Social Work News - January to March 2016

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S O CIAL January ~ March 2016 issue Council spotlight

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Discover what it is like working for children’s services at the London Borough of Havering.

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NEW S

The spotlight on your profession Living with dementia

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Hear from dementia campaigner, Beth Britton, as she recalls her father’s life with the illness.

Safeguarding adults

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Find out how Service Manager, Andy Hill, overcomes the challenges of adult social care.

In this issue

Contents January ~ March 2016 issue

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News bites

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The Immigration Bill: the debate

15 20 24

Take a look at some of the key stories and announcements including an overview of the government’s spending review and David Cameron’s plans for adoption services.

As the Immigration Bill 2015 makes its way through Parliament, we hear directly from those involved in debating the proposed legislative changes.

A personal story of dementia Dementia campaigner Beth Britton’s dad was diagnosed with vascular dementia when she was just 12 years old. Here she tells their story of the care he received.

Making safeguarding personal Andy Hill, Service Manager of a London borough council, writes about overcoming the challenges of safeguarding adults under the Care Act 2014.

Zoë Betts Zoë Betts, Adult Social Worker and owner of iamsocialwork, explores how best practice in social work can be shared amongst colleagues and organisations.

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DE B A TE T he : Im m ig r Bil l 2 at ion 01 Pg .08 5

Council spotlight We find out what it is like to work for the London Borough of Havering’s Children’s Services, directly from newly appointed Assistant Director, Tim Aldridge.

Social Work Awards Take a look at the full list of winners at the Social Worker of the Year Awards 2015.

We also catch up with 2014’s Social Worker of the Year.

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A Spanish retreat for siblings in care

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Addressing adolescent mental health

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Sanctuary Social Work News ~ 02

Jennie Brownbill, a retiring social worker, writes about her plans to continue supporting siblings in care by establishing a charity-run campsite in Northern Spain.

Yvonne Tyree, a specialist trainer in adolescent mental health talks about positive coping strategies to keep young people with mental health issues moving forward.

A day in the life of... an adult social worker in an emergency duty care team. We hear how one social worker overcomes the challenges that working out of hours brings.

Sanctuary

A

s we enter a new year, not long after the celebrations of the profession at the Social Worker of the Year Awards, I feel more optimistic than ever that positive social work practice is starting to achieve greater recognition and local authorities are showing a genuine appetite for innovation and true partnership engagement.

In fact, just before Christmas, Sanctuary picked up an award for Best Recruitment Campaign and Client Partnership at the Institute of Recruitment Professionals (IRP) Awards for our work with Hertfordshire County Council. I am delighted that this example of an effective partnership received national recognition, but I think, more than this, it demonstrates what our sector can achieve in a very short period of time if we take a collaborative approach. Hertfordshire County Council is one of a number of local authorities that has shown an admirable level of innovation to transform services and while, as in this case, initial government investment has helped, it wouldn’t have been possible to launch, resource and realise the benefits of such a project if the right agencies hadn’t worked together.

After several years of services being dictated by budgetary constraints, George Osborne’s

recent announcement of a 2% council tax levy to raise almost £2bn for adult social care is certainly a welcome one. How far this will go in relieving the funding pressures is questionable, but one thing I do know is that it can go further with multi-agency input.

The heightened issue of immigration control, the steady increase in the number of looked after children, the development of the Care Act and continued shortages of staff to meet the best interest requirements of the Mental Health Act are just a select few of the challenges the profession faces in the year ahead – but I am confident there is no one better to do this job than the skilled social workers we have the privilege of working with on a daily basis. As a company, it is our job to support you wherever we can.

I wish you all the very best for the New Year.

James Rook Managing Director

Visit us sanctuarysocialcare.com Follow us @SanctuarySW Like us facebook.com/sanctuarypersonnelltd See us instagram.com/sanctuarysocialcare

Careers Hub

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A new interactive careers resource for practitioners. ver wondered how to deal with a particularly tricky question in an interview, or perhaps you need some pointers on what direction to take your career in?

New to Sanctuary Social Care’s website, our interactive Careers Hub for social work professionals is home to a collection of useful information to assist you at every stage, whether you have years of experience or are new to the profession.

A mixture of career guidance, blogs, useful downloads, social media activity and videos combine for an interactive and invaluable resource. Visit sanctuarysocialcare.com/careers-hub.

Sanctuary Social Work News ~ 03

News bites

News bites Key news stories and announcements.

NAREY TO REVIEW CHILDREN’S RESIDENTIAL CARE Sir Martin Narey announces his resignation as Head of the Adoption Leadership Board as he leads what David Cameron has coined a “root and branch” review into children’s residential care.

Narey is expected to undertake an in-depth look at children’s residential care. In a statement on the review, he said: “Some of the best social work I’ve seen has taken place in residential homes, carried out by some outstanding staff. And yet there are doubts about whether we use residential care for the right children and frequent disquiet about children’s transitions to adulthood. I am anxious to hear from staff, children, care leavers and those with experience of this sector.”

The consultation period for the review into children’s residential care closed on 31 December 2015 and a report is due in Spring this year.

2% rise

in council tax to fund adult social care Chancellor George Osborne revealed plans in his Spending Review giving local authorities the go-ahead to levy new funds of up to 2% on council tax each year, provided the resulting funds are spent exclusively on adult social care.

This could raise a potential £2bn a year by 2019-2020 depending on the number of local authorities that introduce the levy.

The Spending Review also committed an extra £1.5bn a year to the Better Care Fund by 2020, which local authorities will be able to access from 2017-18, although no extra funding was announced for children’s services.

Sanctuary Social Work News ~ 04

News bites

A voice for those with learning disabilities The government has announced a pilot scheme that will give people with learning disabilities, autism or mental health conditions at risk of hospital admission a named social worker to challenge decisions about their care.

As part of the government’s response to the green paper ‘No voice unheard, no right ignored’, the pilot will provide access to a named social worker who will provide advice and support. They will act as the primary point of contact for the service user and their family/ carers and provide a professional voice across the system.

It is expected to work in a similar way to approved mental health professionals (AMHPs) who provide professional challenge in regards to the Mental Health Act.

PRIME MINISTER BIDS FOR FASTER ADOPTIONS Following the revelation of a 14% drop in the number of children being approved for adoption inside of six months, Prime Minister David Cameron has called for action to stem the fall.

The Adoption Leadership Board figures show that 1,140 children were adopted between April and June 2015, compared with 1,330 between October and December 2014.

The current waiting time between entering care and being placed with an adoptive family is 17 months, which the Department for Education has said is “not fast enough”.

Cameron announced a raft of new measures to halve the time children spend in care waiting to be moved into their new adoptive home. He also cited that all council adoption services will be merged into regional bodies to facilitate this.

Sanctuary Social Work News ~ 05

Council spotlight

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Council spotlight We find out what it is like to work for the London Borough of Havering’s children’s services.

H Tim Aldridge, Assistant Director

aving introduced the first integrated multi-agency safeguarding hub (MASH) for children and adults in London last year, it is no surprise that the London Borough of Havering has other plans in the pipeline to improve services for families in the community.

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We speak to Havering’s newly appointed Assistant Director, Tim Aldridge, about streamlining processes to enable more direct work and how a collaborative, multi-agency approach is inherent across the service.

What are your first impressions of working for Havering?

Since arriving, I have been really struck by the enthusiasm, commitment and passion of the practitioners that I’ve spoken to. There are so many strengths here; Havering feels like a very safe place to practice.

What do you intend to bring to your role?

My key priorities are:

•

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Focusing on developing trusting relationships with families. We are planning to streamline processes to give practitioners more time working directly with families to make and sustain positive change.

Ensuring that our response is proportionate, allowing professionals

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the space to decide on the best course of action. Our early help service will be working closer with the social work teams to support families with more complex needs and respond to risk appropriately.

Working towards creating a culture that puts practice first. It’s clear to me that practitioners here choose this career because they want to make a real difference to families, but often the working environment can inhibit this.

This work should be about more than conducting assessments and recording plans. We will be supporting practitioners to develop their skills with a whole-systems approach to evidence-based practice.

To collaborate and co-produce wherever possible. I am confident the vast majority of families will respond to genuine efforts to engage with them. This includes involving families and young people more in how the service is developed.

Tell us about Havering’s multi-agency response to safeguarding need...

I think a good example of the strength of our partnerships is the way we respond to child sexual exploitation (CSE). We created a dedicated team of workers to respond to CSE referrals – through this pilot approach we have learnt a lot already. It has given a small group of practitioners the opportunity to develop highly specialist skills.

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Council spotlight

The referrals are screened and prioritised via our MASH – which is effective in supporting the early identification of risk factors through promoting multi-agency information sharing.

Travel links to central London

Upminster windmill

Our CSE team, known as the CSE Pod, provide the intervention and are linked to a wider ‘virtual team’ consisting of representatives from health, CAMHS, the Police, Community Safety and others. We’ll be reviewing the progress of this work soon, and will consider how we use this experience to strengthen practice across the organisation.

What support do you offer your social work staff ?

I’ve been working closely with Kate Dempsey (our Principal Social Worker) to review the continuing professional development (CPD) programme in Havering; our aim is to implement an evidence-based approach to practice across children’s services.

Romford market

Raphael park

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What can you expect if you join the team?

Competitive salary 26 - 32 days annual leave Relocation scheme with financial support up to £4000 Council contributes up to 22% towards pension scheme, with social worker contributing around 6.8% depending on salary Employee assistance programme, including counselling, financial and legal assistance Car pool scheme for staff attending visits in and out of the borough

We are also exploring how we can provide greater ongoing support for practitioners to embed this through live supervision, reflective discussion groups and coaching.

This will help us to identify the key issues preventing effective practice, whether it’s the recording systems, processes, transition points or supervision approach currently in place.

Through investing in our workforce, we aim to create the stability, consistency and quality that our families deserve, and develop the service into something we can all be proud of.

Benefits of living & working in Havering:

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Car loan scheme Childcare vouchers scheme Cycle to work scheme for employees to purchase discounted bikes and claim bike miles Local sports and leisure discounts

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Much of the area is protected by the Metropolitan Green Belt, with over 100 parks and open spaces Direct access to the M25, A12 and A13 as well as the District Line of London Underground which runs through the middle of the borough Bustling shopping environment, with the infamous Romford Market and Liberty Shopping Centre First class sports and leisure facilities

Apply today For vacanices please visit sanctuarysocialcare.com/havering-social-work-jobs or www.havering.gov.uk/pages/services/job-vacancies.aspx.

Sanctuary Social Work News ~ 07

Immigration Bill 2015-16

“Britain is not a soft touch� says the Home Office as the debate on the proposed Immigration Bill continues.

But what will the plans mean for local authorities?

As the Immigration Bill 2015 makes its way through Parliament, we hear directly from those involved in debating the proposed legislative changes.

Section 94(5) allows Section 95 support to be continued for failed asylum seekers with children once their asylum claim has been finally rejected. Section 4 of the 1999 Act provides support for other failed asylum seekers and other categories of migrants.

At the time of going to print, the Bill was ending its passage through the House of Commons, where it has been subject to a great deal of debate, not least because of its potential impact on local authorities.

The Home Office overview of the Bill states the aim is to reduce the scope for such support to remove incentives for failed asylum seekers to remain in the UK illegally, citing that as at 31 March 2015, an estimated 15,000 failed asylum seekers and their dependents were receiving Home Office support.

Much of the debate centres on the proposed changes to Section 4 and Section 95 of the Immigration and Asylum Act 1999. Currently,

Essentially, it is being proposed that those with children with them when their asylum claim and any appeal are rejected will no longer be

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Immigration Bill 2015-16

treated as asylum seekers and will cease to be eligible for support under Section 95. Section 4 will be retracted and support will only be available if there is a practical obstacle that prevents them from leaving the UK (under the new Section 95A).

At the time of going to print, consideration was being given to clarifying this within Schedule 3 of the 2002 Act. Such a proposal would enable support to be provided where necessary to avoid a breach of a person’s human rights.

Speaking on behalf of the Home Office, Immigration Minister James Brokenshire said: “We will introduce new rules to support those who genuinely need it, but send out a very clear message to those who seek to exploit the system that Britain is not a soft touch. The UK has a proud history of offering sanctuary to those who need it – but people who do not need our help and who refuse to return home are here illegally.”

As Catherine Houlcroft, Project Officer at NRPF, said: “Local authorities would welcome a more straightforward assessment process that such a change would bring, but would need to be assured that they would retain the ability to act on safeguarding or child protection concerns”.

Local authority obligations under Section 17 of the Children Act There are considerable concerns being raised over the withdrawal of support under Section 95 and Section 4, with local authorities finding it difficult to see how there will not be a significant impact on the referrals of children in need as defined by the Children Act 1989.

In its consultation document, No Recourse to Public Funds (NRPF); a network of local authorities and partner organisations focusing on the statutory response to migrants with care needs who have no recourse to public funds, stated: “Directors of Children’s Services have a statutory duty set out in the Children Act 2004 to secure the very best outcomes for all children and young people in a local area regardless of background or immigration status...Local authorities do not, therefore, support a policy which will lead to a significant increase in the numbers of destitute families within communities and greater numbers of homeless children who are at risk of harm.”

The Home Office has expressed that they are “listening carefully” to local authorities about the scope for simplifying and strengthening provisions and assessments whilst ensuring “safety nets operate effectively.”

Amendments have been made to the Bill to take the provision of accommodation and financial support for migrant families without the status of being an asylum seeker out of the remit of Section 17 Children Act 1989.

James Brokenshire MP (Credit: UK Home Office, Flickr)

Jonathan Price, a researcher at the University of Oxford’s Centre on Migration, Policy and Society (COMPAS), explained: “There are plans to move the duty to support certain children and families out of Section 17 of the Children Act, including support for those whose asylum claims are refused and are not eligible because their circumstances are not exceptional, through the establishment of a new duty under [Paragraph 10A] Schedule 3 Nationality, Immigration and Asylum Act (NIAA) 2002, where support can be provided to safeguard and promote the welfare of a dependent child.”

Of course, the impact on local authorities will depend on the regulations accompanying Section 95A IAA and the assessment under Paragraph 10A Schedule 3 NIAA, which is expected to clarify what support is necessary to safeguard and promote the welfare of children.

Jonathan Price continued: “If the changes succeed in their aim to reduce the numbers of families receiving Home Office support, there is likely to be an increase in safeguarding needs within communities, particularly due to destitution, which may need to be met by local authorities. Local authorities must meet their accommodation and subsistence duties under Section 17 Children Act to destitute NRPF children and families without funding from central government to account for this specific cost. I understand that no funding has been offered to local authorities for support to be provided under the new Paragraph 10A Schedule 3 NIAA.”

Funding Looking at data from NRPF Connect, it’s clear that local authorities are already providing considerable support and financial assistance

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“Local authorities do not support a policy which will lead to a significant increase in the numbers of destitute families.”

Immigration Bill 2015-16

34 2,154 3,825 £613,872 £32 million

local authorities were supporting households with

dependants at a total cost of per week; a yearly total of

to destitute migrants. The data reveals that at the end of September 2015, 34 local authorities were supporting 2,154 households with 3,825 dependants at a total cost of £613,872 per week; a yearly total of £32 million.

Catherine Houlcroft explained the impact of removing central government funding: “Local authorities already experience difficulty sourcing temporary accommodation, with many London boroughs placing families in different areas of the UK. The withdrawal of Home Office asylum support for refused asylum seeking families, on top of a number of measures contained within the Immigration Bill...is highly likely to result in more referrals to local authorities for accommodation and financial support.”

The collective concern is that if local authorities are duty bound to provide assistance to refused asylum seeking families, there will be a direct transfer of costs and responsibilities to local government. This is a point the Home Office has directly addressed, stating in its overview of the Bill that “the proposals have been carefully framed to avoid that.”

In response to the opposing views of Emma Lewell-Buck MP who criticised the estimated cost to local authorities made in the Bill’s impact assessment, James Brokenshire said: “It [the Bill’s impact assessment] currently assumes that 10% to 20% of individuals who lose Home Office support may move on to local authority support ... although the Hon. Lady suggested the figure [£32 million] may be an underestimate, our judgment is that we have undertaken the best assessment and have

carefully factored in some of those issues.”

With the proposed changes expected to affect statutory duties under the homelessness legislation, the Children Act 1989 and even the Care Act 2014, as highlighted by Emma Lewell-Buck MP, the estimated cost to local authorities continues to be scrutinised.

Impact on those rejected asylum Home Secretary Theresa May stated “If they are not approved, they must be made to leave the country quickly, and that’s exactly what our new Immigration Bill will do.”

Many critics, however, fail to see how the Bill will achieve this, with the 2004-2005 pilot of a similar scheme being cited as an example of where the approach has failed to work in the past.

A number of local authorities piloted the scheme where asylum support was terminated for refused families, with the Home Office enacting paragraph 7A of Schedule 3 of the Nationality Immigration and Asylum Act 2002.

It was widely reported that the pilot was unsuccessful in reducing the number of failed asylum seeking families living in the UK and many became destitute. Only one out of 116 families on the scheme left the country, with 32 leaving their accommodation without informing the Home Office or the local authority.

Ten years on, James Brokenshire, has been quick to express how the new proposals differ: “By contrast, the new approach will involve a managed process of engagement with the family, in tandem with the local authority,

Sanctuary Social Work News ~ 10

Immigration Bill 2015-16

following the end of the appeal process, to discuss their situation and the consequences of not leaving the UK in circumstances where they can do so.”

However, the debate over whether those whose asylum claims are rejected will simply abscond and disengage with statutory services altogether continues. By the Home Office’s own admission in its review of the 2005 pilot, a third of families absconded. The review also compared the pilot with a control group of people that continued to receive support, and found that the number of people who absconded in the pilot was double that of the control group who were supported and that there was a lack of engagement.

Catherine Houlcroft added: “If there is no engagement with a family once asylum has been refused and before Home Office support is terminated (the ‘grace period’), then it is highly unlikely that the families are going to leave the UK.” Responding to the public consultation on the Bill, Judith Dennis, Policy Manager at the Refugee Council, said: “The current criteria are too narrowly drawn and fail to recognise the many barriers former asylum seekers face in planning a safe and sustainable return to their country of origin” and that “consideration could be given to how people who have received a refusal can be encouraged to think realistically about their options as a result but this takes investment.”

Risk of disengagement with statutory services Trying to ensure that those whose asylum claims are rejected do not disengage with statutory services altogether continues to be debated. Catherine Houlcroft said: “We are extremely concerned about any policy that is likely to result in increasing destitution in our communities, particularly when this might result in people becoming disengaged with statutory services.”

It is an issue that has not escaped the attention of the Chief Inspector of Borders and Immigration, who in his report, An Inspection of Overstayers, echoes some of the NRPF Network’s concerns.

Similarly, Jonathan Price raised concerns about what he called “inappropriate relationships” associated with forced dependency. He said:

“If the legislation means there are fewer children and families receiving statutory support and does not result in increased voluntary returns, there is a danger that those children and families could be exposed to the kinds of safeguarding risks felt to be so prevalent amongst interviewees in our recently published research compas.ox.ac.uk/media/ PR-2015-No_Recourse_Public_Funds_LAs.pdf, which included social workers, voluntary sector organisations and parents themselves.”

He continued: “Some parents were engaging in informal work which interviewees in local authorities and the voluntary sector considered to be risky and exploitative, including sex work.”

The structure and operational efficiency of the Assisted Voluntary Returns (AVR) scheme, taken over by the Home Office on 1 January 2016, will be incredibly important, as James Brokenshire himself mentioned at a committee hearing in November: “The assisted voluntary return programme will be administered directly by the Home Office, which we judge will enable us to work closely with local authorities and other partners to deploy the scheme more flexibly.”

Impact on those already in receipt of support Not surprisingly, questions are being asked on how the Bill will be applied to families currently receiving support. The Home Office, in its overview of the Bill, cites that there will be transitional arrangements for failed asylum seekers already in receipt of support under Section 95 or Section 4 of the 1999 Act when the new measures come into force. It is hoped that this will avoid the scenario in which large numbers of families lose their support abruptly.

In its response to the public consultation on the Bill though, the NRPF Network made the point that the Home Office will need to be clearer on the rate at which it intends to withdraw support. Consideration will need to be given to regional numbers with local authorities requiring a breakdown in advance of when the changes are expected to be implemented in July 2016.

Ultimately, the fate of the proposed Bill will rely on the government listening to the concerns of local authorities. We will be watching this space as debates unfold; keep an eye out for updates at sanctuarysocialcare.com/blog.

Sanctuary Social Work News ~ 11

Theresa May, Home Secretary

“If they are not approved, they must be made to leave the country quickly, and that’s exactly what our new Immigration Bill will do.”

Theresa May, Home Secretary

Social Worker of the Year Awards

Social workers honoured at awards ceremony Take a look at the full list of winners and hear from 2014’s Social Worker of the Year.

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igh profile figures joined 370 practitioners at the Social Worker of the Year Awards to celebrate the innovative and impactful social work being delivered across the country.

68 finalists were recognised for their contribution to the profession with sixteen “inspirational ambassadors” receiving a gold award.

The prestigious ceremony endorsed by the Department for Education and the Department of Health took place on Friday 27 November, highlighting the outstanding work across a range of categories covering both adult and children’s services.

Helen Pye from South West Yorkshire NHS Partnership was named ‘Overall Social Worker of the Year’ after winning the award for ‘Mental Health Social Worker of the Year’ earlier in the evening. Selected from the gold winners of each category by the Board of Trustees of the Social Work Awards Ltd, Helen received the overall award, sponsored

by Sanctuary Social Care, for her “unique and crucial” work in improving young people’s r View ou access to forensic mental t! n he igh health services. film of t re

James Rook and Beverley Williams MBE present award to Helen Pye

Winners celebrate on the night

a r ysocialc sanc tua g .com / blo

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Social Worker of the Year Awards

The 2015 award winners: Principal Social Worker of the Year ~ Rob Mitchell of Calderdale Council Mental Health Social Worker of the Year ~ Helen Pye of South West Yorkshire NHS Partnership Student Social Worker of the Year ~ Tonia Dubidat of University of Birmingham Practice Educator of the Year ~ Rob Hawley & Lisa Beris of Derby City Council Creative & Innovative Social Work Practice ~ Hospital Extended Services at Birmingham City Council Best Social Work Employer of the Year ~ Cafcass Team Leader of the Year, Adult Services ~ David Minto of Northumbria Healthcare NHS Foundation Trust in partnership with Northumberland County Council Team Leader of the Year, Children’s Services ~ Maureen Roscoe-Goulson of Suffolk County Council Team of the Year, Adult Services ~ Community Offer Team at Barnet London Borough Council Team of the Year, Children’s Services ~ Special Guardianship Order Support Team at Essex County Council Newly Qualified Adult Social Worker of the Year ~ Elizabeth Spencer of Birmingham City Council Newly Qualified Children’s Social Worker of the Year ~ Stephanie Mills of Rochdale Borough Council Adult Social Worker of the Year ~ Harprit Rai of Birmingham City Council Children’s Social Worker of the Year ~ Joy Manley of Cafcass Lifetime Achievement Award ~ Anju Bhatti of Optalis Outstanding Contribution to Social Work ~ Bob & Annette Holman Overall Social Worker of the Year ~ Helen Pye of South West Yorkshire NHS Partnership

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Zahraa Adam, Social Worker of the Year 2014

e catch up with Zahraa Adam, 23, who was awarded both Newly Qualified Children’s Social Worker of the Year and Overall Social Worker of the Year for 2014.

How has winning last year made a difference to you in your position as a social worker at Essex County Council?

As passionate as I am about the actual practice of social work, for me social work is always about a much bigger picture. I came into social work to raise awareness, wherever I could, about how it can change people’s lives for the better. Winning at the ceremony has just enhanced my passion for the work I do and given me that reinforcement that I am making a difference.

How have you shared your ideas with others since this time last year?

I’ve presented at a number of events. At The College of Social Work Annual Reception, ‘Think Social Work, Think Changing Lives’, I read a poem I wrote about social work. I’ve also delivered a TED-inspired speech at ‘Innovation in My World’, exploring what smarter citizen engagement looks like, using creativity to engage with people who find it difficult to communicate.

Within Essex, I’ve featured on radio and attended many networking events and workshops to share practice ideas and inform others about the specific work I do with unaccompanied asylum seeking minors.

This has included networking with other organisations linked to the field, informing them of the amazing work happening on the frontline.

“The ceremony has just enhanced my passion for the work I do.”

Sanctuary Social Work News ~ 13

Social Worker of the Year Awards

Zahraa at SWA Parliamentary event

Can you tell us more about how you use creativity in your role within the council’s Children in Care Specialist Team?

It is at the core of my practice. Most of my visits involve direct work and I use a lot of arts and craft techniques to engage young people in activities, which explore different aspects of their lives and enable them to talk about difficult matters.

Some of these are the typical direct worksheets like ‘the 3 houses’ but I make them fun by turning them into 3D houses, building them with the young people and getting them to fill the houses with their wishes or worries.

One of the resources we have is called a ‘worry eater’, which is a soft animal toy that has a zipped mouth. We ask young people to write down any worries, place them inside the toys’ mouths and zip them up. This can then be shared with the social worker or foster carer.

Sometimes though, it’s the simplest things that work, like going for a drive to McDonalds, painting each other’s nails, or kicking a football in the park; it gives us time to talk about difficult issues.

You were praised for your work with ethnic minority communities. How has your work in this area developed?

Education Secretary Nicky Morgan and Ben Gummer MP at SWA 2014

Half of my service user group are unaccompanied asylum seeking minors, so supporting them in their day-to-day lives involves networking with various agencies to support their identity, cultural and religious needs. I continue to promote social work in whatever way I can and I hope winning the awards last year has inspired other people in ethnic minority communities by seeing a young asian woman in the field.

How important do you feel it has been to have the right team to support you?

I am so lucky to work with an inspirational team that pushes me to develop and grow in every way. Each team member supports me in their own way to achieve the best outcomes; they encourage me when I want to take risks and support me when I need to challenge.

Could you tell us about the experience of being a judge at the 2015 awards?

It was fantastic and amazing to see so many examples of brilliant work being done all over the country. I was so inspired by the entries I read; I was even able to take away ideas for my own practice. The enthusiasm and passion of practitioners Watch makes me proud to be a social worker and reminds Zahraa read h er own me of the huge difference we are making to poem the 20 at people’s lives.

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awards at ar ysoc ialcare .com / b log

sanc tu

Information For more information visit socialworkawards.com.

Sanctuary Social Work News ~ 14

Zahraa receiving her award in 2014

Personal story

Life with

dementia

Beth Britton, a campaigner and consultant on issues affecting older people, discusses her experience of supporting her father, who lived with vascular dementia.

M

y dad lived with vascular dementia for 19 years. His dementia began when I was just 12 years old, and it dominated my teens and twenties. Having gone ten years without a diagnosis, dad spent the last nine years of his life in three different care homes, punctuated by spells in hospital, before he passed away in April 2012.

The long road to diagnosis Many people question why it took ten years for my dad to be diagnosed. To answer this, it’s important to remember that back in the 1990s dementia wasn’t the public health priority it is now and, as a result, levels of awareness were much lower. My dad’s vascular dementia manifested itself in a series of TIAs (Transient Ischaemic Attacks – often called ‘mini strokes’), which although doing cumulative, irreparable damage to his brain,

Sanctuary Social Work News ~ 15

Personal story

“Our social worker expressed surprise at the home we eventually chose for dad. It certainly wasn’t aesthetically the most attractive building, but we loved the ethos of care and the attitudes and personalities of the staff.” often went completely unnoticed by dad himself.

As those ten years passed, dad began to change. Although most people associate dementia with memory problems, and indeed dad’s memory did start to let him down, it was other, less widely-recognised symptoms that made his life more difficult.

He struggled to support himself with personal care, with his motivation to wash, wear clean clothes or change the bed diminishing. He also became paranoid and had regular hallucinations, lost interest in the things he’d always enjoyed doing, would get lost going out, hoarded possessions and would put items in inappropriate places.

He couldn’t even manage elements of daily living, like cleaning the house, keeping the garden tidy or paying the bills.

As a family we were obviously concerned, but we trusted that dad was receiving the medical care that he needed through appointments with his GP that he chose to attend independently. At one point a referral was made to social services, but the input of a social work team, and indeed even the local meals on wheels services, was unwelcome and unnecessary from dad’s perspective.

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Eventually dad collapsed at home from a larger stroke. He was taken to hospital and, as he was rehabilitated from the stroke, he was formally diagnosed with vascular dementia and moved to the ‘Elderly Mentally Infirm’ unit. The team caring for him advised us that he would be a danger to himself and others if he returned home, and so we were assigned a social worker and tasked with finding a residential care home.

Moving into social care Having never encountered care homes before, we knew little about what to look for, but despite finding a home that we thought would be perfect for dad, he remained there for just six months before the manager decided her staff could no longer care for him and he was sent back to hospital. He lost half of his body weight over a three month period while we worked with his social worker to find a specialist dementia nursing home.

There were wrangles over who would pay for dad’s care, and our social worker expressed surprise at the home we eventually chose for dad. It certainly wasn’t aesthetically the most attractive building, but we loved the ethos of care and the attitudes and personalities

Personal story

of the staff; he spent over eight years in that care home.

During that time, the care home had numerous different managers, four different owners and at one time was part of Southern Cross, who in 2011 were the biggest care home provider in the country when they went out of business. Although a new provider took over, dad’s care dramatically declined, leaving him with pressure sores and eventually aspirating his own vomit five times. This resulted in him being rushed to hospital in March 2012, but despite receiving excellent hospital care, his body was giving up. However, we didn’t want him to spend whatever time he had left in hospital.

Outstanding end of life care When we found a care home prepared to provide end of life care, it was a relief unlike any other. Dad moved into his new room on the day before his 85th birthday, having had his placement confirmed with exceptional speed – we’d only initially viewed the care home earlier that week.

“We as a family remain indebted to the wonderful people we met working in social care during my dad’s years with dementia.” example of what can be achieved in a social care setting that would never have been achieved in an acute hospital.

For this reason, and for so many others, we as a family remain indebted to the wonderful people we met working in social care during my dad’s years with dementia; from the social worker who fought our corner and got dad the placements and funding to live in the care homes we chose for him, to the social care staff who provided so much care that I look back on with such affection. I only hope that they are as proud of their contribution to dad’s life as I am.

Dad died less than two weeks after moving in, but everything about his care made those two exceptionally difficult weeks so much more bearable for us as a family.

In his personalised room, he was kept clean and comfortable, offered delicious looking and tasting food, and had his every need attended to. The manager of the care home even drafted in extra staff to ensure that they could give dad a lovely bath – something he hadn’t had in weeks.

By the time dad passed away his pressure sores had almost healed, and the peace and tranquillity of his passing was an exemplary

Author profile

Look o ut for Beth’s article in our ne xt issu e on person al boun daries demen tia care in .

Beth Britton is an independent campaigner and consultant, writer and blogger specialising in issues affecting older people, with a particular interest in dementia. Beth’s dad had vascular dementia for approximately the last 19 years of his life. She aims to provide support and advice to those faced with similar situations, inform and educate health and care professionals and the wider population, promote debate and create improvements in dementia care.

Sanctuary Social Work News ~ 17

Children in care

pa n ish S A et reat r for siblings in care Jennie Brownbill, a retiring social worker, writes about her plans for a charity-run campsite in Northern Spain for siblings in care.

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he facts are startling. Over half of the children in local authority care are removed from their homes due to experiencing neglect or abuse. Up to 80% (50,000) of these children have been separated from their siblings, often causing feelings of isolation, exclusion, problems with identity and, ultimately, difficulties in later life.

Separation from siblings arises for a range of reasons. Children in care have more siblings than the national average (around 3.4 siblings compared to around 1.4 overall) and foster carers and children’s homes struggle to accommodate them all together. Brothers and sisters can also be taken into care at different times resulting in separate placements, and shortages of local foster carers may even lead to geographical separation.

I qualified as a social worker in 1982, working in child protection for the first ten years, but it was my time as an independent reviewing officer (IRO) that enabled me to identify a need where I thought something must be done – and I believe we are uniquely placed to do this as social workers. Particularly as an

agency worker, I was able to explore different parts of the country, gain lots of experience and see a huge variation in practice, which helped to inform so much of my work.

Part of my role as an IRO was to challenge local authorities when the care wasn’t good enough, but the reality was that already overstretched services simply did not have the time or resources to prioritise the separation of siblings as an issue. Consequently, there were risks of breaking down the family structure, which would only prove more detrimental, and therefore costly, later down the line. If a child leaving care hasn’t retained family contact, they are more likely to go off the rails.

Children do so much better when they have siblings to support each other; it affects their emotional health and prepares them for independence. The one big thing children in care miss is a sense of belonging. I wanted to do something about this.

“The one big thing children in care miss is a sense of belonging.”

Sanctuary Social Work News ~ 18

Children in care

Eco Camping for Children in Care Eco Camping for Children in Care is being set up as a charity to give brothers and sisters who are separated in care the opportunity to meet and spend extended time together. I want to encourage the positive relationships that most children have in life outside of the care system.

Based in Northern Spain, our residential camps will provide an opportunity for siblings in care to go on low cost or free holidays together and bond whilst engaging in a range of active and creative activities, including climbing, abseiling, adventure trails, surfing, sea kayaking and kite surfing. The camps are designed for children aged 7-18 years and can hold a maximum of 20 young people per camp, which includes an organic garden and accommodation in the form of solar powered geodesic domes.

We will have a staff ratio of one adult per child made up of trained volunteers, from qualified social workers, teachers and youth workers to play and art therapists, musicians, poets, artists and performers.

I am looking to start with about eight to ten domes and will initially focus on larger sibling groups of three or more in severely deprived areas who have never had a holiday with their brothers or sisters. Eventually, I would like to support the ‘Strengthening Families’ approach with the idea of providing holidays that engage the whole family. Over a third of children in care do return to their families but there are many further breakdowns currently costing an estimated £300 million across all local authorities. Facilitating whole families to visit during the process, or at times of great stress and potential family breakdown, will help save money and enhance the quality of many children’s lives.

One thing I am keen to do from the start is ensure that a rigorous post-camp evaluation is facilitated and we produce a plan for continuing contact either by a return visit or linking with partner organisations in the UK. This will also help local authorities identify what they need to work on to strengthen contact and the family’s relationship. The therapeutic value of providing an environment for siblings to bond must be continued once they return to care. I am hoping to set up a base in England too as a place for them to keep visiting to maintain contact.

Donate your 50ps or volunteer Eco Camping for Children in Care needs your help! Visit eccic.simplesite.com to donate.

To become a volunteer at the camp, which involves undertaking child protection training (if you have not previously done so), please email ecocampingforkidsincare@gmail.com.

Eco Camping for Children in Care will be piloted this summer with plans to officially launch in October 2016.

Northern Spain

Adventure trails

Abseiling

Sanctuary Social Work News ~ 19

Surfing

Adult safeguarding

‘Making Safeguarding Personal’ Service Manager, Andy Hill, writes about overcoming the challenges of safeguarding adults under the Care Act 2014.

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t the heart of safeguarding adults lie the core values of social work; to challenge injustice and enable people to live safely. Within the service I manage, this is a continuous juggling act to ensure resources are always where they need to be.

Working towards social justice within the safeguarding and mental capacity act team means being at the forefront of challenging oppression and discriminatory practices.

Therefore, as a team, we require time to reflect and be mindful about our own emotional health; to be grounded in our values; and sure of our information and knowledge when promoting the rights of others.

It would be easy to take a risk-averse course of action in many cases, however this would also be inappropriate if the service user didn’t want that particular action. This leads into Making Safeguarding Personal; not a new concept, but one that enables a shift from an organisational process driven approach to a more person-centred sensitive model. In social work it coexists and contributes to antidiscriminatory and anti-oppressive practice.

Challenges arising from investigations, where abuse has been alleged on a larger scale, can drain small teams and detract them away from other business such as managing Deprivation

of Liberty Safeguards (DoLS). Following the Supreme Court judgement in March 2014, the number of DoLS assessments significantly increased from 30 to over 600, and this year we are looking at over 700 – with no budget!

No budget doesn’t mean we can’t defend people’s rights to liberty and keep them safe when they don’t have the capacity to recognise risk and harm. Justifying a budget overspend can be a challenge, but the challenge is more about ensuring the council know why we have to do it; it’s called the law. Although a drop in the ocean, the Department of Health gave local authorities £25 million, which when shared out didn’t amount to much. It has meant employing agency Best Interest Assessors (BIAs) instead of commissioning independent BIAs. Overseeing a robust quality assurance process is essential to give guarantees to the Safeguarding Adults Board (SAB). Vulnerable adults, especially older people, don’t seem to be valued as much as they should be by society. However, I hope that, with SABs now on a statutory footing as children’s have been for years, adult safeguarding can make inroads into redressing this covert discrimination.

“Justifying a budget overspend can be a challenge, but the challenge is more about ensuring the council know why we have to do it; it’s called the law.”

Sanctuary Social Work News ~ 20

Adult safeguarding

Author profile Andy Hill is an Interim Service Manager for a London borough council. He began his career as a residential social worker in 1991, working with children and their families/carers on various aspects of rehabilitative work, including child abuse issues. Now working with adults, including those with mental health problems, substance misuse issues and learning disabilities, Andrew is a firm believer in service user and carer choice where it can be achieved.

“One day these services could safeguard a family member or friend – would they be good enough?”

We are seeing positive outcomes. An example is of a care home which, once a number of serious allegations had been made by bodies such as Care Quality Commission (CQC) and the police, became fully engaged with the safeguarding team’s investigations. They worked through the issues, appointed new staff, including a new manager, and eventually emerged with a clean bill of health from our commissioners and CQC. That said, not all go according to plan and the order of the day tends to be frustrating negotiations with providers who fail to accept responsibility.

I am keen to encourage engagement with care homes, offering briefings and working closely with management to prevent issues arising.

I believe that services should be the best they can possibly be, being mindful that one day they could safeguard a family member or friend. We should ask ourselves – would they be good enough?

As a manager, I aim to ensure that the staff I am responsible for are supported to be as effective and efficient as possible, and that, as a team, there is a sense of ownership and responsibility. From my experience as a practice teacher of social work, learning and educating is very much a two-way process; enabling others to learn and develop whilst appreciating new perspectives myself. For

example, our fortnightly practitioner meetings enable me to recognise my own limitations within the Deprivation of Liberty Safeguards as the team have a wealth of knowledge and experience to draw upon. It may be that I know the answer, but sometimes I don’t let on that I do just to encourage another perspective.

We also hold debriefing sessions when working on complex and emotive issues. It enables the team to identify feelings and frustrations, especially when cases are involving serious abuse or death. As well as this, the team have access to the staff welfare counselling service.

I have a wish list for staff joining our team; that they are up-to-date and responsive to the needs of people we are safeguarding.

This requires more than having a qualification and good interview skills. If we are to provide a personal service then the team must fully understand their role and show a commitment to continuing professional development (CPD) and willingness to share best practice. On that note, I will end with a quote shared by Carmen Gardier, a friend and colleague of mine: “Safeguarding is a multi-agency responsibility.

As the person prompting the inquiry, it is not your responsibility to undertake all of the work.

Share case information and workload with the relevant partners and work together to deliver safeguarding provision for your patient.”

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Adolescent mental health

The complex journey through

adolescence Yvonne Tyree explains the need to understand a young person’s perspective in order to support them with positive coping strategies.

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s a young person in the 1970s, I was rebellious and loved nothing better than to shock my father and teachers. I wanted to be individual and different; the thought of conforming was fairly alien. The music and clothes I chose reflected this rebellious emotional state, so it will be no surprise to learn that the subculture I became part of was punk.

However, at that age, the concept of the conformity that accompanied this never entered my head.

Jumping forward and looking at the adolescents I have the pleasure and privilege of supporting today, I often wonder what that life period is like for them now. What has changed for young people through the decades? As a social work trainer, I like to encourage a debate on this, discussing some of the challenges adolescents face and the strategies they might use to cope. By improving awareness of a young person’s perspective, social workers are better placed to come up with practical ideas to support adolescents through what can be a complex and difficult time in their life.

As I have developed as a social worker and mother, I often reflect upon my own childhood and adolescence; it helps me to remain grounded and emotionally intelligent.

This emotional information guides my thinking, feelings and behaviour, which, coupled with my own experiences, enables me to empathise with young people who struggle to manage in the adolescent phase.

Young people can sometimes battle with their inner self as they try to discover their identity.

Their emotions become heightened and their resilience to manage these can result in poor emotional and mental health.

The ultimate conclusion to such a situation was brought home to me recently as I entered a secure unit for young people suffering from poor mental health. The starkness of the unit, for very good reason, appeared to reflect the starkness of the young people within it.

However, their determination to rejoin society with support from professionals and, for some, their families, showed through.

It is part of our role as social workers to explore positive coping strategies for adolescents to gain the emotional strength necessary to move forward into an emotionally and mentally healthy adult.

Author profile Yvonne Tyree is a social work trainer, specialising in adolescent mental health. She has over 25 years’ frontline and managerial social work experience and is a qualified counsellor in adolescent mental health. To book a place on Yvonne’s next Adolescent Mental Health one-day course, taking place on 17 February in London, visit sanctuarytraining.com.

Sanctuary Social Work News ~ 22

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Tel: 0333 7000 028 | Email: info@sanctuarytraining.com | Web: sanctuarytraining.com Sanctuary Social Work News ~ 23

Professional development

#OurWayOf Work Zoë Betts explores how processes in social work practice can and should be shared amongst fellow colleagues and organisations.

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’ve spent some time recently looking at how well processes work within social care and NHS hospitals, with the view of making some improvements to current systems. I’ve had a slight role change and stepped away from frontline practice for a period of time to focus on process improvement and education.

So what have I learnt in this short space of time? That we are not good at sharing examples of great practices! In fact, we’re not that good at sharing bad examples in this area either, but we’re probably considerably better at that aspect of it.

I have always struggled to understand why this industry doesn’t use generic practices, processes and systems, particularly at a time when our services face huge pressures, cuts and a significant rise in demand. I appreciate local budget constraints, but what is needed is clarity and simplicity; if something works well in one place, how can we share that example of best practice more proactively in order to encourage other organisations to adopt the same way of working?

The most natural starting point was to look at how other boroughs manage their hospital discharges and see if they had areas that worked particularly well in the admission and assessment process. I could then consider which aspects might work well in our structure too. I’m spending hours searching for good research examples and have been told on many occasions that very few published examples exist. So I’ve reverted to using the old fashioned (and best) form of research – asking people I know. I’m now in the process of building a report with different models to make recommendations

for a system of care, hopefully in both a strategic and integrated way.

It’s inherent that, as social workers, we strive for our work to be the best it can be, but it feels like all too often we are fighting an ongoing battle of making and adjusting to constant changes. There must be some organisations that have systems or assessment processes in place that so many others could benefit from – after all, the goal is to be there for the people we work with, regardless of which borough they fall under.

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Professional development

“Tweet @iamsocialwork, using #ourwayofwork, and we can start sharing suggestions of good practice for others to benefit from. We need to get better at this.”

Let’s start by doing what we can for ourselves.

Ask yourself – “how do prefer to learn or share best practice?” Is that through supervision, peer support or informal mentoring? These considerations are useful to be clear about so you can tell your team and managers your expectations. When I first started writing Mental Capacity Assessments, I was shown so many other assessments, mostly best examples from my manager and colleagues at the time.

I could then understand how different types of assessments might take on different formats and picked up skills from the various writing styles. They’re not easy assessments to write, so learning from example helped me nurture my own skills in this area.

Outside of our organisations, we can also share our own good examples of work by turning to the powers of social media. Tweet @iamsocialwork, using #ourwayofwork, and we can start sharing suggestions of good practice for others to benefit from. We need to get better at this and Twitter is a brilliant platform.

I’m realising, now more than ever, that research and learning should always inform our practice, which has made me want to bring this as close to practice as possible.

Through ‘iamsocialwork presents iam.academia: The pursuit of research, education and learning’, I am bringing some of the most brilliant people from social work academia directly to you, across two evenings in conjunction with one another.

Taking place in February, in London, the events are intimate, informal and open to both students and qualified workers.

I am a firm believer in making sure learning is not restricted and conferences with speakers of this calibre are affordable – so that is the aim. Numbers are limited so I would recommend booking early.

Author profile Zoë runs iamsocialwork which supports students and qualified social workers to network with one another and learn from academics via a variety of national events and forums. She is a judge for the Social Worker of the Year Awards and works full-time as a social worker, addressing process improvements as part of an integrated hospital discharge team in London.

Sanctuary Social Work News ~ 25

A day in the life of...

A day in the life of... an emergency dut y tea m socia l wor ker Tuesday 15 December 20 15 5.00pm My fir st call is about a complex Men tal Health Act assessmen takes several hou rs to t that address. The patient ha s been detained for bre peace at a local police ach of statio n and the police doctor has reques ted the assessment.

6.00pm With the help of two mental health ap proved clinician s (psych iatris ts), I go to the police statio n and assess the patient. The to admit him as an inf decision ormal patient is straig htforward and is made agreement. However, as wit h his he is not a local reside nt and does not have an connectio ns, I kn ow fin y local ding him a bed is not going to be easy.

9.00pm After several calls to mental health services, I find out tha are unable to assist wit t they h admitting him locall y as he is kn own to the health services in the mental Wes t Midlands area. Ev ent ually thoug h, I mana a bed for him in the Wes ge to find t Midlands, wh ich is a huge relief for everyone .

11.15pm I take a call from a care ag ency rep ort ing with the local hospital a ‘no respon se’. I check and attempt to make con tact with the next of although I have no suc kin, cess in getting hold of them. Given the sit uatio contact with the police n, I make to reques t a welfare vis it. I spend some time dis with the police why I cussing am not able to make the vis it on my own. Once I exp my reason s, the police lain assist by attending the address of the per son It was a relief when I concerned. found out that they ha d gone to bed early an not hear the carer kn ock d could ing on the door, althou gh it could quite easily been a different sit ua have tio n.

11.45pm Having overco me the accommodatio n hu rdle for the patient det for breach of peace, I ained tackle the issue of tra nsport required to tak Wes t Midlands. The local e him to the am bulance services wil l not transport him tha out of their geograph ic t far area and the local NH S authority cannot ass paying for the transp ist with ort. As a duty social wor ker (and approved mental professio nal) I find my health self stuck. The sit uatio n would be different if daytime but du ring the it was nig ht there’s not a fu lly functioning tea m av and so decision s are oft ailable en delayed until the mor ning. Following severa thoug h, I manage to arr l calls ange for transportation fund ed by the authorit charg e of his care. y taking 11.40pm I take a call where I am needed to un dertake a Mental Health assessment on someone Act who has presented to A& E at a local hospital in the past two weeks. fou r times The referrer did not kn ow what to do as the ma his late 40s and sleeps le is in rough. I make arrangem ents for him to get ass istance

Sanctuary Social Work News ~ 26

A day in the life of...

“The re wa rd when I’ve h elped someone or diffused a situation is ex actly why I work in emerge ncy duty ca re.”

with his housing needs, and make sure I docum ent his case so that my colleagues are aware of daytime his sit uatio n.

03.00a m I ret urn to my office and I write up a report on the pa health, wh ich given the tient’s mental complexity of the sit ua tio n takes me over an to complete. hou r 04.15a m I take a call from the police to che ck for information on fa mily that has been a inv olved in a road tra ffic accident and there per son critically injur is one ed. I notify the on- cal l manager regarding th sen sitive information is and I also make ou r com munication s departmen case the media express t aware in their interest in the inc ident as a news story.

05.30a m I start tidyin g up my work and begin entering the informati to onto ou r computer sys on I need tems. Since my role req uires me to respond to emerg ency sit uatio ns inv various olving both children an d adults, it takes some entering information ont time o the different database s.

06.00a m Wh ils t I am attending to administrat ive tasks, I receive a immediate concerns wit call with h regards to a forced ma rri ag e. With a school holida approach ing and from y the information I have been given, there is a indicatio n a young per strong son is going to be tak en abroad for forced ma pu rposes. I liaise with rriag e airport authorities as it is unclear wh ich air per son is going to be port the departing from with the ir fa mily.

Within th is role you ha ve to act as bes t as you can with as little information as possible for various reason s. Th e reward when I‘ve hel someone thoug h or diffu ped sed a sit uatio n is exa ctly why I work in eme duty care. rg ency 8.00a m I take a call from A&E and I am ask ed to check for inform child who has been bro ation on a ug ht into the hospital by his caregiver s due bu rn s. Th is child is goi to serious ng to be kept in the hos pital for fu rther checks .

9.00a m In my las t tas k for the day, wh ich tak es me beyond my 16 hou I liaise with my dayti r shift, me tea m colleagues. I ma ke sure that the inform abo ut the child with bu ati on rn s is passed on to the m for a follow up and somebody is able to con that tinue liaising with the airport authorities reg the forced marriag e sit arding uatio n. Confid ent I‘ve entered all the inform need to on the various ati on I sys tems, I log off and take a well- earned bre next couple of days. ak for the

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