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SAFEGUARDING CHILDREN TRAINING STRATEGY
Prepared by:
Carole Bruce-Gordon
On:
January 2010
Review:
Dec 2012
Lead Director:
David Robinson
Care Quality Commission
Standard 7
Safeguarding Children Training Strategy Jan 2010
Contents
Section Subject Page Number Why do staff who work with clients with a mental impairment have to do Safeguarding Children/Child Protection Training' 1.0 2.0 3.0 4.0 Introduction The purpose of the strategy The purpose of safeguarding children training Responsibilities of Mental Health Trust staff for safeguarding children 5.0 5.1 Training structure Level 1 Training – Mandatory- Corporate InductionBasic Awareness 5.2 Level 2 Training – Mandatory - Training for all professional staff who work with adults with a mental illness and children and young people 5.3 Level 3 Training – Mandatory – Clinical staff and frontline managers 5.4 Level 4 Training - Named Professionals for safeguarding children 5.5 Level 5 Training – Specialist roles 8-9 8 7 6 5 5 2 2-3 3 4 1
Safeguarding Children Training Strategy Jan 2010
WHY DO STAFF WHO WORK WITH CLIENTS WITH A MENTAL IMPAIRMENT HAVE TO DO SAFEGUARDING CHILDREN /CHILD PROTECTION TRAINING'
BECAUSE
Case reviews undertaken after serious events such as a child being killed or seriously harmed; reveal increased risks to the safety and welfare of children whose parents have mental illness (Falcov 1996, Dept of Health 2002, Brandon et al 2008, Rose and Barnes 2008). Ref: Mental Health Practice (June 2009) Volume 12, Number 9, pp28-31 (Turner 2009).
Safeguarding Children Training Strategy Jan 2010
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1.0 Introduction
1.1 All individuals who work in NHS organisations both permanent staff and staff that are contracted or commissioned must be trained and competent to be alert to potential signs and symptoms of what predisposes children to child abuse. This includes being able to recognise when a child may require safeguarding from child abuse and knowing what to do in response to a concern about the welfare of a child. It is imperative staff understands their role and responsibility in this process. Barnet, Enfield and Haringey Mental Health Trust like other NHS Organisations are legally required under the Children Act (2004) Section 11 to ensure staff are adequately trained. Staff groups will require different competencies in order to fulfil their role. This training strategy aims to increase knowledge and skills of all staff, at all levels, working within the organisation. From equipping staff with knowledge and skills to deal with child protection at a basic level, to ensuring that staff involved in child protection work on a regular basis develop a higher level of skill in order to maintain standards and continually improve services. This training document has been developed with reference to the following guidance: • • • • • • •
The Children Act (1989) The Children Act (2004) Working Together to safeguard Children (2006 & 2009) Safeguarding Children and Young People: Roles and Competences (Intercollegiate Document) 2006 Healthcare Commission Standard for Better Health (C2) London Child Protection Procedures (2007) Proposed (Draft) Standards for Safeguarding Children Training in Mental Health Trusts in London (2009)
2.0 The purpose of the Strategy It is a legal mandatory requirement that all staff working for Barnet, Enfield and Haringey Mental Health Trust must undertake safeguarding training. This training is done in accordance with degree of contact with adults with mental illness and children and young people the member of staff has. Staff who work with both inpatients and those within a social setting will be required to take Level 1 and 2 training. CAMHS who work directly with children will require the basic and higher level competences (Level 1, 2 and 3 Training) to work with children and safeguard their welfare. Safeguarding Children Training Strategy Jan 2010 2
All managers are responsible to ensure that their staff attends the appropriate training. The staff member will have interagency training or multi-agency training or both depending on the level of contact with children & families.
2.1 Training for inter-agency and multi-agency work means training that equips people to work effectively with those from other agencies to safeguard and promote the welfare of children. This work typically takes place in two ways: •
Single-agency training-which is safeguarding training carried out within Barnet, Enfield and Haringey Mental Health Trust.
•
Inter-agency training – which is for employees of different agencies who come together for training or development. Training delivered in this way allows the promotion of a common and shared agenda. The respective local safeguarding children board for Barnet, Enfield & Haringey provides this training.
3.0 The Purpose of Safeguarding Children Training 3.1The purpose of training in safeguarding and promoting the welfare of children is to ensure staff members are appropriately skilled and competent. By so doing, staff will be able to develop and foster the following in order to achieve better outcomes for children and young people: •
A shared understanding of the tasks, processes, principles, roles and responsibilities outlined in national guidance and local arrangements for safeguarding children and promoting welfare.
• • •
More effective and integrated services at both the strategic and individual case level. Improved communications between professionals including a common understanding of key terms, definitions and thresholds for action. Effective working relationships, including an ability to work in multidisciplinary groups or teams, and sound decision making based on information sharing, through assessment, critical analysis, and professional judgement (HM Government 2006).
Safeguarding Children Training Strategy Jan 2010
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4.0 Responsibilities of Mental Health Trust Staff for Safeguarding Children As stated in the guidance document Working Together to Safeguard Children 2006, all health professionals who work with children and families should be able to: • • Understanding the risk factors and recognise children in need of support and/or safeguarding; Recognise the needs of parents who may need extra help in bringing up their children and know where to refer for help;
• • • •
Recognise the risks of abuse to the unborn child; Contribute to enquires from other professionals about children and their family or carers; Liaise closely with other agencies, including other health professionals; Assess the needs of children and the capacity of parents/carers to meet their children’s needs, including the needs of children who display sexually harmful behaviour; Plan and respond to the needs of children and their families particularly those who are vulnerable; Contribute to child protection conferences, family group conferences and strategy discussions;
• •
•
Contribute to planning support for children at risk of significant harm, e.g. children living in households with domestic violence or parental substance misuse;
•
Help ensure that children who have been abused and parents under stress(e.g. those who have mental health problems) have access to services to support them; Play an active part through the child protection, in safeguarding children from significant harm; As part of Safeguarding children and young people, providing ongoing promotional and preventative support, through proactive work with children, families and expectant parents; Contribute to serious case reviews and their implementation. 4
• •
•
Safeguarding Children Training Strategy Jan 2010
5.0 Training Structure All mental health trusts are required to provide training on safeguarding children for all clinical and non-clinical staff. Trusts are required to provide to external commissioners and inspection regimes evidence of which staff have been trained and are up to date in their training.
It is the responsibility of line managers to identify the training required by individual staff which is specific to their contact with adults or children to ensure safe practice in safeguarding children. Whilst safeguarding children may seem to only be a small part of the member of staff’s responsibility it is important that identified training needs are met. Single agency training carried out in house in Barnet, Enfield & Haringey Mental Health Trust incorporates mandatory safeguarding /child protection training.
5.1 Level 1 Training – MandatoryAwareness
Corporate Induction- Basic
Target group: • All staff who work for the Trust
Objective • Safeguarding/Child Protection training is an integral part of the Trust’s induction programme and all new staff are required to attend as soon as a place is available. All staff employed by the Trust will at some point come into contact with children and/or their parents/carers. This applies not just to clinicians but for e.g. managers, administrative staff, receptionists’ domestic staff, porter staff, information technology staff, canteen staff, agency staff both clinical and non clinical staff and contract staff. Concerns may be aroused by simply something they observe which causes them to have concern about a child’s welfare or maybe something that an adult discloses to them. If for some reason a session is missed the relevant manager must ensure that the staff member undertakes the next available induction slot.
•
•
Safeguarding Children Training Strategy Jan 2010
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•
NB. It is essential that staff have attended Level 1 training before accessing Level 2
Refresher Clinical staff does not need to repeat Level 1. They should undertake Level 2 training within six months of undertaking Level 1.
Non-clinical staff should undertake a short refresher every three years.
5.2 Level 2 Training – Mandatory - Training for all professional staff who work with adults with a mental illness and children and young people
Target group: • • • • All clinical staff in the Trust All non-clinical staff that are in public –interfacing roles and come into regular contact with service users. This should be undertaken within 6 months of undertaking Level 1 If for some reason a session is missed the relevant manager must ensure that it is undertaken at the next available induction slot.
Objective The Staff needs to be aware of the impact that a parent or carer’s mental health may have on a child. They should be aware of the risk factors related to domestic violence and substance misuse and have knowledge of the different categories of abuse and the associated signs and symptoms.
As well as staff gaining an understanding of what to do if they think a child is being abused and the procedure to be followed. It is important staff are aware of the Child Protection Policy, Child Visiting Policy that are in place to safeguard children in the Trust.
Refresher
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Staff should undertake refresher training every three years which could be-inhouse classroom, appropriate LSCB training or external courses. This will need to be monitored by all service managers who will in turn provide data for ongoing evaluation and audit of staff. This data will be collected by the Named Professionals and the Assistant Director for safeguarding children in Barnet, Enfield and Haringey Mental Health Trust.
5.3 Level 3 Training – Mandatory – Clinical staff and front-line managers Target group: • • • • • CAMHS clinical staff Staff identified as local leads or champions for safeguarding children in their own service team Any clinicians who have direct contact with children Any clinician who have identified this as a CPD need through their appraisal Phoenix Unit – Eating disorders
Objective
These staff members will have as part of their day to day duties and responsibilities, considerable involvement in safeguarding children issues and promoting children’s wellbeing and welfare. They require the knowledge and skills to act upon and be able to contribute appropriately to concerns about safeguarding children. The training would be geared to ensuring they are familiar with current policies and procedures, Working Together, the London Child Protection Procedures and relevant legislation.
Refresher
Staff should undertake refresher training every three years which could be-inhouse classroom or appropriate LSCB training or external courses. This will need to be monitored by all service managers who will in turn provide data for ongoing evaluation and audit of staff. This data will be collected by the Named Professionals and the Assistant Director for safeguarding children in Barnet, Enfield and Haringey Mental Health Trust. 5.4 Level 4 Training - Named Professionals for Safeguarding Children
Target group:
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• •
Named doctor for safeguarding children Named Nurses
Objective Named Professional for safeguarding Children should have a minimum standard of Safeguarding Children Training. Staff in this group will need to have attended training days on physical Abuse, Sexual Abuse, Emotional Abuse and Neglect. Staff must be familiar with the legal legislation that permeates through Safe guarding children. They should be familiar with the relevant guidance documents such as London Child Protection Procedures 2007, Working Together to Safeguarding Children 2006. Members of this staff group are responsible for ensuring that they attend there respective safeguarding board multi-agency training (level B and C).
Refresher Named Professional should have a minimum of one day training a year
5.5 Level 5 Training – Specialist Role Target group: • Lead – Assistant Director for safeguarding children
Objective • This staff member will give sound child Protection policy and practice advice • • • Be able to cascade information through safeguarding structures
Be able to teach/train and assure the competence of staff Be able to develop robust internal child protection policy/guidance/protocols
• •
Undertake safeguarding training needs analysis and develop and inhouse training programme in partnership with others. Advise and inform the Board, Directors, and senior managers regarding safeguarding children. 8
Safeguarding Children Training Strategy Jan 2010
• • • •
Have an advanced understanding of child care law, confidentiality and consent. Be able to confidently challenge practice and support colleagues in challenging perceived views offered by other professionals. Be able to lead improvements in child protection services Be aware of latest research perspectives and implications for practice
• Be able to review , evaluate and update local guidance in light of research
Refresher Training should be updated through CPD 2-3 days per annum.
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Bibliography Dept of Health (2005) Healthcare Commission Standard for Better Health (C2)
H M Government (2006) & (2009)
Working Together to Safeguard Children
HMSO (1989)
Children Act
HMSO (2004) London Mental Health (2009) Trusts Network of Safeguarding Children
Children Act Proposed Draft Standards for Safeguarding Children Training in Mental Health Trusts in London
London Safeguarding (2007) Children Board
London Child Protection Procedures
The Royal College of Paediatrics (2006)
Safeguarding Children and Young People: and Child Health. Roles and Competences for Health Care Staff (Intercollegiate Document)
Turner, S (2009)
Safeguarding Children Training in Adult Mental Health Care Mental Health Practice, June 2009, Volume 12, Number 9, pp 28-31
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