Setting

Service

Durham Fostering & Adoption Service Social Care & Health, Durham County Council Littleburn Business Centre, Langley Moor County Durham DH7 8ET

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Commission for Social Care Inspection

Launched in April 2004, the Commission for Social Care Inspection (CSCI) is the single inspectorate for social care in England.

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Commission for Social Care Inspection

The Commission combines the work formerly done by the Social Services Inspectorate (SSI), the SSI/Audit Commission Joint Review Team and the National Care Standards Commission.

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The role of CSCI is to:

• Promote improvement in social care • Inspect all social care - for adults and children - in the public, private and voluntary sectors • Publish annual reports to Parliament on the performance of social care and on the state of the social care market • Inspect and assess ‘Value for Money’ of council social services • Hold performance statistics on social care • Publish the ‘star ratings’ for council social services • Register and inspect services against national standards • Host the Children’s Rights Director role.

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Inspection Methods & Findings

SECTION B of this report summarises key findings and evidence from this inspection. The following 4-point scale is used to indicate the extent to which standards have been met or not met by placing the assessed level alongside the phrase "Standard met?"

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The 4-point scale ranges from:

4 - Standard Exceeded (Commendable) 3 - Standard Met (No Shortfalls) 2 - Standard Almost Met (Minor Shortfalls) 1 - Standard Not Met (Major Shortfalls) 'O' or blank in the 'Standard met?' box denotes standard not assessed on this occasion. '9' in the 'Standard met?' box denotes standard not applicable. 'X' is used where a percentage value or numerical value is not applicable. Durham Local Authority Fostering Service Page 1

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Name of Authority

Durham Local Authority Fostering Service

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Address

Durham Local Authority Fostering Service, Armstrong Grove, Aycliffe Young People`s Centre, Newton Aycliffe, County Durham

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Fax No: Address

Durham Local Authority Fostering Service, Armstrong Grove, Aycliffe Young People`s Centre, Newton Aycliffe, County Durham

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Date of first registration Date of latest registration certificate

Date of last inspection 24/02/03 Durham Local Authority Fostering Service Page 2 Date of Inspection Visit 15th March 2004 ID Code

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Date of first registration Date of latest registration certificate

Name of Inspector 1 Michele Hargan 076522

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inspections and bring a different

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

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the time of inspection

Durham Local Authority Fostering Service Page 3

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D.3. Provider’s agreement

Durham Local Authority Fostering Service Page 4

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INTRODUCTION TO REPORT AND INSPECTION

Independent and local authority fostering services which fall within the jurisdiction of the National Care Standards Commission (NCSC) are subject to inspection, to establish if the service is meeting the National Minimum Standards for Fostering Services and the requirements of the Care Standards Act 2000, the Fostering Services Regulations 2002 and the Children Act 1989 as amended.

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INTRODUCTION TO REPORT AND INSPECTION

This document summarises the inspection findings of the NCSC in respect of Durham Local Authority Fostering Service. The inspection findings relate to the National Minimum Standards for Fostering Services published by the Secretary of State under sections 23 and 49 of the Care Standards Act 2000, for independent and local authority fostering services respectively.

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INTRODUCTION TO REPORT AND INSPECTION

The Fostering Services Regulations 2002 are secondary legislation, with which a service provider must comply. Service providers are expected to comply fully with the National Minimum Standards. The National Minimum standards will form the basis for judgements by the NCSC in relation to independent fostering agencies regarding registration, the imposition and variation of registration conditions and any enforcement action, and in relation to local authority fostering services regarding notices to the local authority and reports to the Secretary of State under section 47 of the Care Standards Act 2000. The report follows the format of the National Minimum Standards and the numbering shown in the report corresponds to that of the standards.

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INTRODUCTION TO REPORT AND INSPECTION

The report will show the following: • Inspection methods used • Key findings and evidence • Overall ratings in relation to the standards • Compliance with the Regulations • Notifications to the Local Authority and Reports to the Secretary of State • Required actions on the part of the provider • Recommended good practice • Summary of the findings • Report of the Lay Assessor (where relevant) • Providers response and proposed action plan to address findings

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INSPECTION VISITS

Inspections will be undertaken in line with the agreed regulatory framework with additional visits as required. This is in accordance with the provisions of the Care Standards Act 2000. The following inspection methods have been used in the production of this report. The report represents the inspector's findings from the evidence found at the specified inspection dates. Durham Local Authority Fostering Service Page 5 BRIEF DESCRIPTION OF THE SERVICES PROVIDED. This inspection report concerns Durham County Council Social Services Fostering service. The authority covers a large geographical area which provides a range of services to children in the looked after system of which the fostering service is one.

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INSPECTION VISITS

Since the time of the last inspection the team based in the South and North of the county have been brought together and are currently based on a large site at Newton Aycliffe which also provides accommodation for various other children’s services. At the time of the inspection the service was undergoing some re-configuration, which was aimed at achieving closer working with other agencies. An acting senior manager for the service had been appointed which necessitated a further acting up arrangement in respect of a team manager’s post. There are a number of useful initiatives taking place within the service including the appointment of a team and manager dedicated to the area of Family and Friend as carers.

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INSPECTION VISITS

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. There is robust support available to carers and observation of one of the as part of the inspection process an experienced Panel and Panel chair in place to consider completed assessments of carers, which can either be recommended for approval deferred or refused.

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INSPECTION VISITS

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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INSPECTION VISITS

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 Page 6

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Inspector’s Summary

(This is an overview of the inspector’s findings, which includes good practice, quality issues, areas to be addressed or developed and any other concerns.) This is the second announced inspection of this well-established local authority since the introduction of The Fostering Services Regulations 2002 and National Minimum Standards. The following is a summary of the findings.

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Inspector’s Summary

Whilst there is not a legal requirement for local authority fostering services to be registered as is the case with independent fostering agencies. The manager for the local authority service is required to undergo an interview to determine fitness in the same way, as a manager of an independent agency would be. This process was carried out during the course of the inspection with the current acting senior manager for the service and it was established that this person was a well experienced manager familiar with all aspects of the fostering service.

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Inspector’s Summary

The following summary indicates that this local authority is meeting the NMS in most areas and in some, standards are exceeded. It was evident that a lot of work has been undertaken by the staff within the service to address areas for development and there are a number of initiatives being planned which when fully implemented may raise standards even further. It is also clear that staff within the service are vigilant and highly motivated with regards to internal monitoring of provision so that the efficiency of services can be evaluated.

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Statement of Purpose (Standard 1)

This standard is fully met. A Statement of Purpose is in existence, which includes all of the information as contained within National Minimum Standards (NMS) and as required by The Fostering Services Regulations 2002. The Statement of Purpose makes clear the ways in which health, education and therapeutic services for children and young people are accessed. A children’s guide has recently been compiled. This contains the required information including the address and telephone number of the National Care Standards Commission (NCSC). At the time of the inspection the children’s guide was ready to be distributed to children/young people and foster carers.

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

One standard is fully met and one standard is exceeded. At the time of the inspection there were three team managers and a senior manager in place within the fostering service. All managers are social work qualified and three of the present team managers also hold recognised management qualifications, which meet or exceed the required NMS. The recruitment of staff is in line with Schedule 1 of The Fostering Services Regulations 2002. Scrutiny of personal records concludes that all staff except one have been subject to a CRB. Consultation with the officer responsible for staff recruitment confirms that the service is in the process of undertaking CRB checks on all staff which it is intended will be renewed on a three yearly basis.

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Management of the fostering service (Standard 4-5)

Durham Local Authority Fostering Service Page 7 Both standards are fully met. There are systems in place to monitor the activities of the service, which are designed to measure and capture quality issues and enable forward planning as far as possible. These include weekly team meetings, which carefully monitor referrals and any changes to placements. The team managers also collate statistical information about all aspects of the service on a regular basis. Information is carefully analysed and used to inform future developments. There are job descriptions and person specifications in place concerning all posts within the service. All staff were clear as to levels of delegation and responsibility.

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Securing and Promoting Welfare (Standard 6-14)

Of the 9 standards within this area 4 are fully met and there are minor deficiencies within 5. The inspection process and case tracking identified that accommodation for children and young people ranged from very good to satisfactory with a concern in one area. Recruitment of foster carers has continued since the last inspection. The authority were clearly aware of the need to ensure a diverse range of carers are available in order to meet a range of children needs. To this end carers have been specifically recruited for teenagers and this scheme appeared to be providing a much-needed service. Matching is given careful consideration at the point of referral, which can also be made on an emergency basis. Steps were being taken in order to ensure that all relevant information is available to workers managing the duty system so as to further inform the matching process. Weekly team meetings provide the main forum at which, matching considerations are most carefully

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Securing and Promoting Welfare (Standard 6-14)

considered. Many of the staff within the service are long serving and knowledgeable as to the skills and experiences of carers. So much of the matching process is arrived at through a process of discussion and sharing of historical knowledge of carers between workers.

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Securing and Promoting Welfare (Standard 6-14)

A brief Safe Care Family Policy is in place with the Foster Carers Handbook. Further information indicates that this policy is under review. Assurance was given that a “Safe Care Policy” based on this guidance document, had been drawn up with majority of carers, specific to each household. Documentary evidence to confirm that this has been shared with the child should be maintained which could be recorded within supervision records of foster carers. Consultation with foster carers, children and fostering social workers confirms that, children’s views and wishes are obtained and taken into account in determining contact arrangements. As previously referred to a children’s guide has been compiled which invites comments from children/young people. The guide includes information about how to complain and how to access the services of an advocate. The proposed involvement of children and young people in a process of evaluating the services they receive would more

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Securing and Promoting Welfare (Standard 6-14)

than address the minimum standard that young people are effectively consulted.

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Securing and Promoting Welfare (Standard 6-14)

The senior manager for the service confirmed that the physical and emotional well being of children/young people is promoted through “strong links” with health services. In particular close working with health visitors who are able to offer advice and guidance by means of a surgery for both children/young people and carers was described as a great value to the service. Each child is registered with a GP, dentist and optician. Health care specialists have been able to contribute to training events for fosters carers so that training needs within specialist areas can be addressed. Specialist health provision can be accessed as appropriate. Consultation with staff and carers indicated that the educational needs of children were considered to be a high priority. The senior manager stated that computers were given to every foster carer along with educational software. Assurance was given that Internet access on PC’s had parental controls in place. A Leaving Care/After Care procedure

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Securing and Promoting Welfare (Standard 6-14)

is in place, this is a comprehensive document and outlines the statutory responsibilities and Durham Local Authority Fostering Service Page 8 guidance for staff with regards to supporting young people leaving the “Looked After” system.

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Recruiting, checking, managing, supporting and training staff and foster carers

Within in this area of, the nine standards 1 exceeds the minimum required and warrants a level 4 rating, 8 areas fully achieve the standard and as such rate a level 3. The service has a robust corporate recruitment policy and procedures. Inspection of personal records revealed that the necessary checks are carried out. CRB checks are carried out and consultation with the Human Resources officer confirmed the authorities intention to renew checks every three years. Staff are managed efficiently and effectively. A clear management structure is in place. All staff are clear about lines of accountability. The fostering team benefits from having workers with a range of skills and experience all of whom are well qualified and competent. The fostering team currently comprises an- acting up senior manager and three team managers one of whom is also acting up. There are two managers and two teams one of 8 and one of 7. The third manager is in the process of recruiting a

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Recruiting, checking, managing, supporting and training staff and foster carers

team. A review manager has also been appointed. There are also plans in place for a training officer to be appointed to the team.

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Recruiting, checking, managing, supporting and training staff and foster carers

Employment practices are sound. Recruitment documentation indicated that psychometric testing of candidates is also employed. Case tracking concludes that assessments of carers are also thorough. Very good quality training for foster carers takes place. Carers confirmed that training and support groups were valued and the input from health colleagues was acknowledged to be of particular benefit. Consultation with staff confirms that induction takes place. There are opportunities for staff to undertake further training and 2 staff have achieved the PQ part 2 in Child Care 2 staff also hold the NVQ D32, D33 assessors award. Another member of staff is undertaking the practice teachers award and 1 other member of staff is completing part 1 of the PQ award. Supervision of workers takes place in written form and on a regular basis. Annual appraisals of staff are completed.

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Recruiting, checking, managing, supporting and training staff and foster carers

It was evident from the inspection process that a strategy is in place for working with and supporting carers. In addition all aspects as detailed within 21.2 aside from assistance in dealing with health, education and arrangements for reviews is also contained within the Fostering Handbook. The service undoubtedly encourages and enables foster cares to develop their skills. Foster carers reported receiving very good support from fostering social workers in this regard. Training programmes for 2003 and those proposed for 2004 for foster carers were viewed and are obviously wholly appropriate to the needs of carers. In addition to training support groups are held throughout the County on a regular basis and guest speakers can be asked to contribute to meetings. Carers are required to undertake Preparation Group training as part of skills development; in the case of couples both carers are required to attend training.

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Records (Standard 24-24)

Within this area both standards are fully met. Children’s files are maintained by their social workers. The fostering service receives only the relevant information concerning the child/young person and this information is not retained when the child moves on. A draft written policy regarding case recording has been compiled and this requires amendment and finalising. Recruitment records are kept for staff. Records are maintained in respect of staff, children, carers, complaints and allegations. There are systems in place including a comprehensive database and records are monitored for quality. Durham Local Authority Fostering Service Page 9

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Premises (Standard 26)

This standard is fully met. The fostering team have moved to a different office since the time of the last inspection, which has brought two teams together. The offices are accessible and secure systems are in place regarding access to the building. There were imminent plans in place for the service to be relocated and this move was viewed positively by all consulted due the additional space the new accommodation would provide.

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Financial Requirements (Standard 27-29)

Of the three standards 2 are fully met and 1 is almost met. In view of the way in which the local authority is funded the NCSC accept the continuing financial viability of the fostering service and as such this standard is fully met. Foster carers receive an age related fostering allowance and expenses as appropriate. Payments to carers are carefully monitored to ensure correct and timely payment. Carers are paid at one of three banded rates based upon their skills and experience. The banding system has been further developed since its inception with the recruitment of carers specifically offering a service to teenagers. The development of further banding levels is also being undertaken.

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Fostering Panels (Standard 30)

This standard is exceeded. The service benefits from having a totally independent panel chair who is clearly very experienced and a valuable source of expertise to the service. Panel polices and procedures provide clear guidance as to decision- making when all panel members are not in agreement. Panel meetings effectively demonstrated the quality assurance function of panel with close scrutiny of assessments and a vocal and confident panel body.

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Short-term breaks (Standard 31)

This standard is almost met. The fostering service does provide minimal short-term breaks for children however there are no specific policies and procedures in place, which was attributed to the small numbers of mainstream carers providing this service. The majority of short- term breaks are provided by Barnardos and a service level agreement is in place to provide shared care for parents of children who have a disability.

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Family and Friends as carers (Standard 32)

This standard is almost met. A referral pack is in existence for the benefit of children and families social workers, which is sent to them containing assessment documentation and detailing the process, which should be followed with regards to an assessment under Regulation 38. Issues were identified in relation to the completion of assessments within the timescales required which in some circumstances may be further complicated because of court proceedings. It was also clear that there was variance in terms of the quality of some assessments in this area, which panel identified and which were appropriately addressed in that decision making was deferred until further information could be provided. Durham Local Authority Fostering Service Page 10

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(Local Authority Fostering Services Only)

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

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(Local Authority Fostering Services Only)

YES Report to the Secretary of State under section 47(3) of the Care Standards Act 2000 that the Commission considers the Local Authority's fostering service satisfies the regulatory requirements:

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(Local Authority Fostering Services Only)

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

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(Local Authority Fostering Services Only)

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

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The grounds for the above Report or Notice are:

NA Durham Local Authority Fostering Service Page 11

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Implementation of Statutory Requirements from Last Inspection

Requirements from last Inspection visit fully actioned? YES

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STATUTORY REQUIREMENTS

Identified below are areas not addressed from the last inspection report which indicate a non-compliance with the Care Standards Act 2000 and Fostering Services Regulations 2002. No. Regulation Standard Required actions Timescale for action

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Action is being taken by the National Care Standards Commission to monitor

compliance with the above requirements. Durham Local Authority Fostering Service Page 12

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registration are listed below, with the inspector's assessment of compliance from

the evidence at the time of this inspection.

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Date 28/04/2004

Durham Local Authority Fostering Service Page 13

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STATUTORY REQUIREMENTS IDENTIFIED DURING THIS INSPECTION

Action Plan: The appropriate Officer of the Local Authority or the Registered Person (as applicable) is requested to provide the Commission with an Action Plan, which indicates how requirements and recommendations are to be addressed. This action plan will be made available on request to the Area Office.

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STATUTORY REQUIREMENTS

Identified below are areas addressed in the main body of the report which indicate non- compliance with the Care Standards Act 2000, the Children Act 1989, the Fostering Services Regulations 2002, or the National Minimum Standards for Fostering Services. The Authority or Registered Person(s) is/are required to comply within the given time scales in order to comply with the Regulatory Requirements for fostering services. No. Regulation Standard * Requirement Timescale for action

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

Identified below are areas addressed in the main body of the report which relate to the National Minimum Standards and are seen as good practice issues which should be considered for implementation by the Authority or Registered Person(s). No. Refer to Standard * Recommendation Action

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

1 FS1FS1 The responsible person should ensure that documentary evidence is maintained to demonstrate that children’s guides have been issued in compliance with regulatory requirements.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

2 FS4FS4 The responsible person should ensure that the conflict of interest policy is made known to foster carers. Also to ensure that completed Regulation 42 reports are forwarded to the NCSC on a monthly basis. Financial procedures relevant to fosters carers should be ratified and in place within the foster carer handbook. Durham Local Authority Fostering Service Page 14 3 FS6FS6 The responsible person should ensure that the foster carers handbook contains adequate information relating to all aspects of health and safety for which foster carers are responsible. It is also recommended that an audit be carried out to conclusively establish whether or not there is a significant problem with regards to overcrowding.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

4 FS8FS8 The responsible person should ensure that documentary evidence of matching is maintained in line with 8.3 to demonstrate that due consideration has been given involving all relevant professionals, the child, carers, other children, families etc. It is also strongly recommended that a risk assessment is completed on every child placed and that this becomes established practice.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

5 FS9FS9 The responsible person should ensure the following: -

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

• The procedure concerning a missing young person be further developed so as to advise carers what if any additional action they may or may not undertake when a young person is absent.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

• Also that the anti-bullying policy be amended to specifically address the specific needs of both children/young people and foster carers.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

• Documentary evidence should be maintained to demonstrate that prospective foster carers are provided with enough information so that they are able to protect everyone concerned within the foster home. • Information concerning behaviour management and prohibited disciplinary measures should be finalised and made available within the foster carer’s handbook.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

6 FS10FS10 The responsible person should ensure that guidance about recording is ratified and in place within the Foster Carers Handbook.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

7 FS12FS12 The responsible person should ensure that the service maintains evidence within individual foster carer files that a health care record has been supplied with regards to each child in line with 12.4. Including clear plans concerning consent to medical treatment so that any unnecessary delays are avoided. Also the Foster Carers Handbook should include all necessary information concerning healthcare needs of children/young people for guidance and reference purposes.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

8 FS14FS14 The responsible person should ensure that training for carers as to what is expected of them in terms of preparing young people for independent living be provided.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

9 FS15FS15 The responsible person should ensure that at the earliest opportunity the regulatory requirement concerning disciplinary measures referred to within the addendum should be incorporated into the body of the disciplinary procedures document for staff.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

10 FS18FS18 The responsible person should ensure that carers are informed about whistle blowing policies and it is recommended that this information be contained within the Foster Carers Handbook. Durham Local Authority Fostering Service Page 15 11 FS21FS21 The responsible person should ensure that any significant concerns relating to foster carers difficulties in contacting the social worker for the child should be progressed via team managers.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

12 FS23FS23 The responsible person should give consideration to the provision of additional NVQ trainers so as to more readily meet the needs of carers.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

13 FS24FS24 The responsible person should ensure that evidence is maintained to demonstrate that foster carers have the available facilities in which to securely store confidential information.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

14 FS25FS25 The responsible person should ensure there are sufficiently robust systems in place so that the record of any accidents occurring to children whilst placed with the foster carers is maintained up to date by the service.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

15 FS31FS31 The responsible person should ensure that policy and procedures are implemented in practice, which are designed to meet the particular needs of children receiving short- term breaks.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

16 FS22FS22 The responsible person should ensure that a clear framework outlining the circumstances in which carer/s should be removed from the foster carer register be incorporated into the existing panel documentation.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

17 FS32FS32 The responsible person should ensure that every effort is made to meet timescales in compliance with regulation 38. Evidence should be maintained which demonstrates that support and training needs for family and friends carers are assessed and met in the same way as for any other carer. It is also recommended that consideration be given as to the compilation of an information leaflet for family and friend as carers, which provides them with additional information about the fostering service and the assessment process.

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GOOD PRACTICE RECOMMENDATIONS FROM THIS INSPECTION

* Note: You may refer to the relevant standard in the remainder of the report by omitting the 2-letter prefix e.g FS10 refers to Standard 10. Durham Local Authority Fostering Service Page 16

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PART B INSPECTION METHODS & FINDINGS

The following inspection methods have been used in the production of this report Number of Inspector days spent 11.5

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PART B INSPECTION METHODS & FINDINGS

Survey of placing authorities YES Foster carer survey YES Foster children survey YES Checks with other organisations and Individuals YES • Directors of Social services YES • Child protection officer YES • Specialist advisor (s) YES • Local Foster Care Association NO Tracking Individual welfare arrangements YES • Interview with children YES • Interview with foster carers YES • Interview with agency staff NA • Contact with parents YES • Contact with supervising social workers YES • Examination of files YES Individual interview with manager YES Information from provider YES Individual interviews with key staff YES Group discussion with staff YES Interview with panel chair YES Observation of foster carer training YES Observation of foster panel YES Inspection of policy/practice documents YES Inspection of records YES Interview with individual child YES

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PART B INSPECTION METHODS & FINDINGS

Date of Inspection 15/03/04 Time of Inspection 9:30 Duration Of Inspection (hrs) 65 Durham Local Authority Fostering Service Page 17 The following pages summarise the key findings and evidence from this inspection, together with the NCSC assessment of the extent to which the National Minimum Standards have been met. The following scale is used to indicate the extent to which standards have been met or not met by placing the assessed level alongside the phrase "Standard met?"

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PART B INSPECTION METHODS & FINDINGS

The scale ranges from: 4 - Standard Exceeded (Commendable) 3 - Standard Met (No Shortfalls) 2 - Standard Almost Met (Minor Shortfalls) 1 - Standard Not Met (Major Shortfalls)

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PART B INSPECTION METHODS & FINDINGS

"0" in the "Standard met?" box denotes standard not assessed on this occasion. "9" in the "Standard met?" box denotes standard not applicable. “X” is used where a percentage value or numerical value is not applicable. Durham Local Authority Fostering Service Page 18

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The intended outcome for the following standard is:

• There is clear statement of the aims and objectives of the fostering service and the fostering service ensures that they meet those aims and objectives.

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

what facilities and services they provide. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • A Statement of Purpose is in existence, which includes all of the information as contained within National Minimum Standards (NMS) and as required by The Fostering Services Regulations 2002. • The Statement of Purpose makes clear the ways in which health, education and therapeutic services for children and young people are accessed. • Consultation with the senior manager for the service concludes that elected members in the case of a local authority approve the aforementioned document. The statement was dated 2003-2004. • There have been changes with regards to the managerial structure of the service and there are currently a number of managers directly within the service who are undertaking additional responsibilities on acting up basis, until permanent appointments are made

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

which would add an additional tier of management to the service. Assurance was given that once these arrangements had been finalised that the statement would be amended to reflect the new organisational structure. • Changes also include the appointment of a team manager for relative and friends foster carers, and there were also plans in place to recruit a team specifically within this area, which should also be reflected within the statement when amended. • A children’s guide has recently been compiled. This contains the required information including the address and telephone number of the National Care Standards Commission (NCSC). At the time of the inspection the children’s guides were ready to be distributed to children/young people and foster carers. • There are also plans in place for the guide to be further developed following a range of “listening to children’s initiatives”. • The responsible person should ensure that documentary evidence is maintained to

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

demonstrate that guides have been issued in compliance with regulatory requirements. • Scrutiny of the services polices and procedures conclude that they are reflective of Statement of Purpose. Durham Local Authority Fostering Service Page 19

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The intended outcomes for the following set of standards are:

• The fostering service is provided and managed by those with the appropriate

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work efficiently and effectively and have the necessary knowledge and experience of

childcare and fostering to do so in a professional manner. Key Findings and Evidence Standard met? 4 The following information evidences that this standard is exceeded: - • At the time of the inspection there were three team managers and a senior manager in place within the fostering service. All managers are social work qualified and three of the present team managers also hold recognised management qualifications, which meet or surpass the required NMS. • Management training for the appropriate staff is clearly encouraged and valued. Assurance was given by the acting senior manager that the newly appointed manager would be provided with the opportunity to complete an NVQ level 4 qualification. • All team managers are very experienced individuals with many years experience of working within children and young people. • Consultation with staff confirms that the current managerial arrangements are such the

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work efficiently and effectively and have the necessary knowledge and experience of

effective leadership is in operation with the aim of ensuring that the best possible childcare is delivered. • Taking into account the investment made by the authority with regards to ensuring that all team managers are suitably trained in line with NMS and in some instances beyond those required, this area is found to be exceeded at this time. Durham Local Authority Fostering Service Page 20

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

a business concerned with safeguarding and promoting the welfare of children. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • As previously stated the managers are all experienced and suitable people concerned with the running of the service and with safeguarding of children’s welfare. • A “fit person” interview was conducted with the acting senior manager for the service during the course of the inspection process, which evidenced the qualifications experience, and competence of this person to manage the service in its present form. • The recruitment of staff is in line with Schedule 1 of The Fostering Services Regulations 2002. Scrutiny of personal records concludes that all staff except one have been subject to a CRB. Consultation with the officer responsible for staff recruitment confirms that the service is in the process of undertaking CRB checks on all staff which it is intended will

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

be renewed on a three yearly basis. • References are taken up as appropriate and held on file and there was evidence that references with regards to newly appointed staff are followed up by means of telephone calls. • In the case of staff appointed who had previously worked abroad it was pleasing to note that a letter of good conduct had been sought from the embassy of the country concerned to further establish the integrity of the applicant. Durham Local Authority Fostering Service Page 21

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The intended outcomes for the following set of standards are:

• The fostering service is managed ethically and efficiently, delivering a good quality foster care service and avoiding confusion and conflicts of role.

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

fostering service and ensuring quality performance. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is almost met: - • There are systems in place to monitor the activities of the service, which are designed to measure and capture quality issues and enable forward planning as far as possible. These include weekly team meetings, which carefully monitor referrals and any changes to placements. The team managers also collate statistical information about all aspects of the service on a regular basis. Information is carefully analysed and used to inform future developments. • Despite the recent managerial changes experienced by the service, contingencies have been established and it is to the staffs credit that this appears to have been achieved without any adverse impact upon day-to day service delivery. • Financial systems are such that foster carers payments are well managed and monitored

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

and foster carers are paid in accordance with their achieved level of skills. • Assurance was given that The Foster Carers Agreement makes clear that foster carers have a duty to inform the service of any conflict on interest. However a sample document did not bear this out. • A separate code of conduct policy and procedure is in place to make know the local authorities conflict of interest policy to employed staff. • The foster carers handbook does not contain information concerning financial matters, however documentary evidence indicates that this information has been compiled ready for discussion amongst the staff team as part of ratifying policies and procedures. • There are plans in place for the service to undertake monitoring in line with Regulation 42 Schedule 7 and to this end a proforma has been developed for use. The proforma takes into account how the quality of the service may need to be improved as a result of any

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

findings. As this is not at present a regulatory requirement with regards to local authorities it is praiseworthy that pro-active steps have been undertaken to carry out checks in this way. • It was agreed that in line with monitoring arrangements that the commission would be informed as to any significant events. • The responsible person should ensure that completed reports are forwarded to the commission on a monthly basis. • The responsible person should ensure that the conflict of interest policy is also made known to foster carers. • The responsible person should ensure that financial procedures relevant to fosters carers are ratified and in place within the handbook.

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

Number of statutory notifications made to NCSC in last 12 months: 0

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

Death of a child placed with foster parents. 0 Referral to Secretary of State of a person working for the service as 0 Durham Local Authority Fostering Service Page 22 unsuitable to work with children. Serious illness or accident of a child. 0 Outbreak of serious infectious disease at a foster home. 0 Actual or suspected involvement of a child in prostitution. 0

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

foster home. Serious complaint about a foster parent. 11 Initiation of child protection enquiry involving a child. 2

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

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

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Standard 5 (5.1 - 5.4)

The fostering service is managed effectively and efficiently. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • Consultation with staff and case tracking evidence that the service is well managed. • There are job descriptions and person specifications in place concerning all posts within the service. • All staff were clear as to levels of delegation and responsibility. • In the absence of the senior manager another team manager is available. Durham Local Authority Fostering Service Page 23

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The intended outcome for the following set of standards is:

• The fostering service promotes and safeguards the child/young person's physical, mental and emotional welfare.

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

nurturing environment. Key Findings and Evidence Standard met? 2 The following information evidences that this standard is almost met: - • The inspection process and case tracking identified that accommodation for children and young people ranged from very good to satisfactory. Some concerns were identified within questionnaires, which expressed concerns about overcrowding in some instances. Questionnaires also indicated that any concerns were raised and being addressed. • Assurance was given that in the case of shared bedrooms a risk assessment is always completed also that were a teenager is to be placed that efforts are made to secure a single room. • An issue did arise during the course of the inspection relating to overcrowding, which needed to be addressed as a matter of priority and this was brought to the attention of the service. • Unannounced inspections are carried out on annual basis. • A health and safety check is undertaken as part of the assessment process. In addition

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

carers under the guidance of the fostering social worker compile a safe care policy specific to their own household. The senior manager stated that the majority of carers now have a safe care policy in place. • Clear guidance documentation concerning safe care is sent by the fostering service to Children and Family social workers as part of a Regulation 38 pack. The responsibility for the implementation of the safe care policies then lies with the allocated child’s social worker and as such the manager for the fostering service could not give a categorical assurance that effective safe care policies were in place in relation to all Family and Friends as carers. However, the manager was aware of the issues that this raises and the inspection team were confident that areas of concern in relation to this will be proactively addressed. • A very brief Safe Care policy is in place within the Foster Carer’s Handbook and the

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

inspection team were informed that this policy was under review. The policy makes clear that additional guidance and support will be provided to carers during assessment and training. Aspects of Health and Safety are referred to within the handbook however the guidance is not comprehensive or clearly referenced. • Transport arrangements for children are discussed with carers so that the necessary equipment can be provided. A transport of children procedure is in place within the staff handbook but not within the foster carers handbook. • The Foster Carers Handbook makes clear that carers may be interviewed or visited as part of the commission’s inspection process. • The responsible person should ensure that the foster carers handbook contains adequate information relating to all aspects of health and safety for which foster carers are responsible. • It is recommended that an audit be carried out to conclusively establish whether or not

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

Durham Local Authority Fostering Service Page 24 there is a significant problem with regards to overcrowding within bedrooms. • The responsible person should ensure that safe care policies are in place within all placements including Family and Friends as Carers.

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

provided with foster care services which value diversity and promote equality. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • Recruitment of foster carers has continued since the last inspection. The authority were clearly aware of the need to ensure a diverse range of carers are available in order to meet a range of children’s needs. To this end carers have been specifically recruited so that teenage placements can be established and this scheme appeared to be providing a much-needed service. • The duty system takes into account the child’s cultural and religious needs. Consultation with staff confirmed that significant training as to the importance of cultural issues and anti-discriminatory practice is provided to foster carers. • Management information systems have been further developed to carefully monitor and review the appropriateness of the placement.

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

• “Total Respect” and “Valuing Diversity” training is made available on a rolling programme basis to all staff. • This local authority has a service level agreement with a voluntary organisation that specifically recruit carers to meet the needs of children/young people with disabilities. A minority of in house provision is available for children with disabilities and adaptations and equipment are considered as appropriate. • A senior manager stated that consideration was being given to the increased provision of carers specifically able to meet the needs of children with disabilities. • It was clear that increased working together with health care staff has proven to be invaluable to the service and it users. • Assurances were made that children’s interests, talents and hobbies and academic achievement are recognised, encouraged and developed. • Children’s questionnaires confirm that foster carers were providing appropriate care.

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

There were lots of examples within questionnaires of children/young people being able to carry out hobbies and receiving help with homework from carers. Durham Local Authority Fostering Service Page 25

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

authority is seeking a carer. Key Findings and Evidence Standard met? 2 The following information evidences that this standard is almost met:- • Matching is given careful consideration at the point of referral, which can also be made on an emergency basis. Steps were being taken in order to ensure that all relevant information is available to workers managing the duty system so as to further inform the matching process. • Weekly team meetings provide the main forum at which, matching considerations are most carefully considered. Many of the staff within the service are long serving and knowledgeable as to the skills and experiences of carers. So much of the matching process is arrived at through a process of discussion and sharing of historical knowledge of carers between workers. • A risk assessment document has been compiled which was ready for use, particularly as part of the duty system. This document which is comprehensive was described as a first

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

step, which would further evolve as required. • It remains local authority practice that every attempt is made to match a child with an existing local authority foster carer. However where a match cannot be achieved an agency may be used. Existing placements continue to be well used. All staff consulted were confident that proper consideration was given to the matching process when linking children with carers. • The authority were able to demonstrate that measures are taken to ensure that where children need to be placed whose cultural needs cannot be met by carers within the resource of the authority creative solutions are achieved so that the cultural identity and heritage of children can be preserved. • Where ever possible children/young people are afforded an opportunity for introductions to prospective carers. • The responsible person should ensure that documentary evidence of matching is maintained in line with 8.3 to demonstrate that due consideration has been given

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

involving all relevant professionals, the child, carers, other children, families etc. • It is strongly recommended that a risk assessment be completed on every child placed and that this becomes established practice. So that matching takes place on the basis of a comprehensive written risk assessment arrived at by liaison with the child’s social worker, in line with the authorities own guidance, which states “a risk assessment is completed for each child when they are looked after as preparation for admission”. Durham Local Authority Fostering Service Page 26

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

neglect, exploitation and deprivation. Key Findings and Evidence Standard met? 2 The following information evidences that this standard is almost met: - • Documentary evidence and discussion with the staff confirm that child protection training takes place on an annual basis. • A brief Safe Care Family Policy is in place with the Foster Carers Handbook. Further information indicates that this policy is under review. Assurance was given that a “Safe Caring Policy” based on this guidance document, had been drawn up with majority of carers, specific to each household. Documentary evidence to confirm that this has been shared with the child should be maintained which could be recorded within supervision records of foster carers. • The Foster Carer Agreement states that corporal punishment is not to be used and outlines exactly what measures are prohibited in line with NMS. Further guidance and additional sources of support is accessible via the intranet. As yet this is not contained

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

within the fostering handbook. Training for foster carers includes managing behaviour and safe care. • Management systems are in place to collate and evaluate the outcome of any allegations of any abuse. This includes taking relevant information to Panel, who collectively have the option to de-register foster carers. • An “Anti-Bullying Policy & Guidelines” is in place, however it was recognised that this document was basically reflective of education policy and procedure. It was agreed that the bullying policies and procedures would be developed accordingly which were reflective of children’s needs within the service. The children’s guide makes reference to bullying and provides children/young people with guidance in this area. • Completed questionnaires returned by foster carers raised some concerns regarding receiving full information about children/young people particularly in situations of emergency.

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

• Training informs foster carers as to the vulnerability of children/young people “looked after” with regards to bullying and directs carers to established services in this area including the “Access Service. • A procedure is in place in the event that a child goes missing. The procedure concerning a missing young person should be further developed so as to advise carers what if any additional action they may or may not undertake when a young person is absent. • The responsible person should ensure that the anti-bullying policy is further developed specifically to address the needs of both service users and foster carers. • The responsible person should ensure that all possible measures are taken to ensure that prospective foster carers are provided with enough information even in emergencies so that they are able to protect everyone concerned within the foster home. Documentary evidence should be maintained to demonstrate that this is actually achieved.

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

• Information concerning behaviour management and prohibited disciplinary measures should be finalised and made available within the foster carer’s handbook.

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being bullied:

100 % Durham Local Authority Fostering Service Page 27

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

her/his care plan and/or foster placement agreement. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • Based upon discussion with staff, carers and children and case tracking appropriate contact arrangements are in place. • It was acknowledged inevitably there are always issues arising with contact arrangements and as such there was recognition that fostering social workers needed to be involved appropriately. • Some concerns were raised within placing officers questionnaires about contact arrangements were a child is placed outside of the area this seemed to be a particular issue in the case of some Family and Friend carers. • Durham Fostering services a large area and as such a significant amount of carers fall into the category of Family And Friends Carers. It was recognised that these carers are an extremely valuable resource, however in some instances this may mean that

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

additional complexities including contact arrangements arise. In recognition of this a team manager has been appointed specifically to the post of Family and Friends as Carers. Assurance was given that with the establishment of this post and the future appointment of a team, close working with children’s social workers could be facilitated so that any arising issues could be addressed. • Consultation with foster carers, children and fostering social workers confirms that, children’s views and wishes are obtained and taken into account in determining contact arrangements. • The Fostering Placement Agreement and the review process outline the contact arrangements. It was acknowledged that the placement agreement requires further development so as to fully comply with NMS and there were plans in place for this to be addressed by children’ services as a whole. • Preparation training stresses to foster carers the significance of maintaining contact with

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

a view to enabling the child to return home if at all possible. • The receipt of such support was confirmed by tracking of foster carers, who all spoke highly of individual fostering social workers and the service they received. • Transport costs are included within age related allowances or by means of additional expenses. • Foster carers are expected to record events concerning children/young people within diaries with which they are issued. Guidance regarding recording is in the consultation stage and not as yet available to carers. • The inspection team were informed of an initiative concerning listening to children which it is anticipated will be used as a forum to further develop the annual review process for foster carers and to evaluate the children’s guide, promote anti-discriminatory practice and inform policy making across the service. • The responsible person should ensure that guidance about recording is contained within

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

the Foster Carers Handbook. Durham Local Authority Fostering Service Page 28

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

daily life and their future. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • Children views and those of their families where possible are sought over issues, which are likely to affect them in their daily life. • The training schedule for foster carers includes Safe Care, Child Protection, Managing Behaviour and an Introduction to Child and Adolescent Mental Health. Discussion with both frontline and senior staff confirmed the authorities commitment to listening to what children have to say about the services they experience. • As previously indicated a voluntary agency is used regarding placements for children with disabilities. Completed questionnaires indicate that statutory visits are carried out to children placed. Resources are available so that children with communication difficulties could be consulted. • As previously referred to a Children’s guide has been compiled which invites comments

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

from children/young people. The guide includes information about how to complain and how to access the services of an advocate. • The proposed involvement of children and young people in a process of evaluating the services they receive would more than address the minimum standard that young people are effectively consulted. • It is anticipated that when the proposed consultation with young people is further evidenced that this standard may well be exceeded.

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

in decisions about her/his health needs. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • The senior manager for the service confirmed that the physical and emotional well being of children/young people is promoted through “strong links” with health services. In particular close working with health visitors who are able to offer advice and guidance by means of a surgery to both children/young people and carers was described as a great value to the service. • Each child is registered with a GP, dentist and optician. • Health care specialists have been able to contribute to training events for fosters carers so that training needs within specialist areas can be addressed. Specialist health provision can be accessed as appropriate. • Assurance was made that where possible prior to placement, information as to the health needs of the child and consent to medical treatment is obtained and recorded within the

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

LAC documentation. However several difficulties regarding obtaining consent for treatment were highlighted within questionnaires completed by foster carers. • Training for foster carers includes information about the mental health needs of children/young people and also Lifesaver Baby and Child First Aid Training, which all carers are required to complete. • The senior manager stated that LAC documentation is used in which to record the health Durham Local Authority Fostering Service Page 29 needs of children/young people. • Consultation with carers confirms that they are aware of the need to note anything of concern including the child/young person health needs so as to fully inform the review process. However the Foster Carers handbook does not make clear what the responsibilities of carers are with regards to health care. Some very good examples of carers written contributions to the review process were noted during the case tracking

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

process. • Scrutiny of accident records appeared to indicate that records of accidents of children/young people have not been regularly updated. • There are plans in place for further initiatives in the area of healthcare improvements, which this local authority is going to be piloting. • The responsible person should ensure that the service maintains evidence within individual foster carer files that a health care record has been supplied with regards to each child in line with 12.4. Including clear plans concerning consent to medical treatment so that any unnecessary delays are avoided. • Policies and procedures regarding the administration of any prescribed medication to children by foster carers are going to be issued within handbooks. • The responsible person must ensure that the record of any accidents occurring to children whilst placed with the foster carers is maintained up to date by the service.

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

her/his full potential. Key Findings and Evidence Standard met? 2 The following information evidences that this standard is almost met: - • Consultation with staff and carers indicated that the educational needs of children were considered to be a high priority. • The senior manager stated that computers were given to every foster carer along with educational software. Assurance was given that Internet access on PC’s had parental controls in place. A carer identified during the course of case tracking did not have access to a computer. • Personal Education Plans are shared with carers. • Carers consulted felt that they were well supported by staff with enabling children’s educational needs to be met. Carers were supportive of children/young people’s educational needs attainments and academic achievements were obviously cause for celebration. The service holds award ceremonies in order to recognise the achievements

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

of individual young people. • There are systems in place to monitor and record educational attainment and exclusions. • Questionnaires from placing social workers and foster carers highlighted a need for alternative provision for children/young people when they had been excluded from school. The service was aware of needs within this area and this some support systems had been identified. • As previously referred to The Foster Placement Agreement requires some further development so as to fully reflect the foster carers role with school contact and to identify where financial responsibilities lies with regards to school costs. • The responsible person should ensure that all foster carers are informed about what the alternative arrangements will be provided for a structured day if any child is not in school. • The Foster Placement Agreement should make clear in all cases the role of the carer with regards to school contact and where financial responsibility lies.

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

Durham Local Authority Fostering Service Page 30 • Steps should be taken to ensure that all carers are provided with a computer in line with the services policy. Durham Local Authority Fostering Service Page 31

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

competence and knowledge necessary for adult living. Key Findings and Evidence Standard met? 2 The following information evidences that this standard is almost met: - • A Leaving Care/After Care procedure is in place, this is a comprehensive document and outlines the statutory responsibilities and guidance for staff with regards to supporting young people leaving the “Looked After” system. This procedure clearly states that foster carers should also be involved with supporting young people moving on. • Consultation with staff, carers via case tracking conclude that support is available to young people preparing to move on to an independent living situation. Carers involved in working with teenagers considered that they received excellent support form fostering workers. • There were mixed comments within questionnaires from foster carers about support from children’s social workers ranging from good regular contact to a perceived total lack of

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

any communication from the child’s social worker, some difficulties were also reported with contacting social workers. Almost without exception questionnaires from carers all perceived there to be a shortage of both fostering and children’s social workers. • Training schedules from November 2003-September 2004 did not include any training with regards to preparing for adulthood. The senior manager confirmed that a dedicated training officer has been appointed and assurance was made that independent living training was to be an “integral” part of the provision. • Young people receive assistance from their individual social worker, and After Care Service foster carers and fostering officer with moves to independent living. • The responsible person should ensure that training for carers as to what is expected of them in terms of preparing young people for independent living be provided. Durham Local Authority Fostering Service Page 32

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The intended outcome for the following set of standards is:

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

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

sufficient to achieve the purposes and functions of the organisation.

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

children and young people and to safeguard and promote their welfare. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • The service has a robust corporate recruitment policy and procedures. Inspection of personal records revealed that the necessary checks are carried out. • All staff working for the authority have had a CRB check completed. Consultation with the Human Resources officer confirmed the authorities intention to renew checks every three years. • Personal involved with the recruitment process have received training. • A rolling programme of training including “Diversity” and “Total Respect” training is provided for staff. • All staff employed by the service and carrying out assessments are qualified and experienced. Staff are familiar with legislative and good practice guidance. • Appointment to posts is decided by application, psychometric testing and panel interview.

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

• Candidates are required to provide proof of identification and qualifications. • All staff consulted during the course of the inspection were knowledgeable regarding legislation relating to children. • An addendum to the disciplinary procedures for staff has been added so at to inform staff that the failure on the part of an employee to report an incident of abuse, or suspected abuse of a child placed with foster parents to an appropriate is a ground on which disciplinary proceedings may be instituted. At the earliest opportunity the regulatory requirement should be incorporated into the document.

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agency in the past 12 months:

X Durham Local Authority Fostering Service Page 33

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

foster care service. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • Staff are managed efficiently and effectively by qualified managers. • A clear management structure is in place with several managers in acting up positions. All staff are clear about lines of accountability. • Levels of management delegation and responsibility are clearly defined and commensurate with individual experience. • There are systems in place to ensure that assessments, approvals and reviews take place. A reviewing officer has recently been appointed who was in a process of induction at the time of the inspection. Currently all reviews are presented to panel, which in view of the size of the authority is an onerous undertaking. • There are opportunities for newly appointed staff to undertake management training. • There are plans in place for closer monitoring of independent fostering agencies in line

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

with contractual agreements and in order to ensure compliance with arrangements, including the checking of inspection reports in order to ensure that there are no concerns about the practice of the agency. • Supervision of staff takes place on a regular basis and there is a system of appraisal. Panel members who are specialists and skilled within particular areas are used by the service on a consultative basis. • There is ongoing training for staff and carers and this is clearly encouraged by the service. Case tracking confirms that carers hold training portfolios. • Consultation with an experienced senior administrator for the service confirms that there are sufficient systems in place to support staff in training and carrying out their duties. • There are sufficient clerical and administrative support systems in place, there have been some issues to do with delegation of tasks amongst clerical staff however these

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

appeared to be well managed. • The service is to be relocated and this will provide for all clerical staffs to be cited together which was considered would lead to a more shared understanding of each others roles. Durham Local Authority Fostering Service Page 34

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

people for whom it aims to provide a service. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • The fostering team benefits from having workers with a range of skills and experience all of whom are well qualified and competent. • The fostering team currently comprises an- acting up senior manager; three team managers one of whom is also acting up. There are two managers and two teams one of 8 and one of 7. The third manager is in the process of recruiting a team. A review manager has also been appointed. There are also plans in place for a training officer to be added to the team. • There is one vacancy across the teams for a senior practioner post. The service is very busy and consultation with staff and carers confirm this, staff and recruitment of carers is on ongoing. It appears that staff are working to capacity and this was reflected within

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

completed questionnaires. • Measures have been taken to address this in that additional social workers are being recruited to the Family and Friends as Carers team, which it is envisaged, should free some up resources within existing teams. The anticipated outcome of additional staff should be carefully monitored by managers to ensure that the new staff complement is in line with the Statement of Purpose. • It was recognised that the service had experienced challenges due to a reported peak in demand for placements of babies and siblings groups, which obviously impacted upon available placements. • Agency staff were not being used. • Policies are in place with regards to securing salaried staff, the provision of training supervision and terms and conditions of service. There is very good support available to foster carers. • A strategy aimed at recruiting a diverse range of foster carers is in place. The authority

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

are currently working with a Marketing Consultant in order to further promote recruitment. • A clear assessment process for workers is in place in draft form which is being processed with “quality documentation” it is anticipated that when this is finalised it will be available within Fostering and Adoption Officers Handbook. The inspection team were informed that policies and procedures were being reviewed as part of ensuring that they were in line with guidance relating to Diversity hence there are some other gaps within this guidance document. All policies and procedures can also be accessed by staff on the services intranet when finalised. • Again assurance was given that in assessing competencies and qualities of carers that comprehensive consideration was made in line with 17.7 and this was borne out by the quality of assessment carried out by fostering workers. • The Fostering Handbook has recently been reviewed and reproduced in a smaller more

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

manageable size. There are significant gaps within the guide many policies are being amended, reviewed and developed. Durham Local Authority Fostering Service Page 35

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

practices and good support for its staff and carers. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • Employment practices are sound. Recruitment documentation indicated that psychometric testing of candidates is also employed. • Case tracking concludes that assessments of carers are also thorough. • The Emergency Duty Team is available to be used by carers out of hours. Foster carers within questionnaires raised some concerns about the responsiveness of EDT. Carer’s views should be elicited regarding out of hours services so that any issues can be captured and addressed appropriately. • Comments in questionnaires without exception viewed relationships with fostering social workers as excellent. • Based upon discussion with foster carers and staff and from an examination of available evidence foster carers received robust ongoing support from fostering social workers.

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

• Reviews of foster carers take place. • Supervision of carers takes place however this has not been formalised. Formal supervision of carers is currently being addressed in that a proforma was in the process being implemented at the time of the inspection. The supervision policy for carers is contained within the Foster Carers Handbook. • Support of carers takes place by means of visits by fostering workers. Support groups for foster carers are also provided with 5 groups in existence throughout the area. • Appraisal of carers is linked to the Review process. • There are comprehensive corporate Health and Safety policies and procedures in place concerning staff. The policies and procedures for health and safety for carers and risk assessment were available in draft form and were due to for team consideration. • A Whistle blowing policy is in place for staff, however the means by which this is made known to carers was not clear.

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

• The responsible person should ensure that carers are informed about whistle blowing policies and it is recommended that this information be contained within the Foster Carers Handbook. Durham Local Authority Fostering Service Page 36

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Standard 19(19.1-19.7) There is a good quality training programme to enhance

individual skills and to keep up-to-date with professional and legal developments. Key Findings and Evidence Standard met? 4 The following information evidences that this standard is exceeded: - • Consultation with staff confirms that induction takes place. There are opportunities for staff to undertake further training and 2 staff have achieved the PQ part 2 in Child Care 2 staff also hold the NVQ D32, D33 assessors award. Another member of staff is undertaking the practice teachers award and 1 other member of staff is completing part 1 of the PQ award. • A rolling programme of in-house training for staff is in place. All managers are expected to complete NVQ level 4 management training. • Weekly team meetings provide a forum where staff are kept informed of any changes within legislation, guidance or matters of interest and relevance could also be discussed. • A corporate staff appraisal scheme is in operation.

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Standard 19(19.1-19.7) There is a good quality training programme to enhance

• It is pleasing to note that young people are able to contribute within the area of training in that a “Total Respect” course is run and delivered by young people to carers. Experienced band 3 carers are also involved with delivering training. • The training department carries out evaluation of training courses received by the service. • There is recognition within the service that training could be even further developed and to this end as previously referred to there are plans to appoint a training officer. • In view of the existing level of training and the high priority this is accorded within the service this area is considered to be exceeded.

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Standard 20 (20.1 - 20.5)

All staff are properly accountable and supported. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • Staff are accountable and supported within their practice. • Staff are have clear written details of their duties and responsibilities by means of job descriptions. • Supervision of workers takes place in written form and on a regular basis. • Annual appraisals of staff are completed. • Based on observational evidence and consultation with staff regular team meetings take place. Durham Local Authority Fostering Service Page 37

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Standard 21 (21.1 - 21.6)

The fostering service has a clear strategy for working with and supporting carers. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • The strategy for working with and supporting carers is clearly outlined within a “Choice Protects” document and in addition all aspects as detailed within 21.2 aside from assistance in dealing with health, education and arrangements for reviews is also contained within the Fostering Handbook. • Respite care was reported to be available and the Access service provides assistance to foster carers and professionals with education matters. • Discussion with carers and staff confirmed that they are clear concerning the role of the supervising social worker. • Consultation with staff and carers confirmed that there is effective communication between the fostering social worker and the child’s social worker. It was clear that were

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Standard 21 (21.1 - 21.6)

there are any issues for example when requests for LAC documentation is not forthcoming from the social worker for the child that this can be progressed by team managers. • Annual review reports are prepared for panel. • Some concern was expressed within questionnaires about a perceived lack of contact in some instances by the social worker for the children/young people. This was perceived to be because of illness or high staff turnover. • The responsible person should ensure that any significant concerns relating to difficulties with contacting the social worker for the child should be progressed via team managers.

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

and helps them to develop their skills. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • The service encourages and enables foster cares to develop their skills. • At the present time formal supervision of foster carers has not been established. There were plans in place to address this at the time of the inspection. • Each carer has a named and qualified worker who is responsible for supervising and supporting them. • The Foster Carer Agreement makes clear the responsibilities of the carers when approved. • Foster carers had a clear understanding of what was expected from them. There was evidence to suggest that there is some development work to be undertaken in ensuring that that at the earliest stage possible that Family and Friend carers be fully informed as to the fostering task by a fostering social worker. • The Foster Care Agreement has been revised and now contains all of the required

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

information as outlined within The Fostering Services Regulations Schedule 5. • A foster carer handbook is provided to each foster carer. The guide is currently in the process of revision and update. • Documentary evidence confirms regular visiting and support by supervising social workers. • The local authority position with regards to insurance of foster carers is stated within the Foster Carer Agreement. The extent of the public liability insurance is a matter, which a worker is currently seeking clarification on for the information of carers and assurance was made when it becomes available it will be shared with carers. Durham Local Authority Fostering Service Page 38 • The authority has a representations procedure in place. Details of complaint’s procedures are in place within the foster carer handbook. A “How2Complain” leaflet for children/young people is also provided. Complaints are monitored, recorded and

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

investigated. • The service keeps a log of complaints and the authority keeps a central log of complaints also. An independent voluntary organisation is identified to conduct any investigations as required. • The fostering handbook makes reference to independent sources of support in the event of an investigation being carried out concerning a foster carer in particular the Fostering Network Counselling Service and Legal helpline. Discussions have been entered into with the Fostering Network about identifying a local source of support to carers in the event of any allegation. Agreement has been reached that the authority would contribute with funding such a post. • Records about any allegations of abuse are maintained. It was clear that any concerns of any nature are speedily addressed as evidenced by panel procedures. • Draft panel policies and procedures include guidance as to the process to be undertaken

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

when a recommendation that prospective carers are not to be approved or in the case of existing carer’s re-approved. • The responsible person should ensure that this document contains a clear framework outlining the circumstances in which carer/s should be removed from the register.

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

their care. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • Very good quality training for foster carers takes place. Carers confirmed that training and support groups were valued and the input from health colleagues was acknowledged to be of particular benefit. • Training programmes for 2003 and those proposed for 2004 for foster carers were viewed and are obviously wholly appropriate to the needs of carers. In addition to training support groups are held throughout the County on a regular basis and guest speakers can be asked to contribute to meetings. • Carers are required to undertake Preparation Group training as part of skills development; in the case of couples both carers are required to attend training. • Training is carried out at different times so as to enable attendance by all, in line with the authorities equal opportunities and anti-discriminatory framework. Consideration is given

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

to expenses and child- care provision so as to facilitate attendance. • Approved foster carers are able to contribute to the initial induction training for prospective foster carers. • A programme of NVQ training for carers is provided, it was indicated that approximately 20 carers had attained qualifications with a further 20 currently undertaking training. Consultation with staff suggested that further NVQ assessors would be beneficial in meeting the demands of carers with training. • Training concerning safe care is provided. • Assurance was given that help and support for sons and daughters of foster carers, is provided. With opportunities extended to additional members of the family other than main carers to attend training. Consideration is currently being given to the setting up of a group for birth children of carers, a deciding factor will be that take up off the group by Durham Local Authority Fostering Service Page 39

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

children/young people and it was anticipated that the group would revolve around what the members wanted to do. • Other initiatives to be developed within this area include the use of an independent consultant who has been tasked with the development of training packages/modules for carers with varying levels of experience. The CAMHS team has also been undertaking work at the request of the service to discern what the training needs of carers are so that specific training can be delivered. • The annual review process includes appraisal of training and the developmental needs of foster carers. • The effectiveness of training courses is evaluated following delivery in line with best value. • The responsible person should give consideration to the provision of additional NVQ trainers so as to more readily meet the needs of carers. • Even with the aforementioned recommendation it is clear that this is an area of strength

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

within the service with fostering workers investing there expertise and experience in training and supporting carers. It is envisaged that with the implementation of the aforementioned initiatives that this standard will be exceeded. Durham Local Authority Fostering Service Page 40

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The intended outcome for the following set of standards is:

• All appropriate records are kept and are accessible in relation to the fostering services and the individual foster carers and foster children.

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maintained for each child or young person in foster care which details the nature and

quality of care provided and contributes to an understanding of her/his life events.

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

anyone involved in her/his care. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • Children’s files are maintained by their social workers. The fostering service receives only the relevant information concerning the child/young person and this information is not retained when the child moves on. • A draft written policy regarding case recording has been compiled and this requires amendment and finalising. • Assurance was given that where agencies are used procedures are in place to ensure effective integration of information between the placing authority and the agency. • Case tracking and the majority of questionnaires confirm that carers are informed about the reason for the placement and the child’s legal status. • Carers with support of fostering officers and if required in liaison with specialist agencies are able to work with children/young people with the carrying out of specific tasks, which

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

can assist the young person with further understanding of their history. Children/young people are able keep any memorabilia. • Carers are provided with diaries in which to record significant daily events concerning the child. • Confidentiality is discussed with carers including the secure storage of information. • The responsible person should ensure that evidence is maintained to demonstrate that foster carers have the available facilities in which to securely store confidential information.

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The fostering service's administrative records contain all significant information

relevant to the running of the foster care service and as required by regulations. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • Recruitment records are kept for staff. Records are maintained in respect of staff, children, carers, complaints and allegations. • There are systems in place including a comprehensive database and records are monitored for quality. • The comprehensive confidentiality policy makes clear the role of officers and the services compliance with all legislation in this area including the Data Protection Act 1998. The policy outlines the process involved with accessing information. • Information can be obtained and shared as appropriate in the event that a child moves. Durham Local Authority Fostering Service Page 41 • The senior manager confirmed that, the procedure for managing and storing confidential information was known to panel members, staff and specialist advisors.

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The fostering service's administrative records contain all significant information

• A number of records were examined during the inspection including records of complaints and accidents, the latter record was found to be significantly out of date. • Documentation is in keeping with the “Looked After Children” System. • Records of checks and references are maintained. • The authority monitors information concerning the nature and outcome of complaints. • The authority keeps the majority of information as required by Regulation 31 and 22 within electronic IT systems. A minor component part of the information, which makes up the registers for carers and children/young people, is retained within individual files. • The responsible person should ensure that there are sufficiently robust systems in place so that the record of accidents occurring to children whilst placed with foster carers is maintained up to date.

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The fostering service's administrative records contain all significant information

Number of current foster placements supported by the agency: 317 Number of placements made by the agency in the last 12 months: 698

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months:

Number of new foster carers approved during the last 12 months: 72 Number of foster carers who left the agency during the last 12 months: 25

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Maximum £

999.18 Durham Local Authority Fostering Service Page 42

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The intended outcome for the following standard is:

• The premises used as offices by the fostering service are suitable for the purpose.

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Standard 26 (26.1 - 26.5)

Premises used as offices by the fostering service are appropriate for the purpose. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: - • The fostering team have relocated office since the time of the last inspection, and two fostering teams occupy the current building. • The offices are accessible and secure systems are in place regarding access to the building. • All team managers are based alongside of the team. • Premises are clearly identifiable and can be accessed during office hours. • IT and secure storage of information arrangements are in place, which are robust and efficient. • Premises are adequately equipped. • Assurance was given that equipment is insured. • A further planned move was imminent for the whole team, which was considered to be an improvement in that this includes the provision of reception areas, which will enable prospective carers attendance at panel.

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Standard 26 (26.1 - 26.5)

• The planned move will bring the Fostering and Adoption services together. Durham Local Authority Fostering Service Page 43

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The intended outcome for the following set of standards is:

• The agency fostering services are financially viable and appropriate and timely payments are made to foster carers.

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The agency ensures it is financially viable at all times and has sufficient financial

resources to fulfil its obligations. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met:-

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The agency ensures it is financially viable at all times and has sufficient financial

• In view of the way in which the local authority is funded the NCSC accept the continuing financial viability of the fostering service and as such this standard is fully met.

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

in accordance with sound and appropriate accounting standards and practice. Key Findings and Evidence Standard met? 3 The following information evidences that this standard is met: -

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

• In view of the way in which the local authority is funded the NCSC accept the continuing financial viability of the fostering service and as such this standard is fully met.

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

made promptly and at the agreed time. Allowances and fees are reviewed annually. Key Findings and Evidence Standard met? 2 The following information evidences that this standard is almost met: - • Foster carers receive an age related fostering allowance and expenses as appropriate. Payments to carers are carefully monitored to ensure correct and timely payment. Carers are paid at one of three banded rates based upon their skills and experience. The banding system has been further developed since its inception with the recruitment of carers specifically offering a service to teenagers. The development of further banding levels is also being undertaken. • Carers are informed of allowances that are payable to them. • Information about fostering allowances is referred to within the Foster Carers Agreement. Details concerning finance provision for inclusion within the foster carers handbook has been compiled ready to be discussed at the team meeting.

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

A recommendation about the inclusion of financial matters within the carers handbook is already made within this report, this should include information about allowances. Durham Local Authority Fostering Service Page 44

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The intended outcome for the following set of standards is:

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

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

in practice, about the handling of their functions. Key Findings and Evidence Standard met? 4 The following information evidences that this standard is exceeded: - • The service has three panels in place and for the purposes of the inspection the Task Centred Panel was observed. • The service benefits from having a totally independent panel chair who is clearly very experienced and a valuable source of expertise to the service. • Panel polices and procedures provide clear guidance as to decision- making when all panel members are not in agreement. • The panel meeting effectively demonstrated the quality assurance function of panel with close scrutiny of assessments and a vocal and confident panel body. • Consultation with the fostering panel medical advisor confirms that panel uses this specialist advisor appropriately and the advisor is also invited to contribute as a full member. • Panel members include expertise in child health and a foster carer along with

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

representation from a number of other agencies and a local authority representative. There are plans in place in place to invite an education professional to sit on panel again to replace the previous member who has stepped down. • Minutes of Panel meetings make clear the reasons for its recommendations. • The role of the “Agency Decision Maker” is made clear to panel members. • It is intended that with the relocation of fostering team, prospective carers will be invited to meet panel upon completion of the assessment. Durham Local Authority Fostering Service Page 45

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The intended outcome for the following set of standards is:

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

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

of children receiving short-term breaks. Key Findings and Evidence Standard met? 2 The following information evidences that this standard is almost met: - • The fostering service does provide minimal short-term breaks for children however there are no specific policies and procedures in place, which was attributed to the small numbers of mainstream carers providing this service. The majority of short- term breaks are provided by a voluntary agency and there is a service level agreement in place to provide shared care for parents of children who have a disability. • Consultation with senior managers confirms that as part of the recruitment strategy the provision of short-term breaks Foster Care is being promoted. • The responsible person should ensure that policy and procedures are implemented in practice, which are designed to meet the particular needs of children receiving short- term breaks. • It was evident that where possible birth parents remain central to the promotion of health,

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

education and the ongoing welfare of the child whether the child is placed on a long or short- term basis. Durham Local Authority Fostering Service Page 46

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The intended outcome for the following set of standards is:

• Local authority fostering services' policies and procedures for assessing,

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there is recognition of the particular relationship and position of family and friend

carers. Key Findings and Evidence Standard met? 2 The following information evidences that this standard is almost met: - • It was clear that the service are sensitive in recognising the importance and significance of pre-existing relationships in assessing “Family and Friends” as foster carers. • A referral pack is in existence for the benefit of children and families social workers, which is sent to them containing assessment documentation and detailing the process, which should be followed with regards to an assessment under Regulation 38. • Issues were identified in relation to the completion of assessments within the timescales required which in some circumstances may be further complicated because of court proceedings. It was also clear that there was variance in terms of the quality of some assessments in this area, which panel identified and which was appropriately addressed in that decision making was deferred until further information could be provided.

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there is recognition of the particular relationship and position of family and friend

• The service were well aware of the issues concerned and as already indicated investment in this area is evident by the plans for a dedicated team to be appointed. Assurance was made that these matters would be addressed as part of the remit of the team manager for family and friends as carers. • Documentary evidence was being maintained by the service by way of monitoring the status and progression of assessments in this area. • Although it is acknowledged that the service is progressing matters in this area. The responsible person should ensure that every effort is made to meet the timescales in compliance with regulation 38. • The responsible person should ensure that evidence is maintained which demonstrates that support and training needs for family and friends carers is maintained which demonstrates that the support and training needs are assessed and met in the same way as for any other carer.

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there is recognition of the particular relationship and position of family and friend

• It is recommended that consideration be given as to the compilation of an information leaflet for family and friend as carers, which provides them with additional information about the fostering service and the assessment process. Durham Local Authority Fostering Service Page 47

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(where applicable)

A Lay Assessor did not accompany the Inspector on this occasion

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Date

Durham Local Authority Fostering Service Page 48

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comments/confirmation relating to the content and accuracy of the report for

We would welcome comments on the content of this report relating to the Inspection conducted on 15 th March 2004 and any factual inaccuracies:

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comments/confirmation relating to the content and accuracy of the report for

Please limit your comments to one side of A4 if possible The Providers Response has been received and can be viewed at the Darlington Area Office Durham Local Authority Fostering Service Page 49

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

Amendments to the report were necessary YES

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

Comments were received from the provider YES

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

Provider comments/factual amendments were incorporated into the final inspection report NO

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

YES Provider comments are available on file at the Area Office but have not been incorporated into the final inspection report. The inspector believes the report to be factually accurate

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Note:

In instances where there is a major difference of view between the Inspector and the Registered Provider responsible Local Authority fostering service Manager both views will be made available on request to the Area Office.

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report:

Action plan was received at the point of publication YES

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report:

Action plan covers all the statutory requirements in a timely fashion YES

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report:

Action plan did not cover all the statutory requirements and required further discussion NO

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report:

Provider has declined to provide an action plan NO

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Public reports

It should be noted that all NCSC inspection reports are public documents. Reports on children’s homes are only obtainable on personal application to NCSC offices.

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D.3 PROVIDER’S AGREEMENT

Durham Local Authority Fostering Service Page 50

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

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

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

the statutory requirements made and will seek to comply with these.

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Date

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

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