West of Berkshire LSCB Forum

West of Berkshire LSCB Forum

West of Berkshire LSCB Forum Neglect - what can we do together locally to tackle this issue? Agenda 09:30 Welcome and house keeping 09:35 Understanding neglect 10:15 Neglect in the eyes of the law 10:30

Case Review/learning from inspection and audit how can we improve our local response? 11:15 Networking 11:30 Close Understanding Neglect Working Together defines neglect as:

Neglect is the persistent failure to meet a childs basic physical and/or psychological needs, likely to result in the serious impairment of the childs health or development. Neglect may occur during pregnancy as a result of maternal substance abuse. Once a child is born, neglect may involve a parent or carer failing to: Provide adequate food, clothing and shelter (including exclusion from home or abandonment); Protect a child from physical and emotional harm or danger; Ensure adequate supervision (including the use of inadequate care-givers); or Ensure access to appropriate medical care or treatment. It may also include neglect of, or unresponsiveness to, a childs basic emotional needs. Neglect in the eyes of the law Offences Child Cruelty (commonly referred to as Neglect)

Causing/allowing death or serious physical harm Case Examples Abandonment by single parent to go to work Death of child by falling from 1st floor window Questions Child Cruelty S.1 Children & Young Persons Act 1933 It is an offence for a person aged 16+ (at the time) who has responsibility for a child under 16 to wilfully themselves, cause another or procure another to either: ASSAULT / ILL-TREAT / NEGLECT / ABANDON / EXPOSE the child under 16 in a manner likely

to cause unnecessary suffering/injury to health Causing/Allowing Death/Harm S.5 Domestic Violence, Crime and Victims Act 2004 A child (V) has died or suffered serious physical harm; As a result of an unlawful act, course of conduct, or omission of a person (D), who was a member of the same household as V and who had frequent contact with V; There existed at the time of death, a significant risk of serious physical harm being caused to V by the unlawful act of any member of that household and either: a) D was the person whose unlawful act caused the death or the harm; or b) D was, or ought to have been, aware of the risk, and failed to take reasonable steps (as could be expected) to protect V; and

c) The death or harm occurred in circumstances of the kind that D foresaw or ought to have foreseen. Case Examples A cruelty offence relating to the abandonment of 4 children so could go to work evidential difficulties Fall & death of 18 month old boy from a window, leading to the investigation into circumstances of fall versus poor state of the home went to an Inquest Common uniform response jobs Any Questions? Case Review Swindon Child D

Child D died unexpectedly in March 2015 aged 2 weeks. His mother had slept with him on the sofa. At the time of his death, child D was known to Childrens Services as his older sibling was subject to a child protection plan. No inquest was held as a post mortem examination concluded that his death was due to natural causes. Read the statement from the mother and maternal grandmother included as part of the SCR. What are you initial thoughts on the family situation that Child D was born into? Case Review Now read the brief chronology of key events, as taken from the SCR Has this changed your view of Child Ds

situation? Think about the risk factors for Child D Can you relate this case to anyone in your case load? Key themes Co sleeping on sofa Well known to agencies child protection plans/interim supervision order Neglect Maternal ill health Mothers traumatic childhoods/older children in care Learning

Gaps in communication between agencies at all stages Gaps in assessment Identification of capacity to change

Lack of chronology on social work file Mothers mental health Identity of male partners and their parenting capacity Viability of grandmother Impact of mothers childhood on parenting Impact of her lifestyle Apparent changes taken at face value

False optimism Mothers/impact on staff Needy care leaver, distracted by her own needs Disguised compliance Impact of traumatic pregnancy and major surgery/effects of strong painkillers Learning Child Protection Processes Few core group meetings Implementation of CP plan not addressed at reviews Paediatrician not at strategy meeting No pre birth conference Escalation

No escalation by Conference chairs Health visitor Community midwife Organisational issues Changes of social workers and managers Health visitor workload/supervision Workload of safeguarding midwife Delay in community paediatric assessment Cover for vulnerable baby when health visitor not available IT systems Learning from JTAI & Neglect Audit The Childs voice

Do we hear the childs voice in neglect cases? Do we understand the childs lived experience of neglect and the long term impact on life chances? Do we respond to adult needs thus overshadowing the needs of the child Multi agency planning: A consistent approach - joint decision making and shared responsibility across partners Are we risk assessing - is our response swift Do plans and risk assessments adjust to the baby/childs/young persons changing development and needs; ensuring children reach milestones and their full potential The use of multi-agency chronologies to build a picture of the childs life Is information shared promptly and of quality Do we provide challenge where there is drift in professional meetings Do we escalate to resolve professional disagreements to improve outcomes for children Are we overly optimistic - are we evidencing sustained change is there a support network in place Multi Agency Training/tools Training across agencies including adult services to identify and understand the impact of neglect

To improve the knowledge, awareness, identification and impact of neglect to safeguard children Do adult facing services recognise and respond to neglect Consistent supervision Learning disseminated from SCRs and audit What can we do locally? What changes are necessary in light of these findings? What recommendations would you make to the Safeguarding Children Boards? What might be the barriers to making the changes? Resources DfE Training resources on childhood neglect

(handouts): https:// www.gov.uk/government/publications/training-r esources-on-childhood-neglect-handouts Research in Practice (open access resources available): https://www.rip.org.uk/ Child Death Overview Panel (CDOP) training event - 07/03/2018 Saving Childrens Lives Aims: to raise awareness and develop new skills building on the learning from child deaths. Sudden unexpected death in infants and young children, including safe sleeping recommendations Safeguarding young people engaging in risky behaviour Sharing good practice in responding to child death

Purpose and process of CDOP Taking action to reduce child death Practical sessions reviewing real cases Level 3 (Health) safeguarding compliant and evidence of self-development Details 30 10am to 4pm on 07/03/2018 Pincents Manor Hotel, Calcot, Reading, RG31 4UQ Networking and Close LSCB websites: www.readinglscb.org.uk www.westberkslscb.org.uk www.wokinghamlscb.org.uk Child Protection Procedures online:

www.proceduresonline.com/berks/

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