Setting

Service

5 Lineside Close Liverpool Merseyside L25 2UD

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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. Barnardos North West Fostering Service Page 1

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Fax No Address

5 Lineside Close, Liverpool, Merseyside, L25 2UD

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Date of latest registration certificate

Date of last inspection 17/03/04 Barnardos North West Fostering Service Page 2 Date of Inspection Visit 7th March 2005 ID Code

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Date of latest registration certificate

Name of Inspector 1 Paul Gillespie 072774

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inspections and bring a different

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

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Name of Establishment Representative at

the time of inspection John Hardy - Manager Barnardos North West Fostering Service Page 3

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D.3. Provider’s agreement

Barnardos North West Fostering Service Page 4

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INTRODUCTION TO REPORT AND INSPECTION

Independent and local authority fostering services which fall within the jurisdiction of the Commission for Social Care Inspection (CSCI) 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 CSCI in respect of Barnardos North West Fostering Service. 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 CSCI 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. Barnardos North West Fostering Service Page 5 BRIEF DESCRIPTION OF THE SERVICES PROVIDED. Barnardo's North West Fostering Service’s premises are of a high standard and well furnished. There is access to meeting rooms, as well as training rooms within the building. The offices are well equipped and support staff, in the effective delivery of a fostering service.

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INSPECTION VISITS

The fostering service consists of a service manager, who oversees the operation of the service, one deputy children’s service manager, who deputises in the absence of the children’s service manager, and one team leader (this post is currently vacant and being advertised), seven Barnardo’s social workers (one post is currently vacant and being advertised) and five administrative staff.

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INSPECTION VISITS

The fostering service functions are divided between two teams, comprising of long-term foster care and short-term breaks, which also include contract care and the befriending service.

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INSPECTION VISITS

At the time of the inspection, there were 36 short-break and long-term foster carers and 2 contract carers, providing care to children looked after by a variety of local authorities. The service works closely with the child/young person’s local authority social workers, health, education, cultural services and other appropriate agencies.

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INSPECTION VISITS

Barnardo's North West Fostering Service’s main function is to provide a range of fostering placements for children with severe learning difficulties, who are looked after by the local authority.

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INSPECTION VISITS

• Planned, structured, family based short – term break support to children residing with their birth families. • Planned family based short – term breaks for long – term foster carers, in order to provide appropriate respite care. • A befriending service to support long – term carers, in ensuring older children/young people access the local facilities in their community. • Long – term care to meet the needs of children, who are no longer able to live in their families.

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INSPECTION VISITS

In providing the above fostering placements, Barnardo's North West Fostering Service recruits, assesses and approves foster carers. The service also trains, supports and carries out annual reviews of foster carers.

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INSPECTION VISITS

On this announced inspection two inspectors chose at random one third of foster carers representing specific groups of foster carers, that is, long term foster carers who have fostered for multiple years, new long term foster carers, short break foster carers, contract carers and fosters carers going through the fostering panel process. Therefore not all of the standards where assessed on this inspection. Barnardos North West Fostering Service 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.) Barnardos North West Fostering Service Page 7 The inspection of Barnardo's North West Fostering Service’s took place in March 2005. The inspection found that the majority of the National Minimum Standards were met and that the overall quality of service was very good. Where any shortfalls where identified action was already in place to address them. Action had been taken to address the requirements and recommendations made following the last inspection.

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This standard was met

The Statement of Purpose has been revised since the last inspection. Since the last inspection considerable work has gone into developing Children’s Guides. Barnardo’s is currently in the process of providing each child with an individualised Children’s Guide that meets their communication needs and level of understanding. Samples of the completed Children’s Guides were seen. These are creative and well thought out and demonstrate the consideration and respect afforded the children receiving the service.

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Fitness to provide or manage a fostering service (Standard 2-3)

The one standard assessed was met. Barnardo’s North West Fostering Service’s management team are all professionally qualified and have considerable professional, as well as managerial, experience and skills. This is clearly evidenced by their organisation and management of the service, which was effective and efficient.

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Fitness to provide or manage a fostering service (Standard 2-3)

Barnardo’s places a great emphasis on safeguarding the well being of children and its child protection operating standards underpins all the organisation’s work with children. In accordance with these standards, Barnardo’s has a robust, recruitment and selection policy and closely adheres to these procedures.

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Management of the fostering service (Standards 4-5)

The one standard assessed was partly met. From the inspectors’ examination of managers, staff, carers’ files and interviews with them, it was evident that the service ensures all staff have job descriptions and carers have foster carer agreements, which outline the tasks and responsibilities associated with their role. Both staff and carers are supervised, on a regular basis, though the latter is to be more formally documented.

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Management of the fostering service (Standards 4-5)

Barnardo's North West Fostering Service has a well - developed financial system, which has clear and proper financial procedures. This system also has a reviewing procedure to ensure the system is kept up-to-date.

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Management of the fostering service (Standards 4-5)

Barnardo’s has a quality assurance system. This system ensures that both internal and external, announced, as well as unannounced audits take place in relation to the service’s professional practice, financial and management information systems. As discussed on inspection this internal QA system must now be expanded. The information provided from these audits is used in the service’s annual quality assurance development plan.

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met

Barnardo's North West Fostering Service values diversity and promotes equality; all staff and foster carers have the opportunity to participate in such training.

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met

The service must ensure that all comprehensive assessment information as well as the care Barnardos North West Fostering Service Page 8 plan and any other relevant information is received, in relation to a child referred to their service. Care is taken to ensure that a careful matching takes place between the child and foster family. The children/young people fostered by this service generally have multiple and complex special needs. The service uses a variety of communication systems to engage the child/young person in a consultative process regarding issues affecting their every day life and future. The service is continuing to explore individual communication systems, with a view to more effectively engaging the foster child or young person in the consultative process regarding issues likely to affect their every day life and future. The service promotes contact between the child/young person’s family and friends, if this is in accordance with the

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met

child/young person’s care plan. Foster carers are provided with training and support in relation to contact issues.

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met

The service promotes the education and health needs of all children and young people fostered by the service. It is a requirement and is therefore noted within this report that a foster child’ s written health record is to be provided to a foster carer and that this is to be up- dated during the child’s placement.

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met

Preparation for adulthood is discussed at reviews and planning meetings in accordance with the needs of the young person. Plans are put in place to support young people to make the transition to adulthood though it remains a great source of frustration and anxiety for some carers where the placing authority does not act as expediently as expected.

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met

Both the staff and carers have a range of qualifications and experience that equips them to deliver a very good service. All staff and carers have access to regular training and supervision and there is an annual appraisal system in place for staff. Each carer also undertakes an annual review

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met

All of the carers spoke highly of the staff working in the service, identifying their dedication, commitment and helpfulness, as being key factors, in enabling them to undertake their demanding and at times challenging role. They informed the inspectors that the service provided invaluable support, which was available whenever needed. Overall, the inspectors were of the opinion that the service places a great importance on the support provided to both staff and carers, in order to maintain foster children/young people in stable placements and ensure they receive the best possible outcome to their lives.

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Records (Standard 24-25)

One of the two standards assessed was met with the other being partly met. The inspectors noted that records are maintained for children/young people in foster care, which detail the nature and quality of care provided. The information contained in these records could usefully contribute, to an understanding of the child/young person’s life, whilst in foster care. There are a couple of requirements in relation to children’s care plan and medical consent, which is being addressed by the service.

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Records (Standard 24-25)

The fostering service’s administrative records contain all significant information relevant to the running of the foster care service and as required by regulations.

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This standard was met

Barnardos North West Fostering Service Page 9 Barnardo's North West Fostering Service’s office premises are of a high standard and well furnished. The accommodation provides adequate space for staff, is comfortable and has sufficient IT and other necessary equipment to support staff in the effective delivery of a fostering service. The service has security in place to safeguard all information contained in the IT system. All manual records are stored in lockable filing cabinets, which are kept in a lockable room. The premises have an appropriate security system in place to prevent inappropriate access to the building.

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Financial requirements (Standards 27-29)

The one standard fully assessed was met. Barnardo's has a clearly written set of principles and standards governing its financial management. There are clear documented financial arrangements for the control and supervision of its financial affairs. Currently, the fiscal budget statement is provided to the registered provider on a monthly basis. An annual, detailed fiscal budget statement is also forwarded to Barnardo’s Head Office. An unannounced annual financial audit is carried out. The financial system is also, periodically, subject to an external, financial audit by an accountancy firm.

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Financial requirements (Standards 27-29)

The North West Fostering Service has a clear policy on foster carer’s allowances and expenses, which are reviewed, on an annual basis, a copy is provided to each carer within the service.

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Fostering panel (Standard 30)

This standard was met. Barnardo's North West Fostering Service has a clear, detailed and well written policy, which outlines the panel’s role, constitution, including the appointment of panel members. One fostering panel was observed during the course of the inspection. The information obtained, led the inspector to conclude that the panel members had a good understanding of their roles, as well as those of the chairperson and decision maker. The panel was well organised, and conducted in an appropriate and professional manner. The panel was chaired well and there was evidence that all panel members’ views were taken into account. The decision making process of the panel was clear. Panel members are provided with on going training to ensure that they are kept up to date with any changes to the service.

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Fostering panel (Standard 30)

Prospective foster carers attended the panel. It was evident that they had been prepared for this meeting and their attendance was managed sensitively. Of those foster carers interviewed by inspectors who had attended panel on this and/or previous occasions all felt that they were “glad that they attended” and that although they “felt nervous” “it was worthwhile”.

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Short-term breaks (Standard 31)

This standard was met. Barnardo's North West Fostering Service has short – term break carers, who provide respite, care to the services’ long – term carers. The service has developed two contract carers’ services, one of which provides respite care, to children/young people with severe learning and physical disabilities, who are living in the community, with their families and the other to long term foster carers.

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Family and friends as carers (Standard 32)

Barnardo's North West Fostering Service has no kinship carers in this service.

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Family and friends as carers (Standard 32)

The inspectors’ would wish to thank the management and staff of the service for their co- Barnardos North West Fostering Service Page 10 operation throughout the inspection. We would also wish to commend the commitment and dedication of the foster carer’s interviewed who are currently caring for young people as well as well as thanking all the approved and prospective carers and the young people for their assistance during this inspection. Barnardos North West Fostering Service Page 11

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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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The grounds for the above Report or Notice are:

Not applicable Barnardos North West Fostering Service Page 12

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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 Commission for Social Care Inspection to monitor

compliance with the above requirements. Barnardos North West Fostering Service Page 13

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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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Date 16/03/05

Barnardos North West Fostering Service Page 14

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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 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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STATUTORY REQUIREMENTS

1 42 FS4 The manager has introduced a system to monitor the activities of the fostering service to ensure quality assurance. This system must be expanded to include all of the issues referred to in Regulation 42 Schedule 7. 31/05/05

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STATUTORY REQUIREMENTS

2 34 FS8 The organisation is reminded under Regulation 34 Schedule 6 and NMS 8.2 that in matching children with carers, responsible authorities must take into account the child’s care plan and recent written assessments of the child and their family and the carer’s. 31/05/05

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STATUTORY REQUIREMENTS

Fostering Service Reg’s FS8 The registered person must ensure that foster carer’s do not exceed the number of children placed over the number of placements of children agreed by the fostering panel and in accordance with the foster care agreement. 15/03/05

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STATUTORY REQUIREMENTS

4 13 FS9 The registered person must ensure that foster carers now undertake training in the area of care and control authorised for use by the organisation. A plan of how this is to be implemented must be provided within one month of receipt of this report. 06/05/05 Barnardos North West Fostering Service Page 15 5 11 FS12 The registered person must ensure that in accordance with the Foster Care Regulations information must be received in writing from the placing authority in order to maintain the care and wellbeing of each child placed including medical consent were applicable. 31/05/05

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STATUTORY REQUIREMENTS

6 35 FS22 The registered person must ensure that supervision provided to foster carers by the Barnardo’s social worker must now be documented. 31/05/05

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STATUTORY REQUIREMENTS

7 30 FS25FS24 The registered person must ensure that all the systems for the recording and storage of information must be reviewed in order that an up to date, comprehensive case record is maintained for each child and foster carer. 30/06/05

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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

1 FS9 It is recommended that at each review of the safe caring document both the foster carers and social worker sign the document.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

2 FS23 Consideration is to be given to the training needs of particular groups of carers. Foster carers informed inspectors that they would value further transitional training with regards to “letting go” of the service and that their birth children would also benefit from some training in this area.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

3 FS25 It is recommended that there should be direction given as to what information is stored on Livelink and what is stored on hard copy. This in part will entail further training of staff to equip them with necessary IT skills to use the Livelink system to its full extent as well as a reorganisation of the current filing system.

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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.

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PART B INSPECTION METHODS & FINDINGS

The following inspection methods have been used in the production of this report Barnardos North West Fostering Service Page 16 Number of Inspector days spent 10

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PART B INSPECTION METHODS & FINDINGS

Survey of placing authorities YES Foster carer survey YES Foster children survey NO Checks with other organisations and Individuals YES • 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 NO 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 NO

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PART B INSPECTION METHODS & FINDINGS

Date of Inspection 07/03/05 Time of Inspection 9:30 Duration Of Inspection (hrs) 105 Barnardos North West Fostering Service Page 17 The following pages summarise the key findings and evidence from this inspection, together with the CSCI 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. Barnardos North West Fostering Service Page 18

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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? 3 The Statement of Purpose has been revised since the last inspection and now includes the necessary information as outlined in the National Minimum Standards, 1.1-1.6.

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

In addition information has been included in the Statement of Purpose concerning the educational psychological support provided to children and foster carers as well as the training provided to foster carers (including number of days).

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

Considerable work has continued into developing Children’s Guides. Barnardo’s is currently in the process of providing each child with an individualised Children’s Guide that meets their communication needs and level of understanding. Samples of the completed Children’s Guides were looked at. These were creative and well thought out and demonstrated the consideration and respect afforded the children receiving the service. Barnardos North West Fostering Service Page 19

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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? 0 This standard was not assessed at the time of this inspection.

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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 Barnardo’s Quality and Development Unit have developed a Safeguarding and Protecting Children Manual. This manual contains Barnardo’s Child Protection “core” operating standards, which underpins all the organisation’s work with children.

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

In accordance with these standards, Barnardo’s has a robust, recruitment and selection policy and closely, adheres to its procedures. During the inspection a sample of personnel files were examined. These contained all the information required in Schedule 1, of the Fostering Services Regulations 2002.

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

There is a system in place to ensure that CRB checks are renewed every three years. Records are kept of checks and references that have been obtained and their outcome. Some specific advice was given with regard to the recording systems in relation to CRB’s. Telephone enquiries are also now made to follow up written references. Barnardos North West Fostering Service Page 20

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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? 2 The manager has introduced a system to monitor the activities of the fostering service to ensure quality assurance. This system would benefit from being expanded to include all of the issues referred to in Regulation 42 Schedule 7 in order to fully comply with this standard.

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

Barnardo’s has a supervision policy for all staff employed by the organisation. The staff interviewed indicated that supervision takes place on a regular basis and is recorded in accordance with Barnardo's supervision policy. It is understood that an annual appraisal is also undertaken. Each staff member is also provided with a copy of the monthly team meeting minutes to assist communication.

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

There is a system for auditing foster carers’ files. From the sample of files seen by the Inspectors, there was evidence confirming this system is operating.

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

A corporate audit is carried out by head office and which focuses on the organisation’s policies and “core” operating standards of the service. On completion of this audit, a report is completed and forwarded to the director of children’s services for the northwest for her consideration and that of the senior management team. This report, together with subsequent managerial discussions, informs the service’s annual quality assurance development plan.

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

Barnardo’s fostering service has a well - developed financial system. The organisation provides information regarding the charges for each of its fostering services. The precise components and wider services being provided, in this weekly service charge, are also clearly and fully detailed to purchasers of the service.

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

The service has proper financial procedures, with a reviewing procedure, to ensure the system is kept up-to-date. The manager of the service produces a monthly budget review and financial management report. An unannounced annual financial audit is carried out. The financial system is also, periodically, subject to an external, financial audit by an accountancy firm.

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

It is understood that a “ Conflicts of Interests ” policy is provided to all staff, carers and panel members.

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

Since the last inspection the Commission for Social Care Inspection has been informed of two notifiable events as outlined in Schedule 8, of the fostering Regulations, 2002.

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

Number of statutory notifications made to CSCI in last 12 months: 2

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

Death of a child placed with foster parents. 2 Barnardos North West Fostering Service Page 21

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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. 0 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. 0

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

Number of complaints made to CSCI 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? 0 This standard was not assessed at the time of this inspection. Barnardos North West Fostering Service Page 22

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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 foster carers visited, provided suitable living environments for the children/young people being cared for. The children visited who were currently in placement had their own bedroom and accommodation arrangements that reflected the child’s need for space and privacy.

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

The organisation undertakes comprehensive risk assessments with the foster carers in relation to health and safety matters. This includes a hazard risk checklist that assists carers in maintaining and promoting the health and safety of children in their care. This checklist is used during the preparation and training of carers raising the issue of health and safety to prospective foster carers from the outset and enables families to identify health and safety issues in every room of the house, in the garden, grounds and in the routine family activities. The manager also informed the inspectors that once a child is placed with foster carers, a social worker from the fostering service also completes a safe caring document. Long-term carers have this safe caring document reviewed by the Barnardo’s social worker, every six months and short-term break or contract carers have the document reviewed, on an annual

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

basis. It is recommended that at each review of the safe caring document both the foster carers and social worker sign the document.

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

The inspectors were advised that as part of foster carers’ assessment training, several training sessions are held on promoting and safeguarding the welfare of the child. Carers are also given the “Safeguarding and Protecting Children, Barnardo’s Policy Manual (2002) and the North West Fostering Service’s “Safeguarding Children Guidelines for Foster Carers and Volunteers”. These documents along with other information provided, form the basis of the foster carers handbook.

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

The files examined indicated that the necessary documentation relating to the foster carer’s vehicles and insurance are seen and checked by the Barnardo’s social worker. In the foster carer agreement, the organisation also requests that the foster carer notifies their household and motor insurance companies of their fostering activity and Barnardo’s receives a copy of the acknowledgement of this notification.

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

The foster carers visited and who were met with during the inspection understood the role of the Commission for Social Care Inspection and that they may be visited or interviewed as part of the inspection. This information is included in the foster carer agreement. Barnardos North West Fostering Service Page 23

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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? 4 The fostering service has an Equal Opportunities Policy statement and action plan, which promotes diversity and anti - discriminatory practice. The inspectors were advised by the manager of the service and staff that promoting equality and managing diversity training is provided for all carers and staff. The manager of the service stated that where carers cannot reflect the child’s religious, cultural, racial, linguistic (communication) background and needs, additional training and support is given.

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

The initiative of having a black development worker has from discussion with staff and carers been beneficial in promoting diversity and in improving staff awareness of relevant practice issues thus encouraging staff ownership in the planning and delivery of work to support black and minority communities. Unfortunately the post has become vacant due to the post holder retiring. However it is envisioned that the foundation laid will be continued to be developed further by the team. Specifically inspectors note the positive work undertaken with one Muslim family to overcome language barriers.

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

Many of the children fostered by this service have profound multiple learning difficulties and often physical disabilities. Consequently, if their needs are to be met, they require a variety of appropriate equipment, as well as adaptations to the carers’ home. Whilst Barnardo’s North West fostering service will advocate on behalf of the carers and liaise with the responsible authority, over any difficulties that arise in relation to the placement, it is ultimately the local authority that has the responsibility for the provision of such equipment and adaptations. Both the manager of the service and carers indicated, that this has caused some tensions amongst carers, the fostering service and local authority concerned.

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

From the inspectors’ discussions with several foster carers, it was clear that the difficulties in obtaining appropriate equipment/adaptations can place considerable pressures on foster carers. Difficulties and delays in acquiring equipment and adaptations to carers’ homes also seriously impacts on the services’ ability to recruit and obtain short - term break carers and also impacts upon long - term carers obtaining the necessary short term break support. However it is positive to note that Barnardo’s have responded to this need directly by developing their own ‘in house’ contract care service with the objective of supporting long- term carers. From initial comments received those carers currently accessing this service and the contract carers concerned this has been widely welcomed.

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

A booklet (“getting to know you”) is provided to foster carers prior to a child’s placement; this is an innovative way of describing a child’s needs and how the child would like them to be met. This includes information around a child’s interests and activities that they enjoy. The examples of these booklets that were available on the files inspected were well presented and provided a great deal of information in a succinct and clear manner. Barnardos North West Fostering Service Page 24

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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? 2 The manager and deputy manager of the service advised the inspectors that all children, placed with carers in this service, have received a multi-disciplinary and comprehensive assessment of their needs. They were also advised that the service takes great care to ensure that a child is matched and placed with a carer or carers capable of meeting his/her assessed needs. To achieve this, at the stage a child is referred to Barnardo’s North West Fostering Service, the referring local authority is required to provide a written comprehensive assessment of the child’s needs, a care plan, all relevant looked after children documentation and any other documentation appertaining to the child that the local authority considers necessary to enable a foster carer to care for a child.

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

The manager and deputy manager of the service reported that in general the referring authority provides the necessary documentation, prior to the child being matched to a carer or carers. There has been a delay in the placing authorities providing this information for some children. The organisation is reminded under Regulation 34 Schedule 6 and NMS 8.2 that in matching children with carers, responsible authorities must take into account the child’s care plan and recent written assessments of the child and their family and the carer’s.

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

In the matching of child to foster carers a great deal of sharing of information and consideration takes place between the relevant professionals, the child and family, potential carers, their families and other children in placement. Consideration is also given to the child’s racial, ethnic, religious, cultural and linguistic (communication) needs, with a view to matching these to those of the carers. The inspectors were informed that where carers are unable to reflect some of these needs, additional training and support is given. There was evidence of this in one of the foster carers files that was examined.

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

The manager of the service stated that with the exception of the occasional emergency placement, each child placed with a carer, is afforded the opportunity of a period of introduction to a proposed foster carer. From the inspectors’ discussions with the manager of the service, staff, carers and an examination of a sample of files, it was evident that this introductory period is planned carefully, in detail and is regularly reviewed. The timing of the child’s placement with the carer is carefully considered and only takes place, when all concerned in the placement arrangements are of the opinion that the child is comfortable and happy in the foster carer’s home and it is a well-matched placement.

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

In the main, this service does not provide emergency, unplanned placements. However it is understood that from time to time long – term carers require emergency support, which is provided by experienced carers within the service. The carers interviewed who had experienced caring for a child on an emergency basis reported that they received all the necessary information needed and had been introduced to the child beforehand or had already known the child. Information provided by the service manager also supported this. However, one foster carer has taken an emergency placement since that last inspection, which took the foster carer over the number of placements of children agreed by the fostering panel and in accordance with the foster care agreement. This is a breach of the Fostering Service Regulations 2002 and the Care Standards Act 2000. The Responsible Barnardos North West Fostering Service Page 25

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

Individual and Registered Manager are to remain mindful that should this practice be repeated the organisation will leave themselves liable to enforcement action.

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

During the inspection, the inspectors’ examined a sample of one third of carers and children’s files. They also interviewed managers, staff and carers. From this information, the inspectors were able to evidence that the service ensures that considerable and careful attention is given to the matching process, to ensure that a child/young person is matched, with a carer capable of meeting their needs. The same careful consideration, planning and attention to detail are given to the introductions of child and carer and the timing of the placement.

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

The inspectors’ concluded that these aspects of the service made a significant contribution to the maintenance and stability of the foster care placements. Barnardos North West Fostering Service Page 26

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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? 2 Barnardo’s has a Safeguarding and Protecting Children Manual, which informs staff and carers on the “core” operating standards of the organisation. In line with these standards, there is a robust, recruitment and selection policy and the service closely, adheres to these procedures.

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

The inspectors were advised that as part of foster carers’ assessment training, training sessions are held on promoting and safeguarding the welfare of the child. The following training is also provided to carers: -

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

• Child protection • Child Abuse • Safe Caring • Sexual Health Education

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

Foster carers are also given the “Safeguarding and Protecting Children,” Barnardo’s Policy Manual (2002) and the North West Fostering Service’s “Safeguarding Children Guidelines for Foster Carers and Volunteers”.

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

Once a child is placed with foster carers, a social worker from the fostering service completes a safe caring document, which is reviewed on a six or twelve month basis, dependent on the nature of the fostering service being provided. From an examination of a sample of carer’s files and subsequent interviews with a number of foster carers, the inspectors were able to evidence that carers have a safe caring document that is subject to a regular review. It is recommended upon this review that both the foster carers and the social worker sign this document accordingly.

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

Barnardo’s North West fostering service makes clear to the foster carers that corporal punishment is not acceptable and this is clearly set out in the written Foster Care Agreement given to foster carers. It is also written in the Behaviour Management Policy – Project Practice Guidelines for both carers and staff. As discussed on inspection training in the area of care and control in the technique authorised by the organisation for use in this setting is now due.

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

Management systems are in place to collate and evaluate information on the circumstances, number and outcome of allegations of neglect and abuse of a child in foster care.

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

The foster carers interviewed and staff confirmed that foster carers are provided with full information about foster children to enable them to meet their needs and the needs of their own family.

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

There is a policy and procedure for “bullying.” A management system has been put in place to collate and evaluate information on any incidents of bullying involving foster children. There is a clear written procedure for use if a child is missing from home.

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being bullied:

X % Barnardos North West Fostering Service Page 27

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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 inspectors were advised that the service promotes contact between the child and his/ her family, in accordance with the Children Act 1989 and other relevant guidance. Contact is therefore addressed at every stage of the care planning process, in the development of the care plan, at looked after children reviews, during the matching process, at foster panels and sometimes via the legal system. During these processes, the service makes every effort to ascertain the views and wishes of the child or young person in relation to contact with their family.

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

In the promotion of contact, foster carers are provided with an informative booklet, entitled, “Contact: Maintaining Links with Families.” This booklet covers a whole range of aspects relating to contact, which includes the nature of contact, its purpose, the effects of contact on children, parents, foster carers, the role of social worker’s, as well as practical and legal matters regarding contact.

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

The service also provides training to foster carers in the promotion and management of contact between the child and their families. All contact arrangements are recorded in the foster carer agreement and foster placement agreement, the foster carer agrees to adhere to the agreed contact arrangements and signs to this effect. Financial support is provided to foster carers for transport or other costs involved in ensuring contact takes place in accordance with a child’s care plan.

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

From the inspectors’ examination of a sample of carers and children’s files, together with the inspectors’ interviews with staff and carers, the inspectors were able to evidence, that this standard is met. Barnardos North West Fostering Service Page 28

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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 Many of the children/young people, who are fostered by Barnardo’s North West fostering service, have severe learning difficulties. The service uses a variety of methods to communicate which includes, utilising the Picture Exchange Communication system (PEC’s) as well as Makaton sign language. These are used with a view to eliciting the foster child/young persons’ feelings and wishes. The service also makes use of local advocacy services.

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

At the last inspection it was recommended that the service needed to continue to explore individual communication systems, with a view to more effectively engaging the foster child or young person in the consultative process regarding issues likely to affect their every day life and future. At this inspection there was good evidence of this in the foster placements visited with imaginative and creative personalised children’s guides available. Work is understood to also be underway in developing the complaints procedure in an appropriate format for the children and young people using the service.

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

Training is provided to staff and carers around the communication needs of children with disabilities. The psychological support service works with a number of carers and children around communication issues.

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

The fostering service has a complaints policy and procedures. All foster carers are provided with a leaflet, entitled, “Having your Say”, which encourages users of the service, to comment upon or complain about, the service they have received. This leaflet also talks of the use of advocacy and provides brief information, regarding the ‘formal complaints’ procedure, directing the individual to obtain a booklet, entitled “Your Right to be Heard”, which details the process of making a ‘formal complaint’. The foster carers seen by the inspectors, during this inspection, clearly understood the complaints system. All fosters carers interviewed spoke very positively of the service and support that they receive from Barnardos’s. Barnardos North West Fostering Service Page 29

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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? 2 The inspectors were informed that Barnardo's North West Fostering Service receives full details regarding the health needs of a child and that this information is taken into account, in the matching process and ultimately the placement of the child. The manager of the service confirmed that no placement would be made, which prevented a child from continuing to receive the specialist health care services that they needed.

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

The inspectors were advised that foster carers receive basic training on a variety of health and hygiene issues. This includes first aid, communicable diseases, invasive medical treatment and sexual health education. This was discussed with the foster carers individually during the inspector’s visits to their homes and they confirmed that this training had taken place and that it had been informative and relevant.

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

The manager of the service informed the inspectors that the service promotes the health of the child/young person in ensuring G.P. and dental registration occurs. This is illustrated by the fact that the foster carers’ agreement clearly indicates that foster carers are expected to ensure that the child/young person has regular dental and optical check ups; access to a balanced diet and opportunities for exercise commensurate with their abilities. The service also ensures carers are supported to access any health services required.

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

Barnardo's North West Fostering Service, would appear to have good links with health agencies, however it will and does act as an advocate for the child when needed, in securing services for the child.

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

Foster carers are expected to attend their foster child’s ‘looked after children’ review, to provide information regarding the child/young persons’ health needs and generally contribute to the planning and reviewing process, in respect of their foster child. Through examination of children/young people and carers’ files, as well as in interviews with managers, staff, and carers the inspectors were able to evidence, most of the elements in this standard. However as discussed in accordance with the Foster Care Regulations and mentioned earlier in this report information must be received in writing from the placing authority in order to maintain the care and well being of each child placed including medical consent were applicable, this is also in accordance with Regulation 11. Barnardos North West Fostering Service Page 30

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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 Barnardo’s employ educational psychologists and as part of their responsibilities they work with the NWFS. They have an active role in working with schools and foster carers, to promote the education and development of the children and young people fostered by this service. The educational psychologists work with colleagues in local authority education, to access suitable equipment and support for the foster children/young people. The North West Fostering Service social work staff liaise with the educational psychologist in achieving these aims.

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

Both the educational psychologist and the Barnardo’s social worker attend the educational reviews, which in some cases, are held in conjunction with the looked after children reviews. The provision of this package of care ensures the educational needs of the children placed are always routinely addressed and promoted.

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

Barnardo's North West Fostering Service’s commitment in employing educational psychologists emphasises the importance that this service gives to the promotion of the education and development of the children and young people, fostered by this service. This in turn is communicated to foster carers, who ensure that an environment is provided, where education and learning are valued.

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

During the inspectors’ interviews with foster carers, several commented on the invaluable support that they had received from the educational psychologists, in meeting their foster children’ s educational needs. They also confirmed that it was packages of care such as this that supported them in managing the task of caring for a foster child with considerable, complex and at times challenging behaviour.

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

The foster carers agreement and foster placement agreement clearly, outlines the expectations of Barnardo's North West Fostering Service’s, in relation to the foster carers’ contribution to the assessment of the children’s educational needs and progress, in the planning and review process.

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

The foster placement agreement clearly establishes the expectation of a foster child’s regular attendance at school and this is supported by the foster carer’s allowances, in relation to the child’s educational needs.

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

Barnardo's North West Fostering Service has a management information system to demonstrate the educational attainment of those children fostered by the service and this was observed on this inspection. Barnardos North West Fostering Service Page 31

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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? 0 This standard was not assessed at the time of this inspection. Barnardos North West Fostering Service Page 32

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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. Barnardos North West Fostering Service Page 33

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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 Barnardo's North West Fostering Service has clearly written recruitment and selection procedures for the appointment of staff, which follows good practice in safeguarding children and young people.

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

From one of the inspectors’ discussions with a member of the personnel section, it was clear that all personnel, responsible for recruitment and selection of staff, are trained in, understand and operate the recruitment and selection procedures of the service. The examination of the new staff members, staff files indicated that individuals working in the fostering service are interviewed, as part of the selection process and have references checked to assess suitability, before taking on responsibilities. It is understood that there is now a procedure in place to undertake telephone enquiries as well as written references. The service has records of checks and references that have been obtained and their outcomes. At the time of the inspection all staff working in the service had been the subject of an enhanced Criminal Records Bureau disclosure.

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

The recruitment files of staff working in the service that were inspected and interviews with staff indicated there was evidence that the qualifications experience, knowledge and skills of staff employed to work within the fostering service, meets the National Minimum Standards. The inspectors noted that all staff had knowledge of the roles of other agencies, in particular health and education. They also had a belief in promoting equality, diversity and the rights of individuals.

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

The service has in the past taken students on placement however no students are currently undertaking a placement at the service. It is understood that when students undertake a placement they carry out assessments and approvals of foster carers, under the supervision of a qualified worker, who takes responsibility for their work.

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

The manager and registered provider of the service informed the inspectors that all educationalists, psychologists and other professional staff are professionally qualified and appropriately trained to work with children, young people, their families and foster carers, and have a good understanding of foster care. Inspectors were also informed that the social workers had made application to be included on the General Social Care Council (GSCC) register.

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agency in the past 12 months:

Barnardos North West Fostering Service Page 34

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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 The fostering service’s functions are divided between two teams; the long - term care team and the short term break team. The latter team also has contract carers, who offer respite care to children residing with their families in the community.

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

Both teams have a clear remit and until recently have both been managed by experienced, skilled and qualified staff. The short-term break Team Leader position has recently become vacant due to the post holder moving on and this post has subsequently been advertised. In the interim period until an appointment is made the Manager of the service is directly managing the short-term break team. The levels of management delegation and responsibility are clearly defined and commensurate with the experience, skills and qualifications of the relevant members of staff. The staff interviewed by the inspectors, had a good understanding of the levels of management delegation and responsibility within the service and in the absence of the manager was fully aware of who deputises in the service.

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

The staff interviewed informed the inspectors that they had clearly defined job descriptions and that they are aware of their own and other’s roles and responsibilities.

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

During the inspection, the inspectors’ were able to confirm, through interviews with staff, as well as from information from placing social workers, that Barnardo’s staff clearly understood the vital importance of the children’s social worker and themselves, working effectively together, to ensure that the child’s welfare and best interests are served. It was clear from discussions with staff that they had a clear understanding of the role of the children’s social worker.

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

Team meetings take place on a regular basis. Staff informed the inspectors that there is clear, open and effective communication between the managers of the service and themselves and that their views are elicited regarding the operation of the service. They also reported that they are supported in continuing their ongoing professional development through the various training opportunities available.

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

During the inspectors’ interviews with staff, they were informed that all staff are supervised on a monthly basis. All supervision meetings are fully recorded and a copy of this given to the member of staff. Supervision is also provided to staff, on a more informal basis, as and when the need arises. The service also has an appraisal system.

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

The management and supervision systems in place determine staff workloads, assist in prioritisation and ensure the work is monitored and tasks are assigned to appropriate staff. The service also has a work management system in place.

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

The service is well resourced administratively. Staff informed the inspectors that the administrative resources provided them, greatly assisted them in effectively carrying out their work and delivering an efficient service. The inspectors were able to confirm the service had appropriate administrative procedures to deal with enquiries from prospective foster carers and able to evidence that such enquiries were dealt with promptly.

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

All staff working in the service are provided with a Staff Handbook, which sets out staff’s terms and conditions of employment; included in this booklet is the grievance and disciplinary, health and safety policies and procedures. The booklet also contains a section Barnardos North West Fostering Service Page 35 on promoting equality and diversity, which outlines the organisation’s equal opportunities policy. There are systems in place to ensure assessments, approvals and reviews of carers are managed and implemented effectively.

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

The manager of the service provided a foster carers training programme. The carers seen by the inspectors’ confirmed that a variety of training is provided.

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

Barnardo's North West Fostering Service ensures that there is access to the range of advice needed to provide a full service for children and young people and to support carers. This includes an “out of hours” support service, educational psychologists, a welfare benefits adviser, access to medical and if necessary, legal advice. The inspectors’ interviews with a sample of foster carers and information received from foster carers questionnaires, confirmed that the service was highly supportive and generally of an excellent standard. Many carers indicated, that without such support, they might not have been able to continue to care for their foster child/young person.

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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 There was evidence, from the records inspected and staff interviewed, that the experience, skills and qualifications of the staff employed to work within the fostering service, meets the National Minimum Standards. The inspectors were advised that within the service staff are relatively stable, with generally, little staff turnover although recently two post have become vacant and are subject to recruitment.

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

From the inspectors’ examination of the service, it was clear that the terms, conditions of employment, staff policies, workloads, managerial support, supervision and the training opportunities afforded staff, encourage the retention of experienced, skilled and qualified staff within the service.

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

Barnardo's North West Fostering Service has a clear assessment process for carers, which defines the fostering task, the qualities, competencies or aptitudes required. The stages, content and timescales of the selection process, are made clear and the carers interviewed by the inspectors, indicated that they were given and had understood the selection process.

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

The inspectors examined a sample of assessment reports of foster carers. These reports were detailed and indicated that the assessment process covers all the issues, outlined in the National Minimum Standards. Barnardos North West Fostering Service Page 36

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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? 0 This standard was not assessed at the time of this inspection.

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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? 0 This standard was not assessed at the time of this inspection.

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Standard 20 (20.1 - 20.5)

All staff are properly accountable and supported. Key Findings and Evidence Standard met? 0 This standard was not assessed at the time of this inspection. Barnardos North West Fostering Service Page 37

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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 There are a number of systems in place for working with and supporting carers. The service has clear arrangements for the training and development of carers. The manager of the service advised the inspectors that there are local foster carer support groups, which are usually held quarterly. Barnardo's North West Fostering Service also has a foster carer forum, which meets on a regular basis to consider a variety of issues appertaining to the service. Inspectors observed one of the above meetings and spoke with the carers after its conclusion. The forum was considering a number of ways to ascertain other foster carers views in order to provide a fuller representation. They came to the decision that further information of their role and function could be contained in the foster carers newsletter,

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Standard 21 (21.1 - 21.6)

which is circulated by the management of NWFS. The management team has taken this on board.

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Standard 21 (21.1 - 21.6)

The Barnardo’s social workers interviewed were clear about their role and responsibilities in the fostering service and reported good communication with the children’s social workers.

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Standard 21 (21.1 - 21.6)

Supervision is provided to carers, by Barnardo’s social workers, on a regular basis. Please see comments on the next standard.

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Standard 21 (21.1 - 21.6)

During office hours foster carers can contact their social worker or in their absence team manager, or if necessary, the service manager. The inspectors were informed that “out of hours” support is also provided and that all foster carers have the telephone numbers of their Barnardo’s social worker and the managers of the service. The inspectors were able to confirm this during their interviews with foster carers.

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Standard 21 (21.1 - 21.6)

The inspectors were advised that foster carers are able to receive assistance from the fostering service, in dealing with other relevant services such as health and education. Again the foster carers confirmed this.

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Standard 21 (21.1 - 21.6)

All the foster carers’ interviewed by the inspectors had an understanding of the role of Barnardo’s social workers and spoke very highly of the support that was provided.

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Standard 21 (21.1 - 21.6)

Barnardo's North West Fostering Service also provides a variety of other supports such as external advice in relation to taxation and national insurance for foster carers. The service has also arranged for a welfare rights’ officer to visit the office in order that foster carers can discuss and receive any advice required in relation to DHSS benefits and where appropriate in order to maximise relevant income.

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Standard 21 (21.1 - 21.6)

The North West Fostering Service has clear arrangements for foster carers’ reviews, which take place annually. The sample of carers’ files seen by the inspectors indicated that reviews had taken place on time and on an annual basis.

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Standard 21 (21.1 - 21.6)

The service ensures each foster carer’s first annual review is presented to the fostering panel. Subsequent annual reviews are only taken back to panel, if there are major changes in the carers’ circumstances. Any additional, significant reviews can also be taken back to panel, as requested. Barnardos North West Fostering Service Page 38

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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? 2 The foster placement agreements have been revised since the last inspection and these together with the partnership agreements cover all the required information.

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

The register of children was inspected and now covers all the matters identified in Schedule 2 of the Fostering Services Regulations 2002.

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

Supervision is provided to foster carers by the Barnardo’s social worker; all are appropriately qualified and experienced workers. The timescales for undertaking supervisory visits, is in line with the statutory frequency laid down in Regulation 35, of the Fostering Services Regulations, 2002. From the inspectors’ interviews with foster carers, they were able to evidence that visits were being made within these timescales. Though in accordance with the above Regulation these visits must now be documented.

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

The support systems for foster carers have been discussed in standard 21.

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

Foster carers are provided with a handbook following their approval. This handbook contains some of the services policies and procedures relating to child protection, care and control, safe caring, legal information, insurance details, taxation and a variety of other information.

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

The service provides information regarding the complaints’ procedure to foster carers and those foster carers interviewed were aware of how to make a complaint. The service keeps a record of complaints. Since the last inspection there have been no complaints made directly to the service or CSCI.

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

The service keeps a record about allegations of abuse and has a clear policy outlining the circumstances in which a carer should be removed from the foster carer register. Barnardos North West Fostering Service Page 39

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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 A discussion with the learning and development manager and an examination of the training programme and records confirmed that a variety of training is available for carers. Foster carers have an opportunity to undertake an NVQ, level 3, in childcare and several carers have already obtained this qualification. The registered manager informed the inspectors that there is a commitment by the organisation to progress this further and despite several issues with NVQ assessors the organisation has made the decision to train their own assessors in an attempt to address this.

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

The service manager has completed a learning and development plan of the fostering service, in order that the learning needs of the service can be identified and a clear training plan for the service formulated. The training needs of individual foster carers are identified through the supervision and annual appraisal systems of carers. The effectiveness of the training provided is regularly evaluated and reviewed on an annual basis. The service manager and the learning development manager work closely to ensure that the training plan is effective.

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

Training is provided, dependent on need, on both an “in-house” and “external” basis. The service ensures, that in both the pre – approval and induction training, carers have the opportunities to benefit from the experience and knowledge of existing carers.

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

Barnardo's North West Fostering Service provides opportunities for foster carers to undertake joint training with Barnardo’s social workers. Feedback obtained from those foster carers spoken to felt that this was beneficial as they felt the social workers could gain greater understanding of their issues. The manager of the service advised the inspectors that consideration is given to any help and support required by the sons and daughters of foster carers. Consideration is also given to the training needs of particular groups of carers. Foster carers informed inspectors that they would value further transitional training with regards to “letting go” of the service and that their birth children would also benefit from some training in this area. This was fed back to the organisation for their consideration.

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

The foster carer training fits in the framework of equal opportunities and anti – discriminatory practice. The practicalities for attending training for foster carers are considered.

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

The service provides all carers with a “safe caring” document. Safe caring issues are addressed with all household members in accordance with their level of understanding.

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

In households where two adults have been identified as joint carers, the service makes training available to both carers.

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

Barnardo's North West Fostering Service ensures that each carer’s annual review includes an appraisal of the carers’ training and development needs, which is documented in the review report.

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Records

Barnardos North West Fostering Service Page 40

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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 Barnardo's North West Fostering Service has a comprehensive written policy on recording, which is contained in the policy “Recording and Access to Records”. This policy establishes the purpose, format and the content of the respective children and foster carers’ files. Barnardo’s emphases the importance of participation and partnership, in working with the child/young person, family and carers. Consequently, the policy clearly indicates to those working within the service that all information recorded in the files should contain information, which is already known to them (refer to NMS 25).

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

However from the review of the information maintained on file it is evident that the systems for recording information needs to be reviewed in order that an up to date, comprehensive case record is maintained for each child or young person in foster care.

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

At the last inspection it was recommended that expectations of foster carers in relation to record keeping be made more explicit and detailed in a record keeping policy for carers and that the service provides carers with training on recording. A record keeping policy has been developed and training around record keeping is being provided following the implementation of the policy. Barnardos North West Fostering Service Page 41

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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? 2 Separate records are kept for staff, prospective carers, children, complaints and allegations. As discussed on inspection all outcomes should be documented for audit purposes. The organisation has a clearly written policy as to the confidential nature of the records. Barnardo’s also has an “Recording and Access to Records” Policy that provides clear guidance to staff regarding access to records, as well as the recording requirements to meet the Data Protection Act. The service has a format for a permanent, private record for each child and prospective foster carer, which is kept securely. The child/young person, his/her parents or foster carers can see these records in compliance with legal safeguards. The service has a computerised system (Livelink) that allows for information to be electronically stored once inputted. In both

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The fostering service's administrative records contain all significant information

the manual and the computerised systems, records could be forwarded, if a child moves to another placement, ceases to be looked after, or if a reference request is made for a member of staff or a carer. However it was stated that there is an element of uncertainty about the storage of information within these systems. Consequently it is recommended that there should be direction given as to what information is stored on Livelink and what is stored on hard copy. This in part will entail further training of staff to equip them with necessary IT skills to use the Livelink system to its full extent as well as a reorganisation of the current filing system. This has been acknowledged by the organisation. From the inspectors’ examination of the services’ procedures in relation to records, together with interviews with staff, panel members and an observation of the panel evidence was provided that all those involved in the organisation, are well aware of the procedures, in

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The fostering service's administrative records contain all significant information

relation to the storing and management of confidential information. With regard to the information within the tables below, fees will be revised in line with the Fostering Network’s recommended rates from April 2005. Barnardo’s also pay the following fees in addition to the weekly maintenance rates: Professional fee - £156.91 per week Short Term Break rate - £ 50.00 per 24 hours

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The fostering service's administrative records contain all significant information

Number of current foster placements supported by the agency: 36 Number of placements made by the agency in the last 12 months: 4

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months:

Number of new foster carers approved during the last 12 months: 12 Number of foster carers who left the agency during the last 12 months: 11

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Maximum £

2002/2003 FOSTERING NETWORK MINIMUM RATES Age Group Weekly Birthday Christmas/Religious Festivals Holidays

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Maximum £

0 – 4 £108.49 £108.49 £108.49 £216.98 5 – 10 £123.58 £123.58 £123.58 £247.16 11 – 15 £153.84 £153.84 £153.84 £307.68 16 + £191.37 £191.37 £191.37 £382.74 Barnardos North West Fostering Service Page 42

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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 Barnardo's North West Fostering Service’s office premises are of a high standard and well furnished. The accommodation provides adequate space for staff, is comfortable and has sufficient IT and other necessary equipment to support staff in the effective delivery of a fostering service. The service has security in place to safeguard all information contained in the IT system. All manual records are stored in lockable filing cabinets, which are kept in a lockable room. The premises have an appropriate security system in place to prevent inappropriate access to the building. Barnardos North West Fostering Service Page 43

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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? 0 This standard was not fully assessed at the time of this inspection.

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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? 0 This standard was not assessed at the time of this inspection. Barnardos North West Fostering Service Page 44

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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 Barnardo's North West Fostering Service has a clear policy on foster carer’s allowances and expenses, which are reviewed on an annual basis. Each foster carer within the service is provided with a copy of the foster carer allowances and expenses.

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

During the course of the inspection, foster carers did not suggest there were any difficulties with the payment of allowances/expenses, as the general view appeared to be, that they were paid promptly and on time. The inspectors were of the opinion that the service provided an efficient payment system. Barnardos North West Fostering Service Page 45

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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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the overriding objective to promote and safeguard the welfare of children in foster

care. Barnardos North West Fostering Service Page 46

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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 Barnardo's North West Fostering Service has a clear, detailed and well written policy, which outlines the panel’s role and constitution. The document emphases the quality assurance function of the panel and confirms the panels role, in relation to receiving management information about the outcome of foster carers’ reviews.

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

There are clear written procedures, in relation to the appointment of panel members. Interviews with panel members indicated that there is a thorough selection process of all panel members. The chairperson advised the inspector that all the necessary checks in relation to panel members had been completed prior to their appointment to the panel. From discussion with the chairperson it was evident that careful consideration is given to ensuring that the composition of the panel enables a range of viewpoints to be represented.

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

One fostering panel was observed, during the course of the inspection. The medical adviser and an independent panel member were interviewed regarding their role and the functions of the panel. From these interviews and observations of the fostering panel, it was evident that they had a good understanding of the panel’s functions and their role and the role of the agency decision maker. It was clear that all members of the panel carried out their duties and responsibilities, in a professional and highly responsible manner.

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

The members of the panel indicated that they prepared for the panel meeting, by reading all the panel papers prior to the meeting, clearly recognising the responsibilities of their task. The panel members spoken with confirmed they received panel papers within the agreed timescales. Panel members were aware of the procedure around the storage and management of confidential information. The inspector was able to evidence panel members following this procedure, at the conclusion of the panel meeting.

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

The fostering panel has access to medical expertise and the medical adviser undertakes a full role, as a panel member, in so far as contributions made to the panel were not purely on medical matters. However this is shortly to be subject to change as the present medical advisor is to step down. At the time of this inspection alternative options were being explored.

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

There is also access to information regarding educational matters provided by an independent panel member.

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

The observations of the fostering panel indicated that the panel was exceptionally well organised and conducted itself in an appropriate and extremely professional manner. Panel members having read, prepared and considered carefully, all the matters raised in the documentation provided them. The panel was well chaired and there was evidence of all panel members’ views being taken into account. The decision - making was clear.

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

Prospective foster carers attended the panel. It was evident that they had been prepared for this meeting and their attendance was managed sensitively. Of those foster carers interviewed by inspectors who had attended panel on this and/or previous occasions all felt that they were “glad that they attended” and that although they “felt nervous” “it was worthwhile”.

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

The service manager provides a six monthly report to the panel regarding the progress of Barnardos North West Fostering Service Page 47 the service to enable panel to provide a quality assurance role. Barnardos North West Fostering Service Page 48

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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? 3 Barnardo's North West Fostering Service agrees to provide a total of 28 days, short – term breaks, for all of their long – term foster carers. It was therefore, partly in response to the internal needs of the service, that the short – term break scheme, was established. The development of short – term break carers though, was also a response to an external need, as the service was receiving a number of respite care requests from local authorities, in respect of children/young people with severe learning and physical disabilities, who were living with their families.

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

Two contract care services are also in operation. One service has a contract with a local authority to provide shared and respite care for children/young people with severe learning and physical disabilities, who are living with their families.

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

The other contract carer is as a response to those carers who foster for Barnardo’s for children with a higher dependency level. As referred to earlier this development was welcomed by the long-term cares and reflects the commitment of Barnardos to supporting foster cares. The inspectors were very impressed by the commitment, attitude and enthusiasm of the contract carer visited during the inspection. The contract carers are paid a professional fee/salary for the service provided, they are also given twenty eight days paid holidays and receive twenty full training days, per year, for which they are paid.

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

The inspectors were advised that all carers who provide short – term care and contract care receive assessment, approval and induction training. Their training needs are identified during supervision, as is the case, with long term carers and these needs are met, through the training programme provided by the service.

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

The inspectors were advised that short term and contract carers receive full information on the child or children placed with them in order that appropriate care can be provided and their needs effectively met. The carers spoken to also confirmed this. Barnardos North West Fostering Service Page 49

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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 All referrals to Barnardo's North West Fostering Service are usually made, when it has been established by the responsible authority for the child, that there are no friends or family able to care for the child consequently the inspectors did not address this standard, during this inspection. Barnardos North West Fostering Service Page 50

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Date

Barnardos North West Fostering Service Page 51

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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 7 th March 2005 of Barnardos’s North West Fostering Service 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 Barnardos North West Fostering Service Page 52

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

Comments were received from the provider YES

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

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

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

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 Action plan did not cover all the statutory requirements and required further discussion Provider has declined to provide an action plan

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Public reports

It should be noted that all CSCI inspection reports are public documents. Reports on children’s homes are only obtainable on personal application to CSCI offices. Barnardos North West Fostering Service Page 53

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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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relating to the 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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Barnardos North West Fostering Service / 7th –15th March 2005

Commission for Social Care Inspection 33 Greycoat Street London SW1P 2QF

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Barnardos North West Fostering Service / 7th –15th March 2005

Telephone: 020 7979 2000 Fax: 020 7979 2111

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Barnardos North West Fostering Service / 7th –15th March 2005

National Enquiry Line: 0845 015 0120 www.csci.org.uk

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Barnardos North West Fostering Service / 7th –15th March 2005

S0000040580.V200877.R01 © This report may only be used in its entirety. Extracts may not be used or reproduced without the express permission of the Commission for Social Care Inspection

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Barnardos North West Fostering Service / 7th –15th March 2005

The paper used in this document is supplied from a sustainable source

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