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1 
W874 [WCAG21 2.4.1 (A)] Add a skip navigation link as the first link on the page:
If your document has structure then you should add a skip navigation link to make it easier for accessible users to get to the page's content. To ensure detection, skip navigation links should point to a <main> element, or an element with role='main'. See Understanding 2.4.1, and Skip Navigation. <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
"http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
2 P967 [WCAG21 3.1.1 (A)] Use the 'lang' attribute to denote the primary language of the document:
You should always identify the primary natural language of a document using a 'lang' attribute on the <html> element. See WCAG 2.1 HTML Technique H57. <html xmlns="http://www.w3.org/1999/xhtml">
3 <head>
4 <meta name="viewport" content="width=device-width, initial-scale=1.0"/>
5 W605 Duplicate tag found: See matching tag on line: 22
A duplicate tag has been found with the same attributes. Although this should not affect the page, it indicates that a mistake may have been made. <meta http-equiv="Content-Style-Type" content="text/css" />
6 W605 Duplicate tag found: See matching tag on line: 23
A duplicate tag has been found with the same attributes. Although this should not affect the page, it indicates that a mistake may have been made. <meta http-equiv="Content-Script-Type" content="text/javascript" />
7 <meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
8 <title>
8 Drugs and Substance Misuse | Next Stage 4Life
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22 W605 Duplicate tag found: See matching tag on line: 5
A duplicate tag has been found with the same attributes. Although this should not affect the page, it indicates that a mistake may have been made. <meta http-equiv="Content-Style-Type" content="text/css" />
23 W605 Duplicate tag found: See matching tag on line: 6
A duplicate tag has been found with the same attributes. Although this should not affect the page, it indicates that a mistake may have been made. <meta http-equiv="Content-Script-Type" content="text/javascript" />
24 W609 The 'content-type' HTTP header specifies a character set of UTF-8, which is different to the value
given here:
The 'content-type' HTTP header specifies a different character set to that specified in the tag. In this case the HTTP header takes precedence. <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
25 <meta name="author" content="Next Stage 4Life" />
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45 Home
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46 Contents
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47 Local Resources
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48 </ul>
49 </div>
49 <div id="search">
50 <form action="search/search.html" id="cse-search-box" style="margin: 0px;">
51 I899 [WCAG21 1.3.2 (A)] Layout tables must represent their content in a meaningful sequence:
Screen readers can struggle to read out tables sensibly, so it is often better to use alternative mark-up and CSS to layout content. Try disabling the table mark-up to see if it still makes sense. See WCAG 2.1 Failure F49. <table width="97%" border="0" cellspacing="0" cellpadding="0">
52 <tr>
53 <td>
53 E885 [WCAG21 1.1.1/1.3.1/3.3.2/4.1.2 (A)] User interface controls should have a label or an accessible
name:
Associate form controls with <label> tags, or use the 'aria-label' or 'aria-labelledby' attributes to label controls where it might be confusing or not possible to use a label. See WCAG 2.1 Failure F68. <input type="text" name="zoom_query" class="search_input" size="20" id="zoom_searchbox" value="Search this
manual" onfocus="this.value=(this.value=='Search this manual') ? '' : this.value;"
onblur="this.value=(this.value=='') ? 'Search this manual' : this.value;" style="margin-right: 5px;" />
53 </td>
54 <td>
54 <input type="submit" value="Go"/>
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57 </form>
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58 <div id="topper">
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60 <div id="printReady">
61 <div id="container">
62 <div id="content_frame_overflow">
62 <div class="content_text">
63 <h1 class="h1">
63 Drugs and Substance Misuse
63 </h1>
64 <div class="scope_box" style="padding-bottom: 0px; padding-top: 15px;">
65 <h2 class="h3">
65 REGULATIONS AND STANDARDS
65 </h2>
66 <p>
66 <a
href="http://qualitystandards.proceduresonline.com/homes/p_quality_standards.html#protection_c
h" target="_blank">
66 The Protection of Children Standard
66 </a>
66 </p>
67 <h3 class="h3">
67 RELEVANT GUIDANCE
67 </h3>
68 <p>
68 <a
href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/544030/6_1845_
HO_NPS_Resources_Booklet_June16_v10.pdf" target="_blank">
68 New Psychoactive Substances (NPS) Resource Pack for Informal Educators and Practitioners
(Home Office)
68 </a>
68 </p>
69 <h3 class="h3">
69 RELATED CHAPTER
69 </h3>
70 <p>
70 For procedures regarding smoking and alcohol, see
70 <a href="p_smoking.html">
70 Smoking and Alcohol Procedure
70 </a>
70 .
70 </p>
71 </div>
72 <h2 class="h2_underlined">
72 <br />
73 Contents
73 </h2>
74 <br />
75 <table title="Drugs Misuse Contents" width="95%" border="0" cellspacing="0" cellpadding="5">
76 <tr>
77 <td width="3%" align="right">
77 1.
77 </td>
78 <td colspan="2">
78 <a href="#definition">
78 Definition
78 </a>
78 </td>
79 </tr>
80 <tr>
81 <td align="right">
81 2.
81 </td>
82 <td colspan="2">
82 <a href="#access">
82 Access/Use of Drugs and Substances
82 </a>
82 </td>
83 </tr>
84 <tr>
85 <td align="right">
85
85 </td>
86 <td width="3%">
86 2.1
86 </td>
87 <td>
87 <a href="#purchasing">
87 Purchasing/Obtaining Drugs or Substances - General
87 </a>
87 </td>
88 </tr>
89 <tr>
90 <td align="right">
90
90 </td>
91 <td>
91 2.2
91 </td>
92 <td>
92 <a href="#aerosols">
92 Aerosols, Gas, Glue, and Petrol
92 </a>
92 </td>
93 </tr>
94 <tr>
95 <td align="right">
95
95 </td>
96 <td>
96 2.3
96 </td>
97 <td>
97 <a href="#controlled">
97 Controlled Drugs or Substances
97 </a>
97 </td>
98 </tr>
99 <tr>
100 <td align="right">
100 3.
100 </td>
101 <td colspan="2">
101 <a href="#prevention">
101 Prevention and Planning
101 </a>
101 </td>
102 </tr>
103 <tr>
104 <td align="right">
104 4.
104 </td>
105 <td colspan="2">
105 <a href="#emergency">
105 Emergency
105 </a>
105 </td>
106 </tr>
107 <tr>
108 <td align="right">
108 5.
108 </td>
109 <td colspan="2">
109 <a href="#notif">
109 Notifications, Recording and Review
109 </a>
109 </td>
110 </tr>
111 </table>
112 <h2 class="h2_underlined">
112 <br />
112 1.
112 <a name="definition" id="definition">
112 </a>
112 Definition
112 </h2>
113 <p>
113 Substances are defined as any substances, whether restricted or prohibited, which may have a
harmful effect upon a child, such as:
113 </p>
114 <p>
114 alcohol, cigarettes, tobacco, aerosols, gas, glue, magic mushrooms (amanita), petrol, solvents
and all controlled substances such as amphetamines, barbiturates, cannabis, cocaine,
hallucinogens, hashish and heroin.
114 </p>
115 <p>
115 It also includes psychoactive substances which can cause a very similar range of problems to the
drugs which they mimic, including a risk of dependence developing with repeated use. Some appear
to be more dangerous even than the traditional drugs they mimic.
116 </p>
117 <p>
117 For procedures regarding smoking and alcohol, see
117 <a href="p_smoking.html">
117 Smoking and Alcohol Procedure
117 </a>
117 .
117 </p>
118 <p>
118 See:
118 <a href="http://www.talktofrank.com/drug/new-psychoactive-substances" target="_blank">
118 Frank - new psychoactive substances
118 </a>
118 and
118 <a href="http://www.talktofrank.com/drugs-a-z" target="_blank">
118 Frank – Drugs A-Z
118 </a>
118 .
118 </p>
119 <h2 class="h2_underlined">
119 <br />
120 2.
120 <a name="access" id="access">
120 </a>
120 Access/Use of Drugs and Substances
120 </h2>
121 <h3 class="h3">
121 2.1
121 <a name="purchasing" id="purchasing">
121 </a>
121 Purchasing/Obtaining Drugs or Substances - General
121 </h3>
122 <p>
122 All reasonable measures must be used to reduce or prevent children from obtaining controlled
drugs or other substances which may harm them.
122 </p>
123 <p>
123 If it is known or suspected that children are obtaining products, which may harm them, whether
off the streets, from dealers or traders of any kind, the manager and social worker must be
informed and a strategy adopted to reduce or prevent it.
123 </p>
124 <p>
124 This may include engaging or involving the supplier, if it is safe to do so.
124 </p>
125 <p>
125 If the problem persists or is serious, relevant specialists or bodies, including Trading
Standards or the Police, should be informed.
125 </p>
126 <h3 class="h3">
126 2.2
126 <a name="aerosols" id="aerosols">
126 </a>
126 Aerosols, Gas, Glue, and Petrol
126 </h3>
127 <p>
127 Medical Emergency: See
127 <a href="p_first_aid.html">
127 First Aid, Remedies and Medication Procedure
127 </a>
127 .
127 </p>
128 <p>
128 Managers must ensure that aerosols, gas, glue, petrol and similar substances are only used for
the purpose they were designed for; and that all reasonable measures are taken to restrict their
use to staff and children who are known to pose no risk to themselves or others if they have
access to them.
128 </p>
129 <p>
129 The arrangements for the obtaining, storage and use of these substances in each home must be
outlined in the Staff Handbook and Children's Guide or individual children's
129 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/placement_plan.html"
target="_blank">
129 Placement Plans
129 </a>
129 .
129 </p>
130 <h3 class="h3">
130 2.3
130 <a name="controlled" id="controlled">
130 </a>
130 Controlled drugs or substances
130 </h3>
131 <p>
131 Further procedures are provided in First Aid and Medication Procedure re:
131 </p>
132 <ul>
133 <li>
133 Controlled Drugs;
133 </li>
134 <li>
134 Medical Emergencies.
134 </li>
135 </ul>
136 <p>
136 Under no circumstances may controlled drugs and substances, other than those prescribed by a
medical practitioner, be permitted in any Home.
136 </p>
137 <h2 class="h2_underlined">
137 <br />
138 3.
138 <a name="prevention" id="prevention">
138 </a>
138 Prevention and Planning
138 </h2>
139 <p>
139 The manager of each home must ensure that information, guidance and advice on the risks
associated with harmful drugs and substances are available to all children in the home.
139 </p>
140 <p>
140 Additionally, any child known or suspected to be at participating in drug or substances misuse
activities must be provided with the following:
140 </p>
141 <ul>
142 <li>
142 Targeted relevant information, guidance and advice to help reduce or prevent such risks;
142 </li>
143 <li>
143 A Strategy for managing the risk, outlined in an Individual Crisis Management Plan.
143 </li>
144 </ul>
145 <p>
145 The strategy should state whether, and in what circumstances, the Police will be notified.
145 </p>
146 <h2 class="h2_underlined">
146 <br />
147 4.
147 <a name="emergency" id="emergency">
147 </a>
147 Emergency
147 </h2>
148 <p>
148 If it suspected that a child is misusing controlled or harmful drugs or substances and no
Strategy exists to reduce or prevent the behaviour, the Manager of the home and relevant social
worker(s) should be contacted and an agreement reached on how to proceed; this will include
whether the Police will be notified.
148 </p>
149 <p>
149 If there are immediate risks, which make it impractical to contact the manager or social worker,
staff should take what actions are immediately necessary then inform the manager and social
worker(s) at the first opportunity.
149 </p>
150 <p>
150 The actions that staff take will be dependent on the circumstances and the degree of offence or
injury that is likely, but staff must be mindful of the following:
150 </p>
151 <ol type="a">
152 <li>
152 The overall responsibility of staff is to protect children, themselves and others from injury
and reduce or prevent the likelihood of criminal offences;
152 </li>
153 <li>
153 If there is a risk of serious harm, injury or of a serious criminal offence and staff are
unable to manage safely, the Police should be notified;
153 </li>
154 <li>
154 If solvents are involved, allow air to circulate freely and extinguish naked lights;
154 </li>
155 <li>
155 If any person is unconscious, in a fit or convulsing or otherwise seriously ill, emergency
first aid should be given and an ambulance requested. The emergency services should be
informed that there are suspicions of drug or solvent misuse;
155 </li>
156 <li>
156 The drugs/substances should be removed or confiscated, preferably with the co-operation of the
child(ren), and preferably by two staff; who must record their actions, describing what they
have obtained and where it has been safely stored;
156 </li>
157 <li>
157 If children do not co-operate or there is a risk of Injury or Damage to Property, it may be
necessary to use
157 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/phys_intervention.html"
target="_blank">
157 Physical Intervention
157 </a>
157 , conduct a Search or call for Police assistance.
157 </li>
158 </ol>
159 <p>
159 See the following additional chapters:
159 </p>
160 <ul>
161 <li>
161 <a href="p_phys_inter.html">
161 Use of Restraint and Physical Intervention Procedure
161 </a>
161 ;
161 </li>
162 <li>
162 <a href="p_searching_rooms.html">
162 Searching Children/Bedrooms Procedure
162 </a>
162 ;
162 </li>
163 <li>
163 <a href="p_police.html">
163 Offending and Anti-Social Behaviour – Guidance on when to Involve the Police
163 </a>
163 .
163 </li>
164 </ul>
165 <p>
165 No further action, beyond making the situation safe and attempting to confiscate harmful drugs
or substances, should be taken without a manager's authorisation, preferably in consultation
with the relevant social worker.
165 </p>
166 <p>
166 However, the staff should undertake the following if a manager is not available within a
reasonable timescale:
166 </p>
167 <ul>
168 <li>
168 Legal but potentially harmful substances such as cigarettes, alcohol, aerosols, gas, glue, and
petrol should then be put in a safe place out of the reach of children or disposed of safely;
168 </li>
169 <li>
169 Controlled substances and any associated materials or paraphernalia must be placed in a
clearly marked box or other strong container, sealed and given to the manager who must arrange
for it to be taken to a competent authority e.g. Pharmacist or doctor; and a receipt obtained.
169 </li>
170 </ul>
171 <p>
171 When safe to do so, the manager and relevant social workers should be notified and a decision
reached on the actions/measures, which should be taken. This should include whether the Police
should be notified.
171 </p>
172 <h2 class="h2_underlined">
172 <br />
173 5.
173 <a name="notif" id="notif">
173 </a>
173 Notifications, Recording and Review
173 </h2>
174 <h3 class="h3">
174 5.1 Notifications
174 </h3>
175 <p>
175 Any incidents must be notified immediately to the Home's Manager and the relevant Social Worker
notified within 1 working day.
175 </p>
176 <p>
176 Serious incidents e.g. if the Police or other emergency services are called, must be notified to
the Designated Manager (Drugs) and consideration given to whether the incident is a Notifiable
Event, see
176 <a href="p_notif_events.html">
176 Notification of Serious Events Procedure
176 </a>
176 .
176 </p>
177 <h3 class="h3">
177 5.2 Recording and Review
177 </h3>
178 <p>
178 All incidents must be recorded in the Home's Daily Log and relevant child's Daily Record.
178 </p>
179 <p>
179 An Incident Report must also be completed.
179 </p>
180 <p>
180 The child's Placement Plan should be reviewed with a view to incorporating strategies to reduce
or prevent future incidents.
180 </p>
181 <p>
181 <br />
182 <br />
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190 I899 [WCAG21 1.3.2 (A)] Layout tables must represent their content in a meaningful sequence:
Screen readers can struggle to read out tables sensibly, so it is often better to use alternative mark-up and CSS to layout content. Try disabling the table mark-up to see if it still makes sense. See WCAG 2.1 Failure F49. <table width="100%" border="0" cellspacing="0" cellpadding="0">
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