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E885 [1], P967 [1]
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W605 [4], W609 [1]
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  63             <h1 class="h1">
  63               Keyworker Guidance
  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#reg_5"
                     target="_blank">
  66                   Regulation 5 – Engaging with the Wider System to Ensure Each Child's Needs are Met
  66                 </a>
  66               </p>
  67               <p>
  67                 <a
                     href="http://qualitystandards.proceduresonline.com/homes/p_quality_standards.html#ch_views
                     " target="_blank">
  67                   The Children's Views, Wishes and Feelings Standard
  67                 </a>
  67               </p>
  68               <h3 class="h3">
  68                 SCOPE OF THIS CHAPTER
  68               </h3>
  69               <p>
  69                 The term Keyworker is used to describe the person with key responsibility for a child in the
                     home. This guidance sets out the key responsibilities for that person.
  69               </p>
  70             </div>
  71             <h2 class="h2_underlined">
  71               <br />
  72               Contents
  72             </h2>
  73             <ol>
  74               <li>
  74                 <a href="#management">
  74                   Management of Keyworkers
  74                 </a>
  74               </li>
  75               <li>
  75                 <a href="#role">
  75                   The Role of the Keyworker - General
  75                 </a>
  75               </li>
  76               <li>
  76                 <a href="#linkworker">
  76                   Keyworker Guidance
  76                 </a>
  76               </li>
  77               <li>
  77                 <a href="#planning">
  77                   Planning and Recording a Keyworker Session
  77                 </a>
  77               </li>
  78             </ol>
  79             <h2 class="h2_underlined">
  79               <br />
  80               1.
  80               <a name="management" id="management">
  80               </a>
  80               Management of Keyworkers
  80             </h2>
  81             <p>
  81               The Home's Manager is responsible for ensuring that each child has appointed to them (preferably
                   prior to admission for pre-admission visits or certainly upon admission for the child's
                   introduction to the Home) a dedicated Keyworker who is able to engage in a positive and
                   constructive relationship with the child.
  81             </p>
  82             <p>
  82               The Home's Manager should ensure that all Keyworkers are suitably trained and fully competent to
                   carry out the duties required of them.
  82             </p>
  83             <p>
  83               The Keyworker should remain consistent throughout the child's time at the Home; however, the
                   Home's Manager may decide that the Keyworker for a child should change if:
  83             </p>
  84             <ol type="a">
  85               <li>
  85                 The child complains that the relationship is not working;
  85               </li>
  86               <li>
  86                 The member of staff leaves the employment of the home;
  86               </li>
  87               <li>
  87                 The member of staff is unable to establish a positive relationship;
  87               </li>
  88               <li>
  88                 The manager believes that the relationship is not in the best interests of the child or the
                     member of staff.
  88               </li>
  89             </ol>
  90             <p>
  90               The Home's Manager should ensure that Keyworkers are properly supervised and/or provided with
                   mentors who may offer them support and guidance.
  90             </p>
  91             <h2 class="h2_underlined">
  91               <br />
  92               2.
  92               <a name="role" id="role">
  92               </a>
  92               The Role of the Keyworker - General
  92             </h2>
  93             <p>
  93               All staff have a duty to each young person in their care regardless of their role.
  93             </p>
  94             <p>
  94               A Keyworker is a named member of staff who has a central role in respect of a particular child.
  94             </p>
  95             <p>
  95               As a Keyworker the areas of responsibility are broad and involve getting to know the young
                   person in an enhanced way including their case history, the details of their file and also it is
                   important to get to know other individuals and service providers that are involved with the care
                   of the child.
  95             </p>
  96             <p>
  96               Responsibilities of the Keyworker include:
  96             </p>
  97             <ul>
  98               <li>
  98                 Acting as a positive role model;
  98               </li>
  99               <li>
  99                 Assessing the needs the child;
  99               </li>
 100               <li>
 100                 Supporting children's links with their families and local community;
 100               </li>
 101               <li>
 101                 Establishing guidelines for behaviour;
 101               </li>
 102               <li>
 102                 Giving social, spiritual and emotional support;
 102               </li>
 103               <li>
 103                 Creating a safe and happy environment in which to live;
 103               </li>
 104               <li>
 104                 Helping children to access and use community education, health and leisure services;
 104               </li>
 105               <li>
 105                 Giving advice on independent living to those who are about to leave care;
 105               </li>
 106               <li>
 106                 The Keyworker will be required to oversee the placement planning and recording systems for the
                     child;
 106               </li>
 107               <li>
 107                 The Keyworker is responsible for establishing and maintaining an appropriate relationship with
                     the child, and collating information required for Child's Placement Planning Meetings and
                     Looked After Reviews; see the following relevant chapters:
 108                 <ul>
 109                   <li>
 109                     <a href="p_place_plan.html">
 109                       Placement Planning Meetings Procedure
 109                     </a>
 109                     ;
 109                   </li>
 110                   <li>
 110                     <a href="p_lac_rev.html">
 110                       Looked After Reviews Procedure
 110                     </a>
 110                     ;
 110                   </li>
 111                   <li>
 111                     <a href="p_hlth_assm_pln.html">
 111                       Healthcare Assessments and Plans Procedure
 111                     </a>
 111                     .
 111                   </li>
 112                 </ul>
 113               </li>
 114             </ul>
 115             <p>
 115               The Keyworker should become the main co-ordinator of multi-agency services for the child. They
                   should help other staff follow the agreed approaches and care strategies set out in the
                   Placement Plan. They should also help to monitor and evaluate the effectiveness of each of the
                   services.
 115             </p>
 116             <p>
 116               The Keyworker should be appointed by the Home's Manager preferably before a place has been
                   offered to the child. Where this is not possible, it should be done on the date of admission.
 116             </p>
 117             <p>
 117               Wherever possible, the Key/worker should be involved in visits prior to admission. During this
                   period, they should strive to become a familiar face who will be present at the time of
                   admission.
 117             </p>
 118             <p>
 118               During the early stages of placement, the Keyworker should spend sufficient time with the new
                   child to assist with settling in, making sure the child has a copy of the Children's Guide and
                   ensuring that the child understands and is comfortable with the house rules.
 118             </p>
 119             <p>
 119               The Keyworker should ensure that all the child's records and recording systems are adequately
                   set up and that recording is taking place.
 119             </p>
 120             <p>
 120               The Keyworker, supported by the staff team, should assist the child to maintain social,
                   recreational, cultural and religious links through daily living activities inside and outside
                   the home.
 120             </p>
 121             <p>
 121               Being a Keyworker means working towards meeting a whole range of social, spiritual, emotional
                   and intellectual needs in a way that promotes dignity, choice and independence, whilst promoting
                   a caring, healthy, stimulating, safe and secure environment for the child.
 121             </p>
 122             <h2 class="h2_underlined">
 122               <br />
 123               3.
 123               <a name="linkworker" id="linkworker">
 123               </a>
 123               Keyworker Guidance
 123             </h2>
 124             <h3 class="h3">
 124               3.1 Being there for the child
 124             </h3>
 125             <p>
 125               <span class="bold">
 125                 Being there each morning
 125               </span>
 125                (or making sure someone is doing it for you) checking that the bedroom is tidy, that there are
                   clean and properly ironed clothes to wear, that s/he has had a wash, groomed hair and is fully
                   equipped, as required, for the day ahead.
 125             </p>
 126             <p>
 126               Talking to the child to make sure that s/he understands what is planned for the day; issues to
                   concentrate on, how best to deal with potential problems etc.
 126             </p>
 127             <p>
 127               If there are meetings or Court appearances planned, talk through how these will go, possible
                   issues etc. Raise any risks or concerns with your Line Manager or supervisor.
 127             </p>
 128             <p>
 128               <span class="bold">
 128                 Being there during the day
 128               </span>
 128               by taking a regular interest in the child's health needs, including - dentist, doctors, and
                   opticians. These need booking and ensuring that regular check-ups occur.
 128             </p>
 129             <p>
 129               Make sure the child has adequate clothing - bought, cleaned, dried and ironed. Ensure that your
                   child is clean and presentable. It shows that we care and helps improve their self esteem.
 129             </p>
 130             <p>
 130               <span class="bold">
 130                 Bedrooms
 130               </span>
 130               - should be kept clean, personalised (the child should have an input into the personalisation of
                   their room), in good state of repair and well equipped, there should be adequate facility for
                   personal belongings and clothes to be stored away and kept safe.
 130             </p>
 131             <p>
 131               <span class="bold">
 131                 Bathroom
 131               </span>
 131               – should be clean and in good repair, toiletries provided/replaced and child should be taught
                   and encouraged to maintain a good standard of personal hygiene.
 131             </p>
 132             <p>
 132               <span class="bold">
 132                 Safety
 132               </span>
 132               - Children often give the impression that they are 'cool', that they are not bothered or that
                   they can cope, but the reverse is usually the case. Children can feel vulnerable and frightened.
                   Some are bullied or abused or live in fear of it. Most fear for the future
 132             </p>
 133             <p>
 133               Your job is to understand and 'Be There' for them. Don't wait to be told by your Keychild that
                   s/he is afraid; you need to ensure that you are aware that it is the case and do all you can to
                   make them feel safe and supported.
 133             </p>
 134             <p>
 134               Know your keychild - their file, background and family details; know their interests and
                   hobbies; encourage them to take part, join clubs etc; what makes them happy, sad and angry; what
                   frightens or worries them. Then try to ease or reduce their concerns by offering advice,
                   guidance or direction. If necessary get help but don't leave the child alone.
 134             </p>
 135             <p>
 135               Plan at least one individual session with your Keychild each week, (see
 135               <a href="#planning">
 135                 Section 4, Planning and Recording a Keyworker Session
 135               </a>
 135               ) use this as an opportunity for you to talk about how s/he is doing, issues to address,
                   possible ways to behave differently, planning for the short and medium term etc.
 135             </p>
 136             <p>
 136               <span class="bold">
 136                 Being there at night
 136               </span>
 136               : Bed or night times are potentially the worst time for all children, not just Looked after
                   Children, bedtime will be the time where children will reflect and show anxiety about what has
                   happened that day or in the past, or when children will show anxiety about what lies ahead in
                   the morning or in plans for the future. You must spend time with your Keychild helping them to
                   identify and come to terms with their feelings and emotions. You must do what you can to ease or
                   reduce fears or worries by talking to the child - in a positive and supportive way and also by
                   alerting colleagues to the child's feelings, identifying how this might affect the child's
                   behaviour and give advice about how to deal with potential problems.
 136             </p>
 137             <p>
 137               When settling down for bed it is also useful for doing practical things like making sure s/he
                   has clean clothes for the next day, toiletries and a clean towel, that s/he knows what is going
                   on the next day and any plans that have been put in place for the short term.
 137             </p>
 138             <p>
 138               <span class="bold">
 138                 Being there day-to-day
 138               </span>
 138               : Plan for the future by remembering birthdays and anniversaries and making them special for the
                   child.
 138             </p>
 139             <p>
 139               Help the child to maintain positive links with their family, significant people in their lives
                   and friends by planning ahead for important dates that may have a relevance to the child such as
                   birthdays, anniversaries and other significant events in their lives.
 139             </p>
 140             <p>
 140               Keep all the other staff informed and up to speed about what is happening in the child's life.
 140             </p>
 141             <p>
 141               Advocate on your child's behalf.
 141             </p>
 142             <p>
 142               Get to know the Independent Reviewing Officer who is allocated to the Child.
 142             </p>
 143             <p>
 143               Keep your keychild informed about what changes are happening in their lives, here at the home,
                   in education, in their overall plan, with the social worker and at home with their family.
 143             </p>
 144             <p>
 144               You are responsible for the child even when you aren't there! If issues need to be dealt with
                   when you are off duty make sure you inform the Home's Manager or colleagues. If you are likely
                   to be away on leave plan ahead; don't leave the child alone wondering what is going to happen in
                   your absence.
 144             </p>
 145             <h3 class="h3">
 145               3.2 Health Care
 145             </h3>
 146             <p>
 146               The Keyworker must actively promote the health care of each child and enable child to learn
                   about healthy living.
 146             </p>
 147             <p>
 147               In doing so they should liaise with key health professionals, including the Clinical Nurse
                   specialist, the child's GP and dental practitioner.
 147             </p>
 148             <p>
 148               The Keyworker should ensure that the physical, emotional and health needs of the child are
                   identified and appropriate action is taken to ensure the medical, dental and other health
                   services needed to meet them are in place.
 148             </p>
 149             <p>
 149               Children should be provided with guidance, advice and support on health and personal care issues
                   appropriate to their age, needs and wishes.
 149             </p>
 150             <p>
 150               The Keyworker must ensure that relevant health care procedures in this manual are adhered to, in
                   particular, that the child is registered with a GP and has access to a Dentist; and that the
                   child has an up to date Health Care Plan. See the following procedures:
 150             </p>
 151             <p>
 151               <a href="p_hlth_assm_pln.html">
 151                 Health Care Assessments and Plans Procedure
 151               </a>
 151             </p>
 152             <p>
 152               <a href="p_health.html">
 152                 Health Notifications and Access to Services
 152               </a>
 152             </p>
 153             <h3 class="h3">
 153               3.3
 153               <a name="educ" id="educ">
 153               </a>
 153               Educational Achievement
 153             </h3>
 154             <p>
 154               The Keyworker must be responsible for promoting the educational achievement of the child and
                   liaising with key professionals. See
 154               <a href="p_education.html">
 154                 Education Procedure
 154               </a>
 154               .
 154             </p>
 155             <p>
 155               This may include ensuring that the child is:
 155             </p>
 156             <ul>
 157               <li>
 157                 Provided with facilities conducive to study and to homework and actively encouraged and
                     supported in doing so;
 157               </li>
 158               <li>
 158                 Given help with homework if they wish;
 158               </li>
 159               <li>
 159                 Provided with reading support where needed;
 159               </li>
 160               <li>
 160                 Encouraged to participate in extra-curricular activities;
 160               </li>
 161               <li>
 161                 Encouraged to discuss any problems they may have at school in privacy;
 161               </li>
 162               <li>
 162                 Encourage attendance.
 162               </li>
 163             </ul>
 164             <p>
 164               This may include attending parent's evenings and other school events with or without the child.
                   The Keyworker should ensure that they are receiving all the necessary information and literature
                   regarding events that effect the child's education these duties should be carried out with the
                   purpose of strengthening home/school links and improving the child's educational outcomes in the
                   absence of the child's parents.
 164             </p>
 165             <h3 class="h3">
 165               3.4 External Contacts
 165             </h3>
 166             <p>
 166               Keyworkers need to keep themselves and their keychild in touch with interested parties outside
                   the home.
 166             </p>
 167             <p>
 167               <span class="bold">
 167                 Family contact
 167               </span>
 167               - Are there restrictions on contact; who they call or the frequency of calls? Is the child
                   calling or writing to their family? Build a relationship with the family where appropriate.
 167             </p>
 168             <p>
 168               <span class="bold">
 168                 Home visits
 168               </span>
 168               - Are there restrictions? should they be planned/accompanied?
 168             </p>
 169             <p>
 169               <span class="bold">
 169                 Social Workers
 169               </span>
 169               - keep them regularly (weekly) informed of good news as well as bad and build up a working
                   relationship. Ensure social workers visit frequently, see
 169               <a href="p_social_visit.html">
 169                 Social Worker Visits Procedure
 169               </a>
 169               .
 169             </p>
 170             <span class="bold">
 170               Education
 170             </span>
 170             - even when this is 'on-site' it should be seen as an external relationship needing your
                 attention. They need to be informed and aware of issues and you should be equally aware of how the
                 child is getting on at school, also see
 170             <a href="#educ">
 170               Section 3.3, Educational Achievement
 170             </a>
 170             .
 171             <p>
 171               <span class="bold">
 171                 Specialist/expert support and guidance
 171               </span>
 171               : If the key child needs additional support or guidance from specialists or experts (e.g. on
                   drug misuse, budgeting, sexual health), talk to your supervisor/manager or the social worker
                   about how it can be obtained. When support has been identified the Keyworker needs to ensure
                   that arrangements are made for the support to be introduced to the child and for the relevant
                   support to be sustained and monitored. It is the Keyworker's role where necessary to ensure a
                   review takes place and to ensure any changes to the child's care are agreed with relevant others
                   and to make the necessary amendments to the child's records.
 171             </p>
 172             <h3 class="h3">
 172               3.5 Complaints
 172             </h3>
 173             <p>
 173               The Keyworker must ensure the child understands how the complaints procedures work, that s/he
                   has a copy of the placing authority's complaints procedure and is confident enough to use the
                   procedures if necessary.
 173             </p>
 174             <p>
 174               Also it is the keyworker's responsibility to ensure the key child has an up to date copy of the
                   Children's Guide and other information produced by the home for children; ensure the child is
                   fully conversant with the Fire Precautions and is aware of fire exits. If there are particular
                   requirements/needs emanating from the key child's
 174               <a href="http://trixresources.proceduresonline.com/nat_key/keywords/care_plan.html"
                   target="_blank">
 174                 Care Plan
 174               </a>
 174               ,
 174               <a href="http://trixresources.proceduresonline.com/nat_key/keywords/health_care_plan.html"
                   target="_blank">
 174                 Health Care Plan
 174               </a>
 174               or
 174               <a href="http://trixresources.proceduresonline.com/nat_key/keywords/placement_plan.html"
                   target="_blank">
 174                 Placement Plan
 174               </a>
 174               (e.g. information on drug misuse, budgeting, sexual health), make sure this is obtained and
                   provided - in a form which is accessible and understandable to the child.
 174             </p>
 175             <h3 class="h3">
 175               3.6 Paperwork, Files, Placement Plans and Daily Records
 175             </h3>
 176             <p>
 176               Ensure that records and the children's files are current and well organised. Although many other
                   people will have input to the paperwork overall responsibility lies with the Keyworker.
 176             </p>
 177             <p>
 177               Make sure the child's Placement Plan is kept up to date and relevant to the child's interests
                   and needs; make sure the child has a copy.
 177             </p>
 178             <p>
 178               The Keyworker must ensure that the Child's file is kept up to date, in particular, that
                   relevant/up to date copies of the following records are contained in it:
 178             </p>
 179             <ul>
 180               <li>
 180                 Care Plan,
 180                 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/pathway_plan.html"
                     target="_blank">
 180                   Pathway Plan
 180                 </a>
 180                 * and/or Adoption Plan*;
 180               </li>
 181               <li>
 181                 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/place_info_record.html"
                     target="_blank">
 181                   Placement Information Record
 181                 </a>
 181                 /Placement Plan;
 181               </li>
 182               <li>
 182                 The home's internal Placement Plan;
 182               </li>
 183               <li>
 183                 Essential Information Record**/
 183                 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/chronology.html"
                     target="_blank">
 183                   Chronology
 183                 </a>
 183                 ;
 183               </li>
 184               <li>
 184                 Health Care Assessment/
 184                 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/health_care_plan.html"
                     target="_blank">
 184                   Health Care Plan
 184                 </a>
 184                 ;
 184               </li>
 185               <li>
 185                 <a
                     href="http://trixresources.proceduresonline.com/nat_key/keywords/ed_health_care_plan.html"
                     target="_blank">
 185                   Education, Health and Care Plan
 185                 </a>
 185                 *,
 185                 <a
                     href="http://trixresources.proceduresonline.com/nat_key/keywords/pers_education_plan.html"
                     target="_blank">
 185                   Personal Education Plan
 185                 </a>
 185                 and SEN Support Plans;
 185               </li>
 186               <li>
 186                 Risk Assessment;
 186               </li>
 187               <li>
 187                 Any specialist health care or educational reports or plans.
 187               </li>
 188             </ul>
 189             <p class="tiny_text">
 189               *These records do not apply to all children.
 189             </p>
 190             <p class="tiny_text">
 190               **Most local authorities now use the Integrated Children's System (ICS), therefore will have
                   ceased using Essential Information Records, if so, they will now use the Chronology.
 190             </p>
 191             <h2 class="h2_underlined">
 191               <br />
 192               4.
 192               <a name="planning" id="planning">
 192               </a>
 192               Planning and Recording a Keyworker Session
 192             </h2>
 193             <p>
 193               Key working sessions provide you with a chance to observe, assess, develop your relationship,
                   identify and resolve problems etc.
 193             </p>
 194             <p>
 194               You must arrange weekly Keyworker sessions with your keychild as soon as possible after s/he is
                   placed and then weekly thereafter.
 194             </p>
 195             <p>
 195               The overall purpose of Keyworker sessions is to discuss progress, problems and achievements.
 195             </p>
 196             <p>
 196               There are various ways to do this: formally in a meeting or informally whilst undertaking an
                   activity.
 196             </p>
 197             <p>
 197               <span class="bold">
 197                 PLAN AHEAD
 197               </span>
 197               : It is not exhaustive, but this is a list of things you should do in planning a Keyworker
                   session:
 197             </p>
 198             <ul>
 199               <li>
 199                 Plan ahead, talk to the child and build time into your week when it will be suitable to
                     conduct a Keyworker session;
 199               </li>
 200               <li>
 200                 It is important that the child feels comfortable so consider which is likely to be better: a
                     formal meeting or informal i.e. during an activity;
 200               </li>
 201               <li>
 201                 Plan the meeting or activity in advance, arrange for petty cash etc;
 201               </li>
 202               <li>
 202                 Inform the child of the date, time and where you will be having the meeting;
 202               </li>
 203               <li>
 203                 Ask the child to think about issues s/he wants to talk about;
 203               </li>
 204               <li>
 204                 What is the purpose of the session: Progress Chasing; Dealing with specific issues, behaviours
                     or problems, Planning for a Review or Court Appearance, Developing ideas for the future,
                     Talking about the past;
 204               </li>
 205               <li>
 205                 Think through (with your supervisor, or Line Manager) what you need to deal with or talk about
                     and how you can make it work;
 205               </li>
 206               <li>
 206                 If planning a first session, as soon as possible after the child's placement, make sure all
                     the basics are in place: that the child understands why s/he has been placed, the timescales
                     for the placement, that a Placement Plan has been completed or a date for completion is set
                     (go through the Placement Plan with the child, identify any areas of concern), that the child
                     has a copy of the home's Children's Guide or other information provided for children, that the
                     child is fully aware of the Fire Precautions, that s/he has necessary toiletries, clothing,
                     bedding, towels etc;
 206               </li>
 207               <li>
 207                 At the first meeting or soon after, agree or set some boundaries or rules about how you will
                     conduct your sessions. For example: That you will meet once a week, that you can't offer
                     confidentiality but you will keep information safe, that you will be keeping a record, that
                     you will be on time, what sort of meeting would suit: formal or activity based (if so what
                     activities);
 207               </li>
 208               <li>
 208                 If you need to deal with negative behaviours or issues think carefully about how to present
                     them. Don't forget you need the young person to accept the negatives and be prepared to
                     change;
 208               </li>
 209               <li>
 209                 Relationships take time and change is always difficult so don't try to do too much too soon;
 209               </li>
 210               <li>
 210                 The child may try to reject or avoid you. Don't let this get to you; keep at it but talk to
                     your supervisor or Line Manager if you need support or guidance;
 210               </li>
 211               <li>
 211                 Start small, concentrate on the positives;
 211               </li>
 212               <li>
 212                 If you are unsure about your own or the child's safety talk to your supervisor or manager and
                     ensure you plan to reduce or avoid your concerns;
 212               </li>
 213               <li>
 213                 Afterwards talk to your supervisor or manager - Do this immediately if you have any concerns
                     or you feel uncomfortable about what has happened.
 214               </li>
 215             </ul>
 216             <p>
 216               <br />
 217               <br />
 218             </p>
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