Setting

Hythe House Support Ltd

59 Staplehurst Road Sittingbourne Kent ME10 2NY

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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. Hythe House Support Ltd Page 1

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Fax No Address

59 Staplehurst Road, Sittingbourne, Kent, ME10 2NY

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Date of latest registration certificate

Date of last inspection NA Hythe House Support Ltd Page 2 Date of Inspection Visit 21st February 2005 ID Code

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inspections and bring a different

perspective to the inspection process. Not applicable Name of Specialist (e.g. Interpreter/Signer) (if applicable) Not applicable

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Name of Establishment Representative at

the time of inspection Gary Duffy Hythe House Support Ltd Page 3

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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 Hythe House Support Ltd. 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. Hythe House Support Ltd Page 5 BRIEF DESCRIPTION OF THE SERVICES PROVIDED. Hythe House Support Limited is an independent foster agency. Services offered include home finding for children referred by local authorities, organising and supervision of family contact, meeting daily travel requirements, and working within the context of children’s individual care plans. Additional services that can be provided include access to the companies education unit, arrangements made for therapy and counselling and driver and escort services for home visits.

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Inspector’s Summary

(This is an overview of the inspector’s findings, which includes good practice, quality issues, areas to be addressed or developed and any other concerns.) The inspection was announced and was conducted over four consecutive days with an additional visit to observe the functions of the fostering panel. This was the first inspection of the agency since the initial registration. Thirty out of a total of thirty-two standards were inspected (two standards were not applicable). Fourteen standards have been rated as met. Fifteen standards have been rated as nearly met. In the standard relating to child protection major shortfalls were identified; the inspectors were reassured to some degree by the agencies response to these shortfalls being identified. The inspectors acknowledge the receptiveness of the registered provider and staff of the agency to the inspection process. The registered provider and the head of the agency demonstrated commitment and ability to

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Inspector’s Summary

address areas where shortfalls were highlighted during the inspection. Three foster homes were visited; the children, young people and foster carers who took part in the inspection are thanked for the valuable contribution they made.

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Statement of Purpose (Standard 1)

The statement of purpose and children’s guide includes useful information about the services offered in formats suitable for the intended audience.

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

The people carrying on and managing the service are fit to do so.

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Management of the fostering service (Standards 4-5)

The business management of the fostering service has been

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Securing and promoting welfare (Standards 6-14)

The agency has been active in promoting and supporting contact between children and their families. The educational facilities provided by the agency together with the links established with mainstream education providers has promoted children’s attainment in this area. Good practice recommendations have been made in relation to the standards covering health and safety and the health needs of children. Requirements have been made in relation to child protection procedures and practice and the matching process.

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(Standards 15-23)

Recruitment procedures were satisfactory though a good practice recommendation has been made. Staff interviewed during the inspection expressed satisfaction with employment practices. The arrangements for the training and supervision should be reviewed. Foster carers have been assessed and approved in line with current guidelines and regulatory requirements. There are clear strategies for the management and support of carers. Good practice recommendations have been made with regard to foster placement agreements and Hythe House Support Ltd Page 7 the professional supervision of foster carers.

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Records (Standards 24-25)

Records were organised and legible. Records relating to children and young people were detailed and contained relevant information regarding history, background, services and care provided. There was evidence of a good exchange of information between the service and foster carers. Administrative records were also well maintained however there were some omissions in terms of details required by regulations.

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Fitness of premises to be used as fostering service (Standards 26)

The premises used by the fostering service were suitable for the purpose they served.

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Financial Requirements (Standards 27-29)

Records indicate that the service is well resourced and financially viable. Payments to carers have been prompt and in accordance with service policy.

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Fostering Panels (Standards 30)

The functions of the fostering panel have been carried out in a manner that reflects current good practice guidelines. Areas of good practice have been noted and include the process of assessment and presentation to panel of prospective foster carers.

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Short-term breaks (Standards 31)

Not applicable at the time of this inspection

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Family and friends as carers (Standards 32)

Not applicable at the time of this inspection Hythe House Support Ltd Page 8

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(Local Authority Fostering Services Only)

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

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(Local Authority Fostering Services Only)

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

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(Local Authority Fostering Services Only)

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

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(Local Authority Fostering Services Only)

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

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Implementation of Statutory Requirements from Last Inspection

Requirements from last Inspection visit fully actioned? NA

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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. Hythe House Support Ltd Page 10

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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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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 7 FS2 The registered provider shall ensure the registered manager commences training to attain a qualification at level 4 NVQ in management or another qualification that matches the competencies required by the NVQ Level 4. 27/09/05

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STATUTORY REQUIREMENTS

2 42 FS4 The registered person shall refer to and ensure compliance with all elements of regulation 42 (Fostering Service Regulations 2002) 27/05/05

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STATUTORY REQUIREMENTS

3 28, 34 FS8 The registered provider shall ensure the approval status of foster carers put forward as a potential match is consistent with the proposed placement. 27/05/05

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STATUTORY REQUIREMENTS

4 13 FS9 The registered person should review the child protection procedures with reference to the regulations. 27/06/05

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STATUTORY REQUIREMENTS

5 13 FS9 The registered person shall ensure prompt referral to the area authority of any allegation of abuse or neglect affecting any child placed by the fostering service. 27/05/05

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STATUTORY REQUIREMENTS

6 13 FS9 The registered person shall ensure that all persons employed to work for the fostering service receive training in child protection procedures. 27/06/05 Hythe House Support Ltd Page 12 7 5,7,20 FS15 The Fostering Service Provider shall ensure full and satisfactory information is available in relation to the matters set out in paragraphs 1 to 6 of Schedule 1 (Fostering Service Regulations 2002) for all persons employed to work for the purposes of the fostering service. 27/05/05

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STATUTORY REQUIREMENTS

8 28 FS22 The registered provider shall make arrangements to review Foster Care Agreements and update these in line with regulations. 27/05/05

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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 FS6 The registered person should make arrangements to ensure risk management plans are devised where specific hazards have been identified in foster carers homes.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

2 FS6 The registered person should ensure that all foster carers have undertaken health and safety training.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

3 FS8 The registered person should develop a means to record the matters taken into consideration in the matching process and where gaps have been identified articulate the means by which these will be addressed.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

4 FS9 The registered person should ensure safe caring guidelines are provided, based on a written policy, for each foster home, in consultation with the carer and everyone else in the household. The guidelines should be cleared with the child’s social worker and explained clearly and appropriately to the child.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

5 FS12 The registered person should make arrangements to ensure medical consents are obtained in relation to each child that is placed. Hythe House Support Ltd Page 13 6 FS15 The Fostering Service Provider should include in the written recruitment procedures reference to ensuring full and satisfactory information is available in relation to the matters set out in paragraphs 1 to 6 of Schedule 1 (Fostering Service Regulations 2002) prior to employing a person (for a definition of employing a person please refer to regulation 2 (3) of the Fostering Service Regulations 2002 (FSR2k2)) to work for the purposes of the fostering service.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

7 FS16 The fostering service provider should review the arrangements regarding the professional supervision of the manager and social work staff.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

8 FS19 The registered person should make arrangements to ensure that a training needs assessment is carried out in relation to tasks assigned to staff and carers and written plans are put in place detailing how training needs are to be addressed.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

9 FS21 The registered person should ensure the scope and nature of the role of the supervising social worker is clear both to the worker and the carers whom they are supervising.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

10 FS22 The registered person should make arrangements to issue (or if applicable reissue) the Foster Care Agreement at each formal review that is undertaken regarding individual foster carers suitability to foster, and their approval status; update it where necessary and for each party to sign their agreement in the first instance and / or subsequently where changes to the foster carers approval status have been made.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

11 FS23 The registered person should endeavour to strengthen the relationship between training provided and training needs identified in the course of carers reviews and any gaps identified in the matching process.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

12 FS25 The Fostering Service Provider should audit the records kept and ensure those required by the Fostering Service Regulations 2002 are maintained in accordance with the and include the detail specified in the regulations.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

13 FS27 The Fostering Service Provider should ensure written procedures exist to deal with situations of financial crisis, such as disclosing information to purchasers and liaising with them to safeguard the welfare of children receiving services through the agency.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

14 FS30 The registered provider to review the operation of the panel and ensure that all elements of this standard are addressed

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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. Hythe House Support Ltd Page 14

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PART B INSPECTION METHODS & FINDINGS

The following inspection methods have been used in the production of this report Number of Inspector days spent 4

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PART B INSPECTION METHODS & FINDINGS

Survey of placing authorities YES Foster carer survey YES Foster children survey YES Checks with other organisations and Individuals NO • Directors of Social services NO • Child protection officer NO • 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 YES • Contact with supervising social workers YES • Examination of files YES Individual interview with manager YES Information from provider YES Individual interviews with key staff YES Group discussion with staff YES Interview with panel chair YES Observation of foster carer training NO Observation of foster panel NO 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 21/02/05 Time of Inspection 0930 Duration Of Inspection (hrs) 28 Hythe House Support Ltd Page 15 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. Hythe House Support Ltd Page 16

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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 made available for inspection includes the aims and objectives and describes the services and facilities that the agency aims to provide. It was confirmed that the statement pf purpose is made available to prospective purchasers and others with a legitimate interest in the service. There is a welcome pack for children containing the children’s handbook summarising services offered, details regarding the complaints and problems process and booklets providing information relevant to living away from home, children’s rights and information about various other support agencies that can be utilised. Hythe House Support Ltd Page 17

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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? 2 At the time of this inspection the manager of the agency had yet to attain a management qualification. A requirement has been made for him to do so. The manager’s previous experience includes 3+ years employed as a supervising social worker for another independent fostering agency. The manager is supported by the head of the agency who has experience in management and controlling financial affairs.

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

a business concerned with safeguarding and promoting the welfare of children. Key Findings and Evidence Standard met? 3 The people carrying on and managing the service were assessed as fit to do so in the registration process of the agency. Hythe House Support Ltd Page 18

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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 Though it has been confirmed that aspects of the service are monitored there were no established procedures for improving and reporting on the quality of care provided by the agency. Financial matters were managed professionally with information provided to the board on a regular basis. Information about charges and payments is made available to the relevant parties.

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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. 0

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

unsuitable to work with children. Serious illness or accident of a child. 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. 1 Initiation of child protection enquiry involving a child. 1

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

Number of complaints made to CSCI about the agency in the past 12 months: 1 Number of the above complaints which were substantiated: 0

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Standard 5 (5.1 - 5.4)

The fostering service is managed effectively and efficiently. Key Findings and Evidence Standard met? 3 The business of the fostering service has been carried on by the registered provider in a professional and diligent manner. It was clear there is a strong commitment from the registered provider to reflect on practice and bring about improvements where shortfalls have been highlighted. The manager of the agency was clear about their responsibilities; lines of accountability were well defined. Hythe House Support Ltd Page 19

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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? 2 The inspectors visited three foster homes as part of the inspection process. Evidence was obtained from foster carers files and from discussion with the head of IT/Transport which confirmed that homes are inspected annually. A recommendation is made to ensure risk management plans are devised where specific hazards have been identified. The homes were warm, hygienic and appropriately decorated and children had their own rooms. The carers understood that they might be interviewed as part of the inspection process, however this was not reflected in the foster care agreement. The agency’s handbook provides written guidelines on the health and safety responsibilities of carers however health and safety training for carers is outstanding.

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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? 2 The agency states that it offers equal opportunities to all employees, foster carers and children. The manager asserted that the racial and cultural needs of children are addressed at the initial matching stage and that children are encouraged to pursue their chosen religion. Pre inspection questionnaires completed by foster children confirm that children have been supported to pursue hobbies and interests including for example swimming, singing, music, army cadets and computing. The training syllabus covers culture and diversity however further evidence that the matching process incorporates the elements of this standard combined with evidence that all foster carers attend training in enhancing children’s confidence and self worth and developing skills to challenge discrimination would be needed

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

to obtain a higher rating. Hythe House Support Ltd Page 20

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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 Although some consultation takes place, there was little evidence available to demonstrate that the child’s care plan and recent written assessments of the child have been taken into account when matching children with carers. When specific matching considerations have been identified at the time of approval, there is no evidence to suggest that these have been included in the matching process. The foster carers handbook states ‘sometimes you will be asked to take children outside your age range, this may be temporary, but if proving well matched, approval recommendations will be presented to panel’. A requirement is made to ensure that children are not placed outside a foster carers approval status. The foster placements do not contain reference to specific elements of matching taken into consideration in agreeing the placement. Neither did they identify support to compensate for

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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? 1 Many of the carers in the agency have fostered previously and in one case they were not offered initial training for this reason. Although the behaviour management policy covers the use of physical intervention, there was no evidence that training had been provided in relation to this. A recommendation is made to ensure each foster carer develops a safe care policy specific to their circumstances and to review and where necessary update these when a new placement is made. Whilst the agency’s child protection policy sets out the procedure to be followed in the event of any allegation of abuse or neglect evidence obtained during the inspection indicated that practice in this area had been lacking. A recommendation is made to review the current child protection policy. The agencies foster carer agreement clearly states never, in any circumstances, to administer corporal punishment to a child.

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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 Contact arrangements were included in the case notes inspected. It was confirmed by speaking with foster carers that they are made aware of any restrictions on contact that were in place. Foster carers commented that the support provided regarding the management of difficult contacts has been satisfactory. Young people have confirmed that their views were taken into account with regard to contact arrangements made.

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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 Foster carers visited as part of the inspection demonstrated their commitment to listening to the views of the children in their care. Training has not be offered specifically in relation to listening to children it is linked with such topics as managing behaviour, culture and diversity and life story work which have been included in the training programme. Evidence obtained from children’s reviews and foster carers reviews confirmed that children are consulted as part of the process.

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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 foster carers handbook contains guidance on promoting health care and development and states the responsibilities of carers and others involved in health care. The handbook includes information and guidance on the procedures governing consent. Health and hygiene and first aid training were not included in the training programme viewed by the inspector. Discussion with carers confirmed their commitment to promoting the health of the children in their care. One carer indicated the process of securing consent with regard to obtaining specific medication for a young person could have been better managed. Access to therapy has been arranged by the agency in conjunction with placing authorities. Hythe House Support Ltd Page 22

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

her/his full potential. Key Findings and Evidence Standard met? 3 The agency has its own school and discussion with the head of education confirmed the agency gives a high priority to meeting the educational needs of the children in foster care. Carers confirmed that they contribute to the assessment of children’s educational needs and are very clear of their role in school contact. The head of education confirmed that all children are currently receiving education and cited an example of enabling a child to transfer from Hythe House school into mainstream education. The inspector was informed that the school is currently developing the GCSE syllabus so as to meet the needs of the most able students.

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

competence and knowledge necessary for adult living. Key Findings and Evidence Standard met? 2 The foster carers handbook contains guidance for carers on preparing young people for adult life in relation to both practical and emotional issues however this is not reflected in the training offered to carers The manager acknowledges that this is an area for development. Hythe House Support Ltd Page 23

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The intended outcome for the following set of standards is:

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

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

sufficient to achieve the purposes and functions of the organisation.

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

children and young people and to safeguard and promote their welfare. Key Findings and Evidence Standard met? 2 Personal files sampled demonstrated the backgrounds of people working fulltime for the agency have been checked with regard to their suitability to work with children. Checks on panel members and people employed on a “sessional” basis were not carried out with the same rigour and a requirement has been made to do so. The recommendation has also been made to include in the written procedures reference to ensuring all the checks specified in the Fostering Service Regulations are completed for all persons working for the agency.

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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? 2 The fostering staff team include two qualified social workers one of whom is the manager. Both have opportunities to receive supervision and undertake training. The quality and focus of supervision was discussed with the registered provider. It was suggested that it might be sensible to review the current arrangements. Discussion with social work staff indicated that further guidance and instruction might be needed to ensure they had adequate understanding of their role and that of the children’s social worker. Workload has been managed in a manner that has resulted in timely processing of assessments, approvals and reviews of foster carers. Administrative procedures and support was in line with the needs of the service. Hythe House Support Ltd Page 24

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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 The staffing arrangements are in line with the statement of purpose. Foster carers have commented there is always someone from the agency to talk to or provide support when the need has arisen. Placing authorities have been complimentary about the service provided and of the quality of foster carers provided by the agency. Young people and children placed with foster carers have commented positively about the foster carers looking after them.

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

practices and good support for its staff and carers. Key Findings and Evidence Standard met? 3 The people working for the agency have stated that their colleagues, seniors, the responsible individual and board of directors value their contributions and support them in their work. Foster carers have also stated that they were supported by the agency to fulfil their fostering functions both during and outside of office hours when the need has arisen. Carers are supervised by an allocated social worker. The carer’s handbook includes health and safety procedures and guidelines.

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

staff up-to-date with professional and legal developments. Key Findings and Evidence Standard met? 2 The agency have written procedures relating to training for staff. The procedures recognise the need for and place value in ongoing professional development. There was not however evidence to demonstrate that individual training and development needs had been formally identified and plans developed to address them; the recommendation is made to do so. Hythe House Support Ltd Page 25

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Standard 20 (20.1 - 20.5)

All staff are properly accountable and supported. Key Findings and Evidence Standard met? 3 It was confirmed and evidence was seen to demonstrate that staff have received written details of what is expected of them in their role and are provided with access to the policies and procedures of the organisation. Staff receive management supervision on a regular basis (please see text to standard 16). Annual appraisal of staff performance is conducted by the registered provider. Staff confirmed that that they have the opportunity to attend team meetings and are involved in decisions made about the provision of services.

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Standard 21 (21.1 - 21.6)

The fostering service has a clear strategy for working with and supporting carers. Key Findings and Evidence Standard met? 3 The agency has written strategies for working with and supporting carers. The strategies include such issues as out of hours support, respite care, arrangements for reviews, training and development and the provision of general information and advice.

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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 From discussion with social workers with responsibility for supervising carers and from reading through carers supervision notes the inspectors failed to find evidence to demonstrate that carers are encouraged to reflect on their practice and experiences in order to develop in their role as foster carers. The fostering service and foster carers are obliged to enter into an agreement that sets out what is expected from the fostering service, the foster carers and placing authorities. Such an agreement (The Foster Care Agreement) had been entered into by the carers whose files were sampled though did not contain the detail required as reported on elsewhere in this report. A carer’s handbook has been produced and distributed accordingly. Information about how to make a complaint or representation has been distributed. Records demonstrate that complaints made had been dealt with according

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

to the agencies written procedures. Records of allegations of abuse are kept though not formally monitored and reported on as required by regulation 42 (Fostering Services Regulations 2002). A requirement that encompasses this shortfall has been made under standard 4. Hythe House Support Ltd Page 26

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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? 2 Information provided by the manager of the service in relation to the training that has been provided to foster carers between January 2004 and this inspection details sessions on culture & diversity, record keeping, behaviour management, life story work, recognising signs of abuse and discussion regarding national vocational qualifications. Attendance levels have been recorded as being between 5 to 7 carers at each of the training sessions provided. The recommendation is made to strengthen the relationship between the training provided and training needs identified in the course of carers’ reviews and any gaps identified in the matching process. The manager confirmed that pre approval and induction training for carers is delivered as and when the need arises. Hythe House Support Ltd Page 27

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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 Foster carers commented that the fostering service makes efforts to ensure they know why a child or young person is in foster care and that they understand the basis for the current placement, its intended duration and purpose, and details of the child’s legal status. Foster carers expressed a pragmatic understanding that due to individual circumstances and development of children and young people a degree of flexibility is required in terms of plans and arrangements made. Carers were aware of the need to maintain day to day records of placements made and to store these records securely. Foster carers mentioned various ways in which they have supported children and young people to reflect on and understand her/his history including the use of photographs, chronologies, keepsakes and memory boxes.

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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 Administrative records required by regulations were being maintained though in some instances required additional details for example in the children’s and foster carers register and in the records recording individual placements with foster carers. The registered provider demonstrated commitment to address shortfalls fed back during the inspection and acted promptly to do so. The recommendation is made to cross reference records kept with those that are required by regulation and ensure where any omissions are found these are rectified forthwith. The fostering service maintains records relating to foster carers in terms of their assessment, approval, subsequent reviews, and support meetings. There is a system for keeping records about allegations and complaints and for handling these confidentially

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The fostering service's administrative records contain all significant information

and securely. Records of complaints and allegations are recorded including details of the investigation, conclusion reached and action taken. Hythe House Support Ltd Page 28 Number of current foster placements supported by the agency: 17 Number of placements made by the agency in the last 12 months: 6

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months:

Number of new foster carers approved during the last 12 months: 6 Number of foster carers who left the agency during the last 12 months: 2

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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 There are identifiable office premises to which staff and others with a legitimate interest have access during normal office hours. Administrative systems were established and suited to the needs of the agency. The premises have facilities for the secure retention of records in a lockable room, measures are taken to safeguard electronically stored information and a security system protects against access by unauthorised persons. Hythe House Support Ltd Page 30

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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? 2 Budget sheets for the year ending February 2005 indicate the agency has sufficient financial resources to fulfil its obligations. It was confirmed by the head of the agency that regulations and guidelines imposed upon businesses are conformed with. Procedures that may be followed in situations of financial crisis were discussed though have yet to be incorporated in the policies and procedures of the agency.

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

in accordance with sound and appropriate accounting standards and practice. Key Findings and Evidence Standard met? 3 The head of agency confirmed that the financial standing of the agency is closely monitored and reported back to the directors on a regular basis. The agency has a written set of principles and standards relating to financial management. Hythe House Support Ltd Page 31

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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 Foster carers have confirmed that allowances and fees have been paid promptly at the agreed rate. Allowances and fees are reviewed each year. It was confirmed information about fees and allowances is distributed to the relevant parties. Hythe House Support Ltd Page 32

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The intended outcome for the following set of standards is:

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

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

in practice, about the handling of their functions. Key Findings and Evidence Standard met? 2 The panel has met on four occasions and the panel chair informed the inspector that it is still in the process of developing and consolidating its functions. There are clear written policies. It is recommended that members undertake further training to ensure that these are fully understood and implemented in practise. Criminal Record Bureau checks are completed on all panel members. Recruitment records in relation to panel members did not meet regulatory requirements. The panel has access to medical expertise. Panel minutes did not fully reflect discussions regarding foster carers’ assessments. Decisions made by the fostering service provider reflected the recommendations of the panel. Discussion with the panel chair confirmed that the panel is currently developing its quality assurance function in relation to the assessment process. Examination of panel minutes indicated that the panel

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

receives management information regarding the outcome of foster carers’ annual reviews. The independent members of the panel include expertise in education and child health and also a person who has been placed with foster carers. It should be noted that it was not possible for the inspector to attend a panel meeting during the course of the inspection. Hythe House Support Ltd Page 33

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The intended outcome for the following set of standards is:

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

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

of children receiving short-term breaks. Key Findings and Evidence Standard met? 9 Not applicable at the time of this inspection. Hythe House Support Ltd Page 34

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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 Not applicable at the time of this inspection. Hythe House Support Ltd Page 35

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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 21 st – 24 th February 2005 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 Hythe House Support Ltd Page 37

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

Comments were received from the provider

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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

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report:

Action plan covers all the statutory requirements in a timely fashion

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report:

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

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report:

Provider has declined to provide an action plan

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Public reports

It should be noted that all CSCI inspection reports are public documents. Reports on children’s homes are only obtainable on personal application to CSCI offices. Hythe House Support Ltd Page 38

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

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

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

requirements made and will seek to comply with these.

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Date

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

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Hythe House Support Ltd / 21st February 2005

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

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Hythe House Support Ltd / 21st February 2005

Telephone: 020 7979 2000 Fax: 020 7979 2111

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Hythe House Support Ltd / 21st February 2005

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

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Hythe House Support Ltd / 21st February 2005

S0000043609.V201618.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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Hythe House Support Ltd / 21st February 2005

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

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