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X10029.doc Version 1.40 Page 1 FOSTERING SERVICE

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Lead Inspector David Martin Key Announced Inspection 9th May 2006 09:30 Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 2 The Commission for Social Care Inspection aims to:

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• Put the people who use social care first • Improve services and stamp out bad practice • Be an expert voice on social care • Practise what we preach in our own organisation

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Reader Information Document Purpose Inspection Report Author CSCI Audience General Public Further copies from 0870 240 7535 (telephone order line) Copyright This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Internet address www.csci.org.uk Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 3 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Fostering Services. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop

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Every Child Matters, outlined the government’s vision for children’s services and formed the basis of the Children Act 2004. It provides a framework for inspection so that children’s services should be judged on their contribution to the outcomes considered essential to wellbeing in childhood and later life. Those outcomes are: • Being healthy • Staying safe • Enjoying and achieving • Making a contribution; and • Achieving economic wellbeing.

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In response, the Commission for Social Care Inspection has re-ordered the national minimum standards for children’s services under the five outcomes, for reporting purposes. A further section has been created under ‘Management’ to cover those issues that will potentially impact on all the outcomes above.

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Copies of Every Child Matters and The Children Act 2004 are available from The Stationery Office as above This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 4

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Name of service

Kingston upon Hull City Council Fostering Service

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Name of service

Address Social Services Gleneagles Centre East Carr Road Kingston upon Hull East Yorkshire HU8 9LB Telephone number 01482 798653

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manager (if applicable)

Type of registration Local Auth Fostering Service Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 5

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Conditions of registration:

Date of last inspection 12th September 2005

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Brief Description of the Service:

The Kingston upon Hull City Council, Children and Families service has a dedicated fostering service. The main offices of the fostering service, Gleneagles Centre and Aneurin Bevan Lodge are located in the east and west of the city of Hull, respectively. However, a range of venues are utilised to facilitate local support groups, panel meetings and training for foster carers. There are future plans in operation to relocate the service in a more central position of the city. The stated purpose of the service is to provide care for children and young people who are looked after by the local authority and whose needs are best met in a family environment. Foster care is provided via a number of distinct fostering schemes, including short break carers, respite carers and mainstream carers. The fostering service also has a service level agreement with Barnardo's who provide a specialist service offering short

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Brief Description of the Service:

breaks and long term care to children and young people with disabilities. An Adoption and Fostering Manager, with overall responsibility for adoption and fostering, manages the fostering service. She is assisted by three Fostering Managers, who are responsible for supervising a large team of Senior Fostering Social Workers and Fostering Social Workers, along with support and administration staff and sessional workers. There are also specialist workers employed to work on a contracted basis as necessary.

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Brief Description of the Service:

The service pays weekly allowances as follows:

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Brief Description of the Service:

0–4 £114.87 5-10 £130.83 11-15 £162.89 16+ £198.11

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Brief Description of the Service:

In addition a payment for skills allowance can be paid: Level 1 £30 Level 2 £60 Level 3 £110 Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 6

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SUMMARY

This is an overview of what the inspector found during the inspection.

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SUMMARY

This report was completed by Mike McCleave (2 nd Inspector) This inspection was carried out a using a proportionate methodology because the last inspection was completed in February 2006. On this occasion the inspection was conducted jointly with the CSCI Adoption Inspection Team, and private fostering was the main focus of this inspection. The information contained in the last inspection report forms the bulk of this report. This approach was agreed with the managers of the fostering and adoption service of Hull City Council at a pre-inspection meeting held with senior managers of the service. The information gained at the previous inspection was used to inform this inspection and the data gained at the last inspection was based on: Interviews with the three Fostering Managers, Senior Fostering Social Workers, Fostering Social Workers, Foster Carers and Foster Children took place later. A sample survey of carers, children and parents was also done, in the form of

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SUMMARY

three different types of questionnaire. Other stakeholders such as children and young people involved in the ‘Platform Project’ with Rights And Participation Project (RAPP) were consulted. A carers’ support group meeting was attended. A panel meeting was attended and the ‘panel chair’ was interviewed. A visit was also made to the Short Breaks and Family and Friends sections of the service. An invitation was also taken up to attend the Council’s ‘Celebrating Success,’ an annual achievement award ceremony for recognising the efforts of children in care, where one young person in foster care was interviewed. In an effort to seek wider consultation of carers and children and young people, a request was made to include the CSCI address and the Regulation Inspector’s e-mail address on the Hull City Council Fostering Service websites for carers and children. During this inspection interviews were held with the Director of Children’s

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SUMMARY

Services who is also Chair of the Safeguarding Board, the Agency Decision Maker, the Principal Child Care Manager, the Adoption and Fostering Manager, two Policy and Development Managers responsible for private fostering, the Quality Assurance Manager, three children’s services social work managers, a selection of fostering social workers, foster carers and young people fostered, private foster carers and the young people they were caring for. A Foster Panel was also attended and an interview took place with the Chair of the Panel. A fostering awareness event was attended. The young people who are fostered were positive about their experience and all expressed satisfaction about they way they were cared for. The carers were very complimentary about the support they received from their link foster workers. A selection of records were examined.

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What the service does well:

Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 7 Children and young people are treated with respect, are consulted at every opportunity about their care, are encouraged to maintain good health and attend education, and are offered a wide variety of recreational activities. Carers are well supported, fairly well informed, and their efforts are appropriately recognised. Children and young people benefit from a well-run service, which is always developing and seeking to improve delivery. They benefit from a service, which is forward-looking, dynamic and inclusive. Foster carers said that they receive a good service from staff who are courteous, respectful, communicate well, and are trained and experienced to deliver a service in a responsible and professional manner.

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What has improved since the last inspection?

The organisational structure of the service has improved and evolved with the demand to modernise, expand and change. The efficiency of the service has improved because of the redefining of roles and responsibilities within the organisation. Documentation and information for carers has improved, marketing and recruitment practices have expanded and developed, and networking with other agencies and stakeholders has become more expansive and effective. The role of the Quality Assurance manager in routinely monitoring the records of the service has ensured as far as possible consistency in recording of information.

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What they could do better:

There were no changes to the areas covered at the last inspection: The service could make attending support groups and training sessions more attractive, and use support groups as another means of informing and developing carers. It could ensure schemes such as payment for skills for example, is disseminated more evenly and effectively throughout the carer population. It could enhance its already excellent consultation processes, for example, to include children and young people on its assessment and approval of carers. It could work more swiftly at getting information out to carers, which has been reviewed and changed. This inspection identified that the elected membership of the Panel needs to be reconsidered to consider appointing someone who can commit time to this important area of work so as to ensure that there is consistency in attendance.

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What they could do better:

Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 8

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CONTENTS

Statutory Requirements Identified During the Inspection Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 9

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The intended outcome for this Standard is:

• The fostering service promotes the health and development of children.(NMS 12)

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The Commission considers Standard 12 the key standard to be

inspected at least once during a 12 month period.

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12

Children and young people in foster care have their health and development promoted very well including good links with health care services. The quality rating for this outcome is Good. This judgement has been made using available evidence including a visit to this service.

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EVIDENCE:

The previous inspection report stated that improved or good health outcomes can be demonstrated for individual children who are fostered. Most children get the general support or specialist help they need to promote their good health. Information in the carers’ handbook on carers’ responsibilities to ensure children are registered with a GP etc., as in standard 12.6, is general, and in the placement agreement for individual children, is more specific. Placement plans detail each child’s individual health needs and requirements and provide the carer with background and current health issues. Carers spoken to at the last inspection had mixed views on the level and quality of social workers’ information given to them about children’s health, but were more positive about the information received from the fostering service. Children and young people’s questionnaires showed they were positive about the help and support they get to eat well, exercise and seek medical attention.

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EVIDENCE:

This inspection concluded that there are good links with health care professionals which include a medical advisor on the fostering panel, access to a clinical psychologist and health coordinators, and details of any local specialist health services in and around the city are available to foster carers. Foster carers receive initial and follow up training to support them in identifying and addressing children’s health needs. They are clear about their responsibilities and work in partnership with health professionals to promote good health for the children they care for. Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 10

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The intended outcomes for these Standards are:

• Any persons carrying on or managing the service are suitable. (NMS 3) • The fostering service provides suitable foster carers.(NMS 6) • The service matches children to carers appropriately.(NMS 8) • The fostering service protects each child or young person from abuse and neglect.(NMS 9) • The people who work in or for the fostering service are suitable to work with children and young people.(NMS 15) • Fostering panels are organised efficiently and effectively.(NMS 30)

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The Commission considers Standards 3, 6, 8, 9, 15 and 30 the key

standards to be inspected at least once during a 12 month period.

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JUDGEMENT – we looked at outcomes for the following Standard(s):

3,6,8,9,15,30. Children and young people in foster care are kept safe from abuse and neglect and are well protected by the suitability of the fostering managers and the suitability of carers, as well as protected by the systems in place. The quality rating for this outcome is Good. This judgement has been made using available evidence including a visit to this service.

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EVIDENCE:

The Adoption and Fostering Manager and the three service Managers are appropriately qualified and experienced to manage the service. All foster carers are thoroughly vetted, assessed and trained to provide a service of care, and receive supervision appropriate to their needs as carers. All evidence is held in staff recruitment files and foster carer’s files in the form of assessment and training record documents. Carers have different levels of experience, qualities and skills to offer and expressed these in questionnaires and in interviews. Carers receive a handbook, which explains all of the requirements made of them, and contains policies and procedures on such as corporal punishment, safe caring, promoting good health etc. Their homes are also assessed for safety, space, sleeping arrangements and suitability, as part of the fostering assessment. Children’s safety is central to the recruitment procedures for foster carers and

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EVIDENCE:

Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 11 all applicants to foster are informed about the process involved. Assessments are thorough and evidenced based to include: • Checks covering all adults in the household. • Current employment details. • References. • Detailed chronologies. The impact on foster carers own children is fully assessed as well as an assessment of other household members. The foster workers try wherever possible to match children to carers and this can involve at time a lengthy process. Due consideration is given to the cultural and ethnic background of the child and that of the carers. All foster carers are required to attend child protection training to make them aware of their responsibilities. Those carers spoken to were clear about how they would protect children in their care. The service follows the council’s child protection procedures and the evidence examined indicated that the service

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EVIDENCE:

responded appropriately to allegations against foster carers. The staff of the fostering team like any other local authority employees are required to undergo robust recruitment and selection processes to ensure that they are suitable to work within the service. The manager is responsible for the supervision and professional development of each member of the team. Staff records that were seen at this inspection contained supervision and training information. The foster care Panel includes appropriately qualified members and all have been subject to relevant checks, and receive training as appropriate. However, the attendance of the elected member at Panel is not always possible due to the pressure of other council business. This needs to be reassessed. The Panel considers all changes in terms of approval, reviews any exemptions to the fostering limit and receives information about disruptions, allegations and

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EVIDENCE:

complaints. Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 12

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The intended outcomes for these Standards are:

• The fostering service values diversity.(NMS 7) • The fostering service promotes educational achievement.(NMS 13) • When foster care is provided as a short-term break for a child, the arrangements recognise that the parents remain the main carers for the child.(NMS 31)

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The Commission considers Standards 7, 13, and 31 the key standards

to be inspected at least once during a 12 month period.

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JUDGEMENT – we looked at outcomes for the following standard(s):

7,13,31. Children and young people in foster care enjoy good opportunities for education and recreation. The quality rating for this outcome is Good. This judgement has been made using available evidence including a visit to this service.

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EVIDENCE:

The fostering service provides training and instruction on “Difference and Diversity” to carers at the pre-approval stage of their application, and holds cultural days for carers and children and young people to attend throughout the year. The service has links with the Bangladeshi community in Hull via one of its sessional workers, and encourages carers to attend support groups, learn about other cultures and share experiences. All fostering social workers attend the Council’s corporate equality and diversity training. The service is also trying to recruit more people from Hull’s ethnic minority groups. All carers are instructed on the importance of maintaining children and young people in school, and supported by fostering social workers to ensure school is attended. The Council has its own incentive scheme to encourage educational attainment amongst ‘looked after children’ and holds an annual award

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EVIDENCE:

ceremony in celebration of their success. Foster carers spoken to said that they always attend parent’s evenings at schools attended by foster children. The Lead Inspector at the last inspection was invited to this ceremony and encountered many children and young people from other care settings as well as fostering, who had been nominated for various awards. The occasion was a Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 13 great success and a real personal esteem builder. Carers also attend school functions and open nights for children they foster, and many help children to keep records of their time in school and their achievements. Information also came from questionnaires and interviews. The service provides a ‘short breaks’ function, which is coordinated from Aneurin Bevan Lodge and managed by a separate Team Manager. Interview with the Team Manager at the last inspection, revealed carers providing short

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EVIDENCE:

breaks are recruited and trained in line with the service’s recruitment and approval policies and procedures and vetted as rigorously as mainstream carers. They are given very clear information prior to approval and afterwards, on ensuring the main responsibility for any child or young person remains with their parents. This is also in the carers’ handbook and the fostering statement of purpose. Short break foster carers tend to establish strong bonds and working relationships with parents because of the nature of the role they play, and therefore placement agreements may also contain specific agreements between carers and parents. Permissions for foster children to undertake any activity or receive any service outside of fostering are always sought from parents on a case-by-case basis. Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 14

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The intended outcomes for these Standards are:

• The fostering service promotes contact arrangements for the child or young person. (NMS 10) • The fostering service promotes consultation.(NMS 11)

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The Commission considers Standards 10 and 11 the key standards to

be inspected at least once during a 12 month period.

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JUDGEMENT – we looked at outcomes for the following standard(s):

10,11. Children and young people have very good opportunities to make positive contributions to the service of care they receive. The quality rating for this outcome is Good. This judgement has been made using available evidence including a visit to this service.

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EVIDENCE:

Carers are supported to encourage children and young people to maintain contact with family and friends where appropriate to their development. Carers have information in documents; handbook and children’s placement agreements, and information received form social workers and fostering social workers. All of this information is in line with the fostering service policy on contact. The previous inspection report stated that there are sometimes difficulties with consistency of information to carers, though. There are written arrangements and agreements for contact, which aid successful facilitation of contact, but sometimes social workers make changes without proper consultation of children and carers. The last inspection noted that generally children responding in questionnaires and interviews felt they are given lots of support and encouragement to see family members and friends if appropriate. The fostering service promotes consultation of children and young people

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EVIDENCE:

through a variety of ways; individual checks on children by fostering social workers, surveys, use of e-mail communication, the complaint procedure, special events and activities such as those held in the summertime, connections with RAPP and Safe Choices, and the monitoring and supervision of carers. It was noted in the last inspection report that the service is also Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 15 hoping to launch two new websites in the very near future, which will enable carers and children to make comments, suggestions and complaints on a regular basis. Children, parents and carers are encouraged to participate in the planning, management and evaluation of services and activities. The right of children not to participate is respected. However, the reasons for this are carefully evaluated to ensure that barriers are not causing the exclusion of an

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EVIDENCE:

individual child or group of children. It is clear that the fostering service places a high importance on consultation with all interested parties. This is commendable. Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 16

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The intended outcomes for these Standards are:

• The fostering service prepares young people for adulthood.(NMS 14) • The fostering service pays carers an allowance and agreed expenses as specified.(NMS 29)

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JUDGEMENT – we looked at outcomes for the following standard(s):

29. Children live in comfortable homes and the allowances paid to carers enable them to provide a stable environment for the children. The quality rating for this outcome is Good. This judgement has been made using available evidence including a visit to this service.

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EVIDENCE:

The fostering service now makes general payments to carers, which meet the Fostering Network recommendations, provides certain expenses and is also making great progress on the ‘payments for skills’ programme. All carers are being invited to develop a portfolio of the skills, experience and qualifications they have and evidence of how these have been used, to be assessed for the payment for skills programme, permission for which was granted to the service recently. As a result of payments and expenses children and young people experience benefits form carers having a disposable income. Carers interviewed did not have any concerns about current payments, but at the last inspection there was a little anxiety expressed over the portfolio building and over the possible loss of enhanced payments for children with special needs. Management did assure carers they would be supported by fostering social workers and would soon acquire the information to easily

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EVIDENCE:

complete the task of compiling a portfolio. Payment changes would need to be discussed individually with each carer. Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 17

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The intended outcomes for these Standards are:

• There is a clear statement of the aims and objectives of the fostering service and the fostering service ensures that they meet those aims and objectives.(NMS 1) • The fostering service is managed by those with the appropriate skills and experience. (NMS 2) • The fostering service is monitored and controlled as specified. (NMS 4) • The fostering service is managed effectively and efficiently.(NMS 5) • Staff are organised and managed effectively.(NMS 16) • The fostering service has an adequate number of sufficiently experienced and qualified staff.(NMS 17) • The fostering service is a fair and competent employer.(NMS 18) • There is a good quality training programme. (NMS 19) • All staff are properly accountable and supported.(NMS 20) • The fostering service has a clear strategy for working with and supporting carers.(NMS 21) • Foster carers are provided with supervision and support.(NMS 22) • Foster carers are appropriately trained.(NMS 23)

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The intended outcomes for these Standards are:

• Case records for children are comprehensive.(NMS 24) • The administrative records are maintained as required.(NMS 25) • The premises used as offices by the fostering service are suitable for the purpose.(NMS 26) • The fostering service is financially viable. (NMS 27) • The fostering service has robust financial processes. (NMS 28) • Local Authority fostering services recognise the contribution made by family and friends as carers.(NMS 32)

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The Commission considers Standards 17, 21, 24 and 32 the key

standards to be inspected at least once during a 12 month period.

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JUDGEMENT – we looked at outcomes for the following standard(s):

17,21,24,32. Children and young people who are fostered benefit from an adequate number of experienced and qualified staff, who are well managed and have good strategies for supporting foster carers. The quality rating for this outcome is Good. This judgement has been made using available evidence including a visit to this service. Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 18

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EVIDENCE:

The fostering service is appropriately staffed. The service has reorganised in view of the future plans to develop and improve the service overall, and this in turn has made more efficient use of the workforce. The Adoption and Fostering Manager and Fostering Managers hold records of staff qualifications and training undertaken. A sample of these were seen at this inspection. Support of carers from fostering social workers takes the form of monitoring visits, telephone calls for information sharing, assistance facilitating contact, and assistance with finance and expense claims. The service has reviewed its documents for recording supervision since the last inspection. Sickness and holiday absence will always have an impact on staffing levels and support to carers, but where possible this support is taken over by one of the three Managers. Comments from carers were generally positive on the subject of

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EVIDENCE:

support and in some extreme cases where breakdowns had been experienced in relationships between carers and children’s social workers, the support form the fostering social workers and their Managers has been excellent. It was clear from discussions with foster carers and children that the foster link workers demonstrated a commitment to achieving best outcomes for the children and the foster carers. Children and young people’s main case files are held at each social work team office for the area in which the child lives (these were not inspected), and are now accessible on the Hull City Council’s Social Services Department new information technology system called ‘Care First.’ The main input on case files comes form children and young people’s social workers, with fostering social workers having access to read information. Foster carers also maintain basic files for children and young people, the contents of which they encourage children to keep being a life history,

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EVIDENCE:

photographs of significant people, correspondence from significant people, information on health issues, diary notes, school achievements and reports, activities undertaken. The service assesses situations where family and friends act as carers and support is provided as required. There is a dedicated team established to work with and support friends and families, and following assessment, allowances can be paid. This is generally a top up allowance, but if these carers are fully approved by the authority then allowances will be paid at the fostering rate. This is commendable. Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 19

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SCORING OF OUTCOMES

This page summarises the assessment of the extent to which the National Minimum Standards for Fostering Services have been met and uses the following scale.

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SCORING OF OUTCOMES

4 Standard Exceeded (Commendable) 3 Standard Met (No Shortfalls) 2 Standard Almost Met (Minor Shortfalls) 1 Standard Not Met (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable

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SCORING OF OUTCOMES

BEING HEALTHY ACHIEVING ECONOMIC Standard No Score WELLBEING 12 3 Standard No Score 14 X STAYING SAFE 29 3 Standard No Score 3 3 MANAGEMENT 6 3 Standard No Score 8 3 1 X 9 3 2 X 15 3 4 X 30 3 5 X 16 X ENJOYING AND ACHIEVING 17 3 Standard No Score 18 X 7 3 19 X 13 3 20 X 31 3 21 3 22 X MAKING A POSITIVE 23 X CONTRIBUTION 24 3 Standard No Score 25 X 10 3 26 X 11 4 27 X 28 X 32 3 Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection?

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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 Regulations 2002 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales.

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STATUTORY REQUIREMENTS

No. Standard Regulation Requirement Timescale for action

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RECOMMENDATIONS

These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out.

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RECOMMENDATIONS

No. Refer to Standard Good Practice Recommendations

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RECOMMENDATIONS

1 FS30 The elected member position needs to be reassessed and to appoint an elected member who can commit time to attend Panel. Kingston upon Hull City Council Fostering Service DS0000055889.V300160.R01.S.doc Version 5.2 Page 21

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Commission for Social Care Inspection

York Area Office Unit 4 Triune Court Monk's Cross York YO32 9GZ

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Commission for Social Care Inspection

National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI

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