children’s files and found them well maintained and easily accessible.

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The fostering service's administrative records contain all significant information

relevant to the running of the foster care service and as required by regulations. Key Findings and Evidence Standard met? 3 The Inspectors were satisfied, through inspection of a number of records, files and registers, and through conversation with the Administrator, that this standard is met. There is a vacancy for a full time senior administrator due to the relocation of the Maidstone team to the office. The Financial assistant ensures that prompt payment is made to foster carers and the foster carers confirmed that there has been no problem with this.

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The fostering service's administrative records contain all significant information

Number of current foster placements supported by the agency: 51 Number of placements made by the agency in the last 12 months: 75

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months:

Number of new foster carers approved during the last 12 months: 6 Number of foster carers who left the agency during the last 12 months: 6

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The intended outcome for the following standard is:

• The premises used as offices by the fostering service are suitable for the purpose.

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Standard 26 (26.1 - 26.5)

Premises used as offices by the fostering service are appropriate for the purpose. Key Findings and Evidence Standard met? 3 The Agency has sufficient facilities in large office premises to ensure efficiency and security. However the Inspector noted that the main office would benefit from redecoration. Foster Care NCH Page 26

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The intended outcome for the following set of standards is:

• The agency fostering services are financially viable and appropriate and timely payments are made to foster carers.

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The agency ensures it is financially viable at all times and has sufficient financial

resources to fulfil its obligations. Key Findings and Evidence Standard met? 3 Although financial accounts were not examined, the Agency’s business plan and Annual Report confirmed that the organisation is financially sound.

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The financial processes/systems of the agency are properly operated and maintained

in accordance with sound and appropriate accounting standards and practice. Key Findings and Evidence Standard met? 3 The Inspector noted that the Agency has enhanced its financial policies and was satisfied that this standard continues to be met. Foster Care NCH Page 27

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cost of caring for each child or young person placed with him or her. Payments are

made promptly and at the agreed time. Allowances and fees are reviewed annually. Key Findings and Evidence Standard met? 3 All of the foster carers interviewed confirmed that all payments for allowances and expenses are made promptly and on time. Foster Care NCH Page 28

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The intended outcome for the following set of standards is:

• Fostering panels are organised efficiently and effectively so as to ensure that

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Fostering panels have clear written policies and procedures, which are implemented

in practice, about the handling of their functions. Key Findings and Evidence Standard met? 3 One of the Inspectors attended a panel meeting and interviewed the chair person. The Inspector noted that the panel discussed issues relating to variations, child protection, training and diversity. The Inspector was satisfied that the panel contained an appropriate quorum, that there was a wealth of expertise and experience and that members raised issues appropriately. There was evidence of link social workers knowing their carers and of the organisation pursuing issues with other agencies. The chairperson felt that there had been an improvement in record keeping and administration of the panel. Foster Care NCH Page 29

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The intended outcome for the following set of standards is:

• When foster care is provided as a short-term break for a child, the arrangement recognises that the parents remain the main carers for the child.

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have policies and procedures, implemented in practice, to meet the particular needs

of children receiving short-term breaks. Key Findings and Evidence Standard met? 9 The Inspector was informed that the Agency does not provide short-term breaks as defined by this standard. Foster Care NCH Page 30

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The intended outcome for the following set of standards is:

• Local authority fostering services' policies and procedures for assessing,

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there is recognition of the particular relationship and position of family and friend

carers. Key Findings and Evidence Standard met? 9 This standard is not applicable to this agency. Foster Care NCH Page 31

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comments/confirmation relating to the content and accuracy of the report for

We would welcome comments on the content of this report relating to the Inspection conducted on 20 th January 2004 and any factual inaccuracies:

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comments/confirmation relating to the content and accuracy of the report for

Please limit your comments to one side of A4 if possible Foster Care NCH Page 33

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Action taken by the NCSC in response to the provider’s comments:

Amendments to the report were necessary NO

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Action taken by the NCSC in response to the provider’s comments:

Comments were received from the provider YES

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Action taken by the NCSC in response to the provider’s comments:

Provider comments/factual amendments were incorporated into the final inspection report YES

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Action taken by the NCSC in response to the provider’s comments:

YES Provider comments are available on file at the Area Office but have not been incorporated into the final inspection report. The inspector believes the report to be factually accurate

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Note:

In instances where there is a major difference of view between the Inspector and the Registered Provider responsible Local Authority fostering service Manager both views will be made available on request to the Area Office.

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report:

Action plan was received at the point of publication YES

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report:

Action plan covers all the statutory requirements in a timely fashion YES

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report:

Action plan did not cover all the statutory requirements and required further discussion

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report:

Provider has declined to provide an action plan

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Public reports

It should be noted that all NCSC inspection reports are public documents. Reports on children’s homes are only obtainable on personal application to NCSC offices. Foster Care NCH Page 34

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Registered Person’s or responsible Local Authority Manager’s statement of

agreement/comments: Please complete the relevant section that applies.

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inspection conducted on the above date(s) and that I agree with the statutory

requirements made and will seek to comply with these.

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Date

Note: In instance where there is a profound difference of view between the Inspector and the Registered Provider both views will be reported. Please attach any extra pages, as applicable.

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