Safeguarding Children Record Keeping Standards - Halton and St ...

More documents

Recommendations

Info

well-being, this should be documented in the main body of the record and entered on thesignificant events form to act as a trigger which alerts the reader to a concern.The dates of all Child in Need, child protection conferences, reviews and core groups, ChildrenLooked After reviews and other safeguarding meetings must be recorded on the significantevents form, including - where relevant - the category of child protection plan and the date ofcommencement and discontinuation.All child health records must include full details of all siblings both older and younger (i.e.name, date of birth, school and place of residence/ carer if different). The health visitorconducting the primary visit is responsible for ensuring that the details of all oldersiblings are recorded on the new child’s records and that details of the new child arerecorded on the records of all older siblings. When new babies are born into families wheresome / all of the older siblings have gone to school, the health visitor must ensure that allthe school nurses for the older siblings are provided with details of the new child. Theschool nurse(s) will be responsible for ensuring that this information is recorded in theappropriate records and that any relevant ‘historical’ information contained within the records isnotified to the health visitor. (Please see appendix for notification form).TransferRefer to the Safeguarding Children Transfer of Records SOPAuditAudit is a component of the risk management process, the aim of which is the promotion ofquality. An audit trail should be able to enable all records entries to be traceable to a namedindividual at a given date / time and that all alterations can be similarly traced. Also – that it canbe seen what has or has not been done and why. (The same principles also apply toelectronic records.)A specific audit of health visitor and school nurse records for children subject to childprotection plans and / or looked after will be conducted annually.Significant Events Form TemplateA significant events form provides an immediately ‘visible’ chronological overview of eventsand concerns.This can be beneficial in a number of ways: when bulky records transfer to or are made available to another practitioner, itenables an ‘overview’ it assists with and facilitates the preparation of reports for meetings andstatements of evidencePage 8 of 12
it enables the practitioner to maintain an ‘at a glance’chronological picture which can inform decisions as to when certain thresholds ofconcern are reachedThe types of information that should be recorded on a significant events form are:Hospital / walk-in centre / clinic admissions / attendancesBirth of a new siblingSignificant incident involving parent or carer (e.g. DV, mental health episode,substance misuse episode, hospital admissionBereavementChild protection / safeguarding incidentSignificant meeting e.g. multi-agency / child in need / conference / review / core group/ LAC review etcChanges of details e.g. health practitioner, G.P., address, school, carer, new adult inhousehold, placement etc.Referral to or from another practitioner / service / agency etcTransfer of records / reason.CAF initiation(This list gives suggestions only – it is not exhaustive by any means)The information recorded on a significant e v e n t s f or m should be brief – its purpose aswell as providing an overview, is to act as a trigger to indicate more detailed informationwithin the records and where it can be located.Key Points for Team Leaders / Family Health CoordinatorTeam Leaders/ Family Health Coordinators have accountability for their team members andhave a responsibility to:Identify and address poor professional practiceEnsure appropriate and adequate mentoring / preceptorship for all new teammembersEnsure all team members have had appropriate trainingInclude record keeping responsibilities in job descriptions, post outlines andannual appraisalsUndertake or assist the undertaking of regular records audits.Page 9 of 12
Page 1 and 2: NON- CLINICAL STANDARD OPERATING PR
Page 3 and 4: Table of ContentsBackground and Tri
Page 6 and 7: All documentation by employees of N
Page 10 and 11: Records and Legal Issues ExerciseCh
Page 12: Are there any concerns regarding th

Safeguarding Children Record Keeping Standards - Halton and St ...

Create successful ePaper yourself

Delete template?

Save as template?