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Children Looked After at Home

Children Looked After at Home. Improving outcomes – joint working and service delivery Alistair Gaw City of Edinburgh Council. There is no typical child….…. Looked After or not Looked After? Levels of poverty and disadvantage are extreme Adults have high levels of need

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Children Looked After at Home

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  1. Children Looked After at Home Improving outcomes – joint working and service delivery Alistair Gaw City of Edinburgh Council

  2. There is no typical child….….. • Looked After or not Looked After? • Levels of poverty and disadvantage are extreme • Adults have high levels of need • Wide range of needs • Needs can be as acute as children who are accommodated • 380 out of 1400 Looked After children in Edinburgh

  3. What are we trying to achieve? • Keep children at home • Help children to thrive at home • Protect child from harm • Protect other children and our communities for harm • Achieve good outcomes ie GIRFEC outcomes

  4. What gets in the way? • Lack of consistent key worker • Change of social worker • Intermittent and unreliable services • Lack of shared objectives and joined up working • Remedial rather than preventative spend • Lack of capacity to deliver preventative services

  5. HSRs are addressing system deficits • Attempt to force engagement where services cannot engage • Create and monitor care plans • Substitute for quality assurance and self evaluation • Act as external scrutiny body • Passport to resources • Average time 4 years

  6. What works • Regular contact • Timely and reliable services • Right mix of practical supports and effective change programmes eg FNP, Parenting Programmes, MST • Multi-agency support based on shared objectives • Gateway to specific resources eg domestic abuse • Focus on improving joint working and service delivery Murray 2002, Ofsted Edging Away from Care 2011, Gabba and Fitzpatrick Messages from Research 2012.

  7. Delivery - doing the right things well • Speed reliability and consistency of response • Good quality assessments • Robust and flexible planning • Stability, predictability, build on secure attachments • GIRFEC - integrate processes eg child protection, LAC, ASN • Self evaluation and external scrutiny • Use Plan Do Review cycle

  8. Improving delivery in Edinburgh • LAC at home had second class service • All LAC at home are allocated • All have formal care plans • All have regular care reviews • New processes and rigorous performance management • Regular quality assurance and self-evaluation • Minimal additional resources

  9. Improving joint working and delivery • More focus on outcomes • Our care plans need to be better and smarter • Continue to implement GIRFEC • Do more to combine systems - LAC reviews with child protection and ASN • More inclusive schools and targeted health services • Shift resources from high cost models of care eg some LAAC • Multi-agency self evaluation • Use our Community Partnership • Role of HSRs?

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