Emergency Placement and Emergency Reviews

REGULATIONS AND STANDARDS

The Care Planning Standard
Regulation 14

The Quality and Purpose of Care Standard
Regulation 6

SCOPE OF THIS CHAPTER

This chapter sets out the procedure to be followed when placements or moves between homes are made in an emergency.

RELEVANT CHAPTERS

Moving to Another Placement Procedure


Contents

  1. Emergency Placement Definition
  2. Criteria and Timing for Emergency Reviews
  3. Arranging and Conducting Emergency Reviews
  4. Who Should Attend or Contribute to Emergency Reviews
  5. Preparation and Chairing of Emergency Reviews


1. Emergency Placement Definition

An emergency placement occurs when a placement for a child becomes necessary without any forewarning or without the opportunity to follow the usual placement planning processes. Situations when a placement must be arranged urgently to ensure the safety and welfare of a child include:

  • When a placement must be made immediately (on the same day) because of the breakdown of the child’s current placement;
  • To protect a child from sexual exploitation or gang involvement;
  • When a placement is made out of hours by the emergency duty team; or
  • When a child becomes looked-after because they have been remanded by the youth court.

A placement in Secure Accommodation which is made without a Court Order but authorised by a Designated Manager (Secure Accommodation) for a maximum of 72 hours may also be an emergency placement.

Emergency Placements Out of Area

In circumstances of emergency placement, Regulation 11(2) of the Children Act 1989 (amended) does not apply as it will not be possible to take all necessary steps before making the placement. However, as a minimum, the Nominated Officer within the Placing Authority (Director of Children’s Services in the case of Placements at a Distance) must be satisfied that the child’s wishes and feelings have been ascertained and that the placement is the most appropriate placement available and consistent with the Care Plan.

The requirements to notify/consult the area authority, and provide them with the child’s Care Plan and consult the child’s relatives and inform the Independent Reviewing Officer must be undertaken within 5 working days.

Receiving Emergency Admissions (in line with the Statement of Purpose)

A home cannot admit children in an emergency unless they are registered to do so, therefore this capacity will be explicitly included as a function and written into the home’s Statement of Purpose. The home will need to demonstrate it is capable to care for children admitted at very short notice while continuing to offer high quality care to children already living in the home.

Where it is within the home’s Statement of Purpose, the Registered Children’s Homes Manager will ensure that procedures are in place for receiving emergency placements. They will have a specific routine in place, with which all members of staff are familiar.

The routine will include having:

  • A checklist for admissions readily available;
  • A vacant bedroom with appropriate facilities, in a state of readiness;
  • Easy to prepare basic food and drink accessible for staff to prepare day or night;
  • A strategy for the redeployment of staff to deal with the emergency admission.

Staff in the home will need to be trained and skilled in the admission and care of children, where their full background may not be known.

Managers should ensure that where an emergency admission takes place a planning meeting also known as an Emergency Review is held within 72 hours of admission, see Section 2, Criteria and Timing for Emergency Reviews.

Emergency Placement Procedure

In the event of a referral for an Emergency Placement, the person receiving/administering the referral should do all that is reasonable to follow the normal admissions procedures. (When an emergency placement is requested out of hours then the on-call manager should be consulted prior to accepting the referral).

Any decision to admit a child in an emergency must be based a proper assessment of the available information.

Given the time constraints, this assessment is likely to be carried out from information provided over the telephone or by email. Referral forms still need to be completed and received before the young person is admitted despite the time pressures with emergency placements.

The placing authority must be satisfied that, on the basis of the available information, the child's needs are likely to be met by the home

When emergency placements are made, local authorities should endeavour to make as much of the necessary information about the child available to the home as is possible, and should always make available any information that is vital to allow the home to care safely for the child (e.g. medical information or information about any known serious behavioural issues which may place the child at risk of harm to him/herself or others).

As a minimum, the following information will be required at the time of the placement:

  • The contact / family time arrangements that may be permitted between the child and their parents, siblings, relatives and friends – no contact may be allowed without the approval of the social worker or as set out in the child’s Placement Plan;
  • A copy of the child’s Individual Health Care Plan or, if this is not available, details of any healthcare or medical needs/requirements that the home should be aware of e.g. Home Remedies or Medication that the child may require, see Health Needs Assessments and Individual Heath Care Plans Procedure;
  • Copies or information relating to any Court Orders that may be required or influence the child’s placement e.g. if the child is subject to a Remand.

The person administering this process must keep a record of the matters that are not undertaken, and pass this to the chair of the Emergency Review (see Section 2, Criteria and Timing for Emergency Reviews), so that they can be followed up.


2. Criteria and Timing of Emergency Reviews

An emergency review meeting must be held within 72 hours of any emergency admission, this is a maximum timescale and the urgency of the situation may dictate that the timescales should be shorter.

The purpose of the meeting will be to ascertain whether the child should remain at the home, or if it is in that child’s interests to move to a different placement.

Discussion around suitability of the placement should take place and if it is found that this is not an appropriate placement, an alternative placement should be discussed and any actions to follow up agreed.


3. Arranging and Conducting Emergency Reviews

Emergency Reviews will normally be arranged by the Registered Children’s Homes Manager, who should act as the chairperson (unless the local authority provides an Independent Reviewing Officer (IRO)). This responsibility may be delegated to a member of staff.

The review must be conducted in the form of a meeting.

See Section 5.1, Chairperson Responsibilities during the Review.


4. Who Should Attend or Contribute to Emergency Reviews

See also Placement Planning Meetings Procedure.

The people listed below should contribute to the Emergency Review:
  1. The child's social worker;
  2. The Independent Reviewing Officer (IRO) for the child;
  3. The child;
  4. The child's parents;
  5. The child's Key Children’s Care Officer, if known, or other member of staff.


5. Preparation and Chairing of Emergency Reviews

Before the review, the chairperson should attempt to collate relevant documentation, such as Risk Assessment/Referral records, Placement Plans/Chronologies, a Care Plan, Pathway Plan, and other relevant background information about the child.

5.1 Chairperson Responsibilities during the Review

The overall purpose of the Emergency Review is to consider whether the placement is suitable for the child; having regard for the child and the other children in the placement.

The views of the child, parents and others should be accounted for; but the decision should be made by the social worker and Registered Children’s Home Manager / meeting chair.

The matters which should be considered are:

  1. The likely appropriateness of the placement in meeting the child's needs, as set out in the Care Plan or Placement Plan and in the context of the Statement of Purpose for the home;
  2. Whether the placement of the child may adversely affect any other children in the placement.

If it is decided that the placement is suitable then the Placement Plan should be updated to reflect this decision.

If there is a view that the placement is appropriate but that additional support is required the Placement Plan should be updated to reflect this.

If there are concerns that the placement is not suitable, even with additional support, consideration should be given to the following:

  1. The child remaining in the placement until a more suitable placement can be found; in which case, the Placement Plan should be updated to reflect this decision;
  2. The immediate ending of the placement, in which case no Placement Plan is necessary.

If the Placement Plan cannot be completed sufficient to sustain the child until the first Looked After Review, the chairperson must arrange for a Placement Plan Review to occur within 7 days so that the plan can be completed.

If this is necessary, the chairperson must agree what further information is required in time for the Placement Plan Review.