What are the SSIA Projects About?

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What are the SSIA Projects About?

• SSIA for Wales Funded Project. -
  http//www.unique-media.tv/ssiatv/
• 4 National Safeguarding Children Projects
• -Information Sharing Processes with Police.
• -Impact of Parental Mental Health on children
  (work ax Teams).
• -OBA Approach to Safeguarding Children.
• -Case Analysis Audit Learning Tool.
• All Projects have a Multi-agency focus.
• My Project considers 3 areas
• -Outcomes and Indicators for Safeguarding based
  on OBA.
• -Methods for Engagement Participation.
• -How do we measure LSCB Effectiveness.

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Progress towards 3 Project Deliverables

1. Library of Key Performance Indicators (which
   helps promote multi-agency work).
2. Process for Engagement and Participation with
   Safeguarded Children (Includes sample
   questionnaires to capture relevant and
   appropriate data on CPR children).
3. OBA Framework for LSCB effectiveness (plus ideas
   for further consideration).

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1. Library of Key Performance Indicators.

• There are about 50 Safeguarding Children KPIs in
  the Library.
• Criteria used to determine suitability for
  inclusion
• Data MUST be Relevant to Safeguarding Children.
• Data MUST be routinely Available or Essential
  (DDA) with a clear data collection process
  identified.
• Indicators measure outcomes for children (where
  possible multi agency basis).
• Indicators supported by Evidence" where
  possible).
• Indicators we can analyse Tells a Story /-
• Indicators supports discussion the need for
  further investigation or improvement to develop
  local solutions.
• Need to assess the Quality of help received by
  children and their families.
• Too focused on what Social Services do.
• Lack of Child Centred Qualitative Indicators to
  support decisions and improvement. Measure
  Individual Performance v Aggregate.

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Key Safeguarding Children Indicators based on an
OBA Approach to delivering services by selecting
3-5 KPIs

• There are over 50 Safeguarding Children KPIs in
  the Library.
• Use knowledge, experience, evidence-based
  practice and KPIs (together).
• Safeguarding Services
• Children subject of a CPP for a 2nd or
  subsequent time, no matter how long ago.
• Referral rate for Physical, Emotional or Sexual
  Abuse and Neglect.
• Safeguarding Children who feel Safe following
  support or services (DDAQ).
• Children who experienced at least one recorded
  episode of Bullying at School (DDAQ).
• Prevalence of Domestic Abuse (where child lives
  within household).
• LSCB Effectiveness (what else can we do)
• Frontline Staff who feel Competent about using
  all Wales Child Protection Procedures (DDAQ).
• Frontline Staff who feel Training has improved
  their knowledge understanding of Safeguarding
  Children (DDAQ).
• SAIT Standards at Band 2 or above.
• Further DDA Investigations
• How do the Audit sub-group address QA Agenda?
• How do Training sub-group measure effectiveness?

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Key Safeguarding Indicators Need to Baseline
and Target
14.4
Very Good
Investigate
Baseline of 14.4 (in limits or not) Target
setting
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What does Children becoming the subject of CCP
for 2nd or Sequent Time tell us?

• Rationale
• Proxy indicator for Level Quality of
  Multi-agency Services a child receives.
• Helps us monitor whether CPP leads to Lasting
  Improvement in a childs safety overall well
  being.
• Performance
• Good Performance seen as being between 10 15.
• Too Low - Review LA threshold for Registration.
• Too High - Not intervening effectively, need to
  consider the services delivered through the plan.
• Interrelated Package
• Necessary to consider alongside other PIs
  Linked to CCP for 2 years or more (considered as
  a pair).
• Action
• OBA is after ACTIONS to achieve better CYP
  outcomes not just Measurement.
• Indicators/Data inform discussions about local
  practice. (too focused on good or bad
  performancemeeting the indicator in isolation).

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Torfaen Referral Rate as an Indicator of Detection
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What do Referral Rates tell us? Does OBA Help

• Trend
• 12 increase in referrals in Wales from 2009 to
  2010.
• Why
• Internal Procedures Processes.
• Subject to Outside factors (Economic Climate,
  Baby P VC)
• Review Agency Behaviour Defensive practice.
• Proportion of Referrals will always be
  Inappropriate (Munro 2010).
• Need to explain the variation
  Spatial/Agencies/Peers.
• Performance
• Detection - Thresholds for Managing Risk.
• Good Performance Increasing rate (Adjust for
  the Why).
• Good Performance Decreasing rate (Prevention).
• Ability to Explain the direction.
• Action
• Use of Referral Protocol or Guidelines (Review of
  the Referral process in England) to help manage
  the flow of referrals.
• Multi-agency Team (Incl.SW,HV universal services)
  based together in the community (Munro 2010)
  helps remove uncertainty, complexity and anxiety
  increase experience so reducing inappropriate
  referrals. Westiminister model.

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Performance Indicators - General

• 75 Social Workers believe that current
  performance targets have a negative impact on
  outcomes for service users. (UNISON Survey). Must
  avoid perverse incentives.
• Current PIs are inadequate for the task without
  any real attempt to include quality measures it
  is difficult to see how we can secure better
  outcomes for children. (Laming report).
• NSDU (England) looking _at_ Workforce Indicators and
  Organisational Factors which impact on
  performance. (NSDU Consultation). Recruitment
  Issues
• IT Systems are too concerned with process, poorly
  served by IT and do not assist professional
  judgment about risk. (Independent Commission on
  Social Services in Wales, 2010). In a climate of
  rising demand and shrinking resource.
• Too focussed on Processes and Timescale.
• Poorly designed IT Systems.
• Neath Port Talbot seen as breaking new ground.
• KPIs make us ask more questions (Tin Openers) -
  Must have the debate (Views)
• OBA demands 3-5 indicators NO more , Dont try to
  measure everything.
• Culture of over dependence on PIs which are not
  always accurate.

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2. So what about Engagement and Participation.

• Move towards Citizen Centred Services
• Children and Young People have a right to be
  heard and to have a significant say in matters
  that affect them. We will actively listen act
  on what we hear.
• (Sustainable Social Services for Wales A
  Framework for Action, 2011)
• We will expect service providers to put in place
  stronger arrangements to involve those who use
  services directly.
• (Sustainable Social Services for Wales A
  Framework for Action, 2011)
• Service users need a stronger voice in service
  design and evaluation. (Sustainable Social
  Services for Wales A Framework for Action,
  2011)
• Recommendation 20 Develop participatory
  methodologies with children who experience the
  Safeguarding system. (Inquiry into Safeguarding
  Children Boards in Wales)
• Time to do Something, Doing nothing is NOT an
  option. Lets do something learn and move on.
• Torfaen Childrens Safeguarding Survey (Pilot)
  commenced 07/03/2011.

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2. Torfaen Childrens Safeguarding Survey.

• Is the Survey able to Inform the LSCB about
  children and young peoples (CYP)
• Perception of the service and support they
  receive (Good Bad).
• Possible areas for further consideration (Service
  design improvement).
• Feelings and welfare pre and post registration
  (Safe outcomes)
• The Survey will help clarify the following
  assumptions
• CYP are able to discuss their views, opinions and
  feelings through a semi-structured interview.
• Questions are suitable and provide appropriate
  feedback (recognise there are issues on
  perception and definition of safe).
• Participation will not result in any further
  emotional distress.
• Participation helps measure the effectiveness of
  services in taking reasonable steps to ensure
  that CYP feel safe.
• Participation helps support service design and
  change to ensure they are more effective and
  responsive to CYP.
• Use of an independent advocate service allows CYP
  to be more open about their feelings and the
  services they receive.

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Appendix 4 Implementation Process for Torfaen
Childrens Safeguarding Survey
Is Child aged 6-17 years old (Cohort) Quota
Sampling
Decision taken to Place child On Child
Protection Register _at_ ICC
NYAS meet Child prior to ICC- listen document
views wishes ()
After ICC Child invited to complete the
Questionnaire
Yes
Yes
No
No
OR
Meet Child_at_ an appropriate venue complete
Registration Questionnaire
Not on CPR Not Involved in The Survey
lt5 years old Not Involved in The Survey
Return Questionnaire Pre-ICC form () to Social
Services for Analysis
NYAS will give the child a Short Information
leaflet about the Survey
Meet Child_at_ an appropriate venue complete
De-Registered Questionnaire
Decision taken to Remove child from Child
Protection Register _at_ CCR
LA contact NYAS who agree to meet listen to
Child
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3. Framework for LSCB Effectiveness.

• Findings following extensive research
• Complex Not easy to measure effectiveness of
  multi-agency working to protect children from
  risk of harm.
• Continue with the use of Proxy indicators.
• SAIT is fit for purpose.
• Observations of SAIT Process /- Self
  assessment.
• Observations of SAIT Processlack of Practitioner
  feedback.
• Consider Sub Group Activities especially Audit
  sub-group and the QA agenda Training sub-group
  and the impact (effectiveness) of training
  delivered.
• Introduce One high level indicator to help
  facilitate Inspection and peer group analysis.
• Consider two new DDAQ indicators.

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Key LSCB Effectiveness Target
Performance Indicator Torfaen LSCB will
achieve 90 of the SIAT Standards at Band 2 or
Above.
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OBA Approach to LSCB Effectiveness
How Much did we do?
Number of Training sessions delivered.
Number of Audits completed. Case fie Audits - Achievement of Outcomes in Individual Care Plans?
Number of LSCB meetings.
Number of Serious Case Reviews.
Annual SAIT Workshop Practitioner Consultation.
Number of Client Questionnaires Completed and processed (DDAQ)
Number of Completed CRBs

How well did we do it?
Attendance rate by Agency at all Training sessions.
Audits ? Care Plans where individual Outcomes for children were achieved? Quality
Attendance rate by Agency at all LSCB meetings. SCRs ? Quality
SAIT Standards at Band 2 or above.
Children Young People who report a positive outcome to services (DDAQ)



Is anyone better off?
Front line Staff who feel Competent about all Wales Child Protection Procedures (DDAQ).
Front line Staff who feel Training has improved their knowledge and understanding of Safeguarding Children (DDAQ)
SAIT Standards at Band 2 or above.




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Calendar Project ends in May 2011

• Outline project _at_ Audit sub-group and discuss how
  to address Quality Assurance agenda.
• Outline Project _at_ Training sub-group and discuss
  how to improve practitioner engagement impact
  of Training.
• Discuss Survey at Merthyr and/or Powys CYP LSCB.
• Discuss Survey with NSPCC.
• Implement Pilot Survey in March - (07/03/2011).
• Discuss Project _at_ SEW LSCB Forum.
• Reference site visit to England.
• Present to all Wales Groups on behalf of SSIA.
• Research Brief - Paper Tools