HSE Child Protection and Welfare Service in Carlow/Kilkenny - hiqa.ie

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Inspection of the HSE Child Protection and Welfare Service in Carlow/Kilkenny Local Health Area in theHSE South RegionHealth Information and Quality AuthorityManager.Action 8An update on the National Work on Thresholds will be madeavailable to the LHA and the implications for practice shared inTeam Meetings and in supervision. The LHA will implementthresholds consistently across the area.A review of implementation of thresholds will be carried out throughsupervision and in case files audit.National Office, AreaManager, PSW andstaff by end June2013Action 9Files will be audited on a regular basis and supervision of all casework and decisions following referral will include robust action thatensures referrers are kept informed of the outcome or progress onreferrals and know who to contact if they have continued orescalating concerns.PSW, Team Leadersand staff by end Aug2013The LHA will use local and national information to make surefamilies are assessed and directed to support services asappropriate. Duplication of services will be identified and reduced,children and their families will access support services that meetneed at the earliest opportunity. The LHA will inform referrers(where appropriate) in all cases when work is complete and informall relevant professionals making sure they are aware of routes backshould circumstances change.Theme 2: Safe and Effective ServicesThe LHA was not compliant with the standard in the following respects:The LHA was not making decisions to protect children in a timely manner.The LHA were not implementing the national prioritisation framework to ensure childrenwere effectively protected in a consistent wayThe LHA did not have quality assurance processes in place to ensure that decisions focusedon safety and did not leave children at risk.68
Inspection of the HSE Child Protection and Welfare Service in Carlow/Kilkenny Local Health Area in theHSE South RegionHealth Information and Quality Authority10. Action required:The LHA should ensure decisions to protect children are taken in a timely manner.11. Action required:The LHA should ensure the consistent implementation of a prioritisation framework toensure children were effectively protected.12. Action required:The LHA should ensure that quality assurance processes are established and implementedto ensure that decisions taken are focused on safety and do not leave children at risk.Related reference:Standard 2:3Timely and effective action is taken to protect children.Please state the actions you have taken or are planning totake with timescales:Timescale & Postholderresponsible:Action 10The LHA will review the merger of the two duty systems to ensurecompliance is robust and outcomes for children consistent. Thereview will ensure that children and families are receiving aconsistent service that reflects the Framework for Measuring thePressure, cases allocated and Assessments completed in a timelymanner. The application of the principles and guidance providedwithin Measuring the Pressure will be assessed through supervisionand file audits. Action will be taken where improvement needed.PSW, Team Leaders,Staff, by end of April2013Action 11Measuring the Pressure will be discussed at Team Meetings and insupervision and the relationship between that and practice decisionsidentified and implemented so that case files and case discussionreflects a clear and consistent understanding of the key principles ofthe Framework for Measuring the Pressure that is to make decisionsin CP cases and reduce risk.Additionally, action taken to reduce risk to children through makingeffective decisions in a timely manner will be demonstrablyevidenced through case recording.Area Manager, TeamLeaders and staff byend April 201369
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HSE Child Protection and Welfare Service in Carlow/Kilkenny - hiqa.ie

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