SELF-ASSESSMENT GUIDE For Institutions Working with Children Mission of the SelfAssessment To ensure that managers and staff assess the services on a regular basis with the participation of the child, parent and all relevant parties in order to improve the quality of care services with all due respect to the rights of the child. FOREWORD It is one the primary responsibilities of our Ministry to provide care and protection services for children deprived of family environment temporarily or permanently, and to identify standards for these services. General Directorate of Child Services has been carrying out its initiatives with the purpose of improving the quality of care services by considering the well-being, security and needs of children and teenagers. Within this context, minimum standards, which must be met in all our care units, have been identified under the UN Convention on the Rights of the Child and these minimum standards have been notified to all our organizations “Programme on Monitoring and Evaluation of Minimum Standards” was developed and introduced on July 3, 2013 with the aim of facilitating the registration of services provided by our care units and measurement, monitoring and assessment of the progress. Within this framework, “Strengthening Internal Audit in Child Care Services and Establishing Self-Assessment System” Project was conducted under the coordination of General Directorate of Child Services and supervision of Head of Internal Audit Unit of the Ministry with the technical support of UNICEF. Implementation Guide for “Self-Assessment” system has been developed at the end of the project. By using this guide, managers and staff engaged in child care services can assess their services in line with the pre-defined quality indicators. Understanding and adopting the national minimum standards are crucial for implementing the self-assessment system successfully. I wish that this Guide prepared in order to pave the way for applying the Minimum Standards in child care services and improving the quality of services will be useful for our managers and staff. Associate Prof. Ayşenur İSLAM Minister of Family and Social Policies Self Assessment Guide Contents FOREWORD ............................................................................................................................................. 1 ABBREVIATIONS AND DEFINITIONS......................................................................................................... 3 BACKGROUND ......................................................................................................................................... 4 INTRODUCTION ....................................................................................................................................... 6 SCOPE ...................................................................................................................................................... 7 RELATIONSHIP BETWEEN MINIMUM STANDARDS AND SELF-ASSESSMENT .......................................... 9 IMPLEMENTATION AND REPORTING OF SELF-ASSESSMENT ................................................................ 16 SELF-ASSESSMENT SURVEY ................................................................................................................... 19 PARTICIPATION IN SELF-ASSESSMENT .................................................................................................. 26 CARE ASSESSMENT SURVEYS................................................................................................................. 28 APPENDICES........................................................................................................................................... 30 Self Assessment Guide ABBREVIATIONS AND DEFINITIONS Within the scope of this Guide; 1. Child Care Institutions represent Houses of Affection, Protection, Care and Rehabilitation Centers, Care and Social Rehabilitation Centers, Directorates of Children’s Houses Coordination Center and Admission and Intervention Units providing care and/or rehabilitation services for Children at the age of 7 and above. 2. Child Care Institutions Managers represent the managers of the institutions mentioned in the first article, 3. Minimum Standards represent Minimum Standards for Children Deprived of Parental care, 4. General Directorate represents General Directorate of Child Services affiliated to the Ministry 5. Audit Units represent the Head of Internal Audit Unit and the Head of Audit Services affiliated with the Ministry. Self Assessment Guide BACKGROUND Improving the quality of protection, care and rehabilitation services “for service beneficiaries” and implementing monitoring, assessment and supervision activities related to the Services are some of the strategic objectives of the Ministry for the 2013-2017 period. It is intended to implement minimum standards to increase the satisfaction of children and families who benefit from childcare institutions and establish a self-assessment and reporting system that provides effective and result-oriented monitoring of the services. In line with these aims and purposes, during 2013 “Strengthening Internal Audit in Child Care Services and Establishing Self-Assessment System” Project was conducted by our General Directorate with the technical support of UNICEF and under the supervision of Head of Internal Audit Unit of the Ministry in order to activate Self-Assessment system in child care institutions and prepare the Guide for implementation. The Project team consisting of representatives of General Directorate of Child Services and internal auditors was supported by external consultants Ian Milligan and Ronnie Hill who were selected by UNICEF. Within the scope of the project, a Workshop was held in Ankara between 21-25 May 2013 with the participation of 33 people composed of the representatives of the Provincial Directorate of Ankara and the childcare institutions, the participants from General Directory, internal auditors and international experts. In the Workshop, quality assessment areas to be addressed in the self-assessment process, quality objectives regarding these areas, activities to be carried out to achieve the objectives and evidence related to activities were identified. The Project team held a study visit to Scotland between 26-30 August 2013 with the aim of inspecting the implementations of self-assessment system of the childcare institutions on site and sharing results and experiences. The drafts of the surveys and the guide, which would be used during the self-assessment process, were prepared by making use of information and sources obtained from the study visit. The drafts were revised in the Workshop held in İstanbul between 07-11 October 2013 with the participation of external consultants. On November 25 - December 06, 2013, plausibility and suitability of the questions included in the Care Assessment Survey were tested. The survey is going to be used during the selfassessment to be conducted among 71 children, 31 families and 25 staff members in institutions selected in the province of Ankara. Following the practitioner’s trainings aimed at the managers and staff, self-assessment system will be put into practice in 2014. This Guide has been prepared with the support of various managers and staff that provide childcare services and children and their families that benefit from these services. Self Assessment Guide PROJECT TEAM AND THE AUTHORS OF THE GUIDE İdris YEKELER, Provincial Director of Ankara (Project Officer) Gülay TÜRK, Unit Supervisor, General Directorate of Child Services, Department of Care Services Engin ASLAN, Unit Supervisor, General Directorate of Child Services, Department of Care Services Ergin BALCI, Unit Supervisor, General Directorate of Child Services, Department of Education and Social Assistance Services Nuran Ceylan ÖZBUDAK, Social Worker, General Directorate of Child Services, Department of Protective Preventive Services Esma İNCE, Child Development Specialist, General Directorate of Child Services, Department of Social Rehabilitation Eylen SAVUR, Programme Officer, UNICEF Turkey Country Office, Child Protection Unit Sedat ERGENÇ, Internal Auditor, Presidency of Internal Audit Unit of the Ministry Ayfer AKSU, Internal Auditor, Presidency of Internal Audit Unit of the Ministry Evren G.ERMİSKET, Internal Auditor, Presidency of Internal Audit Unit of the Ministry As Project Team, we wish to express our sincere gratitude to; UNICEF Turkey Country Office for providing technical support during the project; Our Project consultants Ian Milligan (CELCIS) and Ronnie Hill (Children1’st) for sharing reference documents and examples of best practice, as well as their precious opinions and suggestions with Project team; Within the framework of its strategic goals of our Ministry, we would like to thank Abdülkadir Kaya, General Director of Child Services, who made a decision to adopt Minimum Standards and improve the self-assessment system, which is going to contribute significantly to effective and result-focused monitoring of services; Osman ÇAKIR, Deputy Head of Department of Care Services of General Directorate of Child Services, for her continuous support during the project; Birgül ÇELİK, S. Dilara ARSLAN, Mustafa TOPAL and Ramazan BAYKARA, Deputy Managers of Institutions in Ankara; Social Workers Seda ÖZCAN and İsa KAPLAN; Child Development Specialist Süreyya SUSUZ; Physiotherapist Sultan BİLİR; Teachers Esin AYDIN and Mediha SOMUNCUOĞLU for their contributions to identifying the quality assessment areas and quality objectives that underpin Self-assessment process, Provincial Director İsmet ZOR for sharing his knowledge, experience and suggestions during the Project team visit as well as the managers and staff of the child care institutions in Gaziantep, Self Assessment Guide Staff of the child care institutions in Ankara and children and their families for their contributions to testing process of survey forms. INTRODUCTION In order to improve the quality of care and protection services provided in the child care institutions affiliated to the Ministry and ensure their compliance with the UN Convention on the Rights of Child, Minimum Standards that must be met by the child care institutions have been identified. Aligning the services provided in the institutions with these Standards and monitoring the quality of services are under the responsibility of the Managers of the Institutions Various activities have been conducted by the Institution Managers with the aim of monitoring the quality of services. These activities can be classified as continuous monitoring and special assessments. Continuous monitoring is carried out during service providing process between staff conducting the activities and the managers responsible for auditing. Continuous monitoring includes regular management and supervision activities, comparisons and other measures taken by the staff. Additionally, various activities such as preparing and ratifying implementation plans for children, monitoring their attendance and achievements in school, creating their daily activities schedule, distributing pocket money and materials by signature are included in the scope of continuous monitoring. Moreover, there are special assessment activities conducted by the managers and staff periodically. Special assessment activities include measuring of performance based on performance indicators, satisfaction surveys, evaluation of notices and complaints, preparation of annual reports, periodic assessment meetings. Self-assessment is a method of supervising and reporting that is used by the managers in order to determine the adequacy of the outcomes in achieving specific objectives and contains all the monitoring activities carried out via continuous assessments and special assessments. The aim of self-assessment is to improve the quality of the childcare services and contribute to the welfare of children who benefit from these services. Therefore, it focuses on the impact of the services on children rather than the outcomes. Self-assessment system also makes important contributions to; Identifying and managing the risk factors that can prevent the objectives in the field of child care services from being fulfilled, Identifying best practices and expanding them, Identifying the areas that need to be improved and providing reasons for them, Self Assessment Guide Increasing the participation of children, their families and staff into the development of service provision processes, Providing the accountability for the services, Increasing the effectiveness of supervisions regarding childcare institutions. The most important aspect of the system is to ensure the active participations of children and their families that benefit from the services, as well as the service providers, into assessment process. This Guide has been prepared in order to lead the managers and stuff during the implementation of self-assessment system in accordance with the legislations and regulations in force. The primary users of the Guide are the Institution Managers and staff that will carry out the implementation. In addition, the Provincial Directorates, the General Directorate and audit units, responsible for monitoring and supervision of the services provided in the institutions, also make use of this Guide. During the implementation process of self-assessment, the Institutions can use other instruments and methods apart from the ones recommended in this Guide on the condition that they are not against essential requirements. The implementation of self-assessment system does not pose an obstacle in practicing and developing other methods in order to achieve the objectives aimed at improving the quality of services in institutions. The Guide will be revised and updated every year in line with the evaluations and the suggestions of the practitioners. Self-Assessment gives the Institution Managers an opportunity to present their achievements, provide reasons for failures and define the path to success. Self Assessment Guide SCOPE Houses of Affection, Children’s Houses Coordination Centers, Protection, Care and Rehabilitation Centers, Care and Social Rehabilitation Centers, Initial Prevention and Assessment Units for Child Protection, which are affiliated to the Ministry and provide services for children at the age of six (6) and above, have been included in selfassessment system. Standards for Infants and Toddlers, included in Minimum Standards, have been excluded from self-assessment system for the first years of implementation because of the possible difficulties in ensuring the participation of children, which is one the essential components of self-assessment system. The exclusion of this Standard does not end the obligation of institutions to fulfill the requirements of this Standard. Self Assessment Guide RELATIONSHIP BETWEEN MINIMUM STANDARDS AND SELFASSESSMENT Minimum standards that must be met by the childcare institutions affiliated to the Ministry are divided into five (5) different categories. These are: 1. Professional Practices 2. Personal Care 3. Staff 4. Sources 5. Management There are twenty-eight (28) Standards under these categories. Table.1 MINIMUM STANDARDS 1. Professional Practices Standard 1.1 Aims and Targets Standard 1.2 Child Protection Policy Standard 1.3 Implementation of Child Protection Standard 1.4 Transition and Admission Standard 1.5 Planning of Implementations of Services and Rehabilitation Standard 1.6 Reviewing the Plan on Implementations of Services and Rehabilitation Standard 1.7 Rehabilitation, Care and After-Care Processes 2. Personal Care Standard 2.1 Nutrition Standard 2.2. Health Standard 2.3 Play and Entertainment Standard 2.4 Respect for the Privacy of Children Standard 2.5 Choice/Preference Standard 2.6 Esteem and Respect Standard 2.7 Relationships and Attachment Standard 2.8 Children’s Sense of Identity Standard 2.9 Sanctions and Control for Children Standard 2.10 Making Children’s Voices Heard Standard 2.11 Education Standard 2.12 Infants and Toddlers 3. Staff Standard 3.1 Employment and Selection Self Assessment Guide Standard 3.2 Supervision and Support for the Staff Standard 3.3. Assignment Standard 3.4 Training and Development of the Staff 4. Sources Standard 4.1 Location and Environment Standard 4.2 Conditions of Living Spaces 5. Management Standard 5.1 Records Standard 5.2 Confidentiality Standard 5.3 Role of the Managers In the self-assessment system, the quality of care services is evaluated with “Quality Assessment Areas and Quality Objectives”. Quality assessment areas and quality objectives have been identified in line with the minimum standards, the indicators regarding minimum standards and the counter indicators. Quality Assessment Areas refer to the issues that will affect the quality of service critically and be addressed during the self-assessment process. Twenty-eight (28) minimum standards have been grouped under eighteen quality assessment area titles. Quality Assessment Areas are listed below. The numbers next to the assessment area show relevant standard or standards. Self Assessment Guide Table 2. Quality Assessment Areas 1. Professional Practice 1.1. Quality Assessment Area: Aims and Targets (Standard 1.1.) 1.2. Quality Assessment Area: Child Protection (Standard 1.2., 1.3.) 1.3. Quality Assessment Area: Care Plan (Standard 1.4., 1.5., 1.6.) 1.4. Quality Assessment Area: Transition Plan (Standard 1.7.) 1.5. Quality Assessment Area: Participation of Children in Management and Making Their Voices Heard (Standard 2.10.) 2. Personal Care 2.1. Quality Assessment Area: Nutrition and Health (Standard 2.1., 2.2.) 2.2. Quality Assessment Area: Play and Entertainment (Standard 2.3.) 2.3. Quality Assessment Area: Education (Standard 2.11.) 2.4. Quality Assessment Area: Behavioral Control and Sanctions (Standard 2.9.) 2.5. Quality Assessment Area: Identity Development and Esteem Achievement (Standard 2.4., 2.5., 2.6., 2.8., 2.9.) 2.6. Quality Assessment Area: Relationships and Attachment (Standard 2.7.) 3. Staff 3.1 Quality Assessment Area: Employment and Assignment (Standard 3.1., 3.3.) 3.2. Quality Assessment Area: Training and Development of the Staff (Standard 3.2.) 3.3. Quality Assessment Area: Consultancy and Support for the Staff (Standard 3.2., 3.4.) 4. Sources 4.1. Quality Assessment Area: Children's Living Spaces (Standard 4.1., 4.2.) 4.2. Quality Assessment Area: Management of Voluntary Contributions and Participations (Standard 4.1.) 5. Management 5.1. Quality Assessment Area: Planning, Monitoring and Reporting of the Activities of Service Provider (Standard 5.3.) Self Assessment Guide 5.2. Quality Assessment Area: Records (Documentations) and Protection of Confidentiality (Standard 5.1., 5.2.) There are 1-5 quality objectives associated with each quality assessment area. These objectives refer to the expected outcomes of the services. In the self-assessment process, the performance of the institution will be evaluated in the light of its competency to achieve these quality objectives. The quality objectives are presented in the table below: Table 3. Quality Objectives 1. Professional Practice 1.1. Quality Assessment Area: Aims and Targets (Standard 1.1.) Quality Objective 1.1.1. Children are provided with detailed information on which services will be provided by the service providing institution for how long, the way they will receive care services, persons who will listen to their demands and problems, life and rules in care institutions and other relevant issues. Quality Objective 1.1.2. Families are also informed on aims of the service, their duties and responsibilities. Quality Objective 1.1.3. Stakeholders are informed on aims and of the service provider, their own duties and responsibilities. Quality Objective 1.1.4. The staff are aware of aims and purposes of the service provider. 1.2. Quality Assessment Area: Child Protection (Standard 1.2., 1.3.) Quality Objective 1.2.1. Staff, especially those who directly work with children, have necessary knowledge and experience to identify child abuse or neglect cases and make necessary interventions. Quality Objective 1.2.2. Staff are aware of the institutional and legal reporting principles for child abuse and neglect cases. Quality Objective 1.2.3. The structure of the service provider and living space of children prevents child abuse and neglect. Quality Objective 1.2.4. Children are protected from peer pressure. 1.3. Quality Assessment Area: Care Plan (Standard 1.4., 1.5., 1.6.) Quality Objective 1.3.1. Each child is provided with individualized service within a specific plan. Self Assessment Guide Quality Objective 1.3.2. Family and social support oriented approaches are adopted throughout the service provision process. Quality Objective 1.3.3. Participation of child and his/her family is ensured 1.4. Quality Assessment Area: Transition Plan (Standard 1.7.) Quality Objective 1.4.1. Children, whose institutional care will be ended, are provided with the appropriate and adequate services that will prepare them for their new lives. 1.5. Quality Assessment Area: Participation of Children in Management and Making Their Voices Heard (Standard 2.10.) Quality Objective 1.5.1. Children's participation in decision-making processes that affect the management of the service providers they reside in and their lives in ensured and they are supported in this regard. No children is deprived of their right to express their opinions. 2. Personal Care 2.1. Quality Assessment Area: Nutrition and Health (Standard 2.1., 2.2.) Quality Objective 2.1.1. Children are provided with a proper, adequate and balanced nutrition for their age and development and their participation in the food selection and cooking is ensured so that they can enjoy their meals Quality Objective 2.1.2. Children can participate in the meal planning, grocery shopping and cooking processes. Quality Objective 2.1.3. Medical needs of the children have been identified and necessary services are provided. 2.2. Quality Assessment Area (Standard 2.3.) Quality Objective 2.2.1. Children have access to play and entertainment activities appropriate for their age, development and interests. 2.3. Quality Assessment Area: Education (Standard 2.11.) Quality Objective 2.3.1. Children are ensured to fully benefit from education opportunities appropriate for their needs and conditions and promoted in this regard. 2.4. Quality Assessment Area: Behavioral Control and Sanctions (Standard 2.9.) Quality Objective 2.4.1. Rules and sanctions set for the children respect their rights and best interests. 2.5. Quality Assessment Area: Identity Development and Esteem Achievement (Standard 2.4., 2.5., 2.6., 2.8., 2.9.) Quality Objective 2.5.1. Right to privacy is promoted and respected in line with the best interests of the children. Self Assessment Guide Quality Objective 2.5.2. Children are encouraged to make informed choices. Quality Objective 2.5.3. Self-esteem of the children are considered and respected. Quality Objective 2.5.4. Children's sense of identity is supported. Quality Objective 2.5.5. Children are enabled to achieve self-esteem and self-confidence. 2.6. Quality Assessment Area: Relationships and Attachment (Standard 2.7.) Quality Objective 2.6.1. There is a good relationship based on trust between staff and children. Children feel comfortable and peaceful under the protection of staff. Quality Objective 2.6.2. Children’s relations with their families are ensured to be protected and strengthened. 3. Staff 3.1. Quality Assessment Area: Employment and Assignment (Standard 3.1., 3.3.) Quality Objective 3.1.1. Adequate number of qualified staff with adequate experience have been employed and assigned for the fulfillment of children's needs. 3.2. Quality Assessment Area: Training and Development of the Staff (Standard 3.2.) Quality Objective 3.2.1. Staff are provided with training and development opportunities. 3.3. Quality Assessment Area: Consultancy and Support for the Staff (Standard 3.2., 3.4.) Quality Objective 3.3.1. Service provider has a consultancy (supervision) and support mechanisms that assess the development and performance of the staff and produce feedbacks. 4. Sources 4.1. Quality Assessment Area: Children's Living Spaces (Standard 4.1., 4.2.) Quality Objective 4.1.1. Location and design of the service provider comply with the features of the service. 4.2. Quality Assessment Area: Management of Voluntary Contributions and Participations (Standard 4.1.) Quality Objective 4.2.1. Management of the voluntary contributions and participations favors the best interests of the children. 5. Management 5.1. Quality Assessment Area: Planning, Monitoring and Reporting of the Activities of Service Provider (Standard 5.3.) Quality Objective 5.1.1. Aims and purposes are defined in line with the vision and mission of the service provider with the participation of children, taking the results achieved in previous years into account. Quality Objective 5.1.2. Progress achieved within the plan is monitored and necessary revisions are made. Self Assessment Guide Quality Objective 5.1.3. Report on the progress achieved in each term is prepared and submitted to relevant authorities. 5.2. Quality Assessment Area: Records (Documentations) and Protection of Confidentiality (Standard 5.1., 5.2.) Quality Objective 5.2.1. All service records and reports related to children's care have been fully and accurately kept and confidentiality of these records and reports has been ensured. Quality Objective 5.2.2. Records related to the children are written in an understandable, considerate and positive language. Records are shared with the child of subject in order to enable the child to understand his/her situation and to maintain his/her healthy development, protecting his/her best interests. Quality Objective 5.2.3. Staff observes the principle of confidentiality of private information about the children. Quality Objective 5.2.4. Confidentiality is secured during the transfer of information. Quality Objective 5.2.5. Have the children been informed of the confidentiality and sharing of the information about themselves and others? Self Assessment Guide IMPLEMENTATION AND REPORTING OF SELF-ASSESSMENT In the self-assessment process, the managers of institution will evaluate the competency of institution to realize the quality objectives in line with the compliance criteria with the participation of children, their parents, staff and other stakeholders. Within the self-assessment, the managers should; Evaluate the method they used for realizing the quality objectives, Show evidences to prove the accuracy of information they present, Identify the areas that need to be improved and make a plan on how and when to make these improvements, Grade the services they provide in line with their own assessment The attached “Self-Assessment Survey” is referred when conducting the self-assessment and preparing relevant report (APPENDIX 1). It is necessary to complete the Self-assessment report and submit it to the Provincial Directorate and General Directorate using the attached Report Template (ANNEX 2) by December of each year. Self-assessment survey should be annually filled and submitted to the relevant Provincial Directorate and General Directorate as of December. Moreover, Self-Assessment, which aims continuous development, is not a one-time practice but a dynamic process that goes on throughout the whole year. Therefore, data should be entered in the survey on a regular basis throughout the year and the data entered in the survey should be kept updated, rather than rushing to fill it in a short period. Self Assessment Guide Establishing Self Assessment Team Monitoring the Progress Conducting the Assessment Continuous Development Compeletion and Submission of the Form Planning the Activities for Improvement Grading Manager of the service provider is responsible for the coordination of Self-Assessment process, completeness and accuracy of the data in the Survey and submission of the Survey to relevant authorities. The following steps should be followed when conducting Self-Assessment: Manager of the service provider should plan the execution of process each year and identify the persons to be included in the Self-Assessment team. It is important that various areas of expertise be represented in the Self-Assessment team. The manager of the service provider should hold an Opening Meeting with the participation of all staff. The expected duties of the staff with regards to SelfAssessment should be explained in this meeting. In order to ensure the effectiveness of self-assessment, the staff should be well familiar with the Minimum Standards and Quality Assessment Areas and Quality Objectives. The duties assigned to the staff within the Self-Assessment should be scheduled and progresses should be periodically evaluated together. Data can be entered in the Self-Assessment Survey by the manager himself/herself as well as by the assigned member of Self-Assessment team. Each service provider will be issued only one Self-Assessment Survey. In addition to this, quality of care services should be compared and progresses should be monitored in care houses (especially in Houses of Affection and Children’s Houses). For this reason, the need for this comparison and monitoring should be Self Assessment Guide taken into consideration when assigning duties concerning self-assessment. It should be ensured that Accuracy of the data received from the persons in charge of Care Houses and Groups are checked and the consolidated data are entered in the Self-Assessment Survey by Self-Assessment team. Results of Self-Assessment should be shared with the children and their families who are benefitting from the service, as well as with the staff. Thus, personal information such as name, and surname of the children, families and staff should never be specified and a positive and constructive language should be used in the Survey. Sections of the Self-Assessment Survey are explained below. Self Assessment Guide SELF-ASSESSMENT SURVEY Self-Assessment Survey consists of eighteen (18) Quality Assessment Areas and each of these areas is composed of the following sections: Quality Objectives Compliance Criteria Sources of Evidence Strengths of Service Provider Areas of Improvement Other Issues Action Plan Grading As explained in the previous sections, Quality Assessment Areas have a critical impact on the service quality and refer to the issues to focus on during the self-assessment process. The numbers associated with these quality assessment areas indicate the relevant minimum standard(s). In the Self-Assessment Survey, there are relevant Quality Objective(s) under each Quality Assessment Area. These Objective(s) describe the situation(s) that are (is) expected to be established with the services. In the self-assessment, performance of the service provider will be assessed in terms its competency to achieve these quality objectives. Other sections of a Quality Assessment Area are explained below. COMPLIANCE CRITERIA There are Compliance Criteria given under Quality Objective(s) in the Self-Assessment Survey. Compliance Criteria consist of minimum necessary activities to be conducted by service providers to achieve Quality Objectives. For example, the compliance criteria given under “1.1 Quality Assessment Area: Aims and Targets” which cover four (4) Quality Objectives are: Is there any “Aims and Purposes" document that involves aims and purposes, philosophy, working principles and priorities of the care provider? Has this document been prepared in line with the opinions and needs of all relevant parties, including children, their families and staff? Do the aims and purposes, philosophy, working principles and priorities of the service provider respect to the high benefits of children? Are aims and purposes understood by all relevant parties (children, staff and stakeholders)? Are aims and purposes understandable to the children in visual and audial terms? Are there any specific measures for children with special needs or non-Turkish speaking children? Is the aims and purposes document updated in line with the feedbacks received from children, their families and stakeholder? Is there any systematic introduction and adaptation programme, which is implemented on a regular basis for newcomer children in the service provider? Self Assessment Guide Do the children receive any support that helps them understand the reasons why they are staying in the institution, and deal with these reasons? Strengths and areas of improvement of the service provider should be identified in the light of answers to the questions of Compliance Criteria and noted in the relevant textboxes in the self-assessment process. Self Assessment Guide SOURCES OF EVIDENCE The assessments conducted by the managers during the self-assessment process should be based on evidence. Formal letters, documents, procedures, surveys, minutes of meetings, records of interviews, reports, leaflets about the activities carried out, all kinds of records, photographs, videos, e-mails, records of management information system etc. can be used as evidence in the self-assessment. There are some sources of evidence under the compliance criteria in the selfassessment form but it is not limited with these. However, it is necessary that records on the situations below be strictly kept: 1. Relevant professional practices with children 2. Visitors of institution and children 3. Daily life in the institution 4. Satisfaction surveys for staff 5. Staff meetings 6. Feedbacks received from children and their families 7. Illness, accidents and injuries of children 8. Complaints about children or staff and their conclusions 9. Any concern or report of child abuse and results of the investigations 10. Procedures such as day off, training and illness of staff 11. Notification of important events held in the institution 12. Children who left the institution without permission 13. Controlling methods and sanctions for children 14. Drugs, medical treatment and first-aid practices 15. Success of children at school and following it 16. Following shifts and assignments of staff A document or electronic record or procedure of the institution is not taken as sufficient evidence in terms of the expected results in the self-assessment. In the same way, lack of a record system or procedure does not mean that the result is evaluated as insufficient in the case of finding different evidence which shows service quality is sufficient and even better than this. This is why the impacts of the evidence especially on the quality assessment area and the quality objectives should be focused on. When assessing the competency to realise the Quality objectives, the evidence obtained from several sources should be interpreted all together and the difference between the previous situation of the service and its current situation, namely, the impacts of the service on the results should be addressed. Self Assessment Guide Quantitative Information Individuals’ Opinions QUALITY ASSESSMENT Direct Observation It is possible that the same records are used for more than one quality assessment area and quality objective. However, sufficiency of the evidence should be also assessed for each Quality Assessment Area. The sufficient evidence for the assessment area may be in supportive nature for another area. The answers given for the compliance criteria and assessments with regards to the strengths and areas, which need to be developed, should be certainly linked to the evidence. The collected evidence with regards to each assessment area throughout the year should be filed appropriately. By doing so, it will contribute to have self -assessment systematically conducted and to accountability of the assessments. The credibility of a self-assessment is limited to the sufficiency and credibility of evidence. Self Assessment Guide ACTION PLAN The level of reaching aims in each quality assessment area is assessed in the light of the collected evidence in line with the compliance criteria by the managers; thus, the strengths of the service and the areas, which need to be developed, are identified by the managers. In the next step of the self-assessment, the action plan of the survey is filled by determining the activities to be carried out in these areas, aims for these activities, due date and responsible individual. It should be ensured that the activities are realistic, accessible and measurable and that they are planned in a progressive way. Planned activities need to be carried out as soon as possible in line with the importance level of the developmental areas. The process of carrying out the activities should be monitored by the managers and the information on the process of carrying out the activities with regards to the relative period should be provided in the self-assessment survey. It should be noted that new activities will be able to be planned not only for the areas of improvement, but also for the areas, in which the service is strong, and that it is a part of the continuous development. How Successful Are We? This question will be helpful to identify the strengths of the service, How Good Can We Be? This question will be helpful to identify the areas which need to be developed, How Can We Know? This question will be helpful to identify the evidence. Self Assessment Guide GRADING In the last step of the self-assessment, the managers of the institutions are asked to grade the service performance based on a 1 – 4 scale in line with the assessments mentioned above. Thus, the managers are encouraged to think about the conducted performance in a more comprehensive way. • 4. Very Good • 3. Good • 2. Fair • 1. Poor It is very important that the managers assess all aspects of the service performance in an objective way and the grading is a crucial part of this assessment. The detailed explanations for the grades are in the table below. 1. Poor: The quality objectives with regards to the quality assessment area are not met. Although the institution has strengths for some aims, it has important weaknesses required for urgent action. There are serious concerns about the impacts of the service on children. The children and their families who benefit from the service are not included in the process of assessment. The children and their families may be unaware of the right to express their opinions about the service. 2. Fair: Most of the quality objectives with regards to the quality assessment area are met. The identified areas, which need to be developed for the quality objectives, which could not be achieved, do not have any significant negative impact on children. There is some evidence suggesting that staff takes opinions of children and their families during the service and considers these opinions in the provision of service. 3. Good: All quality objectives with regards to the quality assessment area are met. The institution has strengths for several quality objectives. There is an opportunity for children Self Assessment Guide and their families to participate in the service development and assessment. There is some evidence suggesting that the institution takes the opinions of children and their families into account. 4. Very Good: All quality objectives with regards to the quality assessment area are met. The institution has a great number of strengths for all quality objectives. Improvements for the areas, which need to be developed, are planned and swiftly carried out. The institution stands as an example for other institutions in a great number of areas. There are many methods and practices for children’s participation in services. There are several opportunities not only for the families, who will be able to participate more frequently, but also for all families. The children and their families are the most important part of the service providing. While grading the service performance, it should be thought about to what extent the Quality Objectives are reached and only one grade, which is in the grading table above and reflects the performance in the best way, should be picked for Each Quality Assessment Area. It will be assessed during the audits whether the grading made by the managers completely and truly reflects the service performance and the last grade about adequacy of the service to reach the quality objectives will be determined after this audit. Self Assessment Guide PARTICIPATION IN SELF-ASSESSMENT The participation of children, their families, staff and other stakeholders is one of the key elements of the self-assessment. The participation is meaningful as long as the people who benefit from the service express their opinions, receive feedbacks from the institution and contribute to the process. Including the opinions of children and their families in the assessment processes will enable to assess truly the care quality. The children and their families; • • • • • May provide information about functioning of the institution, May express their opinions about the beneficial and non-beneficial aspects of the service for themselves, May share their experiences, May be helpful to identify the problems more swiftly by sharing their experiences and May offer reformist proposals. The active participation of staff in the self-assessment is helpful for them to focus on improving the services and warn the managers about problematic areas and weaknesses. That’s why, it is necessary that children and their families benefiting from the service and staff should be included in the process of self-assessment and that opinions of these children, their families and staff should be taken into account in the grading process. The way participation is ensured and the efficiency of the methods used will be assessed during the audits and these assessment results will be reflected on the last grading. Therefore, it should be certain that sufficient evidence is collected during the self-assessment process. The participation of children and their families especially in the areas specified below should be ensured: Planning and Service Providing The children and their families are the main partners of the decision-making process for planning and implementation of the individual service. Therefore, the participation of children and their families should be ensured in the following areas: Identifying the areas which they need, Plans for the ways of meeting their needs, Reviewing these plans, Putting the service to an end, Recording and Reporting of Information The children and their families should be informed during the processes of recording and Self Assessment Guide reporting of information about themselves and their participation should be ensured. Accordingly, the opinions of children and their families should be in the survey and records, and appropriate information about children should be shared with them in a proper way by using appropriate language. There are several methods below which can be used to ensure participation in the services. Besides, it is possible that the institution can use additional methods. However, the most appropriate method should be preferred by assessing the conditions and private situations of children and their families. Interviews with children and their families; One-to-one interview is the best way to learn the opinions of children and their families about the institution or obtain important information and look at the problems comprehensively. The interviews can be helpful to establish communication with the groups shunned and people with special needs. Phone interviews; Families may be called. Phone interviews should be conducted in a similar format to that of one-to-one interviews and in line with the same principles. Focus groups; One-time meetings, in which the participants exchange opinions, may be held. In these meetings, the discussions for a specific subject should be made or the questions should be prepared before. It is appropriate that 8 or 10 people participate in these meetings. It should be ensured that people share their experiences by joining focus groups. Surveys; There are several survey/interview forms prepared for taking the opinions of children and their families about the service in the appendix of the Guide. In addition to these surveys, it is possible that other surveys with the same aim can be used. The surveys for care standards are useful tools for a qualified assessment. (APPENDIX: Surveys for Children and Family Assessment) Opinions, suggestions and complaints; Children, their families and staff should be enabled to express not only their complaints but also their opinions and suggestions. Opinions, suggestions and complaints are helpful to identify the areas, which are problematic and need to be developed. The existence of such systems shows that institution take opinions of the relevant parties into account. Moreover, it is possible that the problems on individual level are identified, searched and solved thanks to this system. Feedbacks received from staff; Staff are always in contact with children and their families; thus, they are aware of the problems and concerns about the services. The managers can ensure that problems are identified before getting bigger and solved by interviewing staff and analyzing the obtained information. Establishing such a dialogue to improve the service quality is also crucial for staff to feel valued. There are suggestions boxes for staff in several institutions providing service. Another method for receiving feedback from staff is survey. There is a Survey prepared for this aim in the appendix of the Guide. In addition to these surveys, it is possible that other surveys with the same aim can be used. Self Assessment Guide CARE ASSESSMENT SURVEY FORMS There are forms to ensure the participation of children, their families and staff in the service providing processes of the institution in the appendix of the Guide. Detailed explanations for these forms are as follows: 1. Care Assessment Surveys for Children There are 3 different forms for children and these forms are Admission Process Survey which needs to be filled within 1 month following the first admission of child to the institution, Care Assessment Survey for Institutions to be applied at least once within the period that child stays in the institution, and Care Assessment Survey for Leaving Children to be filled by children leaving the institution for different reasons. (ANNEX 3, 4, 5) These forms for children may be filled in different ways. The child may be asked to fill the form by himself/herself or it is possible that child or staff may write the answers down on the form after staff explains the questions on the form for child. The aim is to make the forms for children be comprehensible by 7-year-old and older children and the forms are not differentiated by age groups. It is necessary that authorized staff should assess the conditions of each child (age, disability, chronic illness, trauma etc.) by using forms during the application of Self-Assessment and that the most appropriate method for each child should be preferred. To ensure effectiveness of forms, it will be appropriate to allow 30 minutes for their completion, save for exceptional cases. 2. Care Assessment Survey for Families It should be preferred that the form for families are filled during the visit of family to the institution. Meanwhile, a family member may be asked to fill the form or it is also possible that the family member or staff may write the answers down on the form after staff explains the questions on the form just like in the forms for children. (ANNEX 6) On the other hand, the families, who cannot come to the institution for several reasons but maintain their relationships with the child and institution, may send their assessments on the services with the postal service. The definition of family first means mother and father of the child. In a situation in which the mother and father have not any relationship with the child and the child is in close relationship with any relative or acquaintance, the relevant person is expected to participate in the assessment process by using the same form. It should be ensured that Care Assessment Survey for Families are applied by a staff member who is not directly in charge of the child's care, just as in the case of the care assessment surveys for children. Self Assessment Guide 3. Care Assessment Survey for Staff Target audience of staff forms is care staff, responsible individuals of group/children houses, staff members and deputy managers who are directly in contact with children. Other staff will fill this Form as soon as they are directly in contact with children. (ANNEX 7) The children and their families have no obligation to fill these surveys. However, they should be reminded that these surveys are an opportunity to express their opinions about the service and their participation should be encouraged. Care Assessment Surveys will be able to be benefited for identifying the areas in which children and individuals need personal development or support and for assessing the service quality. It should be ensured that the results of the surveys filled by staff of Self-Assessment team are assessed and consolidated. EVALUATION OF CARE ASSESMENT SURVEYS Children and families are not obliged to complete care assessment surveys. Meanwhile, they should be encouraged to take part by explaining to them the fact that these surveys present them an opportunity to freely express their opinions about the service. Case Assessment Surveys can be utilized not only to find out the areas in which children and individuals (family members and personnel) require personal development or support, but also to assess service quality as a whole. Please find attached the Evaluation Key to be followed during the evaluation of the forms. The Evaluation Key includes quality assessment areas relevant to each question, charts to construe responses and explanations regarding questions which can be used to find out individual requirements of children/families and staff members. Questions marked with green color are supposed to be construed as yes, yellow as average and red as no respectively (ANNEX 8-12). The care assessment surveys which have been completed should be consolidated by the self-assessment team and assessment results should be noted in the under the relevant quality area in the Self-Assessment Survey. During consolidation of the surveys, in order to facilitate assessment in Houses of Affection and Children's Houses, among houses and among groups in other institutions; results of the surveys applied in each house or group should first be construed upon consolidation of their results, and assessment for the overall Institution should follow. Self Assessment Guide APPENDICES Annex No. 1 2 3 4 5 6 7 8 9 10 11 12 Name Self-Assessment Survey Self-Assessment Report Template Admission Process Survey Care Assessment Survey for Institutions Care Assessment Survey for Leaving Children Care Assessment Survey for Families Care Assessment Survey for Staff Evaluation Key for Admission Process Survey Evaluation Key for Assessment Of Care Services Evaluation Key for Care Assessment Survey for Leaving Children Evaluation Key for Care Assessment Survey for Families Evaluation Key for Care Assessment Survey for Staff Self Assessment Guide
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