LOOKED AFTER CHILDREN PLACEMENT STRATEGY 2011 - 2014 Version Control Version 26 Aug 1 JOINT MESSAGE FROM PORTFOLIO HOLDER AND DIRECTOR The Looked After Children (LAC) Placement Strategy provides an important opportunity to continue work to improve services and outcomes for Looked After Children. This is a key priority for us as ‘Corporate Parents’ to over 300 children and young people. This strategy supports and contributes to the Calderdale ambition to be a place where we value everyone being different and through our actions we demonstrate that everyone matters. Looked After Children need all services to work together to meet their needs and this can only be achieved when everyone understands and accepts their responsibilities for this group of children and young people. We are committed to ensuring that every Looked After Child has the best possible start in life, is given help to achieve their potential and experiences safe and positive parenting. Insert SIGNATURES AND PICTURES 2 Contents Page 1. Background 1.1 Why we need a strategy 2. Introduction 2.1 What does a “looked after” child (LAC) mean? 3. Context 3.1 Becoming a Looked After Child – The Journey into Care 3.2 Continuum of Need 3.3 Model of Placements 3.4 What do we know about LAC in Calderdale? 3.5 What do we know about current placements 3.6 Cost of placements 3.7 Population changes/Joint Strategic Needs Assessment (JSNA) 3.8 Future demand predictions 4. What is our aspiration in Calderdale? 5. Key Principals 5.1 Support families to stay together 5.2 Manage risk confidently and support families on the edge of care 5.3 Provide and commission a flexible and affordable range of high quality placements 5.4 Ensure all looked after children and young people get a good education 5.5 Ensure that children and young people have clearly planned journeys through their looked after years 6. What are the current issues we need to address? 7. Gaps in Provision – our Response 8. Future Threats 9. Future Opportunities 10. What we need to do – Fostering Service 11. Adoption Service 12. Areas For Development (Adoption Services) – what we need to do 13. Residential Care 14. Areas for development (Residential Care) 15. Care Leavers Service and Transition 16. The Strategy 3 17. Early Intervention 18. How are we going to meet it and by when? 19. What will it cost? 20. 1. BACKGROUND 1.1 Why we need a strategy? Children and young people looked after by their local authority rather than their parents are amongst the most vulnerable groups in our society. As corporate parents, it is our responsibility to keep them safe, make sure their experiences in care are positive and improve their ongoing life chances. This strategy describes the placements we want to provide and commission for our Looked After Children and focuses on what arrangements are required to improve the lives of the children and young people in our care. Throughout this strategy the term ‘child’ will be used to describe any child or young person aged between 0 -18 years. 2. INTRODUCTION 2.1 What does “looked after child” (LAC) mean? The term ‘looked after’ is applied to a child for whom the Local Authority is providing accommodation, either by a Court Order or in agreement with the child’s parent or guardian (introduced by the Children Act 1989). Children with disabilities who receive a regular series of short breaks are also classed as looked after. A child may become looked after as a result of temporary or permanent problems facing their parents, as a result of abuse or neglect of the child, 4 because there is no one with parental responsibility for the child or because of the child needs additional support which their parents cannot provide. The length of time a child will spend being “looked after” will depend upon the child’s needs and the family circumstances. Parents continue to have responsibility for their children while they are away from home. This responsibility is shared with the Local Authority if the child is subject to a voluntary arrangement and in some circumstances where there is a Care Order. Reference will be made throughout this document to the terms ‘child’ or ‘children’ as defined under the 1989 Children Act. Where reference is specific the term young person or young people will be used. 3. CONTEXT 3.1 Becoming looked after – the journey into care Every child living in Calderdale has the right to universal services however some children and families require extra support for a period of time to solve problems and prevent them from becoming worse. Some children at risk of significant harm if targeted and specialist support is not provided. These children may require a safe and secure place to live because it is not safe or possible to live with their immediate family y or extended family network. These children are accommodated by the Local authority, using a range of placements including such options as foster carers, residential home or adoption. A child may become looked after as a result of temporary or permanent problems facing parents. The children then become looked after and enter the care of Calderdale council either through a Care Order, obtained through court proceedings, or they become accommodated through a voluntary agreement made between the child’s parents or Guardian and the council. The reasons why children and young people enter care are varied and include physical, sexual and emotional abuse, neglect or family breakdown. Children and young people looked after are individuals, come from all walks of life and have different aspirations, ambitions and cultural identities. Corporate parenting is the term used for the collective responsibility of the council and it’s partners to ensure safe, meaningful and effective protection of children and young people in care. As corporate Parents elected members have the responsibility for ensuring that the range and choice of placements is sufficient to meet needs. 3.2 Continuum of Need In Calderdale the council and its partners have adopted the Continuum of Need framework which enables each agency to assess where families will be 5 able to access services to best meet their needs. Central to the approach is the strong focus on using universal, early intervention and prevention services wherever possible and appropriate and only using heavy end more intensive and sometimes more expensive specialist services when this is necessary. 6 Central to the Continuum of Need framework is the recognition that it is better for children and families to receive support services from within local universal at an early enough stage before problems escalate. Additionally this is the most cost effective way to deploy the limited resources that we have. Interventions for looked after children can be viewed in terms of the Continuum of need - Children looked after fall into the higher end intervention category of the Continuum (levels 4- 5). A key feature of our approach as commissioners is to manage demand for specialist services and ensure that children receive the care required linked to the best possible outcomes for them. 3.3 Model of Placements Placement of looked after children can be within a range of settings which can include the following; Special guardianship Adoption Family and friends carers In House fostering Generally Better External fostering Outcomes In house residential External residential Specialist or secure placements Generally More Expensive The type of placement used will depend on the child’s needs and the outcomes being sought. 3.4 What do we know about LAC in Calderdale? Calderdale’s numbers of looked after children have been rising steadily since 2004, reflecting national trend. During 2010 Calderdale rates rose much faster than national rates, 19% in Calderdale versus 6% nationally, regionally the increase was also higher than national. 2011 has seen further rises, from 320 in April to 350 in June , which equates to an increase of 10.6%. Indications is that this increase will 7 continue in line with what is happening nationally. (The tables below illustrate the trends). Despite the higher than national rise in numbers the Calderdale Looked after children rate per 10,000 population was 59 which was in line with national rate (58), but and well below statistical neighbours (70) – indicating that historically too few children were becoming looked after in Calderdale 8 3.5 In 2011 as numbers continue to rise so does the rate per 10,000 population which was 71 by June 11. Whilst higher than national average, this figure is close to the performance of statistical neighbours and is an indication that Calderdale has improved its performance and is now looking after an appropriate number of children. What do We Know About Current Placements? The table above shows that; Interim Care Orders are increasing Placement Orders (adoption) are also increasing The number of children cared for under voluntary agreement has remained stable 9 100 Table 2: Total LAC by Age and Gender (as at end May 2011) Male 80 39 43 48 Female 60 34 40 47 20 0 45 45 8 10 Under 1 23 1-4 5-9 10 - 15 16 plus The age and gender of looked after children’s is set out in the above graph is based on end of year figures for 2010/11. The largest numbers of LAC are concentrated in the age group the age 0 – 4 (101) ). The next largest group is 10 – 15 year olds (93). Numbers are generally equally split between males and females. 10 Ethnicity In relation to the ethnic make-up of the LAC population, the May 2010 indicates that; The majority of Calderdale’s looked after children are White. As at the end of May there were 85% White, 8% Mixed, 1% Asian, 5% information not obtained or refused and 1% from other ethnic background. Out of 342 LAC at the end of May, there were 290 White children, 26 children of ‘Mixed’ ethnic origin, 5 Asian or Asian British, 4 children in the ‘Other’ ethnic groups and 1 child of Black or Black British ethnic origin. There were 16 children whose ethnicity could not be obtained or was refused TYPE OF PLACEMENT USED – (Graph to be updated when new data available) A variety of placements are used – the following graph illustrates the position at the end of March 2011 11 The following graph illustrates the reasons why children become looked after and the pattern of activity over recent years. abuse and neglect remains the chief reason whny children become looked after. 12 3.6 Abuse and neglect levels are rising Family dysfunction is rising Costs of Placements In 2010 Calderdale’s costs per LAC was below the national average,, £771 vs £870 Costs vary between the different types of placements 13 The above graph shows the average costs per LAC last year. Costs for external placements are higher than foster care placements in Calderdale and that on average our costs are lower per child than independent providers. Foster care placements remain the most cost effective way of providing care The following figures outline the costs per child by age to the council depending on the type of placement used. LAC Placement Age Calderdale Homes External Placement Fostering IFA None Placement Other Calderdale average AVERAGE COST PER CHILD Under 1 1 to 4 5 to 9 10 to 15 £0.00 £0.00 £8,956.73 £42,939.05 £0.00 £0.00 £94,458.12 £58,258.61 £7,140. 98 £12,994.12 £11,575.50 £16,285.40 £0.00 £23,193.97 £19,960.57 £28,539.90 £0.00 £6,013. 46 16 or Over £50,323.16 £72,969.46 18 or over Grand Total £38,378.06 £43,280.43 £91,158.31 £69,361.22 £15,647.52 £26,249.18 £10,321.77 £20,411.26 £13,286.48 £25,331.78 £0.00 £54.11 £0.00 £0.00 £0.00 £14.15 £11,024.51 £11,388.31 £24,636.62 £33,387.09 £32,084.85 £19,173.15 NB - This information can be broken down by weekly and can be given national comparators According to the CIPFA Looked After Children Benchmarking Data for 2009/10, the average CIPFA 2010 cost of an in-house foster placement in Calderdale was £343 per week compared with an average of £397 per week across other local authorities involved in the benchmarking scheme. The 14 average cost of foster placements purchased by Calderdale was £803 per week compared with £872 in other local authorities. From this data, Calderdale appears to be providing these placements cost effectively when compared with other local authorities. The majority of the budget is spent on foster care placements and external placements. We are developing our commissioning approach to purchasing external placements to ensure we make best use of our resources ands achieve best value. At the time of writing we have achieved around £100k savings having successfully negotiated reductions with providers. We have recently commissioned work to further reduce costs of placements. V4 have been commissioned to undertake this work. Joint Strategic Needs Assessment, JSNA – Population Changes Considerations 3.7 The JSNA aims to collate information on the needs of a local population in order to: • • identify the population changes over the next 10 years identify the major issues affecting the local population regarding health and wellbeing now and over the next 5-10 years Such information assists with service planning and predictions. 15 In terms of looked after children some facts indicate that the rising levels are likely to continue: • • • • • • • • 3.8 Gap between best and most deprived area getting larger Lifestyle improvements are static at best Increasing benefit claimants /free school meal eligibility Continued ward variation in health and well being Global economic recession continues to have an impact on local economy including jobs Numbers of children and young people are rising and will continue to rise A further 8% of households consist of lone parents with dependent children, expected to grow to 11% by 2033. Calderdale has three wards in the top quartile in relation to teenage pregnancy which are significantly higher than the national rate: Elland, Mixenden and Sowerby Bridge. Future demand predictions Over the last year increasing numbers of children have become looked after reflecting national and regional trends. It is difficult to predict exactly the rate of this increase in the future but recent performance indicates at least a 10% rise over the next year. 16 We are developing our early intervention and family support strategy and over time this will have a direct impact on numbers of families facing breakdown but until this multi-agency strategy is implemented the impact will not take effect. Increasing use is being made of family friends arrangements and we have plans in place to make better use of special guardianship arrangements thereby reducing the looked after children numbers. 4 What is Our aspiration in Calderdale? To have a range of placements available to meet the needs of all Calderdale’s looked after children. That wherever possible children should remain within their family. Where this is not possible plans should progress to adoption for all young children where adoption is in their best interests. Most children who become looked after should be returned home as quickly as is possible where this is in line with their needs. For children who require short term, medium term and long term placements these should be with in- house foster carers wherever possible. For some young people a fostering placement will not be the best option and for those residential child care should be seen as a positive choice. Only children with very complex needs which cannot be met within Calderdale should be placed in out of district residential placements. The use of independent fostering agency placements should be minimized and where such placements are used they should be as geographically close to Calderdale as possible Thus our aspiration is that, We will plan on the basis of a 10% over capacity to ensure for all children there is real choice of where they are to be placed. 5. Key Principles A number of key principles underpin our work to reduce the need for children to become looked after and if they do to ensure they have the best possible experience and preparation to leave care. 5.1 Support families to stay together Children’s needs are best served in their own families if this can be safely supported. Helping families stay together must therefore be a key focus for all of Children’s Services and it begins with early identification of need 17 and effective early intervention. 5.2 Manage risk confidently and support families at the edge of care We need to ensure the right children become looked after at the right times. To do this we need to be able to mange risk successfully with families that are approaching the threshold for care; providing effective interventions which support families to make changes whilst always ensuring that children and young people are kept safe. 5.3 Provide and commission a flexible and affordable range of high quality placements For children and young people in care we need to make sure we have the right range of placements which promote positive experiences whatever their needs. At present we do not have sufficient placements available in Calderdale to meet all types of need, which means that too many children have placements too far from their home and community. We also need our range of placements to be good value for money and affordable within the budget available. 5.4 Ensure all looked after children and young people get a good education If looked after children are to thrive, finding the right education setting is just as important as providing a suitable home environment. Becoming looked after means a dramatic change in the home life of a child or young person. If it results in a change of school at the same time that means a break from all previous routines, friendship groups and support networks simultaneously. Where possible looked after children should be maintained in their school unless and until they are in a long term placement where it may be more appropriate to attend a school with their local peers. For children already looked after, a breakdown of a school placement is very often a trigger for the breakdown of their home placement and, similarly, problems at home very often manifest themselves at school. This dynamic relationship between home and school life makes providing and maintaining the right education a crucial element of our strategy for Looked After Children. Can the Virtual School Head add to this. 5.5 Ensure that children and young people have clearly planned journeys through their looked after years For children and young people who are looked after, having a clear plan is essential. A good plan ensures that children come into and exit care at the 18 right times and that throughout they have the security and confidence of knowing what the future holds. We need to ensure that children do not ‘drift’ in the system, but have clearlyplanned journeys which allow them to be reunited with family and friends where possible, have stable placements with alternative carers and exit the care system positively at whatever age this happens. To this end we have ensured that all looked after children and young people have a named social worker to coordinate their plan. Reviewing children’s plans is key to ensuring that children are being properly supported to achieve the best they can. We have well established arrangements in place to review children’s plans to make sure plans remain well focussed and that children achieve good outcomes. Greater emphasis is being put on encouraging more children and young people to have their say and to coordinate their own reviews and to play a greater part in putting their plans together. The council has recently invested more resources in the conference and review services which will support these developments more effectively. 6. Current Issues and Challenges - Summary 6.1 The current issues we need to address: 6.2 Rising numbers of children needing to be looked after some with complex needs Increasing costs at a time when efficiency savings need to be made Insufficient local placements, particularly in house foster care Insufficient choice Increasing use of placements from the independent sector Ensuring that we have an effective strategy for recruiting and retaining a good range foster carers – the rate at which LAC numbers have increased has been greater than our ability to recruit our own carers to meet the rising demand Within the region there is growing numbers of children entering care, competition for places is immense Increasing use of independent external providers increases our costs The increase in number of children looked after over the past 2 years has placed considerable pressures on local in house placements. The death of baby P has led to increases in numbers of LAC and for older children there are additional pressure following Southwark Judgement which requires the Local Authority to assess and accommodate homeless 16-17 year olds. 19 6.3 The establishment of a small Intensive Family Support team, undertaking court based assessment work, helped to reduce the authority’s reliance on residential family centre assessments in the context of care proceedings. 6.4 However, whilst the overall number of purchased residential placements fell in 2009/10 further independent residential placements have been necessary in 20110/11 due to the lack of vacancies inhouse. 6.5 We place a number of children and young people in independent children’s homes and residential schools – around 30 young people 20 of whom are placed outside the local authority boundary. A number of these are joint or tripartite funded due to complex health, education and care needs. More work needs to be done to ensure we have local services within Calderdale so as to reduce the need to send children out of are. Additionally we need to reduce single agency funding and increase joint commissioning arrangements so as to share the costs of such placements. increase is due to the lack of services locally and inhouse. 6.6 We know that present that we are purchasing placements externally where we traditionally have not done so – for instance when we consider factors such as the age profile of the children it is clear that we have independent foster care agencies to provide placements for children under 5. These children tend to have needs which are more easily met and it would be more appropriate and much more cost effective to provide these within Calderdale via local authority carers. There is a need to recruit more in house foster carers to look after this age group. 6.7 In general, placements of young children via independent out of authority providers have been limited to children with older siblings (who themselves were under 5 when placed) and to placements for assessment in the context of care proceedings - for example mother and baby 7. Gaps in Provision – Our Response 7.1 We have 87 Local Authority Carers and 29 family and friends carers (Connected Persons), providing approximately 146 in house placements. 7.2 To reduce our reliance on independent fostering placements and create capacity for placement choice we will need to recruit an additional 82 in house placements. This is probably unrealistic and our 20 target should be 50 additional placements with an acceptance that we will continue to have some independent fostering placements commissioned. 7.3 The fostering service was judged to be ‘Satisfactory’ at the last inspection with good features. The fostering team manages recruitment, assessment, approval and support of all carers including family and friends carers. The foster placement team service is experiencing pressures due to demand for placements and due to the rise in the need for viability assessment of family and friends as possible carers – linked to increased number of court proceedings. 7.4 The service operates a skill based fees and allowances scheme foster carers which compares well with other authorities. Allowances are set at National Fostering Network rates. A pilot project to support foster carers who may wish to convert to Special Guardianship is in place funding has been made available from the Early Intervention Grant to develop a support service for friend and family carers through the children’s centers. This service is early in development but long term it is designed to better support carers in looking after children and reduce the risk of breakdown. 7.5 Foster carers place a high value upon the support they receive and Calderdale foster carers have the benefit of advice and support from the looked after education service and dedicated health professionals, which includes the designated and named nurse and experienced mental health practitioners. 7.6 There are shortages of local authority foster carers nationally and regionally. Calderdale’s neighboring authorities are currently competitors when it comes to fostering recruitment - these Authorities have made significant investments in recruitment. For example Kirklees have a dedicated recruitment team. Calderdale have one temporary arketing officer currently covering both fostering and adoption activity. 7.7 Independent fostering agencies are becoming inundated with placement requests from Local Authorities which they are struggling to meet. A shortage of both in house and independent fostering placements increases the risk of needing to commissioning external residential placements at much higher cost. (we could do a benchmarking exercise to make sure our fees and allowances are competitive enough) 7.8 Foster carers are reaching retirement age. We need to do further work to analyse and predict when our foster carers will retire and to build this into our recruitment strategy. Throughout the UK retirement rate is 1021 15% pa. 7.9 A potential increase in the take up of Special Guardianship by foster carers will reduce the number of looked after children but may impact on a future fostering resource as carers no longer become available for new children . 7.10 An increase in the use of family and friends carers who are offered the same resources from the fostering service, but who may not offer a general resource to the wider looked after population. 7.11 There is a shortage of ‘moving on’ placements for looked after children such as supported lodgings and semi independent living More access to emergency short term placements are needed to give family relief and to enable the local authority to consider options. A significant number of older children enter the looked after system under voluntary agreements having complex and challenging needs which are not easily met by existing resources Increased pressure on foster cares to take children outside of their age group or registration and to manage contact and transport, impacts on the quality of care with increased risk of instability and breakdown in placement We have no dedicated fostering provision for young people remanded to local authority care by the courts. 7.12 There is competition from independent agencies with a number of Independent agencies operating within or near Calderdale’s boundaries. They pay additional fees and allowances and generally offer more comprehensive support packages. 7.13 Foster Care Payment scheme Calderdale operates a skills based scheme which pays the following fee as a ‘reward element’ Level 1 £85 Level 2 £137 Level 3 £277 22 Level 4 £385 The combination of fees and allowances is comparatively high and enables carers to be paid at different rates depending on the needs of the child and the skills they have. 8. Future threats 8.1 Numbers of children looked after could rise further due to the risks associated with increasing austerity and fiscal pressures on families, ongoing generational substance misuse and domestic violence, and increasing numbers of children living in dysfunctional families due to a variety of problems faced by their carers. The child population in Calderdale is also rising and this is likely to result in an increase in looked after children numbers. 9. Future opportunities 9.1 Continued economic pressures and further cuts to local services could lead to redundancy and re-deployment for some households who may then consider fostering as an alternative career. There is the potential to attract appropriate adults to the fostering market. 10. Foster Carers What we need to do Areas for Development This section needs further work - particularly on the solutions we will put in place Foster Carers 20.1 20.2 20.3 20.4 There is a clear need to improve our recruitment of mainstream inhouse carers, including carers for pre- school children. A draft Recruitment strategy has been written and is in the process of being implemented. The service would benefit from either a permanent marketing officer or dedicated resource from the corporate communications team.. This is also an opportunity to develop a range of schemes for short term support, or for older children who may require care over the age of 18 as in the Staying Put and Right2Bcared for pilot schemes that have been successful in other authorities. Such schemes could link with the supported lodging scheme, and would be part of our sufficiency activity, but would require different rates or retainer fees to be agreed. We need to consider the need for a remand fostering scheme to prevent court ordered secure remands and future high costs to the local authority. We should explore using the child minding service more effectively for short term/overnight care of under 8’s through section 17, as an 23 20.5 20.6 10.7 10.8 alternative to care. Access to peer support for carers will be developed as part of a recruitment and retention strategy Respite an practical support to carers needs to be developed Use opportunities to apply funding through Government initiatives for training programmes such as KEEP and Fostering Changes and support initiatives such as Multi dimensional Treatment foster care to provide support for children on the edge of care Continue to develop effective commissioning of placements through external providers that meet the needs of children and young people, while achieving value for money, through monitoring of standards and outcomes 11. Adoption Service 11.1 The implementation of the Adoption and Children Act 2002 has raised the status of adoption as a permanence option for children in care. The New Adoption Regulations, Guidance and Standards (April 2011) provide new challenges to the Adoption Service in all areas of policy and practice and we are in the process of implementing these. 11.2 It is planned that the year 2011-12 will see an increased number of Calderdale Looked After Children being placed successfully for adoption (data to be inserted). Support Service in place for Calderdale adoptive families and their relatives alongside improved birth relative support services. Data please. 11.3 The most significant challenge facing the adoption team is the increased number of “hard to place “we will insert description here who cannot be placed within Calderdale and the lack of approved adopters within the Yorkshire Consortium. (we need to insert some data hers to illustrate what it costs to secure a placement against what the LAC placement costs are). 11.4 Calderdale has an increasing number of families wishing to become approved adopters, but the majority are not a resource for Calderdale Looked After Children either due to their wish to adopt children who are not “hard to place” or due to concerns in relation to placing children close to their family of origin. 11.5 At the same time the numbers of children being referred to the Adoption Team is increasing as evidenced by the significant increase in the last quarter of the year. Calderdale like other small authorities is reliant on the regional and national market for successful placement of children This involves using adoptive families from the regional consortium, voluntary agencies or other authorities, all of which attracts a charging policy, in order to achieve the placement of children.. In Calderdale the average age at placement is 25 months. A key performance 24 indicator in adoption work relates to the placement of children for adoption within timescales. (performance data will be inserted here) 12. Areas For Development (Adoption Services) – what we need to do 12.1 A recruitment strategy is shared with the fostering service but will be aimed at increasing the number of prospective adopters coming forward who are willing to care for hard to place children. The recruitment strategy will include any necessary changes for responding to prospective adopters, information sessions and preparation and assessment processes. 12.2 Hard to place children by definition require ongoing adoption support based upon a comprehensive assessment of need. 12.3 There are a number of foster carers who have expressed an interest in adopting children in their care. It is important that a reduction in income should not be a disincentive, and that carers are unwilling to adopt to care for fear of losing either their income or their support. 13. Residential Care 13.1 There are three mainstream residential children’s homes operating in Calderdale, each with 5 beds(15 places) based at Elland, Ovenden and Illingworth. All three homes have regularly been rated as Good or Outstanding in recent Ofsted reports. 13.2 They have developed a clear theoretical and therapeutic framework for their work, along with a stated value base and standards. This work has been with the aim of enabling staff to step up within their current roles, thereby improving and re defining the status of residential care in Calderdale. (see previous tables) 13.3. Residential care is a more expensive option than a foster placement, but costs of residential care in Calderdale compare well to other authorities, as occupancy rates are generally high. It is a much less expensive option than externally purchased residential care. 13.4 Residential care is a positive option for some young people who have experienced family breakdown or numerous foster care placements, and who do not wish to live in a family setting. In these cases residential care is often able to meet their needs. The outcomes for children who have lived in residential care are as good as for those in foster care. For some, however, residential care is the last resort, when all other options have been tried and failed, thus it becomes a self fulfilling argument. Lack of placement choice exacerbates this problem. 13.5 Getting sufficiently suitable accommodation for care leavers has direct 25 impact on the availability of residential resources for younger adolescents within Calderdale. The possibility of planning for 16year olds who have been placed out of authority to return to Calderdale on completion of year 11, would be enhanced if there was greater choice of supported living arrangements. At present most choose to stay and go to college in their ’new authority’ which increase costs in terms of ongoing support to them as care leavers. For some young people remaining out of area is a positive option. 14. Areas for development (Residential Care) 14.1 The recent Ofsted report on ‘Outstanding children’s homes’ (March 2011) included an area of transition where young people are prepared for independent living within residential care, but have the opportunity to move onto a ‘trainer flat’ where they continue to be supported, and this has improved outcomes for care leavers. This is an important resource to develop in Calderdale with partners in both the Authority and the third sector Housing Associations. 14.2 Westgarth and Alloefield View are established and developing as therapeutic residential providers with good support from the health and education services. These homes should be maintained and continue their development to ensure they can meet the needs of young people who would otherwise have gone into out of authority placements. 14.3 Cousin Lane could be developed as a semi independence unit for 1618 year olds Members will need consider such a decision as to retain this as in house provision or commission from an external provider. SUMMARY OF SHORTFALLS INPLACEMENT PROVISION this is the gap This section needs further work as it introduces new information not already mentioned above – this needs to be in the relevant sections then pulled into a summary Other Shortfalls which need to be considered are: Young people whose behaviour presents a high level of risk through self harm, sexual abuse and exploitation, missing from care, or offending behaviour. Young people with attachment difficulties, or emotional difficulties, especially children who have experienced numerous placements, adoptive family breakdown or failed rehabilitation to family Young people who present as homeless or who are ‘sofa surfing’ Sibling groups with a range of ages. Children aged 5-9 who do not have adoption as their plan but who 26 require permanent families away from their birth family A range of Supported semi independent living arrangements for Care leavers aged 16-19, and unaccompanied young people from abroad, and including emergency care provision, assessment and outreach support Respite care for birth families including Child minders for under 8’s short term care Short term or shared care for disabled children Carers from BME groups Mother and baby assessment placements – we need to decide whether we provide this through specialist fostering – how many do we need in a year? Or is it effective to commission or provide ? 15. Care Leavers Service And Transition 15.1 Accommodation for 16-17 year olds who want their independence but who may not be fully ready or prepared is in short supply. There are however, local providers with opportunities to develop this choice further. The work includes specific budget management and tenancy readiness training. 15.2 Achieving sufficiency includes developing a relationship with local landlords who may be willing to accept a reduced rent on the basis of secure payment rent and support to the tenant. (Recent changes to the housing allowance available have a direct impact on 18+ care leavers as most rents are currently above the limit of the allowance which has been reduced to £346.00 per calendar month, with most rents being in the region of £375 to £400). 15.3 The development of ongoing tenancy or outreach support in the community could potentially reduce the time that teenagers stay in care on the basis that they require ongoing support in the community, due to emotional and behavioural or mental health issues. The cost of a tenancy support worker is far lower than the cost of a social worker and there is an opportunity to work more closely with colleagues in Housing to develop this service. 15.4 Tenancy support and Pathway support for young parents is a key area for development with family support services and the intensive family intervention team. 27 15.5 A revised protocol with the Youth Offending Service is required in order to support care leavers who enter custody (in line with revised regulations and Guidance Children Act 2008)’ 16. The Strategy (this section needs further work) 16.1 Under the 2008 Children Act the overarching duty of the Authority is to safeguard and promote the welfare of children. The first priority must be to re unite the child or young person with their family if it is in their best interests and the child can be safely supported by the family. Where this is not possible suitable placement must be available which meets the child’s needs. 16.2 Getting the best possible placement is crucial. A child who has had an unsatisfactory journey through care (this sentence needs to be cross referenced much earlier in the report) multiple placements, and poorly managed transition, costs the state £393,579 over 7 years. By contrast a child who receives early intervention, minimum delay, stability during care and supported transition is likely to cost the state £353,053 over 14 years - a difference of £41,526p. 16.3 In annual costs per year this translates as £23,470 for a stable care journey and £56,225.57 for an unstable care journey once the length of stay in care is taken into account. Investment in early intervention and a stable looked after placement must be seen as a positive investment. 21. EARLY INTERVENTION - children on the edge of care. 17.1 A recent Government response to the select committee report on Looked after children outlined priority areas to improve outcomes for children in care. The report stated that in some circumstances, care should be seen as the best available option rather than a last resort’ 17.2 The Government have set aside any notion of ‘target numbers ‘of children in care, but instead have placed greater priority upon using research, guidance and performance monitoring on ensuring the quality and promptness of decision making about individual children. 17.3 Children who enter the care system after years of abuse or neglect are harder to help and may never escape the damage caused earlier in their lives. Evidence shows that children whose entry to care has been delayed are more likely to have persisting behavioural and emotional difficulties and are less likely to a stable and effective care placement. To this end the increase in numbers of looked after children in Calderdale through earlier intervention is a positive development. 17.4 A fine balance is to be achieved between providing family support on 28 the basis that family is best, and maintaining a child with family and then making the ‘late’ decision to bring a child into care. Social workers and managers need to have the confidence to intervene and remove the child if the evidence of improved parenting is not clear within a timescale which is reasonable for the child. It is important to remember that a delay of 6 months in taking action for a child aged 2 years is 25% of the child’s life to date. 17.5 There is research which tells us that returning a child to a family home from care and subsequently failing can be more emotionally damaging than for the child to have remained in care. A proportion (need to say how many/what proportion ?) of children in care have experienced at least one failed return home, the main reason being lack of robust assessment and poor re unification support. Most of these children are unable to return to their former foster carer who may well have taken other placements. 17.6 The dilemma of where to invest scarce resources remains - investing in family support services has to be balanced with investment in the care system but for some children- remaining in care is a positive choice and outcome. 17.7 Consider the Munro report and what will be done to free up social worker from Bureaucracy in order that they can spend more time listening and having contact with children and families. More work needed on above section under headings; Early Intervention Adoption Placement Choice Placement Stability Fostering IFA Residential care 22. How are we going to meet it and by when? Improving Sufficiency and Reducing Costs . 18.1 In January 2010 work was undertaken analyse children currently placed via independent fostering agency providers according to current care plan and the type of placement they were likely to require. It was possible to show that an increase in Calderdale carers as substitute for independent carers might reduce costs over a period of time 29 18.2 In some instances, children have been placed with independent fostering agency carers outside the local authority boundary simply by default i.e. due to a lack of capacity of local, in-house placements. Increasing capacity within our own service is clearly a priority which is being addressed in the Fostering Recruitment and Marketing Strategy 18.3 Reinvestment in in-house provision is by no means the only alternative to the current arrangements e.g. Calderdale could adopt different approaches to commissioning other providers and/or working in collaboration with other local authorities. There are local providers who are used by neighbouring authorities and who may well be able to meet a gap in our current provision if quality and value can be assured. 18.4 Limited availability of supported living accommodation within Calderdale does restrict choices for older young people and it places pressure on in-house residential provision. It limits our opportunities to plan for their return to Calderdale beyond Year 11 (age 15 – 16), and thus, ongoing support to care leavers as vulnerable young adults continues to be costly. In some cases there is a need to place children and young people out of authority for safety reasons. 18.5 There are a number of providers in Calderdale Local Authority who currently provide resources for older children including residential care with educational provision, and supported living as transition to independence. There is also an opportunity to consider outsourcing the management of one residential home to an external provider, as well as developing a more positive working relationship with local providers with a view to future commissioning of resources locally. COMMISSIONING AND PARTNERSHIP FOR APPROPRIATE PROVISION Calderdale uses a number of internally and externally commissioned resources including private sector (purchased) placements. 18.6 Currently we have insufficient knowledge to know whether higher cost placements are delivering the outcomes that we require and commensurate with the investment. Further work is required on the evaluation of external placements in line with the regional contracting standards. 18.7 Working in partnership with a range of agencies is a key strategic action for support of looked after children and young people. Includes housing, health, adult services, local employers and training agencies. Improved service planning and delivery across local authority 30 education and health boundaries between child and adult mental health services, can bring real improvement to children’s lives. 18.8 Protocols and corporate strategies between leaving care services and housing have improved accommodation choice for young people. 18.9 Calderdale has a number of providers within the Authority Boundaries. It may now be appropriate to commission purchased care within the authority or re commission the management of some care facilities. Some of this work has already started in respect of purchased foster care placements. 18.10 SUMMARY OF ACTIONS REQUIRED Use the independent sector for bespoke services where outcomes are closely monitored and reviewed. Have in place support services that are transparent and available Divert young people away from youth justice services Develop better management information arrangements to improve sufficiency of choice against projected need Develop Step down services (meeting needs with minimum costs) Very vulnerable children benefit from early targeted intense joined up support for those who leave care younger, those with social and emotional problems, offenders including those with a history of violence, young people who run away. Improve placement choice for young adults separated from their families abroad and experiencing mental health problems through trauma 19. What will it cost? FINANCING THE PLACEMENT STRATEGY. 19.1 The cost of placements is increasing due in part to the sharp rise in the numbers of looked after children coming into the system at a time when Calderdale has not recruited significant additional carers, both in-house foster carers and a wide enough range of carers to meet needs such as, caring for sibling groups. Importantly there are insufficient in-house 31 carers to enable children under 5 years of age who are not deemed hard to place, to be placed within Calderdale’s boundaries. 19.2 The costs of placements is becoming more evident to social workers and team managers as part of their planning and decision making process. Decision making arrangements have been strengthened and placement can be made externally without the permission of the Head of Service. Effective use is being made of Panels to ensure placements are commissioned appropriately including the use of tri-partite funding arrangements. 19.3 Taking the year end the looked after children’s figures for figures for 2009/10 (270) and comparing this with the figures for April 2011 (334), over the last year there has an additional 55 children and young people entering the looked after system. The cost of these extra children depends on the type of placement in which they are placed. We estimate that the average cost over all placements is £83.40 per night. Over a twelve month period this equates to £30,441 per looked after child. Therefore any increase presents significant challenges and places pressures on the placement budget. We presently estimate a possible £1.6m additional spend to meet present pressures. 19.4 Through the commissioning team, work is already underway to drive down costs and at the time of writing this report, over £100,000 of savings have already been achieved following negotiations with external providers with further reductions expected. The Council also contracted with an external group, V4, to support further work to achieve savings of £330,000. 19.5 The benefit of reducing expenditure and reliance on external placements has the potential to create funding to remove financial disincentives for foster cares who want to adopt or become special guardians or for prospective foster carers to give up work away from home to care for a child full time. It would also allows us to reinvest in appropriate support services. 19.6 Unit care costs in Calderdale are good compared to other authorities. The cost of increasing foster care placements by 10% per year and converting Foster Care placements into Special Guardianship placements has longer term benefits, not all of these are financial 19.7 It is estimated that increasing foster care numbers by 15 to 20 would be necessary to have cost benefits, but this is unlikely to be achieved without some initial investment or increase in costs. 19.8 More detailed work is needed to identify where we can enter into partnership arrangements with external providers to commission out some of our residential resources and to commission additional resources that better meet the needs of our older young people who are making the transition to adult life. 32 Remands to Custody and to Secure Custody – impact of government legislative changes on budgets 19.9 Longer term we need to ready for the proposed changes being planned by national government and which are due to take effect from 2014, to charge Local authorities the full costs of remanding young people to secure custody. At present the costs are shared between the Youth Justice Board (two thirds) and local councils (one third). From present figures we know that costs of remands have risen from £95,423 in 2007/08 to £175,932 in 2008/09 and to 217,906 in 2009/10, the most recent available data. The LA contribution has risen from £16, 674 in 2008/09 to £41,588 in 2009/10. If these costs continue to rise the impact on the placement budget will be significant, adding to an already challenging situation at a time when savings need to be found. 19.10 Through the government’s initiative under the Payments by Results scheme initiatives are in place designed to reduce the number of young people remanded to care. Remands to custody remain stubbornly high. In Calderdale we are already responding to reduce numbers remanded to custody and secure custody through a range of community based activities. 19.11 A history of domestic violence, substance misuse, peer pressure and parenting issues are all identified as being significant factors with young people being remanded and /or receiving a custodial sentence and we are exploring additional programmes to will not only support young people but would also increase the courts confidence in any bail or community programmes. 19.12 The number of young people subject to secure remands is small (3) and we could potentially reduce the risk further, by securing suitable remand foster beds supported by a YOT programme. In respect of remands in custody (29) we are endeavouring to develop a whole range of interventions to reduce offending and thereby reduce the frequency that young people are remanded and sentenced to custody. Comparison fostering costs with CIPFA members Cost per child per week 2009/10 (estimate) 2009/20110 final 2010/2011 estimate Inhouse Fostering £343 £328 £426 Average cost of CIPFA benchmarking members £397 £469 £440 Purchased Fostercare (IFA's) £803 £907 £803 Average cost of CIPFA benchmarking members £867 £862 £867 33 OCCUPANCY COSTS Cost per Night Budget Projected Spend Projected over/(under) spend £ £ £ £ Projected Nights 48.07 Fostering 3,246,090 3,237,462.50 27.80 Guardianship 199,250 200,495.46 116.57 IFA 1,566,910 1,952,324.45 385,414.45 13,979 246.05 Calderdale Homes 1,245,559 1,255,132.47 9,573.47 5,232 300.81 External Residential 2,048,420 2,585,635.39 537,215.39 8,078 8,306,229 9,231,050.27 924,821.27 98,884 91.48 TOTALS 8,306,229 -8,627.50 65,025 1,245.46 6,570 £924,821.27 * Occupancy from Residential Occupancy Return @ Occupancy from best guess used all 2010/11 ( Guardianship 18*365= 6270) 34
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