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 136               <h1>
 136                 Placing and Visiting Children with Special Educational Needs and Disabilities or Health
                     Conditions in Long-Term Residential Settings
 136               </h1>
 141               <div class="well">
 142                 <p class="bold">
 142                   SCOPE OF THIS CHAPTER
 142                 </p>
 143                 <p>
 143                   This chapter reflects statutory guidance in relation to children who are placed by health
                       authorities or local authorities for more than 3 months in residential establishments for
                       educational purposes and children placed in care homes or independent hospitals (including
                       hospices) by health authorities or local authorities (Sections 85 and 86 of the Children Act
                       1989).
 143                 </p>
 144                 <p>
 144                   Statutory visits and monitoring of these placements are undertaken by the Responsible
                       Authority (see
 144                   <a href="#definitions">
 144                     Section 1.2, The Responsibilities of Authorities – Definitions
 144                   </a>
 144                   ).
 144                 </p>
 145                 <p>
 145                   However, note that this guidance is not relevant for Children in Care – who have their own
                       statutory visiting requirements (see
 145                   <a href="p_sw_visits.html">
 145                     Social Work Visits to Looked After Children Procedure
 145                   </a>
 145                   ).
 145                 </p>
 146                 <p class="bold">
 146                   RELEVANT GUIDANCE
 146                 </p>
 147                 <p>
 147                   <a
                       href="https://www.gov.uk/government/publications/visiting-children-in-residential-special-sc
                       hools-and-colleges" target="_blank" rel="noopener">
 147                     DfE/DHSC, Statutory visits to children with special educational needs and disabilities or
                         health conditions in long-term residential settings - Statutory guidance for local
                         authorities, health bodies and health or educational establishments (2017)
 147                   </a>
 147                 </p>
 148                 <a href="http://www.gov.uk/government/publications/send-code-of-practice-0-to-25"
                     target="_blank" rel="noopener">
 148                   DfE/DHSC, Special educational needs and disability code of practice: 0 to 25 years Statutory
                       guidance for organisations which work with and support children and young people who have
                       special educational needs or disabilities
 148                 </a>
 150               </div>
 157               <div class="section">
 158                 <h2 id="placing">
 158                   1. Placing a Child in a Long Term Residential Establishment
 158                 </h2>
 159                 <h3 id="Considerations">
 159                   1.1 Considerations to be taken into Account When Placing a Child
 159                 </h3>
 160                 <p>
 160                   Children and young people who spend long periods of time living away from home in
                       residential settings are a vulnerable group. They can be vulnerable to abuse, experience a
                       range of poor outcomes and dwindling contact with their families. The likely impact of a
                       placement in long term residential care away from home on children and young people and
                       their families should be an important consideration when making a placement. The local
                       authority or health body making the placement should look to make the placement close to
                       home where possible.
 160                 </p>
 161                 <p>
 161                   The Children and Families Act 2014 built on measures provided in the Children Act 2004 by
                       requiring local authorities and health commissioning bodies to make joint commissioning
                       arrangements for education, health and social care provision for children and young people
                       with special educational needs and disabilities. Local authorities are also required to
                       integrate education, health care and social care provision where they consider it would
                       promote the wellbeing of such children and young people.
 161                 </p>
 162                 <p>
 162                   Local authority staff responsible for services for children in need under the Children Act
                       1989, should be involved in making decisions about residential placements which are being
                       considered by education and/or health colleagues.
 162                 </p>
 163                 <p>
 163                   When arranging a residential placement, the accommodating authority should have regard to:
 163                 </p>
 164                 <ul>
 165                   <li>
 165                     The views, wishes and feelings of the child or young person and their family. This should
                         have regard to the child's maturity and their capacity to consent and the nature of the
                         decision being sought;
 165                   </li>
 166                   <li>
 166                     Ensuring the child or young person and their family are provided with impartial
                         information and support so that they can be as fully involved as possible in making
                         decisions about the child or young person's future accommodation;
 166                   </li>
 167                   <li>
 167                     Recognising that some disabled children and young people, such as those who have learning
                         disabilities and/or are on the autism spectrum, may need support to help them understand
                         the issues involved in relation to placements;
 167                   </li>
 168                   <li>
 168                     Identify children and young people who may need support in communicating their wishes and
                         feelings. This will depend on their individual needs and could include use of alternative
                         and augmentative communication, British Sign Language Interpreters, and advocates, etc.
 168                   </li>
 169                 </ul>
 170                 <p>
 170                   Many children who are likely to require residential placements for consecutive periods of
                       more than 3 months will have had a holistic, multi-agency assessment or review of their
                       needs – such as an Education, Health and Care (EHC) (for those who have special educational
                       needs), or a Care and Treatment Review.
 170                 </p>
 171                 <p>
 171                   There may be exceptions to this where, for example, children or young people are admitted to
                       learning disability hospitals or Assessment and Treatment Units quickly because of urgent
                       mental health needs.
 171                 </p>
 172                 <p>
 172                   Where this is the case, such a multi-agency assessment must be undertaken as a matter of
                       urgency.
 172                 </p>
 173                 <h4 id="Considering">
 173                   1.1.1 Considering the Child's Status: Child in Need or Child in Care
 173                 </h4>
 174                 <p>
 174                   The statutory guidance identifies that where a child is placed away from their parents for
                       longer than 3 months it should be considered whether the child should become Children in
                       Care within the meaning of the Children Act 1989, particularly Section 20 of the Act.
 174                 </p>
 175                 <p>
 175                   This decision is a judgment that can only be made after a Single Assessment has been
                       undertaken by a social worker which has included the views of the parents, and others who
                       have parental responsibility, together with the wishes of the child. The full facts and
                       implications of consent should be fully discussed with the parents, and those with parental
                       responsibility (see
 175                   <a href="p_dec_look_aft.html">
 175                     Decision to Look After and Care Planning Procedure
 175                   </a>
 175                   ).
 175                 </p>
 176                 <p>
 176                   'The Short breaks' chapter in
 176                   <a
                       href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_
                       data/file/441643/Children_Act_Guidance_2015.pdf#page=134" target="_blank" rel="noopener">
 176                     DfE, Children Act 1989 Guidance and Regulations - Volume 2: Care Planning, Placement and
                         Case Review (2015), 'Deciding which provision is most appropriate for the child'
 176                   </a>
 176                   may provide a useful framework for making such a decision.
 176                 </p>
 177                 <h3 id="definitions">
 177                   1.2 The Responsibilities of Authorities – Definitions
 177                 </h3>
 178                 <p>
 178                   <span class="bold">
 178                     Accommodating authority:
 178                   </span>
 178                   The health body or local authority which is arranging the placement for a child or young
                       person.
 178                 </p>
 179                 <p>
 179                   <span class="bold">
 179                     Host authority:
 179                   </span>
 179                   The local authority in which the institution providing the placement is situated.
 179                 </p>
 180                 <p>
 180                   <span class="bold">
 180                     Home authority:
 180                   </span>
 180                   The local authority in whose area the child or young person is ordinarily resident.
 180                 </p>
 181                 <p>
 181                   <span class="bold">
 181                     Responsible authority:
 181                   </span>
 181                   The local authority that is responsible for monitoring and reviewing the progress and
                       well-being of a child or young person who is placed in long-term residential care, and for
                       arranging visits in order to safeguard and promote their welfare.
 181                 </p>
 182 next issueprevious issueE620 The 'border' attribute is not allowed here:
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="Responsibility for Visits table" border="1" class="table">
 183                   <caption class="hide">
 183                     Caption: Responsibility for Visits
 183                   </caption>
 184                   <tr class="hide">
 185                     <th scope="col">
 185                       &nbsp;
 185                     </th>
 186                     <th scope="col">
 186                       &nbsp;
 186                     </th>
 187                   </tr>
 189                   <tr>
 190                     <td colspan="3" class="table_header">
 190                       Responsibility for Visits to Children and Young People Placed in Long-Term Residential
                           Settings
 190                     </td>
 191                   </tr>
 192                   <tr>
 193                     <td style="width:3%">
 193                       &nbsp;
 193                     </td>
 194                     <td style="width:3%">
 194                       Placement is within the local authority area where child is ordinarily resident –
 194                       <span class="italic">
 194                         the
 194                         <span class="bold" style="font-style: italic;">
 194                           home
 194                         </span>
 194                         local authority.
 194                       </span>
 194                     </td>
 195                     <td style="width:3%">
 195                       Placement is within the area of a local authority area where the child is not ordinarily
                           resident –
 195                       <span class="italic">
 195                         the
 195                         <span class="bold" style="font-style: italic;">
 195                           host
 195                         </span>
 195                         local authority
 195                       </span>
 195                       .
 195                     </td>
 196                   </tr>
 197                   <tr>
 198                     <td>
 198                       Child or young person is placed in a residential setting
 198                       <br />
 199                       (Under section 85 of Children Act 1989)
 199                     </td>
 200                     <td>
 200                       <span class="bold">
 200                         Home
 200                       </span>
 200                       local authority is the responsible authority
 200                     </td>
 201                     <td>
 201                       <span class="bold">
 201                         Home
 201                       </span>
 201                       local authority is the responsible authority
 201                     </td>
 202                   </tr>
 203                   <tr>
 204                     <td>
 204                       Child or young person is placed in a residential care home or independent hospital
 204                       <br />
 205                       (Under Section 86 of Children Act 1989)
 205                     </td>
 206                     <td>
 206                       <span class="bold">
 206                         Home
 206                       </span>
 206                       local authority is the responsible authority
 206                     </td>
 207                     <td>
 207                       <span class="bold">
 207                         Host
 207                       </span>
 207                       local authority is the responsible authority
 207                     </td>
 208                   </tr>
 209                 </table>
 210                 <p class="tiny_text">
 210                   <span class="bold">
 210                     From: DfE/DHSC, Statutory visits to children with special educational needs and
                         disabilities or health conditions in long-term residential settings - Statutory guidance
                         for local authorities, health bodies and health or educational establishments (2017)
 210                   </span>
 210                 </p>
 211                 <p>
 211                   If the placement is in the area of another local authority, the responsible local authority
                       will depend on whether the placement is in an educational or a health setting.
 211                 </p>
 212                 <p>
 212                   Where the host authority is the responsible authority as set out in the table above, it is
                       considered good practice for the accommodating authority to ensure that the home local
                       authority is also made aware of the placement without delay. The home local authority should
                       consider whether any duties are owed to the child living in their area including providing
                       services under Section 17 Children Act 1989.
 212                 </p>
 213                 <h3 id="Residential">
 213                   1.3 Placing a Child in a Residential Establishment
 213                 </h3>
 214                 <p>
 214                   Discussions should normally take place between the accommodating authority, the responsible
                       local authority, education, social care and health professionals, and the child or young
                       person and family, before a child or young person is placed in a residential setting. It is
                       recognised that this may not be possible when an admission is as a result of a child's
                       urgent health needs.
 214                 </p>
 215                 <p>
 215                   Formal notification of all placements should be made without delay so that the responsible
                       authority can fulfil its statutory duty to visit the child or young person living in their
                       area to ensure their welfare is safeguarded and promoted:
 215                 </p>
 216                 <ul>
 217                   <li>
 217                     Where a placement has been pre-planned, the responsible authority should be notified
                         before the child or young person takes up the placement;
 217                   </li>
 218                   <li>
 218                     In other circumstances the notification should be made on the day of the placement.
 218                   </li>
 219                 </ul>
 220                 <p>
 220                   When a child or young person is placed in an educational establishment, the accommodating
                       authority must ensure that the Director of Children's Services of the local authority where
                       the child or young person is ordinarily resident (the 'home' authority) is notified of the
                       placement.
 220                 </p>
 221                 <p>
 221                   Where it is not the accommodating authority, it is important for the relevant Clinical
                       Commissioning Group (CCG) also to be made aware of the placement so that it is prepared for
                       any subsequent financial responsibilities for a health care element of the placement.
 221                 </p>
 222 next issueprevious issueE620 The 'border' attribute is not allowed here:
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="not been resident" border="1" class="table">
 223                   <tr>
 224                     <td class="table_row_even">
 224                       Where the child or family have not been resident in any local authority area prior to
                           the placement (where they have come from abroad for example) the accommodating authority
                           must notify the host authority – which then also becomes the Responsible Authority.
 224                     </td>
 225                   </tr>
 226                 </table>
 227                 <p>
 227                   Parents or carers with parental responsibility who have children and young people with
                       learning disabilities and/or autism who are in a 52-week residential school, should be
                       offered the opportunity to have their child's name on the CCG 'at risk of admission'
                       register (Care and Treatment Review Policy 2015) to assist with strategic planning and
                       commissioning.
 227                 </p>
 228                 <h4>
 228                   Advocacy
 228                 </h4>
 229                 <p>
 229                   The responsible local authority should ensure that all children and young people in
                       long-term residential placements have accessible means of requesting a visit.
 229                 </p>
 230                 <p>
 230                   Children and young people in long-term residential placements who have communication needs
                       may require the support of an advocacy service which is skilled in methods of non-verbal
                       communication.
 230                 </p>
 231                 Warrington use the
 231                 <a href="https://www.nyas.net/" target="_blank" rel="noopener">
 231                   National Youth Advocacy Service (NYAS)
 231                 </a>
 231                 .
 232                 <h3 id="Independent">
 232                   1.4 Placement of a Child in a Care Home or Independent Hospital
 232                 </h3>
 233                 <p>
 233                   When a child is provided with accommodation in a care home or independent hospital/hospice
                       the Responsible Manager of the establishment must notify the local authority's Director of
                       Children's Services where it is located.
 233                 </p>
 234                 <p>
 234                   The local authority then becomes the responsible authority for the child – irrespective of
                       where the child or young person are ordinarily resident.
 234                 </p>
 235                 <p>
 235                   When notified of the placement, the local authority, (as the responsible authority), should
                       inform the local authority where the child/young person is ordinarily resident, so that
                       there is general awareness and can be properly involved in any element of the educational
                       aspects of the placement.
 235                 </p>
 236                 <h4>
 236                   Advocacy
 236                 </h4>
 237                 <p>
 237                   Children detained under the Mental Health Act 1983 have the right to an independent
                       advocate.
 237                 </p>
 239               </div>
 240               <div class="section1">
 240               </div>
 246               <div class="section">
 247                 <h2 id="visiting">
 247                   2. Visiting By The Local Authority Representative
 247                 </h2>
 248                 <h3 id="Qualities">
 248                   2.1 The Local Authority Representative - Required Qualities
 248                 </h3>
 249                 <p>
 249                   The responsible local authority must provide a representative who has the skills and
                       experience to fulfil the statutory requirements and has the capacity to visit the child or
                       young person on successive visits, in order to build and maintain a relationship with the
                       child or young person and their family and develop a comprehensive understanding of their
                       needs.
 249                 </p>
 250                 <p>
 250                   Nevertheless, whenever possible, the Responsible Local Authority should ascertain and take
                       into account the views of the child or young person who they would prefer to carry out the
                       visits.
 250                 </p>
 251                 <p>
 251                   In most cases this will be a social worker with whom the child has developed a positive
                       relationship.
 251                 </p>
 252                 <p>
 252                   Where this is not possible, the skills and experience should include:
 252                 </p>
 253                 <ul>
 254                   <li>
 254                     An ability to communicate with the child or young person and their parents – this may
                         include competence in, or access to, different forms of non-verbal communication;
 254                   </li>
 255                   <li>
 255                     An understanding of any specific impairments and behaviours the child or young person has
                         (including behaviours that challenge) and their impact on the child or young person and on
                         family life;
 255                   </li>
 256                   <li>
 256                     An understanding of child development and the impact of separation on a child or young
                         person's attachments;
 256                   </li>
 257                   <li>
 257                     The ability to identify any safeguarding concerns; and
 257                   </li>
 258                   <li>
 258                     An understanding of how to promote contact between the child or young person and their
                         family.
 258                   </li>
 259                 </ul>
 260                 <h3>
 260                   2.2 Visits by the Local Authority Representative
 260                 </h3>
 261                 <p>
 261                   Visits to children must be in accordance with
 261                   <a href="http://www.legislation.gov.uk/uksi/2011/1010/contents/made" target="_blank"
                       rel="noopener">
 261                     Long-Term Residential Care Regulations 2011
 261                   </a>
 261                   .
 261                 </p>
 262                 <p>
 262                   The identified visiting local authority representative must be sensitive to the particular
                       care circumstances of each child and care setting.
 262                 </p>
 263                 <ul>
 264                   <li>
 264                     If the child or young person has not had their needs assessed for the purposes of Section
                         17 of the Children Act 1989 in the preceding 12 months, the responsible authority must
                         ensure that an appropriate representative visits the child within 7 working days of
                         receiving notification of the placement;
 264                   </li>
 265                   <li>
 265                     If the child or young person has had their needs assessed for the purposes of Section 17
                         of the Children Act 1989 within the last 12 months, and the responsible authority has full
                         access to all the relevant assessments and data, it must ensure that an appropriate
                         representative visits the child within 3 months of receiving notification of the
                         placement;
 265                   </li>
 266                   <li>
 266                     Subsequently, the representative must visit at least every 6 months; or
 266                   </li>
 267                   <li>
 267                     Whenever reasonably requested to do so, if the representative believes that a visit is
                         required in order to safeguard and promote the child's or young person's welfare as a
                         result of views expressed by:
 268                     <ul>
 269                       <li>
 269                         The child or young person;
 269                       </li>
 270                       <li>
 270                         Their family or carers;
 270                       </li>
 271                       <li>
 271                         Their advocate; or
 271                       </li>
 272                       <li>
 272                         By the establishment caring for the child or young person.
 272                       </li>
 273                     </ul>
 274                   </li>
 275                   <li>
 275                     Whenever a Regulatory Authority reports a concern or publishes an adverse report about the
                         Residential Home or establishment.
 275                     <br />
 276                     <br />
 277                     <span class="bold">
 277                       Note:
 277                     </span>
 277                     consideration should be given as to whether a Child Protection Enquiry (Section 47
                         Children Act 1989) may be appropriate.
 277                   </li>
 278                 </ul>
 279                 <h3>
 279                   2.3 Structure and Framework of the Visit
 279                 </h3>
 280                 <p class="bold">
 280                   Before each visit:
 280                 </p>
 281                 <ul>
 282                   <li>
 282                     The representative should consult with the parents/carers to establish their views about
                         their child's progress and well-being. (There may be good reasons to conduct the visit
                         jointly with the parents/carers);
 282                   </li>
 283                   <li>
 283                     The representative should read and make themselves aware of actions set out in any
                         previous visit and expected outcomes;
 283                   </li>
 284                   <li>
 284                     Ensure they have authenticated documents proving their identity for the purpose of
                         entering the care home or residential hospital (see
 284                     <a href="#powertoenter">
 284                       note below
 284                     </a>
 284                     ).
 284                   </li>
 285                 </ul>
 286                 <p class="bold">
 286                   During the visit:
 286                 </p>
 287                 <ul>
 288                   <li>
 288                     The local authority representative must speak to the child or young person in private,
                         unless the child or young person refuses, or it is inappropriate due to the child's or
                         young person's age or levels of understanding. If the child or young person does not want
                         a private meeting, the representative should ensure they know the reasons for this and
                         record it;
 288                   </li>
 289                   <li>
 289                     Where children and young people have significantly impaired communication, the
                         representative should speak directly to those working most closely with the child or young
                         person, (for example, their key worker), so they can ascertain their views. Children's
                         Communication Passports
 289                     <span class="tiny_text">
 289                       [1]
 289                     </span>
 289                     will also help the representative in doing this;
 289                   </li>
 290                   <li>
 290                     Seek to ensure the child is safeguarded and protected;
 290                   </li>
 291                   <li>
 291                     Confirm their health and well-being is promoted;
 291                   </li>
 292                   <li>
 292                     The child has their positive behaviour acknowledged and their relationships are promoted;
 292                   </li>
 293                   <li>
 293                     Ensure the child has their views heard, listened to and acted upon;
 293                   </li>
 294                   <li>
 294                     Where the child or young person does not have an advocate, whether such a person should be
                         appointed;
 294                   </li>
 295                   <li>
 295                     Access the Residential Home or establishment's policies and practices, particularly with
                         regard to safeguarding;
 295                   </li>
 296                   <li>
 296                     Ensure there is the required support by staff and whether staff deployment enables and
                         promotes this;
 296                   </li>
 297                   <li>
 297                     That the child could make a complaint or have their differences of opinion, difficulties
                         and issues responded to and resolved;
 297                   </li>
 298                   <li>
 298                     Should review how any plans are being implemented and whether the intended outcomes for
                         the child or young person are being achieved;
 298                   </li>
 299                   <li>
 299                     Assess and identify whether there are further steps the responsible authority should take
                         to:
 300                     <ul>
 301                       <li>
 301                         Promote the welfare of the child or young person; and
 301                       </li>
 302                       <li>
 302                         Promote contact with their family (as long as this is in the child's best interests).
 302                       </li>
 303                     </ul>
 304                   </li>
 305                 </ul>
 306                 <p>
 306                   <span class="tiny_text">
 306                     [1]
 306                     <a href="http://www.communicationpassports.org.uk/Home/" target="_blank" rel="noopener">
 306                       Communication Passports
 306                     </a>
 306                     are a practical and person-centred way of supporting children, young people and adults who
                         cannot easily speak for themselves and pull together complex information in an
                         easy-to-follow format
 306                   </span>
 306                 </p>
 307                 <p>
 307                   From Year 9 onwards, (i.e. when the child is 14 years), the visiting representative should
                       consider what preparation for adulthood is being made, including employment, independent
                       living and participation in society.
 307                 </p>
 308                 <p>
 308                   The visit should also seek to ensure there are clear systems that are available to staff to
                       for recording welfare and contact information and ensuring key issues are addressed and
                       reviewed regularly during the placement.
 308                 </p>
 309 next issueprevious issueE620 The 'border' attribute is not allowed here:
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="power to enter" border="1" class="table">
 310                   <tr>
 311                     <td class="table_row_even">
 311                       <a id="powertoenter">
 311                       </a>
 311                       The local authority representative has the power to enter a care home or independent
                           hospital to ensure they can meet their responsibilities and safeguard the well-being of
                           the child. They should produce an authenticated document proving their identity and make
                           clear that they have this authority.
 311                     </td>
 312                   </tr>
 313                 </table>
 315               </div>
 316               <div class="section1">
 316               </div>
 322               <div class="section">
 323                 <h2 id="arrangements">
 323                   3. Contact Arrangements for Children
 323                 </h2>
 324                 <p>
 324                   Contact from family and significant others for children and young people living away from
                       home on a long term basis is important for them in the short and long term future, (unless
                       there are contra-indicators that this is the case). It may also indicate what status the
                       child should be placed in the establishment (see
 324                   <a href="#Considering">
 324                     Section 1.1.1, Considering the Child's Status: Child in Need or Child in Care
 324                   </a>
 324                   ).
 324                 </p>
 325                 <p>
 325                   The Responsible Authority must ensure that a child's needs are met where assessments
                       identify safeguarding and welfare needs. This includes contact with parents, carers and
                       other significant people for the child or young person. These services may include:
 325                 </p>
 326                 <ul>
 327                   <li>
 327                     Advice, guidance and counselling;
 327                   </li>
 328                   <li>
 328                     Services necessary to enable the child or young person to visit, or be visited by, members
                         of their family, including assistance with the costs of travel; and
 328                   </li>
 329                   <li>
 329                     Assistance to enable the child or young person and members of their family to have a
                         holiday together.
 329                   </li>
 330                 </ul>
 331               </div>
 332               <div class="section1">
 332               </div>
 338               <div class="section">
 339                 <h2 id="reports">
 339                   4. Reports by the Visiting Representative
 339                 </h2>
 340                 <p>
 340                   Under Regulation 5 of the Visits to Children in Long-Term Residential Care Regulations 2011,
                       the representative of the responsible authority must provide a report of each visit. Reports
                       must include the representative's assessment of:
 340                 </p>
 341                 <ul>
 342                   <li>
 342                     The child or young person's wishes and feelings about the accommodation provided by the
                         residential placement, so far as the visitor has been able to ascertain them;
 342                   </li>
 343                   <li>
 343                     Whether the child or young person's welfare is adequately safeguarded and promoted by
                         placement in the accommodation;
 343                   </li>
 344                   <li>
 344                     The success of the placement, including any comments made by the child or young person or
                         those caring for the child or young person. (It would be helpful to include progress
                         towards identified outcomes);
 344                   </li>
 345                   <li>
 345                     Whether further visits, in addition to those specified in the Regulations, are required in
                         order to safeguard and promote the child's or young person's welfare;
 345                   </li>
 346                   <li>
 346                     Whether advocacy support was requested and provided;
 346                   </li>
 347                   <li>
 347                     Any services which the visitor considers should be made available to promote contact
                         between the child or young person and their family; and
 347                   </li>
 348                   <li>
 348                     Any other steps that should be taken by the responsible authority to safeguard and promote
                         the child's or young person's welfare, (these could, for example, include access to
                         particular facilities or community activity).
 348                   </li>
 349                 </ul>
 350                 <p>
 350                   The representative's reports of visits should highlight any matters of concern or
                       difficulties so that action can be discussed with their supervisor and then, as necessary,
                       with other agencies. It is important for action to address matters of concern or
                       difficulties:
 350                 </p>
 351                 <ul>
 352                   <li>
 352                     Specifies agreed and appropriate timescales;
 352                   </li>
 353                   <li>
 353                     Is clear who is responsible for taking action.
 353                   </li>
 354                 </ul>
 355                 <p>
 355                   Where there are serious concerns about the child's or young person's welfare and there is
                       dwindling contact with their family, the reasons for this should be fully explored and
                       should consider:
 355                 </p>
 356                 <ul>
 357                   <li>
 357                     Whether these concerns require the local authority to adopt a safeguarding approach;
 357                   </li>
 358                   <li>
 358                     Whether the placement is appropriate to meet the child's holistic needs;
 358                   </li>
 359                   <li>
 359                     Whether a multi-agency review should be held and, if required, brought forward;
 359                   </li>
 360                   <li>
 360                     Whether the legal status of the child or young person should be re-considered.
 360                   </li>
 361                 </ul>
 362                 <p>
 362                   The Visiting Representative should ensure that an appropriate existing report format is
                       used, or is developed, to ensure that all the issues highlighted are covered and commented
                       on, together with an evaluation of the child or young person's progress against the aims and
                       objectives that have been established in the child's plan. The report should also identify /
                       describe their relationship with the child or young person; how they were able to
                       communicate with them and reflect whether they have made previous visits to them or their
                       family or carers.
 362                 </p>
 363                 <p>
 363                   A copy of the report must be sent to:
 363                 </p>
 364                 <ul>
 365                   <li>
 365                     The child or young person, unless inappropriate given their age and understanding;
 365                   </li>
 366                   <li>
 366                     The parent's and/or any person with parental authority unless to do so would place the
                         child or young person at risk of significant harm;
 366                   </li>
 367                   <li>
 367                     Any other person with responsibility for the child or young person's welfare, (e.g.
                         extended family);
 367                   </li>
 368                   <li>
 368                     The local authority with responsibility for the child or young person's welfare, unless
                         the responsible authority is also the home authority;
 368                   </li>
 369                   <li>
 369                     The report is sent to the allocated Social Worker and the Commissioning Team.
 369                   </li>
 370                 </ul>
 371               </div>
 372               <div class="section1">
 372               </div>
 378               <div class="section">
 379                 <h2 id="further">
 379                   5. Further Information
 379                 </h2>
 380                 <h3>
 380                   National Minimum Standards and Quality Standards
 380                 </h3>
 381                 <ul>
 382                   <li>
 382                     <a href="http://tinyurl.com/MCA-CodeOfPractice2007" target="_blank" rel="noopener">
 382                       Mental Capacity Act Code of Practice: Protecting the Vulnerable 2007
 382                     </a>
 382                     ;
 382                   </li>
 383                   <li>
 383                     <a
                         href="https://www.gov.uk/government/publications/boarding-schools-national-minimum-standar
                         ds" target="_blank" rel="noopener">
 383                       The National Minimum Standards for Boarding Schools
 383                     </a>
 383                     ;
 383                   </li>
 384                   <li>
 384                     <a
                         href="https://www.gov.uk/government/publications/residential-special-schools-national-mini
                         mum-standards" target="_blank" rel="noopener">
 384                       The National Minimum Standards for Residential Special Schools
 384                     </a>
 384                     ;
 384                   </li>
 385                   <li>
 385                     <a
                         href="https://www.gov.uk/government/publications/further-education-residential-accommodati
                         on-national-minimum-standards" target="_blank" rel="noopener">
 385                       Further education residential accommodation: national minimum standards
 385                     </a>
 385                     ;
 385                   </li>
 386                   <li>
 386                     <a href="https://qualitystandards.proceduresonline.com/homes/contents.html"
                         target="_blank" rel="noopener">
 386                       The Guide to the Children's Homes Regulations and standards
 386                     </a>
 386                     .
 386                   </li>
 387                 </ul>
 388                 <h3>
 388                   Useful web links
 388                 </h3>
 389                 <ul>
 390                   <li>
 390                     <a href="http://www.councilfordisabledchildren.org.uk/who-we-are" target="_blank"
                         rel="noopener">
 390                       Council for Disabled Children
 390                     </a>
 390                     ;
 390                   </li>
 391                   <li>
 391                     <a href="https://contact.org.uk/parentcarerparticipation" target="_blank"
                         rel="noopener">
 391                       Contact a Family
 391                     </a>
 391                     ;
 391                   </li>
 392                   <li>
 392                     <a href="http://www.nnpcf.org.uk/" target="_blank" rel="noopener">
 392                       National Network of Parent Carer Forums
 392                     </a>
 392                     ;
 392                   </li>
 393                   <li>
 393                     <a
                         href="https://www.gov.uk/government/groups/the-childrens-education-advisory-service-ceas
                         " target="_blank" rel="noopener">
 393                       Children's Education Advisory Service (CEAS)
 393                     </a>
 393                     .
 393                   </li>
 394                 </ul>
 395               </div>
 396               <div class="section1">
 396               </div>
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