Encouraging early supervision in neglect cases. This strengthens care planning and maintains the focus on the needs of the child or children. Encourage practitioners who have contact with children to capture the ‘voice of the child’. This is not solely about what children say. It includes non-verbal messages from the child’s presentation, demeanour, interaction and behaviours. Encourage and support information sharing; within ‘health’ and with partner agencies. Ensure practitioners are aware of Section 3.7 of the joint LSCB Procedures Resolving Practitioner Disagreements and Escalation of Concerns http://llrscb.proceduresonline.com/chapters/p_res_profdisag.html We are also making changes to safeguarding education packages to ensure learning from the audit is shared with practitioners across the LPT workforce. This will include encouraging greater use of the Neglect Toolkit in day to day practice; capturing the voice and experience of the child; encouraging early supervision; improving information sharing across disciplines and agencies; and how to raise concerns or progress a professional disagreement with partner agencies. Leicester City LSCB Emotional Wellbeing & CAMHS Involvement – July 2017 Recommendation/s:- Case recording to include full demographic details including; ethnic background, preferred language, religion and the family’s, father’s/partner’s details. Recording on case files should include actions identified to be taken, when they are completed and the impact on progress. Practitioners should use LSCB procedures to challenge or escalate decisions assessed to be inappropriate. Practitioners to take into account diversity; including impact of sexuality, ethnic background, faith, traditional practices, when considering risks and safety planning for the child, and also consider the impact on the child’s lived experience. LPT Inter-Agency Quality Review from Adult Services, AMH, CAMHS & School Nursing (Leicester City) – August 2017 Recommendation/s:- Practitioners to ensure all sections of the inter-agency referral form are completed Practitioners to telephone Duty and Advice Service to discuss the issues prior submitting the referral in writing. Pre-Mobile Baby Audit This audit looked at the implementation of the LPT flowchart that supports practitioner’s decision making when a mark is identified to a pre-mobile baby and the use of the leaflet for parents. The audit was conducted in June 2017 to provide assurance that health visiting practice within LPT is compliant with LSCB procedures and organisational processes. Key findings:- Criteria Number Compliance
If the mark is a it is in the record. 30/30 100% If the mark looks like a a 2nd opinion by another health (i.e. HV, GP etc.) is obtained within 24 hours. 1/1 100% If child attended for a 2nd opinion the outcome is recorded 1/1 100% The mark is recorded on the paper body map 16/30 53% It is recorded that the carbon copy of the body map was given to the for the red book 6/29 21%
The top copy of the paper body map is scanned into 15/30 50% The paper body map is signed and dated 15 N/A 15/15 100% 11a. The colour of the mark is recorded 30/30 100% 11b. The size of the mark is recorded 2/29 7% 11c. The location of the mark is recorded 30/30 100% 12. The body map template is completed within SystmOne 29/29 100% 13. The observation, explanations and history of the mark are documented 1/1 100% 16. It is documented that the mark was discussed with the parent/carer 1/1 100% 17. It is recorded if Baby Skin leaflet given to the parent/carer 0/1 0%