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282 <h2>
282 Placements in Residential Care
282 </h2>
284 </div>
287 <div id="scope_box">
288 <h3>
288 SCOPE OF THIS CHAPTER
288 </h3>
289 <p>
289 This procedure applies to all placements of Looked After children in residential care.
289 </p>
290 <p>
290 See Decision to Look After and Care Planning for procedures relating to the initial decision to
look after a child, and the drafting and approval of the Care Plan and other essential
documentation.
290 </p>
291 <p>
291 Children may also be placed in residential care having acquired Looked After status following a
Remand to Local Authority Accommodation, see
291 <a href="p_rem_la_yth_det_accomm.html">
291 Remands to Local Authority Accommodation or to Youth Detention Accommodation Procedure
291 </a>
291 .
291 </p>
292 <h3>
292 RELATED CHAPTER
292 </h3>
293 <p>
293 <a href="p_out_area_place.html">
293 Out of Area Placements Procedure
293 </a>
293 </p>
294 <h3>
294 AMENDMENT
294 </h3>
295 <p>
295 This chapter was reviewed by Bexley in April 2017 to reflect the structure of the Children and
Families service and Bexley processes, particularly with regard to the role of the Placement
Service.
295 </p>
296 </div>
297 <div id="sections">
299 <h3 id="sections_list">
299 Contents
299 </h3>
300 <ol>
301 <li class="sub_list">
301 <a href="#consultation">
301 Consultation
301 </a>
301 </li>
302 <li class="sub_list">
302 <a href="#plac_process">
302 Placements Process
302 </a>
303 <ol>
304 <li class="sub_list">
304 <a href="#two_one">
304 Placement Request
304 </a>
304 </li>
305 <li class="sub_list">
305 <a href="#ident_approval">
305 Identification and Approval of Placement
305 </a>
305 </li>
306 <li class="sub_list">
306 <a href="#place_planning">
306 Placement Planning
306 </a>
306 </li>
307 <li class="sub_list">
307 <a href="#notif_place">
307 Notification of Placement
307 </a>
307 </li>
308 </ol>
309 </li>
310 <li class="sub_list">
310 <a href="#support">
310 Support, Monitoring and Ending of Placements
310 </a>
311 <ol>
312 <li class="sub_list">
312 <a href="#sup_mon_place">
312 Support and Monitoring of Placements
312 </a>
312 </li>
313 <li class="sub_list">
313 <a href="#ending_place">
313 Ending of Placements
313 </a>
313 </li>
314 </ol>
315 </li>
316 </ol>
317 <h3 id="consultation">
317 1. Consultation
317 </h3>
318 <p>
318 At the point that it is determined that a placement may be required, and throughout the subsequent
process of identification, planning and placement, the social worker must consult and take account
of the views of the following people:
318 </p>
319 <ol style="list-style-type:lower-alpha">
320 <li>
320 The child;
320 </li>
321 <li>
321 The child's parents, or those with Parental Responsibility;
321 </li>
322 <li>
322 Anyone who is not a parent but has been caring for or looking after the child;
322 </li>
323 <li>
323 Other members of the child's family who are significant to the child;
323 </li>
324 <li>
324 The child's school or education authority;
324 </li>
325 <li>
325 The Youth Offending Service, if the child is known to them;
325 </li>
326 <li>
326 Any other relevant person, e.g. nursery, health care professional, Children's Guardian.
326 </li>
327 </ol>
328 <p>
328 The views of these people should be given by them, in writing, or should be recorded by the social
worker.
328 </p>
329 <h3 id="plac_process">
329 2. Placements Process
329 </h3>
330 <h4 id="two_one">
330 2.1 Placement Request
330 </h4>
331 <p>
331 Where a decision has been made at the Resource and Care Panel that a child requires a residential
placement, the child's social worker should request a placement by contacting the Placement
Service.
331 </p>
332 <p>
332 In making this request, the social worker will be asked to provide information about the child,
the type of placement sought, the Care Plan, the date by which the placement is required, the
likely length of time for which the placement is required and the expected level of contact
between the child and parents. The social worker should also outline any risks associated in
making the placement.
332 </p>
333 <p>
333 The Placement Service will obtain then contact external providers to identify a suitable
placement.
333 </p>
334 <h4 id="ident_approval">
334 2.2 Identification and Approval of Placement
334 </h4>
335 <p>
335 Once a resource has been identified, the Placement Service will seek to a copy of the latest
Ofsted report and statement of purpose to ensure that the identified recourse will meet the
child's identified needs. The social worker should contact the relevant registered manager
directly to discuss the available placement further.
335 </p>
336 <p>
336 Wherever possible, the child's social worker should visit potential homes and as required consult
with other professionals, prior to a decision about the appropriateness of a placement being made.
The placement provider should be able to provide evidence that supports the appropriateness and
effectiveness of any therapeutic approach or model of care they intend to use.
336 </p>
337 <p>
337 The proposed placement will then be presented to the social worker's manager for approval.
337 </p>
338 <p>
338 The Designated Manager (External Placements) must approve the specific terms and conditions of the
placement, which must be included in the contract with the provider.
338 </p>
339 <p>
339 Where the residential placement is outside the local authority area, see also
339 <a href="p_out_area_place.html">
339 Out of Area Placements Procedure
339 </a>
339 .
339 </p>
340 <p>
340 In addition to the above approvals, in order to avoid placements that disrupt a child's education,
the
340 <a href="files/sod_decision_making.pdf" target="_blank" rel="noopener">
340 Nominated Officer
340 </a>
340 must approve any change of placement affecting a child in Key Stage 4 except in an emergency/
where the placement is terminated because of an immediate risk of serious harm to the child or to
protect others from serious injury - see
340 <a href="p_educ_lac.html">
340 Education of Looked After and Previously Looked After Children Procedure
340 </a>
340 .
341 </p>
342 <p>
342 Equally, any placement made outside the local authority area should be able to meet the child's
physical and mental health / emotional needs, particularly where ongoing treatment is being
undertaken or is assessed as required, (See also
342 <a href="p_healthcare_assmt.html">
342 Health Care Assessments and Plans Procedure, Out of Area Placements
342 </a>
342 ).
342 </p>
343 <p>
343 Once the relevant manager/s approves the placement, the placement planning process can start - see
343 <a href="#place_planning">
343 Section 2.3, Placement Planning
343 </a>
343 . An understanding of the provider's therapeutic approach should inform the child's Placement
Plan.
343 </p>
344 <p>
344 The social worker may then arrange visits to the proposed placement, with the child (if old
enough) and parents (if appropriate).
344 </p>
345 <h4 id="place_planning">
345 2.3 Placement Planning
345 </h4>
346 <p>
346 Before the child is placed, the child's social worker will liaise with the relevant registered
manager to provide details of the child's immediate child care needs and to arrange a Placement
Planning Meeting - see
346 <a href="p_place_disrup_meet.html">
346 Placement Planning and Disruption Meetings Procedure
346 </a>
346 . The meeting will usually be held in the child's new placement.
346 </p>
347 <p>
347 Participants will include:
347 </p>
348 <ul>
349 <li>
349 The parent;
349 </li>
350 <li>
350 The child (if appropriate);
350 </li>
351 <li>
351 The key residential staff;
351 </li>
352 <li>
352 Any other relevant professionals, e.g. a representative from the child's school;
352 </li>
353 <li>
353 Anyone else considered appropriate or who will have a role in the placement.
353 </li>
354 </ul>
355 <p>
355 The purpose of the Placement Planning Meeting is to finalise the Placement Plan (recorded on the
Placement Information Record) and the details of the child's needs in the placement including the
daily routine, and discuss the Care Plan. The Placement Plan provides clarity for the child and
carer about; how day to day parenting tasks will be shared between the carer and the responsible
authority including clarity about financial arrangements, e.g. (contact); the circumstances
leading to the child becoming looked after; what the long term plan is for the child and its
timeframe and what the objectives are for the placement being offered and how those reflect the
Care Plan.
355 </p>
356 This will involve a discussion of the child's needs, including their personal history, religious
persuasion, cultural and linguistic background and racial origin, their health and education needs
and how these are to be met. It will also include the arrangements for registering the child with
local health professionals (GP, dentist and optician). The Responsible Authority is required to draw
up a Placement Plan before the child is placed, or if not practicable, within 5 working days from
the start of the placement.
357 <p>
357 For children placed in residential care, the Placement Plan should cover the following issues in
addition to those for all placements set out in the
357 <a href="p_dec_look_aft.html">
357 Decision to Look After and Care Planning Procedure
357 </a>
357 :
357 </p>
358 <ul>
359 <li>
359 The type of accommodation to be provided and the address;
359 </li>
360 <li>
360 Where the authority has, or is notified of, Child Protection concerns relating to the child, or
the child has gone missing from the placement or from any previous placement, the day to day
arrangements put in place by the appropriate person (placement provider) to keep the child safe;
360 </li>
361 <li>
361 Any behaviours which have been of concern to previous carers and which may have contributed to
previous breakdown of a placement and how the Placement Provider will seek to manage and respond
to these;
361 </li>
362 <li>
362 The child's personal history, religious persuasion, cultural and linguistic background and
racial origin;
362 </li>
363 <li>
363 Where the child is Accommodated, the respective responsibilities of the Local Authority and
parents/anyone with Parental Responsibility; any delegation of responsibility by parents/anyone
with Parental Responsibility to the Local Authority for the child's day-to-day care; the
expected duration of the arrangements and the steps to bring the arrangements to an end,
including arrangements for the child to return to live with parents/anyone with Parental
Responsibility; where the child is aged 16 or over and agrees to being provided with
accommodation under Section 20 Children Act 1989, that fact;
363 </li>
364 <li>
364 Delegated Authority issues the circumstances in which it is necessary to obtain in advance the
Local Authority's approval for the child to take part in school trips or overnight stays, etc;
364 </li>
365 <li>
365 The Local Authority's arrangements for the financial support of the child during the placement;
365 </li>
366 <li>
367 <p>
367 Information concerning the child's health and education, contact arrangements, visits by the
responsible authority and any arrangements for visits by an independent visitor. The content
of the child's Health Plan and PEP;
367 </p>
368 </li>
369 <li>
369 The child's religion and culture and the manner in which these are reflected in their daily life
and any help the child may need to keep these links;
369 </li>
370 <li>
370 Arrangements for contact between children, birth parents and siblings and specified other
friends and relatives.
370 </li>
371 </ul>
372 <p>
372 The meeting also provides an opportunity to ensure that the registered manager has a copy of any
relevant court order and that full information is shared about any behaviour management issues.
372 </p>
373 <p>
373 Wherever possible, the Placement Planning Meeting should be used to plan any introductions to the
placement, for example whether arrangements should be made for the child, parents and the social
worker to visit the home and/or whether it may be appropriate to have an introductory overnight
stay. If this is not possible, arrangements may be made for residential staff to visit the child
and parents; or for information about the home to be sent to the child and/or the parents, for
example about routines in the home, bedtimes, meals, visitors, pocket money, school, privacy and
the overall expectations in relation to the child's behaviour within the home.
373 </p>
374 <p>
374 If it is not possible to hold a Placement Planning Meeting before the placement, because of the
urgency of the placement, it must take place in order that the Placement Plan is prepared within 5
working days of the start of the placement.
374 </p>
375 <p>
375 The child's social worker will complete and arrange for the circulation of the Care Plan and
Placement Plan/Placement Information Record to the child, parents and residential staff.
375 </p>
376 <p>
376 At the time of the placement, the residential staff must also be given any additional information
about details of the child's day to day needs which may not be covered by the Placement
Information Record but are important to ensure that the home is in the best possible position to
help the child settle in the new placement, for example any particular fears at night-time or
other emotional needs.
376 </p>
377 <p>
377 The child's social worker must provide the child with written information about the looked after
service, including information on using the authority's Complaints Procedure and information about
how to access an Advocate.
377 </p>
378 <p>
378 The social worker should ensure that any Children's Guide and other information about the
placement that is available for the child is also obtained and given to him/her.
378 </p>
379 <p>
379 In all cases, the child should be accompanied to the placement by the social worker and helped to
settle in. Suitable luggage should be used and a child's belongings should never be transported in
bin-bags or other inappropriate containers.
379 </p>
380 <h5>
380 Emergency placements
380 </h5>
381 <p>
381 Where an emergency placement is unavoidable local authorities should always make available
information that is vital to allow the Home to care safely for the child e.g. medical information,
Child Protection matters and information about any known serious behavioural issues which may
place a child at risk of harm to him or herself or others.
381 </p>
382 The placement plan must be agreed and signed by the nominated officer. Where this is a Placement at
a Distance this should be agreed by the Children's Services Director.
383 <h4 id="notif_place">
383 2.4 Notification of Placement
383 </h4>
384 <p>
384 The child's social worker and the Placement Service will update the child's electronic record with
the details of the placement.
384 </p>
385 <p>
385 Where the placement is within an external provider, the Placement Service will notify the finance
section so as to trigger payments as appropriate.
385 </p>
386 <p>
386 Notification of the placement will also be sent by the child's social worker to the Designated
Nurse for Looked After Children, the relevant person in the education service, the local
Children's Services (if the placement is in the area of a different local authority) and the
child's GP.
386 </p>
387 <p>
387 The child's social worker will notify all family members consulted and involved in the
decision-making process of the placement.
387 </p>
388 <p>
388 The child's social worker must also notify the allocated Independent Reviewing Officer or, if it
is the first placement, the Independent Review Unit of the placement. This notification will
trigger the appointment of an Independent Reviewing Officer, if it is the first placement, and the
setting up of arrangements for a Looked After Review.
388 </p>
389 <p>
389 These notifications must be made in writing, advising of the placement decision and the name and
address of the children's home where the child is to be placed.
389 </p>
390 <p>
390 The notifications should be before the start of the placement or within 5 working days.
390 </p>
391 <p>
391 The child's social worker should also notify - preferably in writing but it may be verbally - all
those involved in the day to day arrangements for the child, including school and any health
professional or YOT worker actively involved with the child.
391 </p>
392 <p>
392 It will be necessary for the home or the child's social worker to ensure the child is registered
with a GP, Dentist and Optician, either retaining practices known to him or her (which is
preferable) or in the area where they are placed.
392 </p>
393 <p>
393 In relation to a first Looked After placement it will also be necessary for the social worker to
liaise with the Designated Nurse for LAC to arrange a Health Care Assessment - see
393 <a href="p_healthcare_assmt.html">
393 Health Care Assessments and Plans Procedure
393 </a>
393 . The social worker must arrange for the completion of a Personal Education Plan (PEP) - see
393 <a href="p_educ_lac.html">
393 Education of Looked After and Previously Looked After Children Procedure
393 </a>
393 .
393 </p>
394 <p>
394 For any new placement, every effort should be made to enable the child to remain at the same
school unless there are reasons which would be detrimental to his or her wellbeing. In order to
avoid placements that disrupt a child's education, the
394 <a href="files/sod_decision_making.pdf" target="_blank" rel="noopener">
394 Nominated Officer
394 </a>
394 must approve any change of placement affecting a child in Key Stage 4 except in an emergency /
where the placement is terminated because of an immediate risk of serious harm to the child or to
protect others from serious injury.
394 </p>
395 <p>
395 In the case of out of area placements, including Placements at a Distance, written notification
must be given to the area authority of the arrangements for the placement before the placement is
made or, if the placement is made in an emergency, within five working days of the start of the
placement unless it is not reasonably practicable to do so.
395 </p>
396 <p>
396 The notification must include:
396 </p>
397 <ol style="list-style-type:lower-roman">
398 <li>
398 Details of the assessment of the child's needs and the reasons why the placement is the most
suitable for responding to these; and
398 </li>
399 <li>
399 A copy of the child's care plan (unless already provided in the case of a Placement at a
Distance).
399 </li>
400 </ol>
401 <h3 id="support">
401 3. Support, Monitoring and Ending of Placements
401 </h3>
402 <h4 id="sup_mon_place">
402 3.1 Support and Monitoring of Placements
402 </h4>
403 <p>
403 The child's social worker must visit the child in the placement within one week of the placement
and then at a minimum every six weeks; see
403 <a href="p_sw_visits.html">
403 Social Worker Visits to Looked After Children Procedure
403 </a>
403 . The Placement service will complete quality assurance visits at least once a year including a
child feedback form.
403 </p>
404 <p>
404 Where there are concerns in relation to the progress of the placement, consideration should be
given to seeking additional resources to assist the placement.
404 </p>
405 <p>
405 Where there are any changes to the child's placement and/or legal status during the placement, the
child's social worker must update the child's electronic records.
405 </p>
406 <p>
406 A Looked After Review should be convened where:
406 </p>
407 <ul>
408 <li>
408 The child is, or has been, persistently absent from the placement;
408 </li>
409 <li>
409 The placement provider, parents or area authority are concerned that the child is at risk of
harm; or
409 </li>
410 <li>
410 The child so requests, unless the Independent Reviewing Officer considers that the review is not
justified.
410 </li>
411 </ul>
412 <p>
412 See also
412 <a href="p_look_aft_rev.html">
412 Looked After Reviews Procedure
412 </a>
412 .
412 </p>
413 <h4 id="ending_place">
413 3.2 Ending of Placements
413 </h4>
414 <p>
414 The child's social worker must notify the Placement Service when a placement ends, the Placement
Service then arrange to inform the relevant finance officer so that any payments to the provider
will cease. The social worker will also inform those notified when the placement was made of the
ending of the placement.
414 </p>
415 <p>
415 <span class="bold">
415 Note
415 </span>
415 : Where the placement is a commissioned resource from an independent or private provider, the
social worker must ensure that the Placement and Finance Officers are informed in a timely manner
so that formal contractual notice can be given.
415 </p>
416 <p>
416 Where the placement ends in an unplanned way, consideration should be given to holding a
Disruption Meeting - see
416 <a href="p_place_disrup_meet.html">
416 Placement Planning and Disruption Meetings Procedure
416 </a>
416 .
416 </p>
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