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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"
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8 Emergency Placement and Emergency Reviews | Next Stage 4Life
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62 <div class="content_text">
63 <h1 class="h1">
63 Emergency Placement and Emergency Reviews
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#care_plannin
g" target="_blank">
66 The Care Planning Standard
66 </a>
66 <br />
67 Regulation 14
67 </p>
68 <p>
68 <a
href="http://qualitystandards.proceduresonline.com/homes/p_quality_standards.html#qual_purpose
" target="_blank">
68 The Quality and Purpose of Care Standard
68 </a>
68 <br />
69 Regulation 6
69 </p>
70 <h3 class="h3">
70 SCOPE OF THIS CHAPTER
70 </h3>
71 <p>
71 This chapter covers the requirement for emergency placements and reviews.
71 </p>
72 <h3 class="h3">
72 RELATED CHAPTERS
72 </h3>
73 <p>
73 For planned placements please see
73 <a href="p_admiss_trans.html">
73 Admission and Transition Procedure
73 </a>
73 .
73 </p>
74 <p>
74 For non-emergency reviews please see
74 <a href="p_lac_rev.html">
74 Looked After Reviews Procedure
74 </a>
74 .
74 </p>
75 </div>
76 <h2 class="h2_underlined">
76 <br />
77 Contents
77 </h2>
78 <ol>
79 <li>
79 <a href="#defin">
79 Emergency Placement Definition
79 </a>
79 </li>
80 <li>
80 <a href="#_criteria">
80 Criteria and Timing for Emergency Reviews
80 </a>
80 </li>
81 <li>
81 <a href="#_arranging">
81 Arranging and Conducting Emergency Reviews
81 </a>
81 </li>
82 <li>
82 <a href="#_contribute">
82 Who Should Attend or Contribute to Emergency Reviews
82 </a>
82 </li>
83 <li>
83 <a href="#_preparation">
83 Preparation and Chairing of Emergency Reviews
83 </a>
83 </li>
84 </ol>
85 <h2 class="h2_underlined">
85 <br />
86 1.
86 <a name="defin" id="defin">
86 </a>
86 Emergency Placement Definition
86 </h2>
87 <p>
87 An Emergency Placement is the placement of a
87 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/looked_after_child.html"
target="_blank">
87 Looked After Child
87 </a>
87 made without the usual planning and/or complete assessment process having taken place because of
the need to ensure the safety and the welfare of the child immediately; this may be due to:
87 </p>
88 <ul>
89 <li>
89 A risk of immediate
89 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/significant_harm.html"
target="_blank">
89 Significant Harm
89 </a>
89 ;
89 </li>
90 <li>
90 A need to urgently terminate an existing placement (If a placement move occurs in an
emergency, the responsible authority must be informed within one working day);
90 </li>
91 <li>
91 Where a court has directed that a young person be
91 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/rem_la_accomm.html"
target="_blank">
91 Remanded to Local Authority Accommodation
91 </a>
91 .
91 </li>
92 </ul>
93 <p>
93 The following placements are deemed to be Emergency Placements:
93 </p>
94 <ul>
95 <li>
95 The placement of a child outside normal working hours;
95 </li>
96 <li>
96 Any placement where the ordinarily required and necessary plans are not in place, i.e. where a
child is abandoned, has suffered/is at risk of Significant Harm, or where there is an
exceptional and immediate need to end an existing placement (it may be possible for the
Placement Co-ordinator/Registered manager to have completed
96 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/refer_info_record.html"
target="_blank">
96 Referral and Information Record
96 </a>
96 and/or A Placement Risk Assessment with the placing authority over the telephone);
96 </li>
97 <li>
97 A placement in Secure Accommodation without a Court Order but authorised by a Designated
Manager (Secure Accommodation) for a maximum of 72 hours.
97 </li>
98 </ul>
99 <table title="note about Regulations"width="95%" border="1" cellspacing="0" cellpadding="5">
100 <tr class="table_row_lightblue">
101 <td class="table_row_even">
101 <p>
101 In circumstances of emergency placements Regulation 11(2) The Children Act 1989 (amended)
will not apply as it will not be possible to take all necessary steps before making the
placement. However, as a minimum, the
101 <a
href="http://trixresources.proceduresonline.com/nat_key/keywords/nominated_officer.html
" target="_blank">
101 Nominated Officer
101 </a>
101 within the Placing Authority (Director of Children's Services in the case of
101 <a
href="http://trixresources.proceduresonline.com/nat_key/keywords/placement_at_distance.htm
l" target="_blank">
101 Placements at a Distance
101 </a>
101 ) 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
101 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/care_plan.html"
target="_blank">
101 Care Plan
101 </a>
101 .
101 </p>
102 <p>
102 Care, Planning, Placement and Case Review (England) Regulations (2010) (as amended)
102 </p>
102 </td>
103 </tr>
104 </table>
105 <h3 class="h3">
105 <br />
106 Receiving Emergency Admissions (in line with the Statement of Purpose)
106 </h3>
107 <p>
107 The registered person of the 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 show it is capable to care
for children admitted at very short notice while continuing to offer high quality care.
107 </p>
108 <p>
108 Where it is within the Home's Statement of Purpose the Registered Manager will ensure that
procedures are in place for receiving emergency placements. They will have a detailed routine,
with which all members of staff are familiar.
108 </p>
109 <p>
109 The routine will include having:
109 </p>
110 <ul>
111 <li>
111 A check list for admissions readily available;
111 </li>
112 <li>
112 A vacant bedroom with appropriate facilities, in a state of readiness;
112 </li>
113 <li>
113 Easy to prepare basic food and drink accessible for staff to prepare day or night;
113 </li>
114 <li>
114 A strategy for the redeployment of staff to deal with the emergency admission.
114 </li>
115 </ul>
116 <p>
116 Registered Managers of our homes should ensure that where an emergency admission takes
place a planning meeting also known as an Emergency Review is held within 72 hrs, see
116 <a href="#_criteria">
116 Section 2, Criteria and Timing for Emergency Reviews
116 </a>
116 .
116 </p>
117 <h3 class="h3">
117 Emergency Placement Procedure
117 </h3>
118 <p>
118 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.)
118 </p>
119 <p>
119 Any decision to admit a child in an emergency must be based on an assessment of the available
information and, based upon this available information, it must be concluded that the
child's needs are likely to be met by the home.
119 </p>
120 <p>
120 Given the time constraints, the risk assessments is likely to be carried out from information
provided over the 'phone, e-mail or facsimile. Referral forms need to be completed and received
before the young person is admitted despite the time pressures with emergency placements.
120 </p>
121 <p>
121 As a minimum, the following information will be required at the time of the placement:
121 </p>
122 <ul>
123 <li>
123 The contact arrangements that may be permitted between the child and his 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;
123 </li>
124 <li>
124 A copy of the child's
124 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/health_care_plan.html"
target="_blank">
124 Health Care Plan
124 </a>
124 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
124 <a href="p_hlth_assm_pln.html">
124 Health Care Assessments and Plans Procedure
124 </a>
124 ;
124 </li>
125 <li>
125 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.
125 </li>
126 </ul>
127 <p>
127 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
127 <a href="#_criteria">
127 Section 2, Criteria and Timing for Emergency Reviews
127 </a>
127 ), so that they can be followed up.
127 </p>
128 <h2 class="h2_underlined">
128 <br />
129 2.
129 <a id="_criteria" name="_criteria">
129 </a>
129 Criteria and Timing of Emergency Reviews
129 </h2>
130 <p>
130 An emergency review must be initiated no more than 72 hours after any emergency admission, this
is a maximum timescale and the urgency of the situation may dictate that the timescales should
be shorter.
130 </p>
131 <p>
131 The criteria of the review 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.
131 </p>
132 <p>
132 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 decided upon.
132 </p>
133 <h2 class="h2_underlined">
133 <br />
133 3.
133 <a id="_arranging" name="_arranging">
133 </a>
133 Arranging and Conducting Emergency Reviews
133 </h2>
134 <p>
134 Emergency Reviews will normally be arranged by the manager of the home, who should act as the
chairperson (unless the LA provides an
134 <a
href="http://trixresources.proceduresonline.com/nat_key/keywords/indep_reviewing_officer.html
" target="_blank">
134 Independent Reviewing Officer
134 </a>
134 (IRO)). This responsibility may be delegated to a member of staff.
134 </p>
135 <p>
135 The review must be conducted in the form of a meeting (previously meetings could be conducted
over the telephone but this is no longer acceptable).
135 </p>
136 <p>
136 See
136 <a href="#chair_resp">
136 Section 5.1, Chairperson Responsibilities During the Review
136 </a>
136 .
136 </p>
137 <p>
137 Additional guidance for arranging Looked After Reviews and the role of the IRO is provided
in
137 <a href="p_lac_rev.html">
137 Looked After Reviews Procedure
137 </a>
137 .
137 </p>
138 <h2 class="h2_underlined">
138 <br />
138 4.
138 <a id="_contribute" name="_contribute">
138 </a>
138 Who Should Attend or Contribute to Emergency Reviews
138 </h2>
139 <p>
139 The people listed below should contribute to the Emergency Review.
139 </p>
140 <p>
140 See
140 <a href="#chair_resp">
140 Section 5.1, Chairperson Responsibilities During the Review
140 </a>
140 .
140 </p>
141 <p>
141 The people who should contribute are:
141 </p>
142 <ol>
143 <li>
143 The child's social worker;
143 </li>
144 <li>
144 The Independent Reviewing Officer (IRO) for the child;
144 </li>
145 <li>
145 The child;
145 </li>
146 <li>
146 The child's parents;
146 </li>
147 <li>
147 If placed in a foster home, the foster carer(s) and a family placement worker/social worker;
147 </li>
148 <li>
148 The child's Key Worker, if known, or a member of staff.
148 </li>
149 </ol>
150 <h2 class="h2_underlined">
150 <br />
150 5.
150 <a id="_preparation" name="_preparation">
150 </a>
150 Preparation and Chairing of Emergency Reviews
150 </h2>
151 <p>
151 Additional detailed guidance on preparation and chairing of reviews is contained in
151 <a href="p_lac_rev.html">
151 Looked After Reviews Procedure
151 </a>
151 .
151 </p>
152 <p>
152 Before the review, the chairperson should attempt to collate relevant documentation, such as
Risk Assessment/Referral records,
152 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/placement_plan.html"
target="_blank">
152 Placement Plans
152 </a>
152 /
152 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/place_info_record.html"
target="_blank">
152 Placement Information Records
152 </a>
152 , Essential Information Records/Chronologies, a
152 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/care_plan.html"
target="_blank">
152 Care Plan
152 </a>
152 ,
152 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/pathway_plan.html"
target="_blank">
152 Pathway Plan
152 </a>
152 , and other relevant background information about the child.
152 </p>
153 <h3 class="h3">
153 5.1
153 <a id="chair_resp" name="chair_resp">
153 </a>
153 Chairperson Responsibilities During the Review
153 </h3>
154 <p>
154 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.
154 </p>
155 <p>
155 The views of the child, parents and others should be accounted for; but the decision should be
made by the social worker and Home Manager or chairperson.
155 </p>
156 <p>
156 The matters which should be considered are:
156 </p>
157 <ol>
158 <li type="a">
158 The likely appropriateness of the placement in meeting the child's needs, as set out in the
Care Plan or Pathway Plan in the context of the
158 <a
href="http://trixresources.proceduresonline.com/nat_key/keywords/statement_of_purpose.html
" target="_blank">
158 Statement of Purpose
158 </a>
158 for the home;
158 </li>
159 <li type="a">
159 Whether the placement of the child may adversely affect any other children in the placement.
159 </li>
160 </ol>
161 <p>
161 If it is decided that the placement is suitable then the Placement Plan should be updated to
reflect this decision.
161 </p>
162 <p>
162 If there is a view that the placement is appropriate but that additional support is required to
make it entirely suitable, the Placement Plan should be updated to reflect this.
162 </p>
163 <p>
163 In both the above situations, it is essential that the Home Manager obtain relevant consents to
emergency medical care/treatment before the meeting is concluded.
163 </p>
164 <p>
164 If there are concerns that the placement is not suitable, even with additional support,
consideration should be given to the following:
164 </p>
165 <ol type="a">
166 <li>
166 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;
166 </li>
167 <li>
167 The immediate ending of the placement, in which case no Placement Plan is necessary.
167 </li>
168 </ol>
169 <p>
169 If the Placement Plan cannot be completed sufficient to sustain the child until the first
169 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/looked_aft_review.html"
target="_blank">
169 Looked After Review
169 </a>
169 , the chairperson must arrange for a
169 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/place_plan_review.html"
target="_blank">
169 Placement Plan Review
169 </a>
169 to occur within 7 days so that the plan can be completed.
169 </p>
170 <p>
170 If this is necessary, the chairperson must agree what further information is required in time
for the Placement Plan Review.
170 </p>
171 <p>
171 Where the placement has been agreed to be sufficient to sustain the child the following apply:
171 </p>
172 <ol>
173 <li>
173 Information for Children and Notifications;
173 </li>
174 <li>
174 Health Care;
174 </li>
175 <li>
175 Support, Monitoring and Ending of Placements, see
175 <a href="p_admiss_trans.html#support">
175 Admission and Transition Procedure, Support, Monitoring and Ending of Placements
175 </a>
175 .
176 </li>
177 </ol>
179 <p>
179 <br />
180 <br />
181 </p>
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197 </span>
197
197 </div>
198 </td>
199 </tr>
200 </table>
201 </div>
201 </div>
202 </div>
203 </body>
204 </html>