Growth and development.pdf
Growth and development.pdf Growth and development.pdf
FalkirkThe Council led the joint preparation for retraction of the Royal Scottish National Hospital (RSNH).Forty people are still to move out. Those who first moved out into the community found it hardto make friends. The Council has to balance resources between the RSNH retraction and clientsalready in the community.Existing integrated teams for adults with mental health problems are to be reshaped from fiveto three, matching the boundaries of community care teams and primary care. Each team is tohave a single manager and a devolved budget. However, integrated management is notanticipated in the near future. There is a joint resource panel for supported accommodationand residential rehabilitation for mental health, and similar panels for learning disability andelderly services. Caledonia House works effectively on the clubhouse model, although its manyservices need to be integrated and linked to other services.The development of the single shared assessment process is building on partnership workingbetween social work and the local health care co-operative. The single shared assessment toolhas been agreed, and a separate tool has been piloted for people with learning disabilities.Accessing resources across agency boundaries is an area to be addressed.The Council is developing a multi-agency resource centre for people with sensory impairment.Resources and partnerships with health and the RNIB are in place but a site has still to beidentified. A senior social worker co-ordinates sensory impairment services; she is to coordinatethe register, manage staff and be involved in training. Other aspects of the localsensory impairment services are:• an intake service in the eye clinic and good joint working with ophthalmology;• a service user group which meets six weekly; and• deafblind communicators (10 in-house, with further service available from Deafblind Scotland).The Council and the Health Board have agreed to establish ‘aligned budgets’, although ‘pooledbudgets’ are anticipated in the future. A high-level joint management group has beenestablished. A financial management group will identify the resources as part of aligned budgets.A fundamental redesign of services is being examined, including residential care homes forolder people and sheltered housing.121
3. Performance: Children and FamiliesBalance of care – Looked afterchildren (aged 0-17)At home 84 2.6 4 75 2.4 4With friends/relatives/other community 33 1.0 2 33 1.0 2With foster carers/prospective adopters 94 3.0 2 104 3.3 2In residential accommodation 30 0.9 3 32 1.0 3Total 241 7.6 3 244 7.7 3Key performance indicators1999-2000actual1998-1999actual1999-2000per 1,0001998-1999per 1,000QuartileQuartile2000-2001actual1999-2000actual2000-2001per 1,0001999-2000per 1,000QuartileQuartileChild protection (CP) referrals 420 14.8 1 259 9.1 2(aged 0-15)Children subject to a CP case 30 1.1 4 49 1.7 4conference (aged 0-15)Children placed on CP register 30 1.1 4 49 1.7 2(aged 0-15)Adoption applications in year 8 0.3 4 4 0.1 4(aged 0-17)Stranger adopter applications 3 0.1 3 4 0.1 4(aged 0-17)The rate of looked after children is lower than in many other authorities. A fairly high rate oflooked after children are living with foster carers. A Foster Carer Payment for Skills project hasbeen introduced and the child care resources team is working to recruit and support morefoster carers.There is a relatively high rate of child protection referrals, but only a low rate proceed to a caseconference. The number of referrals were particularly high in 1998-1999. The names of all thechildren who were subject to a case conference were placed on the child protection register in1999-2000. The rate of children on the child protection register has increased significantly since1998-1999. Rates of adoption applications are low.The Council, in partnership with Barnardos, has set up the Cluaran project as a multi-disciplinaryalternative to care placements. This provides an integrated service to reduce the risk of youngpersons being excluded from school and/or being accommodated.A dedicated throughcare and aftercare team is in place to provide services for care leavers. It isanticipated that additional staff will be appointed to the team. The Council is designing a systemto track and monitor young people’s progress, and to monitor payment arrangements. Furtherprogress has to be achieved in securing the active involvement of the voluntary sector.The Council has put in place a joint monitoring group to monitor progress in implementing policyand assist in the co-ordination of services to looked after children. In addition, every school hasa designated looked after children co-ordinator to maintain a register of looked after andaccommodated pupils, and ensure that appropriate measures are in place for supporting thechildren.122
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3. Performance: Children <strong>and</strong> FamiliesBalance of care – Looked afterchildren (aged 0-17)At home 84 2.6 4 75 2.4 4With friends/relatives/other community 33 1.0 2 33 1.0 2With foster carers/prospective adopters 94 3.0 2 104 3.3 2In residential accommodation 30 0.9 3 32 1.0 3Total 241 7.6 3 244 7.7 3Key performance indicators1999-2000actual1998-1999actual1999-2000per 1,0001998-1999per 1,000QuartileQuartile2000-2001actual1999-2000actual2000-2001per 1,0001999-2000per 1,000QuartileQuartileChild protection (CP) referrals 420 14.8 1 259 9.1 2(aged 0-15)Children subject to a CP case 30 1.1 4 49 1.7 4conference (aged 0-15)Children placed on CP register 30 1.1 4 49 1.7 2(aged 0-15)Adoption applications in year 8 0.3 4 4 0.1 4(aged 0-17)Stranger adopter applications 3 0.1 3 4 0.1 4(aged 0-17)The rate of looked after children is lower than in many other authorities. A fairly high rate oflooked after children are living with foster carers. A Foster Carer Payment for Skills project hasbeen introduced <strong>and</strong> the child care resources team is working to recruit <strong>and</strong> support morefoster carers.There is a relatively high rate of child protection referrals, but only a low rate proceed to a caseconference. The number of referrals were particularly high in 1998-1999. The names of all thechildren who were subject to a case conference were placed on the child protection register in1999-2000. The rate of children on the child protection register has increased significantly since1998-1999. Rates of adoption applications are low.The Council, in partnership with Barnardos, has set up the Cluaran project as a multi-disciplinaryalternative to care placements. This provides an integrated service to reduce the risk of youngpersons being excluded from school <strong>and</strong>/or being accommodated.A dedicated throughcare <strong>and</strong> aftercare team is in place to provide services for care leavers. It isanticipated that additional staff will be appointed to the team. The Council is designing a systemto track <strong>and</strong> monitor young people’s progress, <strong>and</strong> to monitor payment arrangements. Furtherprogress has to be achieved in securing the active involvement of the voluntary sector.The Council has put in place a joint monitoring group to monitor progress in implementing policy<strong>and</strong> assist in the co-ordination of services to looked after children. In addition, every school hasa designated looked after children co-ordinator to maintain a register of looked after <strong>and</strong>accommodated pupils, <strong>and</strong> ensure that appropriate measures are in place for supporting thechildren.122