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 AuthorityHSE response:Action 27The LHA will review work with interagency colleagues and ensureagreements are established that reflect the roles and responsibilitiesof all participants and ensure all cases where significant harm orneglect is identified are responded to appropriately.Area Manager, PSW,End August 2013Theme 2: Safe and Effective ServicesThe LHA was not compliant with the standard in the following respects:The LHA had not allocated a social worker to all children at risk of significant harm orneglect.The LHA did not have a formal caseload allocation system.The LHA did not have a robust system in place to monitor and review the case managementprocess and evaluate the standard of service provision.28. Action required:The LHA should ensure that all children at risk of significant harm or neglect have anallocated social worker.29. Action required:The LHA should develop, implement and evaluate a formal caseload allocation system.30. Action required:The LHA should develop and implement a robust system to monitor and review the casemanagement process and evaluate the standard of service provision and disseminaterelevant learning to improve the management of child protection and welfare concerns andservice delivery.Related reference:Standard 2:10Child protection and welfare case planning is managed and monitored to improve practiceand outcomes for children.80
Inspection of the HSE Child Protection and Welfare Service in Carlow/Kilkenny Local Health Area in theHSE South RegionHealth Information and Quality AuthorityPlease state the actions you have taken or are planning totake with timescales:Timescale & Postholderresponsible:HSE response:Action 28All children who are at risk of significant harm are prioritised bySocial Work Team Leader in accordance with the Measuring thePressure Framework. It is now practice to have these casesreviewed and prioritised on a weekly basis by Social Work TeamLeader. Case at risk of significant harm are prioritised for allocationto a Social WorkerAll unallocated cases of Social Workers that are on leave will bereviewed by SWTL in accordance with the National Framework forMeasuring the Pressure. These contingency plans will be reviewedon an ongoing basis.PSW and TeamLeaders by end June2013PSW and TeamLeadersOngoingAction 29The LHA will continue to engage with the National CaseloadManagement System being developed by the National Office. In themeantime, Team Leaders will continue to assess risk, using toolsavailable through Measuring the Pressure. A consistent approach tomanaging risk will be established in the context of pressure onresources and the need to respond to children who are at risk ofsignificant harm.Team Leaders andSocial Work Staff Byend July 2013Reflection on the content of cases and responses will be encouragedat team meetings, learning will be shared as will the use of localresources to resolve some parts of complex case work.The allocation of all cases and the provision of continuity and aconsistent service will remain a significant priority for Managers andfor Social Work Staff.PSWAction 30All open cases will continue to be monitored during supervision andthe updated Supervision Policy will be implemented when available.Caseloads and complexity of cases will continue to be part of theimproved response to Measuring the Pressure so that decisions areinformed by that guidance and cases are prioritised and managedPSW, Social WorkTeam Leader, endJune 2013 & ongoing81
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