365 Foster Care

365 Foster Care Inspection report for independent fostering agency

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Unique reference number SC068276 Inspection date 26/09/2016–30/09/2016 Inspector Mrs Maire Atherton Type of inspection Full Provision subtype

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Setting address 25a Pudding Lane, Maidstone, Kent, ME14 1PA

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Telephone number 01622 828620 Email enquiries@ccf.uk.net Registered person Registered manager Miss Deborah Aremu Responsible individual Mrs Babara Burchell Date of last inspection 06/06/2014 Website: www.gov.uk/ofsted

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This document may be reproduced in whole or in part for non-commercial educational purposes, provided that the information quoted is reproduced without adaptation and the source and date of publication are stated. Website: www.gov.uk/ofsted

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This document may be reproduced in whole or in part for non-commercial educational purposes, provided that the information quoted is reproduced without adaptation and the source and date of publication are stated.

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Brief description of the service

365 Foster Care is a privately owned fostering agency based in Maidstone, Kent. At the time of this inspection, nine active fostering households were providing placements for 13 children and young people.

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Brief description of the service

The agency aims to provide short term, long term, permanent, respite, emergency, remand and parent and child foster placements.

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The inspection judgements and what they mean

Outstanding : An agency demonstrating and exceeding the characteristics of a good judgement where children and young people are making significantly better progress and achieving more than was expected in all areas of their lives. Good : An agency where children and young people, including those with the most complex needs, have their individual needs met and their welfare safeguarded and promoted. They make good progress and receive effective services so they achieve as well as they can in all areas of their lives. Requires improvement : An agency that may be compliant with regulations and observing the national minimum standards but is not yet demonstrating the characteristics of a good judgement. It therefore requires improvement to be good. There may be failures to meet all regulations or national minimum standards but these are not widespread or serious; all children's and young people's welfare is safeguarded

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The inspection judgements and what they mean

and promoted. Inadequate : An agency where there are widespread or serious failures which result in children and young people not having their welfare safeguarded and promoted.

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Overall effectiveness

This agency has faced significant challenges and changes in the past 18 months. This has included a complete change of management and staffing, only one panel meeting and the loss of approximately half of the fostering households. When the current management took over, most foster carer reviews were overdue, foster carers had not received recent training and their supervision and support was not adequate. The responsible individual and the manager have taken action to address these shortfalls. Their focus has been on stabilising the agency and building a Website: www.gov.uk/ofsted

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Overall effectiveness

This document may be reproduced in whole or in part for non-commercial educational purposes, provided that the information quoted is reproduced without adaptation and the source and date of publication are stated. competent staff team.

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Overall effectiveness

This inspection identified some shortfalls in all areas. Work on constituting a new panel is ongoing. Risk management plans and risk assessments have not been updated in the light of new information. Recruitment practice does not fully safeguard children and young people. There is insufficient formal oversight, review and evaluation of practices by managers. This misses opportunities to drive informed improvements in the agency. Many records are not sufficiently detailed or comprehensive.

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Overall effectiveness

The small size of the agency means that the team knows the carers and the children and young people they are caring for. Foster carers are confident that the agency is moving in the right direction. The assessments in progress are as a result of carer recommendations. The small group of carers now feel well supported by the team. There are some secure long term and short term placements which are satisfactorily meeting the needs of the children and young people. Most foster carers demonstrate commitment as well as insight into their role in providing safe care for the children and young people they are looking after.

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Overall effectiveness

The management team are committed to continuing the improvement work they have begun.

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Statutory Requirements

This section sets out the actions which must be taken so that the registered person(s) meets the Care Standards Act 2000, Fostering Services (England) Regulations 2011 and the National Minimum Standards. The registered person(s) must comply within the given timescales.

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Requirement Due date

The fostering service provider must constitute one or more fostering panels, as necessary, to perform the functions of a fostering panel under these regulations, and must appoint panel members including: (i) a person to chair the panel who, in the case of any appointment made after 1 October 2011, must be independent of the fostering service provider, and: 31/10/2016 Website: www.gov.uk/ofsted

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Requirement Due date

This document may be reproduced in whole or in part for non-commercial educational purposes, provided that the information quoted is reproduced without adaptation and the source and date of publication are stated. (ii) one or two persons who may act as chair if the person appointed to chair the panel is absent or that office is vacant (“the vice chairs”) from the persons on the central list. A fostering panel may be constituted jointly by any two or more fostering service providers, in which case the appointment of members must be made by agreement between the fostering service providers. (Regulation 23(4)(5))

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Requirement Due date

The registered person in respect of an independent fostering agency must ensure that the welfare of children placed or to be placed with foster parents is safeguarded and promoted at all times. (Regulation 11(1)(a))

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Requirement Due date

In particular, ensure that risk assessments are comprehensive and are updated promptly in the light of new information. 31/10/2016

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Requirement Due date

The registered person must maintain a system for monitoring the matters set out in Schedule 6 at appropriate intervals, and improving the quality of foster care provided by the fostering agency. The registered person must provide the Chief Inspector with a written report in respect of any review conducted for the purposes of paragraph (1) and, on request, to any local authority. The system referred to in paragraph (1) must provide for consultation with foster parents, children placed with foster parents, and their placing authority (unless, in the case of a fostering agency which is a voluntary organisation, it is also the placing authority). (Regulation 35 (1)(2) (3)) 31/10/2016

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Requirement Due date

The fostering service provider must not employ a person to work for the purposes of the fostering service unless that person is fit to do so, the person is physically and mentally fit for the work they are to perform, and full and satisfactory information is available in relation to that person in respect of each of the matters specified in Schedule 1. (Regulation 20 (1)(a) (3)(c)) 31/10/2016 Website: www.gov.uk/ofsted

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Requirement Due date

This document may be reproduced in whole or in part for non-commercial educational purposes, provided that the information quoted is reproduced without adaptation and the source and date of publication are stated.

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Recommendations

To improve the quality and standards of care further, the service should take account of the following recommendation(s):

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Recommendations

Ensure that children have access to independent advice and support from adults who they can contact directly and in private about problems or concerns, which is appropriate to their age and understanding. Children know their rights to advocacy, how to access an advocate and how to contact the Children‟s Rights Director. (National Minimum Standards 1.5)

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Recommendations

Foster carers keep a written record of all medication, treatment and first aid given to children during their placement. (National Minimum Standards 6.11) In particular, ensure the effective use of health passports and that all medication prescribed and/or administered to children and young people in placement is agreed, recorded and monitored.

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Recommendations

A stage 2 assessment that has been started must be completed, unless the assessment is terminated following a brief report or the applicant withdraws from the process. („Assessment and approval of foster carers: Amendments to the Children Act 1989 Guidance and Regulations Volume 4: Fostering Services July 2013‟, p.9.) Specifically, the registered provider must evidence of why an assessment has not been concluded.

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Recommendations

Ensure foster carers are able to evidence that the Training, Support and Development (TSD) Standards have been attained within 12 months of approval and that foster carers approved more than 12 months before are provided with clear expectations and timescales for attaining the TSD Standards. (National Minimum Standards, 20.3)

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Recommendations

Approval of all foster carers must be reviewed within a year of approval, and thereafter whenever felt necessary, but at least annually. The review must consider whether the foster carer and their household continue to be suitable. The fostering service must make whatever enquiries it considers necessary to inform this judgement, which may include checks in relation to any new members of the household. („The Children Act 1989 Guidance and Regulations Volume 4: Fostering Services‟, p.50, para 5.60.) Specifically, it must take into account the views of the foster carer, any child placed and the responsible authority for any child who has been in placement during the previous year. In practice, the latter will mean obtaining the views of the social worker for any child in placement since the last review (Regulation 28). In particular, ensure that recommendations for a change of Website: www.gov.uk/ofsted

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Recommendations

This document may be reproduced in whole or in part for non-commercial educational purposes, provided that the information quoted is reproduced without adaptation and the source and date of publication are stated. approval are evidence based and that any change of accommodation is formally assessed.

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Recommendations

Ensure the fostering service only suggests foster carers to local authorities as a potential match for a child if the foster carer can reasonably be expected to meet the child‟s assessed needs and the impact of the placement on existing household members has been considered. Where gaps are identified, the fostering service should work with the responsible authority to ensure the placement plan sets out any additional training, resource or support required. (National Minimum Standards 15.1.) In particular, provide secure evidence of the matching process.

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Recommendations

Ensure a clear and comprehensive summary of any allegations made against a particular member of the fostering household, or staff member, including details of how the allegation was followed up and resolved. Keep a record of any action taken and the decisions reached on the person‟s confidential file. (National Minimum Standards 22.7)

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Recommendations

Ensure all foster carers receive training in positive care and control of children, including training in de-escalating problems and disputes. The fostering service must have a clear written policy on managing behaviour, which includes supporting positive behaviour, de-escalation of conflicts and discipline. (National Minimum 3.8.) In particular, ensure that the policy includes guidance on recording any instances of control, restrain or discipline.

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Recommendations

Foster carers have a challenging and key role to play within a foster care service. They need skill, knowledge, expertise, self-awareness, commitment and the ability to work as part of a team, providing a high quality, effective service to vulnerable children. To undertake this role successfully, it is essential that their contribution to improving outcomes for children looked after is appropriately recognised and acknowledged, their status respected and their levels of authority clearly defined so that they can give children in their care a full experience of family life, safeguard them and help them to grow and reach their potential. („The Children Act 1989 Guidance and Regulations Volume 4: Fostering Services‟, p.11, para 2.4.) In particular, adopt the foster carers‟ charter.

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Recommendations

Ensure fostering households understand the nature of records maintained and follow the service‟s policy for the keeping and retention of files, managing confidential information and access to files (including files removed from the premises). (National Minimum Standards 26.2) Website: www.gov.uk/ofsted

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Recommendations

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Recommendations

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and young people

Most young people accommodated through this agency are in stable, settled placements and a number have moved to staying put arrangements or permanence through other legal avenues. Others are more unsettled, with frequent unauthorised absences or missing episodes. The most frequently cited reason for these absences is geography, specifically when young people are placed at a distance from their home areas. Some young people have reduced the length of unauthorised absence but this is not the case for all, with identified risk factors increasing in a minority of cases. The agency is working with the placing authority to consider alternatives for one young person. There have been some instances of the agency bringing placements to an end when they consider the risk factors are not manageable.

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and young people

Since the last inspection, the guides for children and young people have been updated and provide relevant information about the agency. However, subsequent staff changes have meant that the details of who to contact to make a complaint are not current. There are also foster carer profiles that may be shared with children and young people before moving into a new foster home to support a smooth transition.

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and young people

Comments from social workers indicate that children and young people are comfortable and feel safe with their carers, and records support this. They develop positive relationships and make progress. One social worker observed that, despite unauthorised absences, „I am seeing more settled behaviour than I have ever seen. X has not been verbally or physically aggressive.‟ Another said, „Y looked the happiest and healthiest I have seen for a while.‟ The management team are developing a system to establish starting points so that children and young people have an accurate history of their progress and achievements. Carers can outline the progress that children and young people have made. For example, not walking on tiptoes, reducing tics and becoming more confident when talking to people. These views are echoed by social workers. However, carers‟ records do not reflect these comments. The quality of recording by some foster carers does not provide a clear, accurate and

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and young people

full account of children and young people's lives.

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and young people

Carers promote and encourage children and young people to engage in regular activities. Older teenagers are sometimes reluctant, but gym membership is a popular choice. One carer spoke with pleasure about a young person‟s success at attending clubs in the community. The agency trip last year was hailed as a success, Website: www.gov.uk/ofsted

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and young people

This document may be reproduced in whole or in part for non-commercial educational purposes, provided that the information quoted is reproduced without adaptation and the source and date of publication are stated. with staff and carers reporting how enjoyable it was. Another is planned for the forthcoming October half term.

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and young people

The agency has not established routes which enable children and young people easy access to advocates. One carer described a young person as not attending a child looked after review to avoid hearing what the placing authority plans are. This young person did not feel listened to by the local authority social worker or know how to challenge this. However, supervising social workers regularly see children and young people alone and so provide them with opportunities to express any concerns.

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and young people

The agency has recently issued all carers with health passports so that they can record all health appointments and treatment. However, the use of these passports has not yet been fully established, so there is no consistent record of how children and young people‟s health needs are fully met. One young person has resisted registering with local health professionals despite the efforts of the carer. The carer of another young person ensures that health needs are monitored and appointments with health professionals are made promptly when necessary. On occasion carers have not been included in feedback from Child and Adolescent Mental Health Services in their foster child‟s home area. As a result, carers are not always kept informed of the medication a young person has been prescribed. This means that carers may not know all they need to best keep the young person safe and support them.

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and young people

Not all children and young people are engaged in education. One child had not had an education placement for over a year while a suitable school was being found, but is due to start in a specialist provision next month. During this time, the child has received 20 hours additional support but the records of this do not fully evidence an educational component. However, this input has been instrumental in sustaining the foster placement, („The longest this child has been anywhere‟ the social worker said). Some young people are positively engaged in further education and value the support from carers in this.

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and young people

The agency has, and carers encourage young people to work to, a clear framework for developing independent living skills.

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Quality of service

There have been very significant changes in the management, staffing and foster Website: www.gov.uk/ofsted

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Quality of service

This document may be reproduced in whole or in part for non-commercial educational purposes, provided that the information quoted is reproduced without adaptation and the source and date of publication are stated. carer numbers of this agency since the last full inspection. The leadership and management section of this report outlines these changes. Since their appointment in the last year, the responsible individual and registered manager have focused their energy on stabilising the agency and supporting foster carers and children and young people in placement. They took a decision not to undertake a recruitment drive. New applicants have approached the agency on the recommendation of current carers. There have been no new foster carers approved in the past 18 months. The previous management structure and style led to the departure of a significant number of foster carers, almost halving the capacity of the agency. This has in turn reduced the

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Quality of service

agency‟s ability to offer a range of suitable placements to meet the identified needs of children and young people and the requirements of placing authorities.

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Quality of service

The agency is working towards a more methodical and strategic approach to conducting assessments. Management have recruited independent social workers to undertake the current assessments. They have scheduled a skills to foster course in October 2016 which is towards the end of some carer‟s assessment. The assessment of one applicant was not completed, and was closed over a year after first being presented to panel. During inspection, the manager outlined the decision-making process that led to this closure. However, neither confirmation of withdrawal by the applicant nor supporting documentation to the applicant on the qualifying determination and the right of appeal was found.

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Quality of service

Since the last inspection, some carers have had frequent changes of supervising social workers. Some did not receive supervision from an appropriately qualified and registered social worker. The new management team has now addressed this and the current supervision arrangements are stable, with a full-time supervising social worker and the manager undertaking this task. Foster carers report increased satisfaction with these arrangements and include the support they receive out of hours in this improvement. One carer also commented positively on the support agency staff provided to the children of foster carers. Some social workers expressed the view that carers had not routinely received enough support and challenge in supervision to inform and develop their skills as foster carers.

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Quality of service

The current management team have implemented a training schedule for carers to address the significant deficit in this area. They are now benefiting from and appreciative of training that supports them in their roles. One carer outlined how autistic spectrum disorder training had informed her interactions with a young person and that this had benefited both of them. The agency has plans to dovetail training and support groups to achieve better attendance at both. As at the last inspection, it remains the case that not all fostering households have attained the training support and development standards. The manager is proposing to run workshops to support Website: www.gov.uk/ofsted

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Quality of service

This document may be reproduced in whole or in part for non-commercial educational purposes, provided that the information quoted is reproduced without adaptation and the source and date of publication are stated. carers to achieve these because some are significantly overdue.

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Quality of service

Agency staff liaise with the placing authority social workers and work proactively to ensure carers‟ views are heard. Some carers feel part of the team around the child but this has not always been the case, particularly with frequent changes of the child‟s social worker. In such instances, agency staff use the child‟s independent reviewing officer effectively.

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Quality of service

The agency has not convened their own panel since May 2015. The responsible individual approached other agencies with a view to constituting a shared panel. One agency agreed to share one panel meeting held in June 2016 and provided the agency with their central list of panel members. This arrangement was not securely linked to the relevant guidance. There has been no further work on the shared panel. The agency is working on constituting its own panel. They have approached potential panel members and provided training prior to interviewing and carrying out the required checks.

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Quality of service

The new managers identified that the majority of eligible carers had not been reviewed annually as required by regulation. They also concluded that some of the assessments carried out under the previous manager were insufficiently robust. The manager‟s development plan refers to her intention to update these assessments and in the meantime bring all reviews to panel for quality assurance, once it is constituted. As part of the improvement plan, the management appointed an independent social worker to undertake foster carer reviews and all have taken place. Carers appreciate that the venue for their reviews is close to their homes. Not all carers provide a written contribution for their review. There remain some shortfalls in the review process. For example, when carers have moved house the review does not fully evidence an assessment of the accommodation, location or the challenge for the agency in providing support at a considerable distance. In another

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Quality of service

review, the change of approval recommended is not supported with evidence of the reasons for this, such as the suitability of the accommodation or the carers‟ capacity to meet increased demands.

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Quality of service

The recording of what makes a placement suitable for a particular child or young person is broad brush. It does not describe the skills that carers possess to meet the child‟s identified needs or how they will reduce the risks associated with potential placements. The manager reflected that these form part of the discussion that takes place prior to sending out the carers‟ profile to local authorities seeking placements. Website: www.gov.uk/ofsted

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Quality of service

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Safeguarding children and young people

Carers have a sound understanding of risk but some risk management plans are weak and do not provide sufficient safeguards for children and young people and the wider community. The plans lack detailed strategies to support carers in minimising the identified risks at the time of placement. In addition, risk assessments are not routinely updated in the light of new information or concerns, for example suspected involvement with gangs or drugs.

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Safeguarding children and young people

The size of the agency, the age range and geographic issues mitigate against the formation of groups for children and young people. Agency staff and carers strive to engage children and young people on an individual basis to raise their awareness of risk and discuss how they keep themselves safe. There is evidence that the agency works in partnership with other professionals in an effort to reduce the risk taking behaviour of young people, with particular regard to going missing from care. This has not always resulted in a change of behaviour.

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Safeguarding children and young people

The manager has sound systems to monitor episodes of missing and unauthorised absence. Carers report such instances using the current statutory guidance. The agency strives to identify the reasons why young people go missing or are not where they are supposed to be but young people are not always willing to share this information. One social worker commented positively that one particular young person returned voluntarily to their carer, which is an improvement on previous placements.

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Safeguarding children and young people

Carers are knowledgeable about the impact of abuse and neglect on children and young people. Carers demonstrate an understanding of how it affects children‟s and young people‟s behaviour and their interactions with others. Most carers have undertaken recent safeguarding and safer care training delivered by agency staff. As a result, carers know the action to take in the event of a disclosure or an allegation by a child or young person. The agency has recognised that there are gaps in carers‟ knowledge in respect of radicalisation and female genital mutilation. Policies are under development and training is scheduled.

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Safeguarding children and young people

All carers have had a least one unannounced visit in the past year. Supervising social workers prioritise seeing children and young people alone on these visits when possible. Website: www.gov.uk/ofsted

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Safeguarding children and young people

This document may be reproduced in whole or in part for non-commercial educational purposes, provided that the information quoted is reproduced without adaptation and the source and date of publication are stated. Recruitment has improved since the monitoring visit by Ofsted in November 2015. However, not every person employed by the agency has provided a full employment history nor are gaps in employment routinely identified and explored. There is also a weakness in ensuring that relevant references and verification of reasons for leaving work with children are sought in each case.

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Safeguarding children and young people

When members of the management team have had concerns about staff practice, they have taken a robust approach. This has included disciplinary action against staff and steps to de-register carers. Referrals to designated safeguarding officers are made appropriately. In one case, the records of action taken are not consistent with the written recommendation of one designated officer. The manager explained the circumstances as this case involved two local authorities but this is not evidenced in the records available.

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Safeguarding children and young people

The members of the management team hold a lot of information in their heads. Safeguarding issues are a standing agenda item and discussed in their regular business meetings. However, there is limited evidence of evaluation and strategic oversight of these issues.

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Safeguarding children and young people

The guidance for carers about behaviour management is referred to in several policies and procedures. This information is not completely consistent and the behaviour management approach promoted by the agency is not obvious. There is no clear guidance for carers about how to record sanctions or physical intervention. This omission does not ensure that the manager has all the information required for the monitoring and evaluation of the use of any measures of control, restraint or discipline. Physical intervention is rarely used, but carers have not yet had training on how to do this safely. This is included in the new training programme.

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Leadership and management

This visit has been preceded by a period of wholesale change within the agency. The current responsible individual was initially approached by the owners in June 2015 to undertake an audit of the agency. Within a very short time, the previous responsible individual resigned. The audit identified significant practice concerns and the registered manager at the time also left the agency. The actions of the previous post holders had a detrimental impact on the agency. There is evidence of significant breaches of regulation during their tenure. For example, carers had not received annual reviews, training had not been provided and the supervision of carers had Website: www.gov.uk/ofsted

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Leadership and management

This document may be reproduced in whole or in part for non-commercial educational purposes, provided that the information quoted is reproduced without adaptation and the source and date of publication are stated. been undertaken by an unqualified worker. A significant number of carers left during this time. In the light of concerns, Ofsted undertook a monitoring visit in November 2015, resulting in eight requirements. Two of these have not been fully addressed, namely staff recruitment checks and the constitution of a fostering panel. There were four requirements and six recommendations arising from the last full inspection in June 2014. One requirement about management monitoring is repeated. Two recommendations are also repeated, concerning carers‟ attainment of the training support and development standards and record keeping.

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Leadership and management

There is now a whole new team in post, including the administrative staff. The current responsible individual was confirmed in post in November 2015 and the manager was appointed acting manager in August 2015 and registered by Ofsted in June 2016. While carer numbers are low, and pending the recruitment of another supervising social worker, the manager is providing supervision to small group of carers. The management team is developing relationships with placing authorities as it works on rebuilding the agency.

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Leadership and management

The manager has a sound knowledge of all the current carers and children in placement and can verbally outline the difference that a placement has made to each child or young person. However, the systems for monitoring and tracking the progress of children and young people over time are not embedded into management practice.

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Leadership and management

The manager is working to an action plan to drive improvement in the agency but there has been no recorded management review of the service. The responsible individual has scheduled a conference in February 2017. Carers were consulted about the date, to maximise both their attendance and that of children and young people. The conference aims to provide training and workshops for carers, children and young people and staff, alongside activities, and also aims to gain the views of all participants about changes they would like to see in the agency.

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Leadership and management

The statement of purpose has recently been updated. It is comprehensive: some aspects reflect what the agency is working towards, for example an established fostering panel, rather than the current situation. The agency has a temporary website with work in progress to add more features. The agency has not yet adopted the foster carers‟ charter. The agency has received just one complaint under the current management. This was responded to appropriately and to the satisfaction of the complainant. They have also taken robust action to address concerns expressed by carers to the previous manager.

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Leadership and management

The appropriately experienced and qualified team work together effectively to Website: www.gov.uk/ofsted

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Leadership and management

This document may be reproduced in whole or in part for non-commercial educational purposes, provided that the information quoted is reproduced without adaptation and the source and date of publication are stated. marshal their resources. Staff supervision and training equips them to support carers. An accountant has certified that the agency is financially viable and ongoing viability is actively monitored by the management team. Website: www.gov.uk/ofsted

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Leadership and management

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About this inspection

The purpose of this inspection is to inform children and young people, parents, the public, local authorities and government of the quality and standard of the service provided. The inspection was carried out under the Care Standards Act 2000 to assess the effectiveness of the service and to consider how well it complies with the relevant regulations and meets the national minimum standards and to support services to improve.

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About this inspection

The report details the main strengths, any areas for improvement, including any breaches of regulation, and any failure to meet national minimum standards. The judgements included in the report are made against the inspection framework and the evaluation schedule for the inspection of independent fostering agencies.

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