Cared For Children and Care Leavers Committee - Tuesday, 18th June, 2024 2.00 pm

June 18, 2024 View on council website Watch video of meeting
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Summary

The committee received an update from the Shadow Committee, and reports from Cheshire and Merseyside ICB, the Virtual School, and the Fostering Service. They also received the Children and Care Leavers’ quarterly scorecard, and discussed the findings of the recent Ofsted inspection.

Update from the Shadow Committee

Sally Britton provided a verbal report from the Shadow Committee. She explained that the shadow committee is made up of children in care and care leavers and that they had recently made artworks, audio recordings and written statements for the Ofsted inspection and had also attended a focus group.

The Committee heard that a recent survey of care leavers showed that there was demand for a men’s mental health support group, though more work is needed to understand exactly what is needed. Ms Britton explained that, we are about to start developing and pulling together some focus groups of care experiencing people so that we can look at the results of the care leaver survey to form some recommendations and ideas that could go forward to our decision makers.

Councillor Saunders said that she would like to explore the rationale behind the need for a men’s mental health group. She asked if young men felt embarrassed to speak about things that were emotional to him in front of young women and girls?

The Committee heard about a project to create a new training course for professionals working with looked after children to help them better understand domestic abuse. The project was inspired by feedback from care experienced young people who said that instead of meeting new professionals, they would prefer it if their existing support workers had the skills and knowledge to help. Ms Britton said:

Our young people said rather than giving us more professionals in our lives, equip the ones that we already trust and work with with the skills to support us.

The Committee heard about a number of upcoming projects and events, including a new ‘Community Care Guide’, the annual ‘Star Celebration Day’ for looked after children at Sandbach Town Hall and a monthly cooking and food session for carers.

Ofsted inspection findings

Deborah Wood, Director of Children's Services, updated the committee on the findings of the recent Ofsted inspection. The inspection found that services for care leavers were ‘inadequate’, and that other areas ‘require improvement’.

Councillor Hayes asked how the areas where Ofsted identified a need for improvement were reflected in the council’s own self-evaluation.

Ms Wood said that the council was aware of inconsistencies in the quality of service provided, but that this had not been properly addressed. She explained that:

What we said is you'll find some really good practice and they found some really good practice. But what they didn't find is that practice spread right across the system. So there were pockets of excellence, pockets of really good practice, but that wasn't sufficiently spread across the system.

Councillor Hayes asked how the improvement plan would be paid for, given the council’s difficult financial position. Ms Wood said that the council was working on a costed plan, but that extra capacity would be needed to deliver the required improvements. She explained that we want to enable our workforce to do that, so there will likely, there are already some, I think I mentioned this at the committee earlier in the month, […] that we had already put in some additional personal advisors into the care leavers’ team.

Councillor Bennett-Wake raised concerns about the availability of suitable accommodation for care leavers. She pointed out that the housing crisis means that there are very long waiting lists for social housing, and that many private landlords are unwilling to let to care leavers.

Councillor Bennett-Wake also asked whether the council’s communication plan would include other agencies, like social housing providers and job centres. Ms Wood said that it would, and that partners will be invited to sit on a new corporate parenting working group.

Children in Care Annual Report

Rebecca Jones, Deputy Designated Nurse for Safeguarding Children and Children in Care at NHS Cheshire and Merseyside, presented the ICB’s annual report on children in care.

Councillor Hayes expressed concern that the report was already nearly 12 months out of date, and asked how the ICB plans to work with the council to deliver the rapid improvements required.

Ms Jones acknowledged the delay, explaining that this was the first Children in Care Annual Report that was produced and created as the NHS Cheshire and Merseyside ICB was established on the 1st of July, 2022. She said that she would raise the issue of the delay with colleagues.

Councillor Hayes also pointed out that the data on dental checks in the report differed to that shown in the council’s scorecard. Ms Jones explained that we've recently done a piece of work in relation to a data cleanse of the information that was received for the Dentistry scheme.

Councillor Hayes said that she felt the lack of timely information from the ICB made it difficult to hold them to account for their part in delivering improvements. She asked if representatives of the ICB could attend the committee more regularly.

Councillor Hollands expressed concern that many looked after children in Cheshire East were still not able to access dental care. She asked if the council could think “outside the box” and explore alternative ways of providing dental care to looked after children.

Councillor Hollands also asked about the large discrepancy between the percentage of children in care receiving an initial health assessment within 20 days in Cheshire East (20%) and Cheshire West and Chester (100%). Ms Jones explained that the figures for Cheshire East related to children who were placed out of area, and that this could partly explain the low figure.

Councillor Hayes said that while she appreciated there were challenges, she felt that the council needed to be more ambitious about ensuring children in care received appropriate dental care. She said:

If I didn't want to go to the dentist, would my mother force me to go to the dentist? Yes, she would. Similarly, if there wasn't an NHS dentist appointment available, and she could afford to take me to an alternative, would she? Yes, I'm sure she'd try.

Fostering Service Annual Report 2022-2023

Shemina Sadiq, Fostering Service Manager, presented the Fostering Service’s annual report. The report shows that the service received 237 enquiries in 2022-23, but only five of these resulted in foster carer approvals.

Councillor Hayes said that receiving the report in June 2024 made it difficult to scrutinise its content and influence any necessary change. She asked what was being done to make sure reports were available in a more timely manner in future.

Councillor Hayes also said that she would find it useful to be able to compare the performance data in the report with that of other local authorities. Ms Sadiq said she would include this data in future reports.

Councillor Bennett-Wake asked if the council could learn from any other local authorities who were performing well on foster care recruitment. Deborah Wood, Director of Children’s Services, said that the council would look at what was on offer for foster carers in other local authorities to make sure Cheshire East was an attractive option. She said that “it is a very competitive market”.

Ms Wood also said that the council would be looking at how families could be better supported to care for their own children to reduce the number of children coming into care. She said:

So the balance, getting the balance right between supporting families to look after their own children, but having a good range of foster carers to support children. But some of those are more complex children that can otherwise be in residential care, stepping them out of residential into foster care, if that can manage that need, something that we can start to consider moving forward.

Councillor Bennett-Wake asked about the lack of younger foster carers. Ms Sadiq explained that the council was part of a regional partnership with seven other local authorities who are working together to recruit more foster carers. She said that this would be formally launched in May 2024.

Councillor Bennett-Wake asked about the council’s plans to recruit more foster carers for children who would otherwise be placed in residential care. The report says that these plans have not been achieved, partly because a full costing of the service is not yet available. Ms Sadiq explained that this was because the council is looking to recruit salaried foster carers, which is a more expensive option.

Ms Wood said that the council would be bringing a report to a future meeting outlining the costs and benefits of recruiting more salaried foster carers.

Councillor Hayes asked if the Fostering Panel now had a permanent panel advisor. Ms Sadiq confirmed that it did.

Virtual School Headteacher Annual Report

Laura Smith, Virtual School Headteacher, presented her annual report, which details the educational progress of children in care.

Councillor Hayes said that she was struggling to reconcile the contents of the report with the findings of the recent Ofsted inspection.

Ms Wood acknowledged that the report showed that the educational outcomes of children in care in Cheshire East were poor compared to those of children nationally, though they were similar to the outcomes of children in care in other local authority areas. She said that the council should be more ambitious, and that "we've got to be comparing ourselves with all other children, not the cared for population”.

Councillor Hayes asked if there was a governing body for the Virtual School. Ms Smith confirmed that there was, and that it includes members of the council.

Councillor Gildon said that it was important to celebrate the successes of looked after children. She said that the council should be careful not to focus too much on the negative.

Councillor Bennett-Wake agreed, saying:

I don't know sometimes I feel like we get drawn into comparing apples with pears or whatever the analogy is that we do need to be ambitious but we can't compare someone who's come from a secure background, there's everything that they need, the love, the care, the finance if necessary, the place to live. To a child who has had to be taken away from their bare parents and looked after by a council or somebody else, another family member or whatever, the impact that has on them which is why quite rightly you say that training is so important to understand that distance travelled is enormous and we mustn't be excited about that, I quite agree with you on that.

Councillor Hayes said that she agreed that the successes of children in care should be celebrated, but that this should be done “in the most timely and appropriate ways”. She said that she felt that the best way to find out how children in care want to celebrate their achievements would be to ask them.

Councillor Hollands agreed, suggesting that the council should think outside the box and consider offering children in care things like concert tickets as rewards.

Ms Wood said that she would take the suggestions on board, and that the council would “come back with some ideas in our next report”. She also said that it was important to recognise the achievements of all children in care, and that “it's just the small steps and the big steps, and not sort of privileging one over the other, but recognising celebrations and achievements should be marked”.

Review of the Terms of Reference

The Committee were asked to note a report on proposed changes to its terms of reference.

Councillor Hayes asked if the terms of reference could be updated to include a governance framework for the additional working parties that had been discussed.

Ms Wood suggested that the item be deferred to a future meeting so that this could be properly considered. She said that it was important to ensure “clarity around the sovereignty, if you like, of this board, committee”.

Care for Children and Care Leavers Scorecard

Anne-Marie Hastings presented the latest Children and Care Leavers scorecard. She acknowledged that the scorecard was significantly out of date and said that going forward she would work with the colleagues in business intelligence to make sure that the scorecard reports are more timely.

Councillor Hayes said that the scorecard included areas where she felt she had little influence, like those relating to health. She said:

If I was a dentist, I could say, Goodness, 53% in time, I tell you what, send them to my surgery on Friday and we'll make that 75%.

Ms Hastings said that the council would be looking at ways to present data more regularly and to make sure that reports included qualitative information, as well as statistics. She said that:

I think what we can do more of is to develop the reporting on the back of the data to add some of that quality information so I think that we don't tell you enough about quality assurance, we don't tell you enough about auditing activities.

Councillor Posner asked how the committee could be sure that the scorecard reflected the things that mattered to children in care.

Ms Wood said that most of the data in the scorecard came from statutory returns to government and that this could not be changed. She said that data in itself make a difference? We know that our data in many areas is as good as good or outstanding local authorities so it's on its own, it's not sufficient so it has to be that end diagram of data and quality evidence that may be auditing, that may be spending time with the child, that may be spending time looking and understanding the child's story in different ways that helps us understand whether this is good enough.

Councillor Bennett-Wake said that she found the case studies in the report more helpful than the data.

Councillor Hayes said that she felt that frontline visits were a good way for councillors to better understand the experiences of children in care.

Ms Wood said that she would be asking officers to invite councillors to more events.

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