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Instead, the committee used existing non-NICE UK health and social care guidance about information gathering when abuse or neglect is suspected. The committee agreed that this is a crucial area and they built on the evidence with their own expertise. The committee used their experience and expertise to make the recommendation on reporting suspected abuse and neglect, and who to contact if the problems are with the management of the care home. Contact regional associations direct for details of training on: PROFESSIONAL SUPPORT AND DEVELOPMENT (PSD). Quantitative and qualitative data were available on training in the care sector, but the committee's confidence in this evidence was low. All types of abuse involve some level of psychological abuse, and psychological abuse may be a sign that other forms of abuse are also happening. the adequacy of the data, because some of the included studies provided limited data. Published by the Alliance,Policies & Procedures for the EYFS 2021provides you with templates for policies and procedures covering all the required areas, and recommends other policies designed to promote efficiency and good practice. The committee built on this evidence with their own expertise. Areas covered are similar to the course above. BRITISH INSTITUTE OF LEARNING DISABILITIES (BILD)Offers day training programmes on a range of learning disability related themes. Safeguarding is about preventing children from being abused and protecting them from abuse. Although there were concerns about this evidence (mainly regarding the adequacy and relevance of the data), the committee also drew on their own expertise to make the recommendations. First-aid - early years: two six-hour days. There was no research evidence about the indicators that should alert people to abuse and neglect in care homes. Commissioners can help care homes implement lessons from Safeguarding Adults Reviews and ensure that good safeguarding records are maintained. Paediatric first-aid: one-day course leading to appointed person status for those working with children. Topics include: leadership and management; safeguarding and child protection; nursery environment; nutrition, serving food and oral health; out-of-school care; working with babies; and nursery visits and visitors. 09270577, (which weve covered in a previous blog, and can be found here), < The EYFS - measuring and assessing progress. This is because, in their experience, those indicators represented a higher likelihood of abuse and neglect. But this would be outweighed by the benefits of making staff aware of who to share concerns with, which should increase the speed of responses to safeguarding. If they do not, training may be needed. These areas areconnected, with learning in one particular area supporting learning in the others. A small amount of qualitative evidence provided findings relating to the information and support that care home staff need during safeguarding enquiries. Finding more information and committee details, Care home safeguarding policy and procedure, Care home whistleblowing policy and procedure, Care home and care home provider roles and responsibilities, Local authorities, clinical commissioning groups, and other commissioners, Multi-agency working and shared learning with other organisations, Indicators of individual abuse and neglect and immediate actions to take if you consider abuse or neglect, Confidentiality, and discussing and reporting suspected abuse and neglect, Working with and supporting the resident at risk during a safeguarding enquiry, Supporting care home staff who are subject to a safeguarding enquiry, How local authorities should support care homes during an enquiry, Indicators of organisational abuse and neglect, How care homes should learn from safeguarding concerns, referrals and enquiries, section 14.225 of the Care and support statutory guidance 2020, Adult Safeguarding: Roles and competencies for Health Care Staff 2018, CQC: Regulation 13 - Safeguarding service users from abuse and improper treatment, CQC: Safeguarding Adults - Roles and responsibilities in health and care services, research recommendation to look at the effectiveness, cost effectiveness and acceptability of e-learning safeguarding training, evidence review C for details of the guidance, research recommendation on self-neglect in care homes, research recommendation was needed about the views of care home residents in relation to their experiences of safeguarding enquiries, research recommendation on the effectiveness and cost effectiveness of the different approaches to investigating safeguarding concerns, evidence review C for details of this guidance, research recommendation to identify how the findings from these reviews affect practice in care homes. This is because whistleblowers are vulnerable to victimisation. The committee agreed, based on their own expertise and experience, that local authorities needed to plan ahead for the support that these people might need (this would be especially important for large-scale enquiries). Inclusion is key to effective practice in the EYFS, which places such emphasis on the individual child. Topics include 'Promoting the health and hygiene of children' and 'Maintaining the safety and security of children'. This research did not specifically evaluate the impact that care home culture can have on staff willingness to report safeguarding concerns. Safeguarding is the general idea that nobody should have to live in an environment where they are being neglected or abused. It is only the independent advocate who acts according to instruction from the person. Some qualitative evidence was available, but the committee had limited confidence in it. Providers must take all necessary steps to keep children safe and well. So why not sign up today? Creating a culture in which everyone can learn from safeguarding concerns should not represent a significant change. The committee also reviewed existing health and social care guidance. The guidance highlighted the challenges associated with whistleblowing and the impact whistleblowing can have on care homes, staff and volunteers. While these skills are probably rarely used, early years staff need to be confident and proficient in them, so it is essential to arrange regular refresher training. It will particularly focus on the key areas identified within the Planning Tool manual and aims to help and support existing work with children and young people and to identify and evaluate its aims and goals.ADVANCED CHILDCARE, Afasic seeks to raise awareness and to create better services and provision for children and young people with speech and language impairments. CHILD ACCIDENT PREVENTION TRUSTAn organisation that works with 25,000 frontline staff who work with children, young people, and their families, as well as with senior practitioners and policymakers to encourage best practice around child injury prevention through partnership and networking events, bespoke training packages, specialist master classes on child injury prevention, fact sheets, good practice guides and child safety resources for professionals. There were also concerns regarding the methods used in some of the studies, for example in relation to their recruitment and data analysis processes. Psychological abuse affects the safety, health and wellbeing of other residents, staff and visitors. Safeguarding is a term used in the United Kingdom and Ireland to denote measures to protect the health, well-being and human rights of individuals, which allow peopleespecially children, young people and vulnerable adultsto live free from abuse, harm and neglect.. Any child can be considered to be at risk of harm or abuse, regardless of age, ethnicity, gender, sex or religion. You're probably well aware that the EYFS is a very detailed document, and when it comes to safeguarding and welfare, there is lots to take in. NATIONAL SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN (NSPCC), NORTHERN IRELAND CHILDMINDING ASSOCIATION (NICMA). The committee made the recommendations based on a limited amount of qualitative evidence on the roles and responsibilities of Safeguarding Adults Boards. Care homes do not currently nominate people to provide support to staff accused of abuse or neglect. NICE guideline [NG189] The committee also wanted to emphasise the important role of commissioners in working with care homes. The qualitative evidence also had problems. However, doing so will help care homes manage safeguarding issues more proactively, and deal with early warning signs of potential organisational abuse and neglect. The committee agreed that it is important to reiterate the responsibilities of local authorities, clinical commissioning groups and other public sector commissioners, because they can use contract monitoring and other statutory monitoring processes to ensure that care homes are meeting their safeguarding responsibilities. The safeguarding and welfare requirements include: ensuring that you have a safe space for children; providing a curriculum which promotes children's health, safety and happiness; training staff about how to keep . The course is also suitable for Security / Close Protection Officers who may have to deal with Paediatric emergencies. Organisations may need to do more to involve people at risk and their independent advocates in safeguarding enquiries. However, any additional costs may be justified by the improvements in staff knowledge, competence and confidence, which will provide better quality of care for residents. dY There were uncertainties around the methods used to develop much of this guidance. Despite the limitations of the evidence, the qualitative data indicated that training can improve staff safeguarding skills. But doing so will help care homes manage safeguarding issues more proactively, and deal with early warning signs of potential neglect. The committee suggested 'safeguarding champions' as a way to provide more informal support for people worried about the impact of raising concerns. ENTAEnta is a voluntary sector, not for profit organisation working across Birmingham to provide learning opportunities, training courses, information, advice and guidance and employment support to help people think about and prepare for paid employment. ROYAL SOCIETY FOR THE PREVENTION OF ACCIDENTS (RoSPA). In addition, they may need this support to continue afterwards, and their needs should be reassessed after the enquiry. Well-formulated policies and procedures give essential, clear information to staff and parents on your provisions aims and the steps you take to put these into action. endstream endobj 777 0 obj <>/Metadata 37 0 R/OpenAction 778 0 R/Pages 774 0 R/StructTreeRoot 67 0 R/Type/Catalog>> endobj 778 0 obj <> endobj 779 0 obj <>/MediaBox[0 0 612 792]/Parent 774 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 780 0 obj <>stream Evidence on training suggested that improvements in safeguarding practice were not always maintained in the longer-term, and that there should be opportunities for further and more advanced learning. The 'suspect' indicators need to be reported to a safeguarding lead and referred to the local authority. Because of the limitations with the evidence, the committee also used their expertise when making recommendations on further training. hbbd```b`` While having policies and procedures in place is important, care homes and care home providers can have problems ensuring that staff follow these. There may be uncertainty within care homes around confidentiality, and when to share information. There were uncertainties around the methods used to develop much of this guidance. ,oy:\D g}Y However, some care homes may need to change their policy and procedure so that they fully comply with these recommendations. They also included a consensus-based recommendation on self-neglect as they agreed that this issue is especially important, because self-neglect in care homes raises questions about the balance between individual choice and the home's duty of care. All staff must be given child safeguarding training, including training on the settings policies and procedures, and also induction training that covers other areas such equality and diversity and health & safety. Smacking or any other kind of punishment that may have an adverse effect on a childs well-being must be strictly forbidden. In turn, this should help reduce the under-reporting of safeguarding concerns. Courses include: Keyhole Training: this 12 hour course (divided into five sessions) is aimed at anyone working with pre-school children with an ASD in an Early Years setting group. Managers will also need time to provide one-on-one support to anxious staff, and to make changes to policies, processes and training in response to the outcome of safeguarding enquiries. The evidence highlighted the value that care homes place on local authorities as a key source of support and transparent advice. Youre probably well aware that the EYFS is a very detailed document, and when it comes to safeguarding and welfare, there is lots to take in. The Alliance publishes a helpful guide, Observation, Assessment and Planning which is grounded in the EYFS and provides useful templates for effective practice. The Early Years Foundation Stage Profile is a statutory review of children's progress in the year they reach five. Posted on Sep 24, 2016 This includes all procedures designed to prevent harm to a child. Paediatric first-aid: certificated course inspected and controlled by the Health and Safety Executive. Good whistleblowing policies are important and help support a culture in which staff feel able to report concerns. The evidence also indicated that there may sometimes be confusion around: lines of communication about safeguarding and safeguarding concerns, who is responsible for each part of the process. Some of the indicators of neglect may also be indicators of self-neglect. Discriminatory abuse is important to highlight because it may be difficult to recognise, and may also involve other types of abuse or neglect. They will need to find ways to identify positive changes from training, and implement these across the care home. A wide range of people are involved in enquiries into organisational abuse and neglect. In addition, they linked the recommendations to Care Act statutory requirements for local authorities. There was a small amount of qualitative evidence relating to the information and support needs of care home staff during a safeguarding enquiry. Evidence suggested that improvements in safeguarding practice were not always maintained in the longer-term, and the committee agreed that it was important to run refresher training if needed. Supporting the early development of children with Down syndrome (birth to 5 years): one day covering the communicative, social and motor development of young people with Down syndrome. As a result, the committee agreed that it is important to emphasise that training should not be a one-off event. NATIONAL PORTAGE ASSOCIATIONPortage is a home-visiting service for pre-school children who have special needs. EYFS and safeguarding: practitioners can choose from a variety of interactive seminars including keeping children safe from harm, special educational needs and disability awareness, running a successful nursery business and consulting with children.Quality improvement programmes: a range of 15 programmes helping nurseries to develop practices against a set of quality standards through online training. She also proposed that the EYFS sets out clearly the high-level content of the child protection training that lead safeguarding practitioners should be required to attend. The EYFS requires certain supervision structures, and also specific staff: child ratios for all childcare settings based largely on the ages of the children being looked after. TAC INTERCONNECTIONSKeeping children safe in an uncertain world: learning from evidence and practice.Understanding Aspergers syndrome. There were a number of concerns with this evidence, around: the methods used, for example in relation to data analysis and sampling strategies, the relevance of the themes in the evidence, as some of the studies were conducted in care settings other than care homes. The Early Years Foundation Stage Profile is a statutory review of childrens progress in the year they reach five. The evidence matched the committee's experience of practice. Protection refers to guarding children who have been abused. %%EOF Care homes may need to provide staff with training on the importance of sharing information and the potential risks of not doing this correctly. the adequacy of the data, which was considered to be limited (and did not include any quotations). Registered as an educational charity with charity number 1096526 No research evidence was identified about the indicators that should alert people to organisational abuse and neglect in care homes. Courses include: The Trust gives advice on drawing up a co-ordinated and comprehensive burn and scald prevention programme for schools and other child carers, and aims to improve the long-term rehabilitation of child burn victims. There was a small amount of qualitative evidence on effective multi-agency working, and on responding to and managing safeguarding concerns. TAMBA provides information and support networks for families of twins, triplets and more. The evidence suggested that some people felt excluded from important safeguarding meetings. The committee felt it was important to be clear that if you suspect abuse and neglect you must tell someone in a responsible and accountable position about this. However, increased costs will be justified given the improvements in safeguarding practice that are likely to occur. The recommendations do not require specific additional resources, but the chairs of meetings may need to take greater care in their documentation and communication. Enable's services include legal advice and direct care services for children and adults with learning disabilities.ENABLE IRELANDEnable Ireland's services cover all aspects of a child's physical, educational and social development from early infancy. Local authorities may also need to learn more about the reputational risks to care homes and effects on staff morale when they are involved in safeguarding enquiries. The main concerns were around bias (as most studies were not randomised) and imprecision in effect estimates. The committee believed it was important to have systems in place to make sure policies and procedures are followed. However, the committee found the guidance to be highly relevant as a source of evidence to support their work, and used it to make recommendations, alongside their own expertise and experience. As part of the assessment process, parents and carers should be encouraged to share their own observations of their childs progress. Fargo Studios, 54 Grafton Street, Coventry, West Midlands, CV1 2HW. The committee therefore also used the Making Safeguarding Personal framework and the Care Act 2014. These sources highlight the importance of involving people fully as possible in decisions and giving them the information and support they need to participate. A school information pack is available.Eczema - supporting and managing this misunderstood condition: topics include childhood atopic eczema. TAMBA also offers information for professionals. There were uncertainties around the methods used to develop much of this guidance. Theoretical perspectives on child abuse. Care homes may also have to change the way they work with the local authority, to ensure they have a good relationship and can seek advice and support when needed. It is designed to inform parents about the child's progress in relation to the early learning goals and support the transition to Year 1. It also affects the safety, health and wellbeing of other residents, staff and visitors, and can lead to false allegations of abuse and neglect against staff and care homes. The structure of staff supervision sessions may need to be changed, to ensure that positive learning is acknowledged and reinforced. Implementing the recommendations may involve minor changes to existing practice. Managers will need to give staff time for these discussions to take place, and will need time themselves to promote the reflective and transparent approach to safeguarding. However, the committee agreed that the culture of a particular care home (and the role played by managers in shaping this) is a key factor in enabling and encouraging care home staff to report safeguarding concerns.

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