Children’s Services CHILDREN’S SERVICES – AUDIT TOOL INTRODUCTION Children’s social implemented a fully electronic case management system ‘ICS’ in accordance with government specifications to manage the planning and recording the assessment and planning process for all children referred. This audit tool has been developed to enable the audit of the quality of the records on ICS as part of the process of replacing the existing paper file structure. The aim of the audit process is to develop and maintain a culture in which both quantitative and qualitative aspects of recording are routinely examined in order to ensure the best possible outcomes for children and families as identified in the Children Act 2004. Quantitative audits consider whether the file is up to date, contains all the relevant documentation, and that the documentation has been properly completed. Qualitative auditing considers the quality of the recording on file and whether it reflects good practice. Although these can be conducted independently both are necessary. The record may be up to date and contain all the relevant documentation, but the quality of the recording may be poor or inappropriate to the needs of the child. Similarly, the record may be of a high standard, but out of date. The audit involves the participation of all workers and is intended to encourage continuous improvement of outcomes for children and families, and ensure the spread of good practice right across the system. As a manager there are numerous issues and evidence of action (by the worker), required by the directorate, to clearly inform not only the manager but also the department/organisation that the proper procedure has been followed at all times. The audit has been developed to allow both front line managers and senior managers to review the quality of work on cases. Appropriate levels of standards are required in all areas of work undertaken by the field work teams, as laid down in the Children’s Services Procedure and Practice Guidelines for Case Records and Case Recording which are available on the social care e.library. The required standards for audit in terms of who undertakes the audit and at what frequency is contained in a revised File Audit Procedure. The whole audit tool is lengthy and it is not feasible for managers to undertake the whole audit for each case reviewed (except for exceptional circumstances such as when the record needs to be reviewed for inspection purposes). Managers should focus on the relevant section (I to 13 for new contacts,11 to 20 for children subject to child protection plans,22 to 27 for children in need receiving services) and 37 to 42 relating to recording and supervision for all cases. The revised file audit procedure will contain guidance on how to check paper files for information on supervision records which are not yet available on the ICS record. Building pride in Cumbria Version 1.5 Final July 2008 2 Using the tool The following points/questions should form the basis of an audit tool to enable all managers to carry out an appropriate audit of the case file and the performance of the worker concerned, taking into account the above procedures. Please refer to the Guidance Notes for completion of the Audit Tool at the end of this document – by selecting the direct link: GUIDANCE NOTES Or By clicking on the relevant question in the Audit Tool, the hyperlink will take you to the relevant guidance for that question, active hyperlinks in this document appear as blue text. Version 1.5 Final July 2008 3 CHILDREN’S SERVICES – AUDIT TOOL FOR MANAGERS Name Of Allocated Worker: Team/Location: Name of Manager Undertaking Audit: ICS system ID: Date of Audit: Audit Month: Please send your completed Audit Tool via email to: [email protected] Stages of the Case Management Process both at referral and transfer: Screening/ Contact/ Referral Or initial point of contact with the Team: Assessment or Reassessment: Quality practice criteria: 1 Is the reason for referral clear and enough information collected on the contact form to decide further action? 2. Where appropriate has referral and information record been completed with relevant information as required? 3. Is the section ‘is this a re-referral record’ correctly completed (please see note)? 4. Has an appropriate decision been made by the Team Manager to proceed to initial assessment? 5. Is there evidence of the referred child being seen, and if age appropriate, spoken to by the worker, to ascertain wishes and feelings (clearly recorded)? 6. Is there a record of views of parents/ carers on the assessment? 7. Has the relevant information been obtained from professionals and others in contact with the child and their parents/carers? Version 1.5 Final July 2008 What evidence is available on electronic files (to be completed by supervisor and worker)? Does the Manager judge that this standard has been met? (Manager to indicate Yes, No, N/A and comment) Actions to be taken and timescales 4 Stages of the Case Management Process both at referral and transfer: Child Protection Cases: Planning: Child in Need: Quality practice criteria: 8. Has the assessment been completed within timescales (Initial and Core Assessments)? 9. Is there evidence of an assessment of needs for the referred child, clearly stated within the assessment? 10. Has the appropriate decision been made to close case or move to provision of appropriate services authorised by the manager? 11. Is there a completed record of Strategy Meeting Discussion with appropriate agreed outcomes and actions? 12. Has a Section 47 enquiry/investigation been completed, with all required actions? 13. Is there an appropriate decision as to the outcome? 14. Is there a Social Worker Report to Child Protection Case Conference and Chairs Report on outcomes that fully addresses the child’s needs? 15. Has the Core Group been convened within 10 days of ICPC and at appropriate intervals thereafter? 16. Is there evidence of the core group working effectively to complete the core assessment and address the child’s needs? 17. Has the child/ young person been seen by the key worker every four weeks? 18. Is there an up to date Child Protection Plan informed by the assessment findings? 19 Are issues of ethnicity and equality addressed in the Plan? Version 1.5 Final July 2008 What evidence is available on electronic files (to be completed by supervisor and worker)? Does the Manager judge that this standard has been met? (Manager to indicate Yes, No, N/A and comment) Actions to be taken and timescales 5 Stages of the Case Management Process both at referral and transfer: Planning: Child in Need Children Looked After: Quality practice criteria: 20. Is there evidence of child/parents/ carers/significant others ongoing involvement in the implementation of the child protection plan? 21. Is there evidence of satisfactory review of the child protection plan through social work reports and chairs reports on to review CPC? 22.Is there a clear evidence of a clear current care plan informed by the assessment findings? 23. Are issues of ethnicity and equality addressed in the plan? 24. Is there evidence of involvement of child/parents/carers in decisions about services provided and are clear outcome measures agreed with them? 25. Have plans been regularly reviewed and updated through ICS Planning? 26. Does the review identify both successes and weaknesses in meeting identified needs? 27. Are the review decisions clearly reflected in the Care Plan? 28. Has the request for Child to be looked after been agreed by the Team Manager, after approval by an appropriate Senior Manager? 29. Is there an updated and complete Placement Information Record? 30. Is there a completed Child Looked After/Young Persons Care Plan that fully addresses the child’s needs including a plan for permanence by the 2nd review? (See note on timescales and requirements) Version 1.5 Final July 2008 What evidence is available on electronic files (to be completed by supervisor and worker)? Does the Manager judge that this standard has been met? (Manager to indicate Yes, No, N/A and comment) Actions to be taken and timescales 6 Stages of the Case Management Process both at referral and transfer: Case Recording and Case Management: Quality practice criteria: 31. Has the child been visited and seen separately from the Carer within required timescales? (Procedure 20031 point 41) 32. Is there a completed Health Assessment (completed within 28 days)? 33. Is there a completed PEP? (Completed within 28 days of Child being Looked After?) 34.Are there social work reports and chairs reports on outcomes for the CLA Reviews, which address the child’s needs? 35. Is there evidence of efforts to engage the child/young person in the review process? 36. Have Assessment and Progress Records been completed? 37. Has the ICS chronology been updated with significant events? (Essential for CP and CLA Cases) 38. Are all ICS recordings accurate and up to date? 39. Are all ICS records completed satisfactorily, and do they distinguish between fact and opinion? (Write enough) 40. Is there evidence on the file that Team Managers have read records/notes and recorded their decisions if appropriate? 41. Does the ICS record adequately record reason for case closure/ transfer endorsed by the Team Manager? 42. Is there evidence of regular supervision, management oversight and decisions recorded on file? (This will be a paper record until made available on ICS) Version 1.5 Final July 2008 What evidence is available on electronic files (to be completed by supervisor and worker)? Does the Manager judge that this standard has been met? (Manager to indicate Yes, No, N/A and comment) Actions to be taken and timescales 7 Manager/Team Manager comments: Signature: Date: Auditors/Service Manager overall comments about this file: Signature: Version 1.5 Final July 2008 Date: 8 AUDIT TOOL GUIDANCE NOTES Return to Start of Audit Tool Return to Start of Introduction Appendix 1 – Quality of Case File and Case Recording From reading the record the auditor should be able to easily make sense of the work undertaken with the child and family. The record should be easy to read, show appropriate cross-referencing, easy to access information, be up to date, and show evidence of supervision input. The audit tool has two columns the first to show whether the relevant record is present or not and the second to record the quality of the recording using a scoring system, as follows. Inadequate Satisfactory Good Outstanding 1 2 3 4 Definitions of Judgement: Inadequate No record of work done or it is so partial that it is of little value. Satisfactory The record indicates the date’s people were contacted/seen and gives brief details of actions taken/decisions made. Good The record indicates the dates, purpose and outcome of contacts (i.e. meetings/interviews/telephone conversations), and who was present. It presents all the information and at intervals brings it together as part of an assessment, planning and review cycle. Outstanding In addition to the requirements for good recording, the record brings together (when appropriate) all the salient information (both past and present) about the child and family. This information is analysed and used as the basis for deciding what the current risk is to the child; what plans need to be made to reduce the risks and the rationale for these; details of the therapeutic work being offered to the child and family, and being undertaken, including by whom. (Example above taken from ‘National Inspection of Social Services Case records’) Return to Introduction Appendix 2 – Guidance for Questions on Audit Tool 1. Is the reason for referral clear and enough information collected on the contact form? The question requires the auditor to make a professional judgement about whether there is enough information/evidence to make an informed decision about further action. The amount of information required and the time frame looked at will be dependant on what the auditor deems to be ‘enough’. If the assessment teams are being audited, there will need to be evidence that there is enough information about the need to progress to referral and assessment. If the Children In Need/Looked After Teams are being audited, there will need to be enough evidence through contacts on open cases to show the information available has clearly aided decisions about level/type of ongoing service/care provided. An Version 1.5 Final July 2008 9 example of this could be if a child had quickly changing care needs. Minimum standards are available from the Social Care Thresholds Document. Return to Question 1 2. Where appropriate has the referral and information record been complete with relevant information as required. This question requires the auditor to consider whether appropriate information has been recorded in terms of both ‘demographics’ and information on the relevant ‘domains’ of the assessment framework? Return to Question 2 3. Is the section on the form (is this a re-referral) correctly completed? On ICS the answer to the first question ‘is this a re-referral’ is automatically populated from the ICS record on the basis of whether there has been a referral regarding the child within the previous 12 months. If the answer is yes the person completing the form must then answer the question ‘if yes does the reason for the re-referral indicate that the response to the original referral did not address the clients needs’ The question is not applicable if this is not a re-referral within 12 months. If it is then the auditor needs to record in column one whether the second box is completed and in column two whether the judgment as to whether the response to the original referral did or did not address the child’s needs. Reference will need to be made to the previous referral(s) and whether the response was in the view of the auditor satisfactory. Return to Question 3 4. Has an appropriate decision been made by the Team Manager to proceed to Initial Assessment? This question requires the auditor to form a judgment as to whether an appropriate decision has been made to close the case or progress and whether the reasons are appropriately recorded. Reference should be made to any comments made by the Team Manager on the record at the point the decision was made. Return to Question 4 5. Is there evidence of the referred child being seen, and if appropriate, spoken to by the worker, to ascertain wishes and feelings (clearly recorded)? As well as the assessment document, the case notes are likely to include information to indicate the referred child has been seen, such as ‘face to face discussion’. A record of the child’s views would then follow after this statement. There are exceptional circumstances where it may not be appropriate or possible for the child to be seen by a social worker at this stage-for example where it may be essential to progress to a strategy discussion with the police to ensure that a possible criminal investigation is not prejudiced. The Team Manager must record the reasons the child was not seen on ICS using a new electronic tool as from 0104-08. The auditor will need to record an opinion as to whether the decision was made appropriately and the reason recorded. Return to Question 5 6. Is there a record of views of parents/carers on the assessment? As well as the assessment document, the case notes are likely to include information to indicate the parents/carers have been seen/spoken to. Version 1.5 Final July 2008 10 The second column should be used to record the quality of the information recorded. Return to Question 6 7 Has relevant information been obtained from professionals and others in contact with the child and their parent/carers? When undertaking an assessment it is imperative all relevant information pertaining to the child is gathered and collated, to aid a much clearer view of the child’s circumstances. This would include: school, health, police, nursery etc, as well as any historic information held by the department. Return to Question 7 8. Has the assessment been completed within timescales? The relevant timeframes are Initial – 7 working days and Core Assessment 35 working days. Return to Question 8 9. Is there evidence of an assessment of needs, of the referred child, clearly stated within the assessment? This question is asking for evidence of the needs identified when the worker carried out the assessment. The needs stated should be specific to the child – rather than service led. For example: if the child has a need to develop self esteem, then that is what needs to be recorded, rather than a child needs to be in a self esteem group. Return to Question 9 10. Has the appropriate decision been made to close case or move to provision of appropriate services authorized by the team manager? The auditor will need to check for the purposes of column one whether the team manager has authorized the decision. The second column should record the appropriateness of this decision reached. Reference should be made as required to recommendation of the Laming Report regarding closure of cases of vulnerable children. Return to Question 10 11. Is there a completed record of Strategy Meeting/Discussion with appropriate agreed outcomes and actions? The first column should be used to record whether the ICS record of the outcomes of strategy discussion is on the record. The second column should record an opinion about the quality of information shared and whether the decisions about outcomes and actions are appropriate. Return to Question 11 12. Has a Section 47 enquiry/investigation been completed, with all required steps? Reference should first be made to the recommendations of the strategy discussion and whether all recommended tasks have been completed. Reference should also be made to section 6.9 of the LSCB safeguarding procedures on www.cumbrialscb.com, which give a list of all enquiries that should have been undertaken before the Team Manager signs a section 47 enquiry as complete. Return to Question 12 13. Is there an appropriate decision as to the outcome? (Refer to Safeguarding Procedure 6.9) On the record of outcome of section 47 enquiries form one of three outcomes must be chosen: Concerns not substantiated Concerns substantiated, but child not judged to be at continuing risk of Version 1.5 Final July 2008 11 significant harm Concerns substantiated & child judged to be at continuing risk of significant harm The auditor needs to confirm in column one that an outcome has been chosen and in column two an opinion as to whether the decision has been made appropriately on the evidence available. If the third outcome is chosen a child protection conference must always be convened. If another outcome is chosen the auditor needs to confirm if an appropriate decision has been made on continuation of the core assessment and provision of services or move to closure. Guidance is available in Chapter 6.9 of the LSCB website www.cumbrialscb.com. Return to Question 13 14. Is there a Social Worker Report to Child Protection Case Conference, and the Chairs Report on outcomes that fully addresses the child’s needs? The first column should address the presence of absence of the relevant records on ICS. The second column should address the quality of reports including (for the social work report) whether the chronology, information on domains and summary addresses the issue of potential significant harm and (for the chairs report) the quality of the recording regarding the conference and recommendations) Return to Question 14 15. Has the Core Group been convened within 10 days of ICPC and at appropriate intervals thereafter? Cumbria’s safeguarding procedures 6.28 give recommendations that core groups must be held within 10 days of the initial conference and at least four weeks thereafter unless it is agreed with the chair that they can be held at lesser frequency. Return to Question 15 16. Is there evidence of the core group working effectively to complete the core assessment, addressing the child’s needs and updating the child protection plan? The responsibilities of core groups are outlined in 6.28 of Cumbria’s safeguarding procedures. Return to Question 16 17. Has the child/young person been seen by the key worker every four weeks? Reference should be made to the Cumbria’s safeguarding procedures 6.27 Return to Question 17 18. Is there an up to date child protection plan informed by assessment findings? The first column should confirm the date of the most recent update of the child protection plan and the second an assessment as to whether the plan has been informed by the core group and meets the criteria established in Cumbria’s safeguarding procedures 6.26. Return to Question 18 19. Are issues of ethnicity and equality addressed in the plan? The assessment must have considered the issue of ethnicity and there is evidence to indicate this, and to then check the care plan has taken account of these needs. If it is decided there are significant needs/issues relating to ethnicity, such as language, communication, diet, access or use of interpreters – these should be Version 1.5 Final July 2008 12 recorded, and the care plan should identify ways of meeting these needs. If there are no specific needs/issues in relation to this, there must be recorded information on which the decision was based. As with ethnicity, in terms of equality, any decision should be evidenced i.e. disability, gender, age, sexual orientation etc. These should then be clearly addressed in the care plan or re-assessment. Return to Question 19 20.Is there evidence of child/parents/carers/ significant others involvement in the child protection plan? This question requires the auditor to decide whether there has been user and/or carer involvement in the development of the plan. Return to Question 20 21. Is there evidence of satisfactory review of the child –protection plan through social work reports and chairs reports to review conferences? The first column should address the presence or absence of the available records and the second column should address the quality of the social work reports to the conference and the chairs summary of issues discussed at the conference. Return to Question 21 22. Is there evidence of a clear current care plan informed by assessment findings? The care plan should be based on the assessment of the child’s needs rather than services available. The child’s wishes and feelings need to be clearly recorded on the care plan and evidence needs to show the worker has had a discussion with the child about the services to be delivered and that the child is in agreement. Similarly, all other individuals involved, need to have their views clearly acknowledged and recorded. Return to Question 22 23. Are clear outcome measures established and agreed with the child and family? The question requires the manager/auditor to check there are clear outcome measures relating to the care plan, which refer to improving the quality of life for the child and family as well as meeting the identified needs, there must also be evidence the child and parents/carers have agreed to these outcome measures. Evidence could be obtained by ensuring parents and child’s views have been clearly recorded on the assessment. Remember to be: S Specific M Measurable A Achievable R Realistic T Time Limited Return to Question 23 24. Is there evidence of the involvement of child/parent/carers in decisions about services provided and are clear outcome measures agreed with them? Return to Question 24 25. Have plans been regularly reviewed and updated through ICS planning? This question requires the auditor to check that after the initial plan has been Version 1.5 Final July 2008 13 agreed and service delivery begun, regular reviews of the plan should be held, to determine the family are satisfied with the service delivered and that it is meeting their needs. Return to Question 25 26. Does the review identify both successes and weaknesses in meeting identified needs? There is an expectation that the review addresses the whole person. There should be evidence the review looked at the original identified needs and recorded whether the services provided have met these needs successfully. If there are new/changing needs, or outstanding unmet needs, then further services need to be identified and recorded as such at the review. Return to Question 26 27. Are the review decisions clearly reflected in the Care Plan? There is an expectation that at appropriate points the case/care plan will have been reviewed. The worker will need to show evidence that the care plan has either been updated, or if required, a new care plan has been produced and agreed. Return to Question 27 28. Has the request for Child to be looked after been agreed by the Team Manager, after approval by an appropriate Senior Manager? The process for approval of decisions for children to be looked after is contained in Cumbria’s procedure for accommodation of children in need (procedure number 200031 paragraph 29). Until ICS is updated this record may only be available as a paper record within the child’s file. Return to Question 28 29. Is there an updated and complete Placement Information Record? This question requires the auditor to check the date of the most recent record for the purposes of column one but also to consider the quality of the PIR in terms of addressing the child’s needs in column two. Return to Question 29 30. Is there a completed Child Looked After/Young Person’s Care Plan that fully addresses the child’s needs? Section 59 of the procedure for accommodating children in need confirms that a care plan should be completed prior to placement or if not within 14 days of the child becoming looked after. The auditor should consider whether the plan does addresses the child’s identified needs and also whether this constitutes a ‘plan for permanence’ which should be in place by the second review. Return to Question 30 31. Has the child been visited and seen separately from the carer within required timescales? The visiting requirements for children who are looked after are summarized in paragraph 41 of the procedure for accommodating children in need. Return to Question 31 32. Is there a completed and up to date Health Assessment? This should address whether there is a health assessment, which should be completed within 28 days of the child becoming looked after, and at annual interval thereafter unless the child is under 5 when the interval is every 6 months. The date of the most recent health assessment can be found on the ICS health screen. Further information is available from the procedure Return to Question 32 Version 1.5 Final July 2008 14 33. Is there a completed PEP? The PEP should be completed within 28 days of the child becoming looked after. Return to Question 33 34. Are there social work reports and chairs reports on outcomes that address the child’s needs? The first column should be used to record the presence or absence of the required reports on ICS. The second column should be used to assess the quality of the social work report and the chairs report in ensuring a good quality review of the child’s needs as a looked after child. Return to Question 34 35. Is there evidence of efforts to engage the child/young person in the review process? Return to Question 35 36. Have Assessment and Progress Records been completed? The decision to commence an APR should normally be taken through the review process. The APR should normally commence after the child’s second review at four months and be completed by the third review at ten months. Return to Question 36 37. Has the ICS chronology been updated with significant events? (Essential for CP and CLA cases) Return to Question 37 38. Are all ICS recordings accurate and up to date? Return to Question 38 39. Are all ICS records completed satisfactorily, and do they distinguish between fact and opinion? This question requires the auditor to ensure the worker has evidenced and recorded statutory visits/meetings/telephone calls with the child and parents/carers/professionals (all contacts). It also needs to show the worker has clearly identified and recorded, areas and differences between fact and opinion, and shows clear understanding in this area. Cumbria’s standards are available from procedure no 20010, case recording in children’s services. Insert hyperlink here Return to Question 39 40. Is there evidence on the file that Team Managers have read records/notes and recorded their decisions if appropriate? Return to Question 40 Version 1.5 Final July 2008 15 41. Does the ICS record adequately record reason for case closure/ transfer endorsed by the Team Manager? Return to Question 41 42. Is there evidence of regular supervision, management oversight and decisions recorded on the electronic record? Return to Question 42 Return to Introduction Return to Start of Audit Tool Version 1.5 Final July 2008
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