explain the rationale behind the safeguarding and welfare requirements
No directly relevant research evidence was identified on what to do if abuse or neglect is suspected. The strength of the evidence was limited, but the committee made recommendations in areas where the evidence aligned with their own experience and expertise. However, it is not uncommon for staff to work in a climate of suspicion and defensiveness. The government says the changes will improve outcomes for all children, but particularly the language and literacy outcomes for disadvantaged children and reduce teacher workload. Enable is the largest membership organisation in Scotland for people with learning disabilities and for family carers. The committee also used their own expertise and experience to make recommendations. The committee used qualitative themes from research evidence on responding to and managing safeguarding concerns in care homes, and support and information needs for everyone involved in safeguarding concerns in care homes. All courses are accredited by the Assessment Qualification Alliance. First-aid in childcare: two-day first-aid course as required by Ofsted for childcare settings. 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. An economic analysis showed that face-to-face training could be cost-effective relative to e-learning, under certain assumptions. 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. And it was unclear whether the data related specifically to safeguarding. It aims to enhance participants knowledge about Autism and of intervention strategies that are effective in assisting young children to communicate and interact with others. ERIC provides advice on bedwetting, daytime wetting, constipation and incontinence. There was a good amount of qualitative evidence on identifying abuse and neglect in care homes, and the barriers and facilitators to this. Child protection: a guide to current policy and practice. Qualitative themes were identified from the research evidence, covering the challenges associated with governance, roles and responsibilities, and lines of communication. Despite these limitations, the committee agreed on the importance of support for care home staff, and built on the evidence with their own expertise. These notifications must be made as soon as is reasonably possible, but at the latest within 14 days of the allegation being made. ,oy:\D g}Y A conference aiming to consider what the key priorities should be for children and adults on the autism spectrum from the perspective of the individuals themselves, their parents and carers and those who work with them. This creates opportunities for parents and professionals to engage with current thinking on a range of issues. Please note that changes to content are minor and providers willnotneed to alter any planning based on the September 2020 version that they may have already made. Safeguarding meetings should be opportunities for different organisations to share information and discuss the needs of adults at risk. 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 committee agreed that this research is important to identify how care homes understand Safeguarding Adults Reviews and what they learn from them. The committee built on this evidence with their own expertise. Safeguarding and promoting the welfare of children is defined as protecting children from maltreatment, preventing impairment of children's health or development, ensuring that children grow-up in circumstances consistent with the provision of safe and effective care and taking action to enable all children to have the best outcomes. There was quantitative and qualitative evidence available, but the committee had limited confidence in this. 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 evidence matched the committee's experience of practice. Safeguarding Self Assessments (Audit) The Safeguarding Self-Assessments (Safeguarding Audits) are intended to support you to meet the safeguarding and welfare requirements of the Early. 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. In addition, they linked the recommendations to Care Act statutory requirements for local authorities. There were also issues with the qualitative evidence. Cancer Research UK is the largest volunteer-supported cancer research organisation in the world. The committee were keen to highlight the obligations of individuals (including visitors) and organisations, to ensure that everyone knows what to do when a safeguarding concern arises. Some organisations will need to review how they provide support. There was some limited economic evidence on training. These recommendations are important because: managers have a key role in helping staff obtain support and advice, care homes need to have a more honest and open culture when it comes to potential safeguarding issues. The Alliance publishes a helpful guide, Observation, Assessment and Planning which is grounded in the EYFS and provides useful templates for effective practice. %c.nv]WDt400f C ztCG.VJ2[ @, Portage's four main activities are: weekly home visits by a trained home visitor; weekly written teaching activities designed for the individual child and parent; teaching and recording carried out by the parent; and weekly supervision by the home visitor. The recommendations will help standardise practice, and ensure that managers promote safeguarding training and learning in care homes. This is because whistleblowers are vulnerable to victimisation. This should in turn improve the safety, health and wellbeing of care home residents. Reflecting on these observations means practitioners can shape learning experiences for individual children. the adequacy of the data, because some of the included studies provided limited data. It has produced policies on the early years, professional development, partnership with parents, curriculum access and learning support assistants, among others. There are more than 35 CLAPA groups - all run by volunteers - and many regional contacts across the UK. Funded entitlement offers - what is changing? The difference between autism and Asperger's syndrome is clarified, looking at case studies. There were concerns regarding the adequacy and relevance of the data, as it was not clear whether all of the findings were from a care home context. However, the committee found the guidance to be highly relevant as a source of evidence to support their work, and used it to inform the recommendations. But doing so will help care homes manage safeguarding issues more proactively, and deal with early warning signs of potential neglect. NATIONAL DAY NURSERIES ASSOCIATION (NDNA). Posted on Sep 24, 2016 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. NHS Connect is the professional and training development arm of the National Childbirth Trust. Because of the multiple organisations involved and the complexity of the process, communication is important, so the committee made recommendations to ensure that everyone involved is kept informed about the process. These sections briefly explain why the committee made the recommendations and how they might affect practice. AllergyWise: online anaphylaxis training for school nurses and healthcare professionals responsible for training teachers and staff in schools and early years settings. Early years the importance of early intervention for infants at risk: providing professionals with a toolkit for the emotional screening of infants and early signs of distress. The recommendations may also improve the safety and quality of care and support for care home staff, residents and visitors. 828 0 obj <>stream 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. The EYFS requires early years providers to show consideration of the following ten areas of safeguarding and welfare. Instead, the committee based these recommendations on a review of existing non-NICE UK health and social care guidance (see the context and evidence review C for details of the guidance). Eight hours of tuition deal with food hygiene, bacteriology, personal hygiene, equipment and pest control, cleaning and disinfecting and legislation. the Care Act 2014 and Care Act 2014 statutory guidance. There is also a requirement for ongoing professional development opportunities. If they are not already doing so, they will need to promote a positive culture and encourage greater collaboration between their members and partner organisations, especially care homes. The main issues with the evidence were that the included studies provided only limited data and reported research conducted in a range of settings, making it difficult to determine whether each finding was directly relevant to care home contexts. There were uncertainties around the methods used to develop much of this guidance. The BDA promotes early identification and support in schools to ensure opportunity to learn for dyslexics. So, we know that the EYFS requirements are divided into 2 key areas learning and development (which weve covered in a previous blog, and can be found here) and safeguarding and welfare. 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. To address this potential issue, the committee made a recommendation on assessing how well training is working and whether it is being used to improve practice. If they do not, training may be needed. Overall, the committee's confidence in the research evidence was low. There were issues with this evidence (mainly with the methods used for recruitment and data analysis processes, and the limited adequacy and relevance of the data), but it did align well with the committee's own experience. Care homes may need to do more to help their staff understand these indicators. The RNIB offers information, support and advice to more than two million people who have sight problems. Staff can find themselves supporting families and children with special needs with which they are unfamiliar. Although there was some quantitative evidence on the effectiveness of safeguarding training, there were concerns with this evidence. The committee therefore also used the Making Safeguarding Personal framework and the Care Act 2014. Safeguarding can be implemented by anybody who comes into contact with individuals at risk of this type of treatment, such as children or vulnerable adults. Staff are encouraged to watch out for changes in the mood and behaviour of residents, because many indicators of abuse and neglect are quite subtle physical or emotional changes or traits. The committee recommended that care homes should ask for feedback from residents and families to find out what they thought about the way that safeguarding issues were addressed and managed in the home. The committee used qualitative themes from research evidence on identifying abuse and neglect to make the recommendations. However, any additional costs will be justified by the improvements in staff knowledge, competence and confidence, which will provide better quality of care for care home residents. There were several issues with this evidence. 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. Fire safety: three-hour course to help practitioners be aware of the causes of fire and what to do in the event of fire. The committee agreed that this is a crucial area and they built on the evidence with their own expertise. It is based on the principle that parents are the key figures in their care and development. Local authorities also use guidance on section 42 enquiries from the Association of Directors of Adult Social Services and the Local Government Association. To reflect this, the indicators are split into 2 categories ('consider' and 'suspect'), with different actions based on the likelihood of abuse or neglect. 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. There is currently wide variation in what is communicated during safeguarding enquiries and how clear the outcomes are. Courses include career training, primary care and psychotherapeutic skills. This guideline aims to complement these other sources of guidance, rather than duplicate them. Medication misuse can be a sign of neglect or physical abuse, so the committee included slightly different indicators in both sections. The Childcare Company has developed an online training programme linked to an e-portfolio system known as the "Laser" which is written and updated by childcare professionals and teachers. The committee used their own expertise to support the evidence and make recommendations. VAT Registration Number: GB 830 472 251, Open source web development - pedalo limited, Involving parents in their childrens learning, Business Blocks: essential resources for your early years business, Charitable settings - legislation and governance. recommendations in the Safeguarding children and Safer Recruitment in Education (2007). Safeguarding Adults Boards should not need additional resources, but some will need to change the way they work. Dame Clare Tickell, in her review of the EYFS, recommends that the welfare section of the EYFS is renamed the 'safeguarding and welfare requirements' and that the welfare requirements are redrafted to improve their clarity. It also promotes child safety awareness during Child Safety Week. The committee particularly wanted to emphasise the key role of local authorities in relation to organisational abuse or neglect. The course looks at physical, sensory, cognitive and emotional/behavioural difficulties, and specific areas such as dyslexia. Safeguarding Adults Boards should not need additional resources, but some will need to change the way they work. The 12-hour course includes lectures and group discussions. The recommendations are based on a review of existing guidance, so staff should be familiar with the indicators referred to in this guideline. Paediatric first-aid: certificated course inspected and controlled by the Health and Safety Executive. 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. . Contact regional associations direct for details of training on: PROFESSIONAL SUPPORT AND DEVELOPMENT (PSD). However, as this can be an existing member of staff, the committee were confident that there would be no significant resource impact. This may mean that managers have to place greater emphasis on reflective practice and shared learning among staff. No evidence was identified on the management of safeguarding concerns. There was no research evidence identified on confidentiality and suspected abuse and neglect. Staff involved in food preparation must hold the Chartered Institute of Environmental Health (CIEH) Level 2 Award in Food Safety to meet the requirements of the Food Safety Act and the Food Safety Regulations. The recommendations should help care home managers identify the most appropriate training methods for their staff, which will improve care home practice. %PDF-1.5 % Because of this, the committee did not make recommendations about who should have further training or when this should happen. Therefore, the committee made recommendations focusing on these issues. There were also concerns regarding the short-term follow-up periods used by the studies. Getting the views of residents will ensure that their needs are understood and that subsequent care can be person-centred and outcomes-focused. When the existing guidance did not cover all the areas the committee thought were important they also used their own expertise and experience to make the recommendations. TWIN AND MULTIPLE BIRTHS ASSOCIATION (TAMBA). The Early Years Foundation Stage Profile is a statutory review of children's progress in the year they reach five. There were uncertainties around the methods used to develop much of this guidance. Acting early may help to reduce the number of section 42 enquiries involving the care home. 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. 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. Infection control: providing an understanding of effective infection control practice within a setting. More resources may be needed for a multi-agency approach to safeguarding, but it should improve the quality and safety of care and support. These areas areconnected, with learning in one particular area supporting learning in the others. This may have cost implications, but access to support is a statutory right under the Care Act 2014 and is part of the Making Safeguarding Personal framework. Recommendations 1.4.1 to 1.4.24 and 1.5.1. In addition, some staff posts may need to be backfilled while training takes place. They provide a specialist service for parents and professionals seeking help in feeding babies with cleft lips and palates.Annual conference: held in September. Additional resources should not be needed for care homes to appoint safeguarding champions, because the champions are expected to be existing staff members. The committee agreed that indicators of sexual abuse are particularly important because residents may feel embarrassed and ashamed, and therefore reluctant to tell someone and because care homes need to uphold the rights of residents to engage in sexual activity in line with their mental capacity to consent. Assessment is an ongoing process, but there are times when it is a statutory requirement to provide a summary of how children are developing in relation to expected levels of progress for their age. There is some variation across the UK in the way care homes conduct training, although the contracts that providers have with local authorities will tend to encourage best practice and standardisation. Local authorities will need to identify a single point of contact for care homes, which in some cases will be a change in practice. This may have resource implications for care homes, who will be responsible for ensuring that support is available in the short and long term and that it is tailored to each person's needs. Recommendations on financial and material abuse are needed because, while staff are often experienced at recognising other types of abuse, they may find it more difficult to recognise certain types of financial and material abuse. However, the content of training may vary across care homes, and some care homes may need to adapt their training programmes to make sure that safeguarding forms part of all new employee inductions within 6weeks of starting work. 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. Because of the shortage of good-quality evidence, the committee made recommendations partly based on their own expertise and experience. For the quantitative data, this was mostly because of the use of non-randomised trials and imprecision in effect estimates. However, the committee found the guidance to be highly relevant as a source of evidence to support their work, and used it to inform the recommendations, alongside their own expertise and experience. quality of care can be undermined when staff are treated negatively for raising safeguarding concerns, or when staff are afraid to work with residents who have raised or been involved in safeguarding concerns. The aim of these recommendations is to help people better understand when a safeguarding referral should be made and when a referral should not be made. There was only limited evidence that focused specifically on safeguarding training in the care sector. Some care home providers already fund access to employee assistance programmes, so would not significantly need to change practice. The Safeguarding and Welfare requirements cover the steps that providers must take to keep children safe and promote their welfare. Coeliac UK provides help to coeliacs and those with dermatitis herpetiformis (an itchy skin rash caused by gluten sensitivity). Some staff may also need more support to benefit from training. The effectiveness of training and learning with other organisations is likely to be improved if positive relationships are established. 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. They agreed that involving people in decision making will help them achieve the outcomes they want, and make it more likely that they will receive safe and effective care after the enquiry ends. Grief matters for children: promoting effective bereavement strategies in schools: one-day conference. MONTESSORI CENTRE INTERNATIONALSpecial Educational Needs course: an introduction to the theoretical and practical aspects of special needs education. A school information pack is available.Eczema - supporting and managing this misunderstood condition: topics include childhood atopic eczema. They should also encourage staff to report safeguarding problems in the future, as it would be clear to them that everyone would receive support regardless of their involvement. Based on this lack of coverage the committee felt it was important to make a research recommendation on self-neglect in care homes. The recommendations should help reduce these risks. Published by MA Education Limited, St Jude's Church, Dulwich Road, Herne Hill, London SE24 0PB, a company registered in England and Wales no. 04002826. However, this evidence also suggested that managers may be unwilling to implement learning from training programmes or make changes to care home procedures, which may negate any benefits associated with training. Providers must take all necessary steps to keep children safe and well. Sun safety: two-hour course in safe-sun practice. Ensuring that care home staff can regularly take part in safeguarding training may lead to an increase in resource use, particularly if care homes choose to use external organisations to deliver these programmes. The course is regulated by the CIEH. In some care homes, staff already have the opportunity to share good practice and challenge poor practice. In addition, there were issues with the relevance of the qualitative data, because some studies may have been conducted outside of care homes, and some findings may not have been specifically related to safeguarding. There were issues with the methods used by some studies, such as their recruitment strategies and data analysis processes. The National Childbirth Trust provides information and practical support on all aspects of pregnancy, childbirth and early parenthood. The Department for Education has published a revised version ofDevelopment Matters, governments non-statutory curriculum guidance for the Early Years Foundation Stage (EYFS), and said, to reflect feedback received from our Early Adopter schools that have adopted the reforms to the EYFS over the 2020/21 academic year. There were also concerns regarding the adequacy of data, as most of the themes in the evidence were based on limited data. The qualitative evidence also had problems. There were also concerns regarding the methods used in some of the studies, for example in relation to their recruitment and data analysis processes. Award in food safety: for all food handlers. The EYFS defines what records must be kept on both children and staff, and how and where to store them confidentially, and when to share them (with parents, other professionals, the police, social services and Ofsted), as appropriate. 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. This is so that the support is in place at the right time during the enquiry. Instead, the committee reviewed existing non-NICE UK sector guidance on recognising and reporting abuse and neglect in care homes. There may also be minor resource implications associated with improved safeguarding practice. ROYAL SOCIETY FOR THE PREVENTION OF ACCIDENTS (RoSPA). The recommendation covering staff apprehensions about external oversight was made because the committee are aware that staff can feel criticised and undermined by people delivering training (especially people from external agencies).
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