Setting

X10029.doc Version 1.40 Page 1 FOSTERING SERVICE

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Lead Inspector Darren Hobson Announced Inspection 13th February 2006 09:30 Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 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 Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 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. Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 4

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Name of service

Durham Local Authority Fostering Service

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Name of service

Address Durham Fostering & Adoption Service Social Care & Health, Durham County Council Littleburn Business Centre, Langley Moor County Durham DH7 8ET Telephone number 0191 370 6100

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(if applicable)

Durham County Council (Children`s Services)

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manager (if applicable)

Type of registration Local Auth Fostering Service

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of places

Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 5

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Brief Description of the Service:

This inspection report is about Durham County Council Fostering Service, which is centrally based at Langley Moor a large village on the outskirts of Durham City. The authority covers a large geographical area and provides a range of services to children in the looked after system of which the fostering service is one. At the time of the inspection the service had 198 foster carers and 330 children in placement. There are a number of new initiatives which have taken place within the service including the setting up of specific services to support teenage placements and ‘Family & Friends as carers’.

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Brief Description of the Service:

The service is a busy one and well used by children’s services. Established systems are in place to recruit, train and assess prospective carers. The Fostering service is child centred and benefits from staff that have a range of skills and collectively many years of experience of work within fostering.

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Brief Description of the Service:

The service is committed to monitoring and evaluating performance with the aim of identifying areas for improvement and achieving better outcomes for children/young people. Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 6

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SUMMARY

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

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SUMMARY

The Inspectors would like to thank the children, carers and staff at Durham County Council Fostering Service for their warm welcome and the important part they played in the inspection. Information and evidence in this report was gathered over a six day period by two Inspectors through:

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SUMMARY

• Talking individually with children, carers and staff • Visiting 4 foster carers’ homes • Talking with a group of 11 mainstream carers • Talking with a group of 16 friends and family carers • Talking with a group of 11 foster children • Interview with the 2 fostering service team managers • Talking with 5 children’s placing officers • Reading children’s, carers and staff files • Reading polices, procedures and records • Observing staff practice • Reading 35 children’s questionnaires • Reading 35 carers’ questionnaires • Reading 57 children’s social worker’s questionnaires • Observing the fostering panel • Interviewing the chair of panel • Interviewing 2 senior managers

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SUMMARY

The judgement of the inspection team is that Durham County Council fostering service is an excellent service. Carers, staff and managers are very committed to making sure that children receive very good foster care, which contributes towards positive outcomes for them. The service met all of the National Minimum Standards and indeed exceeded 11 of the standards.

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What the service does well:

• Children living with foster carers are kept safe and well looked after. All of the children we spoke to said that they ‘felt safe’ and were ‘happy’ living with their foster carers. Some of the other things they told us when asked the best thing about being fostered were, ‘I feel safe and secure’, ‘They love me all the time and so do I, even if I don’t tell them’, ‘Being listened to and having someone to care for me’ and ‘Getting cared for and being kept safe. Not being shouted at and not being told off all the time’. • The fostering service undertakes very thorough assessments of people who want to become foster carers. It does all of the important checks needed to make sure children will be safe living with foster carers. • The fostering panel is very good at making sure that these assessments are of good quality and that children will be kept safe by foster carers. Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 7

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What the service does well:

• The fostering service is good at making sure children receive support for their education. • It is also very good at keeping children and carers informed and seeking their views. • The managers and the fostering teams are very good at their jobs and support foster carers very well. • The fostering managers make sure that the fostering service continues to be an excellent service by checking that the staff and carers are looking after children well.

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What has improved since the last inspection?

The inspection team were pleased that all of the things they had asked the fostering service to do at the last inspection have been put right.

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What has improved since the last inspection?

• New staff now get all of the correct information about the service when they start. Fostering officers check and sign foster carer’s diaries when they visit their homes. • Children’s social workers and fostering officers work much better together. • The matching of children with foster carers is now very good and the fostering service check to make sure there are no risks to children. • All children have been given a copy of the children’s guide which includes the complaints procedure. • There are now more administration staff to support the fostering officers.

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What they could do better:

• The fostering service should make sure that all gaps in staff employment have been checked out properly and recorded. • The foster carers should be given more notice of when training is going to take place so that they can attend.

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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. Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 8

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CONTENTS

Statutory Requirements Identified During the Inspection Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 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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JUDGEMENT – we looked at the outcome for Standard:

The fostering service effectively monitors and promotes children’s health.

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EVIDENCE:

The fostering service has sound systems in place to monitor the health of children placed with the Authority’s foster carers. Monitoring is undertaken by each fostering team manager as part of the Schedule 7 monitoring. Fostering officers collate information from carers as part of their routine supervision of placements. Examination of records maintained at home by foster carers visited as part of the inspection, confirmed that fostering officers routinely gather information regarding children’s health.

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EVIDENCE:

Training and support to carers in respect of children’s health including preventative measures such as health education, drug awareness, and sex education is good. The fostering service maintains good links with the looked after children’s (LAC) nurses who also support and work directly with children and carers to enable them to access community health services for children. Comments from children when asked about staying healthy included, ‘my carers make sure that I get plenty of fruit and if I am ill take me straight to the doctor’ and ‘I get my five portions of fruit and veg every day. They (carers) make sure that I keep healthy’. Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 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):

Durham County Council fostering service robustly safeguards children’s welfare in accordance with the authority’s safeguarding procedures. The service provides a sufficient range of trained and skilled carers who have been subject to a rigorous in-depth assessment. The quality of assessments is commendable as is the standard of decision-making and recommendations of the fostering panels.

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EVIDENCE:

An examination of seven Form F assessments found the quality of the assessments to be at least good in three cases and very good in four. All assessments were sufficiently rigorous. A comment made by a carer who had recently been registered in respect of the assessment undertaken was, ‘they go into absolutely everything. At first I felt as if they were trying to put us off, but they weren’t. They make you challenge yourself and ask why you really want to be a foster carer. It was really hard but I can see why they need to do it. They need to make sure they get people who want to look after kids and keep them safe. They talked to my young son to make sure it is something he also wanted to do’.

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EVIDENCE:

As part of the inspection we attended one of the Authority’s three fostering panels. We observed the panel to be very well chaired. The membership was made up of people from diverse professions but who were clearly experienced Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 11 and skilled in the business of the panel. Members were heard to make pertinent observations in respect of assessments and from these relevant questions were formed to ask of the prospective carer or fostering officer. The procedures for panel are robust and the panels are used extensively by the fostering services as a quality assurance tool. The service requests and receives feedback regarding the quality of assessments and of decisions made by the agency decision maker in respect of exemptions to foster carer registrations. The panel observed was chaired by a very experienced independent chair. During interview he told us, ‘the panel takes its job very

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EVIDENCE:

seriously. We must. We see our role as one of ensuring that children are safeguarded. That the assessments made are very rigorous, and that children will only be placed with carers who we are very sure are the right kind of people who will safely care and protect them’. The standard of decision making and minutes of the fostering panels are commendable and significantly contribute towards the safeguarding of children’s welfare.

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EVIDENCE:

We interviewed individually and had group discussions with a significant number of carers. During these meetings foster carers demonstrated a good understanding of safeguarding procedures and a knowledge of signs of abuse. Foster carer training records further confirmed that carers received regular updating of child protection training. A typical answer given when asked what a carer would do if they suspected abuse of a child was, ‘I would report my concerns to the social worker and my fostering officer. If it was because of something a child said to me, I would have to tell them that I would have to pass it on. You can’t keep secrets, but I would tell them that they are safe. I would record everything in my diary’.

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EVIDENCE:

During the group meeting with children all of them said that they ‘felt safe’ and were ‘happy’ living with their foster carers. Some of the other things they told us when asked the best thing about being fostered were, ‘I feel safe and secure’, ‘They love me all the time and so do I, even if I don’t tell them’, ‘Being listened to and having someone to care for me’ and ‘Getting cared for and being kept safe. Not being shouted at and not being told off all the time’.

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EVIDENCE:

The fostering service has a very skilled and experienced staff team who are held in high regard by the carers they support. All of the fostering team hold professional social work qualifications with a number holding post qualifying certificates in childcare. An examination of personnel files found that recruitment procedures are appropriate, although we found that the service does not always satisfactorily seek or record explanations for gaps in employment. We have made a recommendation in respect of this.

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EVIDENCE:

Arrangements for matching children to placements are good. The fostering service duty system, which has been developed, ensures that a risk assessment of all prospective placements is undertaken before placement. An analysis of data provided indicates that the duty system is positively impacting on the need to make emergency placements. The service has seen a reduction Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 12 in the overall number of emergency placements made with a greater emphasis on planned placements being undertaken. The fostering service maintains good links with the Authority’s emergency duty service and the risk assessment approach has improved matching considerations in emergency circumstances. All carers case tracked as part of the inspection were found to have an appropriate safe care policy in place. The 57 placing officers who completed

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EVIDENCE:

questionnaires all reported either being fairly or very satisfied with the fostering service, and all believed that the children placed with foster carers were ‘safe’ in placement.

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EVIDENCE:

There are appropriate systems and procedures in place for dealing with complaints. Of the 35 children who completed questionnaires, 20 reported that they knew how to make a complaint, five reported they did not, and 10 did not answer the question. All children have received a copy of the children’s guide which includes information on how to make a complaint. Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 13

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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):

The fostering service values diversity. The support and promotion of educational achievement for children looked after is good.

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EVIDENCE:

The fostering service promotes ‘valuing and understanding diversity’ for carers through a sound package of training. Carers interviewed said that they had received training in valuing diversity. Training is provided as part of preparing to foster training and subsequently in greater detail as part of the annual foster carer training programme. This was confirmed through an examination of programmes and training records. The additional resource of the SAHARA project is welcomed. The project which has been set up by the consortium of north east local authorities provides workers from ethnic minority backgrounds who work with local ethnic communities to identify prospective foster and adoptive carers. The service also provides advice, training and support to fostering officers.

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EVIDENCE:

Links between the service and the education access team are very good. Support from the team has been extended to carers who have with such support advocated on behalf of children regarding educational matters including where children have been excluded from school. The access team has provided extensive training to carers on how best to support looked after children and increase their opportunities for inclusion. Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 14 It was evident that the majority of children have personal education plans (PEP’s) and that carers are having a significant input into these plans. Some of the things children told us were, ‘I get help with my school work and homework from my carer’ and ‘the access team support me in class, I’m doing really well at school’. Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 15

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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):

The fostering service works closely with carers, children and their social workers to promote contact arrangements. The consultation processes for children and carers are commendable.

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EVIDENCE:

An examination of the records of children who were case tracked clearly recorded contact arrangements. During interviews with carers they demonstrated that they knew the contact arrangements for the children living with them. Several carers told us about how they facilitated contact by either transporting children to contact or in some circumstances supervising contact themselves. We were also informed of and confirmed the arrangements made by the fostering service in supporting contact. Some things children told us were, ‘I can see my mum and brother. My social worker takes me’ and ‘I’ve contact with my family whenever I want. My mum gets on with my carer’.

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EVIDENCE:

The fostering service has excellent processes for consulting children and carers. It has set up a number of consultation groups which meet regularly and are used by the service to seek feedback on how well it is performing or on any proposed changes. Attendance at these groups is good with often more than 40 carers attending. Recently the carers group met with members of the Local Authority Scrutiny Committee to look at raising educational achievement for children looked after. Of the 35 questionnaires received from foster carers, when asked; have you been asked your opinions by the fostering service? 29 replied, ‘yes’, 3 replied, ‘sometimes’ and 3 replied ‘not very often’. When children were asked a similar question; has the fostering service ever asked you about your opinions about your foster carers? 28 replied ‘yes’ and 4 replied ‘no’. Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 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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The Commission considers Standards 29 the key standard 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):

The fostering service and carers contribute towards the preparation of young people into adulthood. The service makes appropriate and prompt payments in accordance with its policies and procedures.

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EVIDENCE:

The service makes appropriate provision for young people in preparing for adulthood. Guidance is available to carers within the fostering handbook. Carers said that they are involved in the preparation of pathway plans and for those who also have a statement of special educational need, transition plans. Durham County Council has developed its Young People’s Service to support looked after children aged 16 plus. For children in longer term placements, some carers have gone on to provide homely lodgings to young people who have turned 18 through the County’s Homely Lodging Scheme.

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EVIDENCE:

Carers during interview confirmed that they receive prompt payments of allowances. There are policies and procedures available to staff and carers in respect of fostering allowances and payments to carers. Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 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, and 24 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):

1, 2, 4, 5, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28 & 32

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

The management arrangements and quality of leadership for the fostering service is commendable. Systems to monitor the effectiveness of the service are very good. Training provided to staff and carers is very good, although notice given to carers regarding training opportunities is sometimes insufficient. Administration procedures and systems are sound and the accessibility of children’s and carers’ files is good. Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 18 The support provided to carers is excellent, especially friends and family as carers and teenage placements.

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EVIDENCE:

Durham County Council has a Statement of Purpose, which reflects the service provision.

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EVIDENCE:

The fostering service is a very well managed service. Managers are very experienced, well qualified and provide strong leadership. The service is central to the Local Authority’s Strategy for Looked After Services 2004 – 2006. The strategy sets out the overall strategic direction of services for children and young people in County Durham and is overseen by the Multi- agency Looked After Partnership (MALAP). The MALAP in turn reports to the Children and Young People Strategic Partnership, which provides the framework for the multi-agency co-ordination of children’s services in Durham. The service has developed good networks between other branches of children’s services such as residential services. Work is undertaken by managers within the services to identify children within residential services who may benefit from a foster placement. Newer developments including the Teenage Placement Scheme and Friends and Family as Carers are significantly and

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EVIDENCE:

positively impacting on outcomes for children. These developments fit well within the Authority’s Invest to Save Strategy. The strategy aims to deliver better quality services within budgetary constraints through the provision of more flexible and effective use of in-house services

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EVIDENCE:

The management team has developed sound systems to monitor the effectiveness of the fostering service. Data is collated in respect of all of the functions of the service and is used by the management team for monitoring, developing and strategic planning purposes. Children’s and carers’ files are accessible and included all the required information. The level of administration support to the fostering service has increased to a satisfactory level.

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EVIDENCE:

The quality of training is very good. We examined training records and literature and guidance provided to carers. Comments made by carers regarding training included, ‘the training is brilliant and you get loads of it. It covers everything you need like child protection, abuse, the law, health and safety, challenging behaviour. There is always something going on’ and ‘you get excellent training. They (fostering officers) know their stuff. But they get in the LAC nurses and the access team. They ask what training we need and we get it’. We got very positive feedback regarding training, however, several carers said that the notice given by the service of future training is often too short, making it difficult for them to attend. We have made a recommendation regarding this matter. The quality of support to carers is very good. We received many positive comments which led us to believe that the foster

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EVIDENCE:

Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 19 service staff are held in high regard by the carers they support. Comments received included, ‘Very supportive, caring, impressed with my current fostering officer’, ‘our fostering officer does an excellent job’, ‘I believe although my fostering officer is busy she is always available for support and answer my questions or concern’ and ‘the support and professional service. One to one support whenever needed and action taken as soon as possible to remedy problems’. Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 20

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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 3 STAYING SAFE 29 3 Standard No Score 3 3 MANAGEMENT 6 4 Standard No Score 8 4 1 3 9 4 2 4 15 3 4 3 30 4 5 3 16 4 ENJOYING AND ACHIEVING 17 4 Standard No Score 18 3 7 3 19 3 13 4 20 3 31 X 21 4 22 3 MAKING A POSITIVE 23 3 CONTRIBUTION 24 3 Standard No Score 25 3 10 3 26 3 11 4 27 3 28 3 32 4 Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? No

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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 FS23 The fostering service should give foster carers sufficient notice of all training and consider issuing them with an annual programme of training 2 FS15 The Local Authority should ensure that all elements of Schedule 1 of the Fostering Services Regulations 2002 in respect of verification and evidencing reasons for gaps in employment are undertaken Durham Local Authority Fostering Service DS0000043795.V270901.R01.S.doc Version 5.1 Page 22

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Commission for Social Care Inspection

Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS

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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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