Knowledge of thresholds was evidenced in referrals. Supervision In all GP practices there are mechanisms in place for reflection and discussion of cases on regular basis. Peer supervision place. CCG practice leads meet quarterly. HEFT Information sharing KLOE 1 Information sharing There should be a All CSC and Engage teams to Practitioners were school nurses were continued emphasis have contact lists for all health aware of information unaware of concerns and on how to capture and visitor, school nurse and FNP sharing protocols and were not invited to record what daily life is teams. there was evidence of agency meetings. Although like for the child in all Clarify processes of multi-agency liaison. receipt of CP minutes has safeguarding training agency feedback so there is Threshold Document improved since the last and 1:1 sessions and better communication between This has been audit cycle, receipt of core promote staff agencies. promoted well and is group minutes is still confidence in Hold quarterly multi-agency embedded in practice. inconsistent. obtaining this. learning events reviewing Supervision After CP conferences Promotion of LSCB examples of good practice, There is 3 monthly recommendations are not dispute resolution and examples of where supervision for HVs and always followed and cases procedures alternative interventions could schools nurses, as well are closed very quickly. Continued supervision have improved outcomes for as group supervision KLOE 3 Voice of the child and challenge. the child. and 1:1s for all There inconsistent Communicate and practitioners that hold recording of what life is like liaise with CSC or CP and CIN cases. for the child. Practitioners Engage to address of child struggled to understand cases where concerns Disability was what they could write in the and/or interventions addressed statements; the voice of are not known to appropriately. The child is often taken literally. Health, and resolve of the child was The impact of the this. addressed in some surrounding environment Direct practitioner cases and age needs to be considered. focus to consider appropriate tools were KLOE 4 Impact of intervention whether interventions
Knowledge of thresholds was evidenced in referrals. Supervision In all GP practices there are mechanisms in place for reflection and discussion of cases on regular basis. Peer supervision place. CCG practice leads meet quarterly. HEFT Information sharing Practitioners were aware of information sharing protocols and there was evidence of multi-agency liaison. Threshold Document This has been promoted well and is embedded in practice. Supervision There is 3 monthly supervision for HVs and schools nurses, as well as group supervision and 1:1s for all practitioners that hold CP and CIN cases. of child Disability was addressed appropriately. The of the child was addressed in some cases and age appropriate tools were KLOE 1 Information sharing school nurses were unaware of concerns and were not invited to meetings. Although receipt of CP minutes has improved since the last audit cycle, receipt of core group minutes is still inconsistent. After CP conferences recommendations are not always followed and cases are closed very quickly. KLOE 3 Voice of the child There inconsistent recording of what life is like for the child. Practitioners struggled to understand what they could write in the statements; the voice of child is often taken literally. The impact of the surrounding environment needs to be considered. KLOE 4 Impact of intervention There should be a continued emphasis on how to capture and record what daily life is like for the child in all safeguarding training and 1:1 sessions and promote staff confidence in obtaining this. Promotion of LSCB dispute resolution procedures Continued supervision and challenge. Communicate and liaise with CSC or Engage to address cases where concerns and/or interventions are not known to Health, and resolve this. Direct practitioner focus to consider whether interventions All CSC and Engage teams to have contact lists for all health visitor, school nurse and FNP teams. Clarify processes of feedback so there is better communication between agencies. Hold quarterly multi-agency learning events reviewing examples of good practice, and examples of where alternative interventions could have improved outcomes for the child. agency agency