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136 <h1>
136 Short Breaks
136 </h1>
141 <div class="well">
142 <p class="bold">
142 SCOPE OF THIS CHAPTER
143 </p>
144 <p>
144 This chapter takes account of:
144 </p>
145 <ul>
146 <li>
146 <a href="http://www.legislation.gov.uk/uksi/2010/959/pdfs/uksi_20100959_en.pdf"
target="_blank" rel="noopener">
146 Care Planning, Placement and Case Review (England) Regulations 2010
146 </a>
146 ;
146 </li>
147 <li>
147 <a
href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/441643/Chi
ldren_Act_Guidance_2015.pdf#page=133" target="_blank" rel="noopener">
147 The updated Children Act 1989 Guidance and Regulations Volume 2: Care Planning,
Placement and Case Review (2015)
147 </a>
147 ; and
147 </li>
148 <li>
148 <a
href="http://webarchive.nationalarchives.gov.uk/20130401151715/https://www.education.gov.u
k/publications/standard/publicationdetail/page1/dcsf-00183-2010" target="_blank"
rel="noopener">
148 Short Breaks: Statutory Guidance on How to Safeguard and Promote the Welfare of Disabled
Children Using Short Breaks
148 </a>
148 ;
148 </li>
149 <li>
149 <a
href="https://www.gov.uk/government/publications/short-breaks-for-carers-of-disabled-child
ren" target="_blank" rel="noopener">
149 Short Breaks for Carers of Disabled Children: Departmental Advice for Local Authorities
(March 2011)
149 </a>
149 ;
149 </li>
150 <li>
150 <a
href="https://www.childrenssociety.org.uk/what-we-do/resources-and-publications/friendship
-for-all" target="_blank" rel="noopener">
150 Friendship For All (The Children's Society)
150 </a>
150 .
150 </li>
151 </ul>
152 <p>
152 See also:
152 </p>
153 <ul>
154 <li>
154 <a href="files/short_breaks_serv.pdf" target="_blank" rel="noopener">
154 Short Breaks Services
154 </a>
154 ;
154 </li>
155 <li>
155 <a
href="https://www.mylifewarrington.co.uk/kb5/warrington/directory/advice.page?id=QNuIzIvrC
rM&&localofferchannel=0" target="_blank" rel="noopener">
155 Short Breaks Statement
155 </a>
155 .
155 </li>
156 </ul>
157 </div>
164 <div class="section">
164 <h2 id="legal_basis">
164 1. The Legal Basis for Short Breaks
164 </h2>
165 <p>
165 Children may be provided with short breaks under the following legislation:
165 </p>
166 <ul>
167 <li>
167 <span class="bold">
167 Situation 1
167 </span>
167 - Under Section 17 Children Act 1989, in which case they are not Children in Care, the
2010 Regulations do not apply and there is no requirement to appoint an independent
reviewing officer (IRO). A child in need plan is required. Reviews should be carried out
at least every 6 months and more often if required; or
167 </li>
168 <li>
168 <span class="bold">
168 Situation 2
168 </span>
168 - Under Section 20 Children Act 1989, with short breaks of not more than 17 days each in
the same setting (where the total number of placement days does not exceed 75 in any
12-month period) and/or families have limited resources to support a child whilst the
child is away and may not be able to fully exercise their Parental Responsibility (see
168 <a href="#assess_need">
168 Section 2, Determining the Nature and Status of the Short Break - Assessment of Needs
168 </a>
168 ). In these circumstances, the child is a Child in Care, an IRO must be appointed, and a
Short Break Care Plan drawn up. The 2010 Regulations are modified (
168 <a href="http://www.legislation.gov.uk/uksi/2010/959/regulation/48/made"
target="_blank" rel="noopener">
168 Regulation 48
168 </a>
168 ) so that Case Reviews (see
168 <a href="#reviews">
168 Section 5, Reviews
168 </a>
168 below) and Social Work Visits (see
168 <a href="#soc_wk_visits">
168 Section 6, Social Work Visits
168 </a>
168 below) are less frequent and the short breaks are treated as a single placement; or
168 </li>
169 <li>
169 <span class="bold">
169 Situation 3
169 </span>
169 - Under Section 20 Children Act 1989, where the short breaks exceed a total of 17 days per
placement/75 days per 12-month period and/or take place in more than one setting. In these
circumstances, the child is a Child in Care, an IRO must be appointed and a Care Plan
drawn up. The 2010 Regulations apply in full, including the provisions on frequency of
Case Reviews (see
169 <a href="#reviews">
169 Section 5, Reviews
169 </a>
169 below) and Social Work Visits (see
169 <a href="#soc_wk_visits">
169 Section 6, Social Work Visits
169 </a>
169 below).
169 </li>
170 </ul>
171 <p>
171 In situations 1 and 2, the requirements which usually apply to Children in Care in respect
of health assessments and reports, and notification of placements, do not apply.
171 </p>
172 <p>
172 The legal basis on which services are provided should be clear. The decision to provide a
short break under Section 17 or under Section 20 should be informed by the assessment of the
child's needs and should take account of parenting capacity and wider family and
environmental factors, the wishes and feelings of the child and their parents and the nature
of the service to be provided.
172 </p>
173 <p>
173 The key question to ask in deciding whether to provide the short break provision under
Section 17 or Section 20 is how to promote and safeguard the welfare of the child most
effectively.
173 </p>
174 </div>
175 <div class="section1">
175 </div>
181 <div class="section">
181 <h2 id="assess_need">
181 2. Determining the Nature and Status of the Short Break - Assessment of Needs
181 </h2>
182 <p>
182 Before making, and when reviewing, a decision about whether to provide accommodation under
Section 17 or Section 20, there should be a careful assessment of the child and family's
needs that addresses:
182 </p>
183 <ul>
184 <li>
184 Particular vulnerabilities of the child, including communication method;
184 </li>
185 <li>
185 Parenting capacity of the parents within their family and environmental context, taking
into account any assessments undertaken on family members as carers under the Children and
Family Act 2014 and the Care Act 2014 (see
185 <a href="#carers_assessment">
185 Section 3.2, Carer's Assessment
185 </a>
185 );
185 </li>
186 <li>
186 The length of time away from home and the frequency of such stays - the less time the
child spends away from home, the more likely it is to be appropriate to provide the
accommodation under Section 17;
186 </li>
187 <li>
187 Whether short breaks are to be provided in more than one place - where the child has
substantial packages of short breaks in different settings, it is more likely to be
provided under Section 20;
187 </li>
188 <li>
188 Potential impact on the child's place in the family and on primary attachments;
188 </li>
189 <li>
189 Observation of the child (especially children who do not communicate verbally) during or
immediately after the break by a person familiar with the mood and behaviour of the child
(e.g. parents or school staff);
189 </li>
190 <li>
190 Views of the child and parents - some children and parents may be reassured by and in
favour of the status of a Child in Care while others may resent the implications and
associations of the 'Child in Care' status. The child may benefit from having an advocate;
190 </li>
191 <li>
191 Extent of contact between short break carers and family and between the child and family
during the placement;
191 </li>
192 <li>
192 Distance from home; and
192 </li>
193 <li>
193 The need for an Independent Reviewing Officer (IRO) to monitor the child's case and to
chair reviews.
193 </li>
194 </ul>
195 <p>
195 It is more likely that the arrangements come within Section 20 where families have limited
resources and may have difficulties providing support to their child while s/he is away from
home or monitoring the quality of care.
195 </p>
196 </div>
197 <div class="section1">
197 </div>
203 <div class="section">
203 <h2 id="levels_assessment">
203 3. Levels of Assessment
203 </h2>
204 <h3>
204 3.1 Child's Assessment
204 </h3>
205 <p>
205 In many situations, the child's Assessment may be a brief assessment where the trigger for
assessment is a request for a short break and this is for relatively low levels of short
break provision so that it would fall within the Child in Need criteria. (See
205 <a href="#assess_need">
205 Section 2, Determining the Nature and Status of the Short Break - Assessment of Needs
205 </a>
205 ).
205 </p>
206 <p>
206 Nevertheless, sufficient information will be required to ensure key information about the
child is identified; the reason for the short break; contact and communication details of
the person with Parental Responsibility and their ability to monitor the placement whilst
the child is there; the child's health and medical details and provision of urgent medical
attention (if required); the child's routines, likes, dislikes and current arrangements for
the child, (e.g. School) together with behavioural issues and how these are usually dealt
with by the family. There should be opportunities for the short break carer and parent and
child to meet and discuss the child's personality, routines, etc.
206 </p>
207 <p>
207 This information and the arrangements should be reflected in a Child in Need Plan (see
207 <a href="#plans">
207 Section 4, Plans
207 </a>
207 ) together with the child's understanding and views of them going into a Short Break
situation and the caring arrangements to be provided by the Short Term Break carer.
207 </p>
208 <p>
208 Where the child is to be Accommodated under Section 20, the relevant Accommodation papers
and 'Consent ' details should be completed. A Care and Placement Plan should reflect the
arrangements required (see
208 <a href="#short_brk_care_plan">
208 Section 4.2, Children in Care Short Break Care Plan
208 </a>
208 ).
208 </p>
209 <p>
209 Where the child's circumstances are more complex because of their social and /or health
needs and they are receiving substantial levels of short break support (possibly in
different placements), they will be Accommodated under Section 20; a more comprehensive
Assessment will be required and should include a multi-agency approach.
209 </p>
210 <p>
210 Care and Placement Plans should be fully completed and recorded and include Consent, Health,
Education and Contact Plans.
210 </p>
211 Where children become Children in Care the Independent Reviewing Unit should be advised and
appropriate arrangements made for a review, depending upon whether Regulation 48 applies, (see
211 <a href="#reviews">
211 Section 5, Reviews
211 </a>
211 ).
212 <h3>
212 3.2
212 <a id="carers_assessment">
212 </a>
212 Carer's Assessment
212 </h3>
213 <p>
213 Parent Carers have a right to have an assessments of their own under the
213 <a href="http://www.legislation.gov.uk/ukpga/2014/6/section/97/enacted" target="_blank"
rel="noopener">
213 Children and Families Act 2014; section 97 of the Children & Families Act 2014
213 </a>
213 requires local authorities to undertake a 'parent carers needs assessment':
213 </p>
214 <ul>
215 <li>
215 On the appearance of need; or
215 </li>
216 <li>
216 Where an assessment is requested by the parent.
216 </li>
217 </ul>
218 <p>
218 Where requested, then the local authority must assess whether that parent has needs for
support and, if so, what those needs are. The assessment must include an assessment of
whether it is appropriate for the parent to provide, or continue to provide, care for the
disabled child, in the light of the parent's needs for support, other needs and wishes.
218 </p>
219 <p>
219 The assessment must also have regard to:
219 </p>
220 <ul>
221 <li>
221 The well-being of the parent carer; and
221 </li>
222 <li>
222 The need to safeguard and promote the welfare of the child and any other child for whom
the parent carer has parental responsibility.
222 </li>
223 </ul>
224 <p>
224 Following assessment, the local authority must then decide;
224 </p>
225 <ul>
226 <li>
226 Whether the parent has needs for support;
226 </li>
227 <li>
227 Whether the child has need for support;
227 </li>
228 <li>
228 And if so whether those needs could be met (wholly or partly) by services under Children
Act 1989, s17.
228 </li>
229 </ul>
230 <p>
230 Services to be provided for parent carers of disabled children should be included in the
Child in Need Plan and can be included in the Education, Health and Care Plan, if the child
has one.
230 </p>
231 <p>
231 (See also:
231 <a href="p_child_disability.html#young_carers">
231 Children and Young People Aged 0-25 with Special Educational Needs and Disabilities
Procedure, Young Carers and Parent Carers of Disabled Children
231 </a>
231 and
231 <a href="p_young_carers.html" target="_blank" rel="noopener">
231 Young Carers Procedure
231 </a>
231 ).
231 </p>
232 </div>
233 <div class="section1">
233 </div>
239 <div class="section">
239 <h2 id="plans">
239 4. Plans
239 </h2>
240 <h3>
240 4.1 Child in Need Short Break Plan
240 </h3>
241 <p>
241 This is applicable where short breaks are provided under Section 17 Children Act 1989.
241 </p>
242 <p>
242 The Child in Need Plan should be in writing and set out clearly all the services that are to
be provided to meet the child's needs. Many families with disabled children receive a range
of services to meet their child's needs. Wherever possible there should be a single plan
which includes the full range of family support services on a multi-agency basis. The plan
will show how the short break will meet the needs of the child and family identified in the
assessment. It will:
242 </p>
243 <ul>
244 <li>
244 Have clear and realistic objectives;
244 </li>
245 <li>
245 Include the ascertainable wishes and feelings of the child and views of the family. The
child may benefit from having an advocate;
245 </li>
246 <li>
246 Follow consideration of options, including but not limited to direct payments;
246 </li>
247 <li>
247 State the nature and frequency of services, as far as is practicable, including health and
social care in the same plan, especially if short breaks are provided from different
agencies;
247 </li>
248 <li>
248 State the child's health, emotional and behavioural development including full details
about any disabilities and clinical needs the child may have and medications they may
require;
248 </li>
249 <li>
249 State the child's specific communication needs, especially for children who communicate
non-verbally, and include the child's likes and dislikes with particular regard to leisure
activities;
249 </li>
250 <li>
250 Include the results of all necessary risk assessments which could include, depending on
the child's impairment, moving and handling, invasive procedures, and behaviour;
250 </li>
251 <li>
251 State contact arrangements for emergencies;
251 </li>
252 <li>
252 State commitments of professionals involved;
252 </li>
253 <li>
253 Refer to or summarise any other important documents about the child's development;
253 </li>
254 <li>
254 Confirm those caring for the child have been selected following the advice set out in
Government guidance on direct payments (see
254 <a href="https://www.gov.uk/apply-direct-payments" target="_blank" rel="noopener">
254 GOV.UK Apply for direct payments
254 </a>
254 ); and
254 </li>
255 <li>
255 Outline arrangements to review the plan.
255 </li>
256 </ul>
257 <p>
257 The plan should include all the information necessary to ensure the safeguarding and welfare
of the child in the short break. Much information may already be available from a variety of
sources including the parent-held child record. The plan should be made available as
necessary in accessible formats.
257 </p>
258 <h3>
258 4.2
258 <a id="short_brk_care_plan">
258 </a>
258 Children in Care Short Break Care Plan
258 </h3>
259 <p>
259 This is applicable where short breaks are provided under Section 20 Children Act 1989.
259 </p>
260 <p>
260 Where, following assessment, it is agreed with the family that the child should be a Child
in Care under Section 20 of the 1989 Act, there will be additional requirements about
planning and review. In this situation the information compiled for the Child in Need Plan
(as set out in 4.1 above) will form the basis for the Short Break Care Plan required when a
child is in Care under Section 20 and
260 <a href="http://www.legislation.gov.uk/uksi/2010/959/regulation/48/made" target="_blank"
rel="noopener">
260 Regulation 48
260 </a>
260 applies (
260 <span class="bold">
260 Situation 2
260 </span>
260 ).
260 </p>
261 <p>
261 In Situation 3, the Short Break Care Plan should be linked to the care plan, which should
include all the key information about the child. These should not be separate plans which
duplicate information.
261 </p>
262 <p>
262 The Short Break Care Plan must set out the arrangements to meet the child's needs with
particular regard to:
262 </p>
263 <ul>
264 <li>
264 The child's health and emotional and behavioural development, any disability, medical
needs and medications;
264 </li>
265 <li>
265 The child's specific communication needs;
265 </li>
266 <li>
266 Promoting contact with parents/anyone with parental responsibility;
266 </li>
267 <li>
267 Arrangements for contacting parents as necessary, in particular an emergency contact
number;
267 </li>
268 <li>
268 The child's likes and dislikes regarding stimulation and leisure interests;
268 </li>
269 <li>
269 How the carers, as appropriate, promote the child's educational achievement;
269 </li>
270 <li>
270 The name and address of the registered medical practitioner;
270 </li>
271 <li>
271 The type of accommodation, address, name of person responsible;
271 </li>
272 <li>
272 The child's personal history, religious persuasion, cultural and linguistic background and
racial origin;
272 </li>
273 <li>
273 The respective responsibilities of the local authority and parents/anyone with Parental
Responsibility; any delegation of responsibility from parents to the local authority; the
respective roles and responsibilities of the placement provider, social worker,
Independent Reviewing Officer (IRO) and other staff employed or commissioned by the local
authority to contribute to the plan for the child's care; the respective safeguarding
responsibilities of the provider and the local authority;
273 </li>
274 <li>
274 The expected duration of the arrangements and the steps to end them; arrangements for
giving notice of intention to terminate the placement along with the local authority's
responsibilities for convening a review of the child's Care and Pathway Plan where there
is a risk of the placement being terminated;
274 </li>
275 <li>
275 Frequency of visits;
275 </li>
276 <li>
276 Financial arrangements for the placement;
276 </li>
277 <li>
277 When the child is placed with a local authority-approved foster carer, confirmation of the
foster carer's agreement;
277 </li>
278 <li>
278 The provider's responsibilities for notifying the child's social worker of any significant
change in the child's circumstances.
278 </li>
279 </ul>
280 <p>
280 As far as practicable, the child should be involved in agreeing the Plan.
280 </p>
281 <p>
281 The parents must be fully involved in all aspects of agreeing the Short Break Care Plan.
281 </p>
282 <p>
282 The plan should be signed by the parents, the local authority, those providing the care/ the
provider agency and, where appropriate, the child.
282 </p>
283 <p>
283 There is no requirement for a separate Placement Plan for short breaks.
283 </p>
284 <p>
284 (Where required and appropriate please note
284 <a
href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/441643/Child
ren_Act_Guidance_2015.pdf#page=125" target="_blank" rel="noopener">
284 'Ceasing to look after a child', Children Act 1989 Guidance and Regulations Volume 2: Care
Planning, Placement and Case Review
284 </a>
284 ).
284 </p>
285 </div>
286 <div class="section1">
286 </div>
292 <div class="section">
292 <h2 id="reviews">
292 5. Reviews
292 </h2>
293 <h3>
293 5.1 Reviews - All Cases
293 </h3>
294 <p>
294 No significant change to a Child in Need Plan or a Short Break Care Plan should be made
unless it has first been considered at a review.
294 </p>
295 <p>
295 In each case, whether children are provided with accommodation under Section 17 or under
Section 20, the review should consider whether this continues to be the most appropriate
legislative basis for the service provided.
295 </p>
296 <p>
296 A record should be kept, recording the views of those involved in the review, decisions
taken and the identity of the persons responsible for implementing them.
296 </p>
297 <h3>
297 5.2 Children in receipt of Short Breaks under Section 17 Children Act 1989 (Situation 1)
297 </h3>
298 <p>
298 A Case Review for a child who is not a Child in Care should:
298 </p>
299 <ul>
300 <li>
300 Ensure the service(s) provided meet the needs identified in the Child in Need Plan and
safeguard and promote the welfare of the child;
300 </li>
301 <li>
301 Focus on outcomes for the child and family;
301 </li>
302 <li>
302 Be a multi-agency review whenever possible. Different elements of a child's care package
should not require a separate review;
302 </li>
303 <li>
303 Include the ascertainable wishes and feelings of the child and the views of the family;
303 </li>
304 <li>
304 Take place at least 6 monthly. The needs of the child and family may indicate that a
review should take place before the statutory minimum, for example if the child's
condition is changing quickly, or there are changed family circumstances, or where there
is a complex package of services including direct payments.
304 </li>
305 </ul>
306 <p>
306 A review will usually include a face to face meeting but in some cases, regular review
meetings may not be necessary. Generally it should be possible to include a review of short
breaks with a review of other aspects of a child's health, education or development, where
some of the same people will already be together.
306 </p>
307 <p>
307 Reviews should take the form of a meeting when requested by the family. In all circumstances
a face to face meeting should take place at least once a year.
307 </p>
308 <p>
308 Depending on the level of service for the child and family and the vulnerability of the
child, local authorities may wish to consider including an element in the review which is
independent of the service provider and those with Parental Responsibility, for example
arranging for an 'independent' chair with a role similar to the role of the IRO in the case
of a Child in Care.
308 </p>
309 <p>
309 Having an advocate may be particularly useful for disabled young people moving towards
adulthood.
309 </p>
310 <h3>
310 5.3 Children in receipt of Short Breaks under Section 20 Children Act 1989 (Situation 2)
310 </h3>
311 <p>
311 Reviews are less frequent than for Children in Care in Situation 3:
311 </p>
312 <ul>
313 <li>
313 The first review must take place within 3 months of the start of the first placement;
313 </li>
314 <li>
314 Second and subsequent reviews must take place at intervals of not more than 6 months;
314 </li>
315 <li>
315 Reviews may be convened earlier, e.g. at the request of the child, parents or carer; or in
cases where the child is particularly vulnerable; or where the child is provided with a
high level of short breaks.
315 </li>
316 </ul>
317 <h3>
317 5.4 Children in receipt of Short Breaks under Section 20 Children Act 1989 (Situation 3)
317 </h3>
318 <p>
318 The 2010 Regulations in relation to Case Reviews apply in full, and reviews will take place
as follows:
318 </p>
319 <ul>
320 <li>
320 The first review must take place within 20 working days of the first placement;
320 </li>
321 <li>
321 The second review must take place not more than 3 months after the first;
321 </li>
322 <li>
322 Subsequent reviews must take place at intervals of not more than 6 months.
322 </li>
323 </ul>
324 <p>
324 For further details, see the
324 <a href="p_look_aft_rev.html">
324 Case Reviews Procedure
324 </a>
324 .
324 </p>
325 </div>
326 <div class="section1">
326 </div>
332 <div class="section">
332 <h2 id="soc_wk_visits">
332 6. Social Work Visits
332 </h2>
333 <p>
333 Visits should usually be undertaken by a qualified social worker and always by a person with
the skills and experience to communicate effectively with the child and fulfil the functions
of the visit.
333 </p>
334 <h3>
334 Situation 1
334 </h3>
335 <p>
335 No statutory requirement for visits
335 </p>
336 <h3>
336 Situation 2
336 </h3>
337 <p>
337 Visits should take place at regular intervals to be agreed with the Independent Reviewing
Officer and parents/person(s) with Parental Responsibility and recorded in the Short Break
Care Plan before the start of the first placement.
337 </p>
338 <p>
338 In any event:
338 </p>
339 <ul>
340 <li>
340 The first visit must take place within 3 months of the first placement day or as soon as
practicable thereafter;
340 </li>
341 <li>
341 Subsequent visits must take place at intervals of no more than 6 months for as long as the
short breaks continue.
341 </li>
342 </ul>
343 <h3>
343 Situation 3
343 </h3>
344 <p>
344 Visits must take place:
344 </p>
345 <ul>
346 <li>
346 Within one week of the start of the placement;
346 </li>
347 <li>
347 Thereafter, at intervals of no more than 6 weeks for the first year.
347 </li>
348 </ul>
349 </div>
350 <div class="section1">
350 </div>
356 <div class="section">
356 <h2 id="short_break_settings">
356 7. Short Break Settings
356 </h2>
357 <p>
357 Following the assessment of the child and family, short breaks can be arranged in a number
of settings which are subject to different registration and inspection requirements.
357 </p>
358 
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The most common reasons for this error are the use of an old unsupported attribute, a new one which is not yet part of the specification being tested against, or the misuse of attributes for use with javascript. If the attribute is for use with AngularJS, then see the FAQ for more information. See the HTML Living Standard. <table title="Outline Requirements on Settings Where Short Breaks Might Take Place" border="1">
359 <caption class="hide">
359 Caption: Outline Requirements on Settings
359 </caption>
360 <tr class="hide">
361 <th scope="col">
361
361 </th>
362 <th scope="col">
362
362 </th>
363 </tr>
365 <tr>
366 <td colspan="3" class="table_header">
366 Outline Requirements on Settings Where Short Breaks Might Take Place
366 </td>
367 </tr>
368 <tr>
369 <td class="table_row_even_bold">
369 Hospices
369 </td>
370 <td>
370 Regulated by the Care Quality Commission (CQC) under the Care Quality Commission
(Registration) Requirements 2009
370 </td>
371 <td>
371 Hospices are regulated and inspected by the Care Quality Commission (CQC)
371 </td>
372 </tr>
373 <tr>
374 <td class="table_row_even_bold">
374 Local authority foster care
374 </td>
375 <td>
375 Fostering services are registered with and inspected by Ofsted.
375 </td>
376 <td>
376 Revised
376 <a href="http://www.minimumstandards.org/" title="nms_link1" target="_blank"
rel="noopener">
376 National Minimum Standards
376 </a>
376 which came into force in April 2011
376 </td>
377 </tr>
378 <tr>
379 <td class="table_row_even_bold">
379 Children's homes
379 </td>
380 <td>
380 Children's homes are registered with and inspected by Ofsted.
380 </td>
381 <td>
381 <a href="http://qualitystandards.proceduresonline.com/" target="_blank"
rel="noopener">
381 Quality Standards (March 2015)
381 </a>
381 </td>
382 </tr>
383 <tr>
384 <td class="table_row_even_bold">
384 Residential special schools
384 </td>
385 <td>
385 Different regimes apply depending on whether the residential special school is
maintained, non-maintained or independent.
386 </td>
387 <td>
387 Residential special schools
387 <a href="files/residential_sch_nms.pdf" title="nms_link2" target="_blank"
rel="noopener">
387 National Minimum Standards
387 </a>
387 (April 2015)
387 </td>
388 </tr>
389 </table>
390 </div>
391 <div class="section1">
391 </div>
397 <div class="section">
397 <h2 id="providing_care">
397 8. Providing Care in the Child's own Home
397 </h2>
398 <p>
398 The key to providing safe care to children in their own homes is the same as to the
provision of safe care elsewhere. It is essential that safe recruitment practices are
followed and staff are properly trained and supervised and that the requirements of the
Disclosure and Barring Service are complied with where they apply to Regulated Activity.
(See
398 <a href="https://www.gov.uk/government/collections/dbs-referrals-guidance--2"
target="_blank" rel="noopener">
398 DBS referrals guide: summary of regulated activity with children
398 </a>
398 ).
398 </p>
399 <p>
399 Where the local authority provides a sitter or overnight carer in the child's own home, the
child is not being provided with accommodation by the local authority and the authority is
therefore providing the short break service under Section 17 Children Act 1989.
399 </p>
400 <p>
400 However, caring for or supervising children unsupervised, or providing personal care to
them, will come within the definition of regulated activity under the Safeguarding
Vulnerable Groups Act 2006 as amended by the Protection of Freedoms Act 2012, and the
requirements of the disclosure and barring service in relation to regulated activities will
apply.
400 </p>
401 <p>
401 Best practice is that the child should be cared for by an approved local authority foster
carer. Childminders with whom the local authority places or wishes to place children
overnight (or childminders wishing to take on such work) should be asked to apply for
approval as local authority foster carers. It is not appropriate for the local authority to
provide overnight accommodation with childminders who are not also approved foster carers.
401 </p>
402 </div>
403 <div class="section1">
403 </div>
409 <div class="section">
409 <h2 id="providing_care_in_carers">
409 9. Providing Care in the Carer's own Home or in the Community
409 </h2>
410 <p>
410 It is essential that individuals providing care in their own homes are subject to full
employment and personal checks, as well as safe recruitment methods, and that they are
provided with induction and training.
410 </p>
411 <p>
411 There are no requirements for agencies to register with Ofsted or the Care Quality
Commission if they provide services to support disabled children in the community or in
their own homes, unless they provide personal care. If Personal Care is provided, services
must register with the Care Quality Commission and comply with the relevant standards.
411 </p>
412 <p>
412 Regulated Activity under the Safeguarding Vulnerable Groups Act 2006 as amended by the
Protection of Freedoms Act 2012 includes the provision of Personal Care:
412 </p>
413 <ul>
414 <li>
414 Assistance which is given to a child who is in need of it by reason of illness or
disability and is given in connection with eating or drinking (including administration of
parenteral nutrition); toileting (including in relation to the process of menstruation);
washing, bathing or dressing; or any form of training, instruction, advice or guidance
relating to the performance of such activities;
414 </li>
415 <li>
415 The prompting (together with supervision) of a child, who is in need of it by reason of
illness or disability, in relation to the performance of any of the above activities where
the child is unable to make a decision in relation to performing such an activity without
prompting and supervision.
415 </li>
416 </ul>
417 <p>
417 However any form of unsupervised care or supervision provided for children on a frequent,
intensive, or overnight basis, including transporting (where the vehicle being used is only
for transporting children and carers or supervisors), support given to children with
accessing computer/gaming or other electronic devices, comes within the definition of
'Regulated Activity' under the Safeguarding Vulnerable Groups Act 2006 as amended by the
Protection of Freedoms Act 2012 and the requirements of the Disclosure and Barring Service
(DBS) in relation to regulated activities will apply.
417 </p>
418 <p>
418 However, Regulated Activity does not cover a family arrangement or a personal arrangement
where there is no commercial consideration.
418 </p>
419 </div>
420 <div class="section1">
420 </div>
426 <div class="section">
426 <h2 id="app">
426 Appendices
426 </h2>
427 <p>
427 <a href="files/provid_short_brk_accom.pdf" target="_blank" rel="noopener">
427 Appendix 1: Providing Short Break Accommodation under the different Legal Provisions
427 </a>
427 .
427 </p>
428 </div>
429 <div class="section1">
429 </div>
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