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 136               <h1>
 136                 Notifications of Significant Events
 136               </h1>
 141               <div class="well">
 142                 <p class="bold">
 142                   SCOPE OF THIS CHAPTER
 143                 </p>
 144                 <p>
 144                   This chapter sets out who must be notified of specified events in relation to Children in
                       Care placed with Independent Fostering Agencies or in Children's Homes.
 144                 </p>
 145                 <p>
 145                   <span class="bold">
 145                     Please note
 145                   </span>
 145                   – when a Child in Care or a child in receipt of services from the local authority dies or is
                       seriously harmed,  the national Child Safeguarding Practice Review Panel should be notified
                       by the local authority concerned. See:
 145                   <a href="p_death_serious.html">
 145                     Death or Serious Injury to a Child (including Children in Care) Procedure
 145                   </a>
 145                   .
 145                 </p>
 146                 <p class="bold">
 146                   RELEVANT GUIDANCE
 146                 </p>
 147                 <p>
 147                   <a
                       href="https://www.gov.uk/guidance/tell-ofsted-about-an-incident-childrens-social-care-notifi
                       cation" target="_blank" rel="noopener">
 147                     Tell Ofsted about an Incident - Online Forms and Guidance
 147                   </a>
 147                 </p>
 148                 <p>
 148                   <a href="https://www.gov.uk/guidance/what-ofsted-means-by-a-serious-incident"
                       target="_blank" rel="noopener">
 148                     What Ofsted means by a Serious Incident
 148                   </a>
 148                 </p>
 149                 <p class="bold">
 149                   AMENDMENT
 149                 </p>
 150                 <p>
 150                   This procedure was updated in August 2020 to reflect the latest Ofsted guidance for social
                       care providers on the types of incident which they consider to be serious and which will
                       therefore require notification to the regulatory authority.
 150                 </p>
 150               </div>
 157               <div class="section">
 157                 <h2 id="ch_place_fc">
 157                   1. Children Placed with Independent Fostering Agencies
 157                 </h2>
 158                 <p>
 158                   Regulation 36 and Schedule 7 of the Fostering Services Regulations 2011 set out the
                       arrangements for notifications in relation to specified events.
 158                 </p>
 159                 <p>
 159                   <a href="http://www.legislation.gov.uk/uksi/2011/581/schedule/7/made" target="_blank"
                       rel="noopener">
 159                     Click here to view Schedule 7 Events and Notifications table
 159                   </a>
 159                   .
 159                 </p>
 160                 <p>
 160                   Independent Fostering Agencies should use the
 160                   <a
                       href="https://www.gov.uk/guidance/tell-ofsted-about-an-incident-childrens-social-care-notifi
                       cation" target="_blank" rel="noopener">
 160                     online notification form
 160                   </a>
 160                   to notify Ofsted of a specified event. Any member of staff can complete the notification
                       form, but the manager or proprietor is responsible for ensuring notifications are made. To
                       complete the form you will need your URN (Unique Reference Number), and full postal address
                       and details of the incident and those involved.
 160                 </p>
 161                 <p>
 161                   Independent Fostering Agencies should have a system in place to ensure notifications are
                       made within 24 hours and that a written record of actions and outcomes is kept. In urgent
                       situations, particularly where there is likely to be media interest in the incident, Ofsted
                       can be contacted by telephone (0300 123 1231).
 161                 </p>
 162                 <p>
 162                   Fostering Agencies should have a system in place to ensure notifications are made within 24
                       hours and that a written record of actions and outcomes is kept.
 162                 </p>
 163                 <p>
 163                   Whenever there is a serious injury or safeguarding concern, the Independent Fostering Agency
                       should also notify the placing/responsible authority and, where the placement is located in
                       a different local authority to the placing/responsible authority, the area authority should
                       also be notified, (particularly where there may be a need for ensuring appropriate enquiries
                       are made under Section 47 Children Act 1989).
 163                 </p>
 164                 <p>
 164                   <span class="bold">
 164                     Note also
 164                   </span>
 164                   that the National Minimum Standards (NMS 29.3) requires notification to the responsible
                       authorities, (the Responsible Local Authority and Clinical Commissioning Group), of any
                       serious concerns about the emotional or mental health of a child, such that a mental health
                       assessment would be requested under the Mental Health Act 1983.
 164                 </p>
 165               </div>
 166               <div class="section1">
 166               </div>
 172               <div class="section">
 172                 <h2 id="ch_homes">
 172                   2. Children Placed in Children's Homes
 172                 </h2>
 173                 <p>
 173                   See:
 173                   <a
                       href="https://www.gov.uk/guidance/tell-ofsted-about-an-incident-childrens-social-care-notifi
                       cation" target="_blank" rel="noopener">
 173                     Tell Ofsted about an Incident - Online Forms and Guidance
 173                   </a>
 173                   .
 173                 </p>
 174                 <p>
 174                   Regulation 40 (safeguarding notifications) of the Children's Homes (England) Regulations
                       2015 sets out the arrangements for notifications by the registered person in relation to
                       serious incidents which should be shared with Ofsted. The intention is that Ofsted should
                       only be notified of the most serious incidents.
 174                 </p>
 175                 <p>
 175                   Notifications to Ofsted should be made by using the
 175                   <a
                       href="https://www.gov.uk/guidance/tell-ofsted-about-an-incident-childrens-social-care-notifi
                       cation" target="_blank" rel="noopener">
 175                     online notification form
 175                   </a>
 175                   . Any member of staff can complete the notification form, but the manager or proprietor is
                       responsible for ensuring notifications are made. You will need your URN (Unique Reference
                       Number), full postal address and details of the incident and those involved when completing
                       the form.
 175                 </p>
 176                 <p>
 176                   In urgent situations, particularly where there is likely to be media interest in the
                       incident, Ofsted can be contacted by telephone (0300 123 1231).
 176                 </p>
 178 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="table showing Other Agencies" border="1">
 179                   <tr class="table_header">
 180                     <td>
 180                       SERIOUS INCIDENT
 180                     </td>
 181                     <td>
 181                       WHO TO NOTIFY
 181                     </td>
 182                   </tr>
 183                   <tr class="table_row_even">
 184                     <td>
 184                       Death of a child.
 184                     </td>
 185                     <td>
 185                       <p>
 185                         <a
                             href="https://www.gov.uk/guidance/tell-ofsted-about-an-incident-childrens-social-care-
                             notification" target="_blank" rel="noopener">
 185                           Ofsted
 185                         </a>
 185                         ;
 185                       </p>
 186                       <p>
 186                         The placing authority;
 186                       </p>
 187                       <p>
 187                         The Secretary of State for Children (if the Secretary of State is not the placing
                             authority);
 187                       </p>
 188                       <p>
 188                         The local authority in whose area the children's home is located (if different to the
                             placing authority);
 188                       </p>
 189                       <p>
 189                         The Clinical Commissioning Group for the area in which the home is located;
 189                       </p>
 190                       <p>
 190                         If the child was accommodated in a secure children's home, the Prisons and Probation
                             Ombudsman for England and Wales (&quot;the PPO&quot;); and
 190                       </p>
 191                       Any other relevant person.
 191                       <span class="tiny_text">
 191                         [1]
 191                       </span>
 191                     </td>
 192                   </tr>
 193                   <tr>
 194                     <td>
 194                       There is a referral of a person working in the home pursuant to Section 35 (Regulated
                           activity providers: duty to refer) of the Safeguarding Vulnerable Groups Act 2006
 194                     </td>
 195                     <td>
 195                       <p>
 195                         <a
                             href="https://www.gov.uk/guidance/tell-ofsted-about-an-incident-childrens-social-care-
                             notification" target="_blank" rel="noopener">
 195                           Ofsted
 195                         </a>
 195                         ;
 195                       </p>
 196                       <p>
 196                         The placing authority; and
 196                       </p>
 197                       <p>
 197                         Any other relevant person.
 197                       </p>
 197                     </td>
 198                   </tr>
 199                   <tr class="table_row_even">
 200                     <td>
 200                       Child is involved in, or subject to, or suspected of being involved in or subject to
                           sexual exploitation.
 200                     </td>
 201                     <td>
 201                       <p>
 201                         <a
                             href="https://www.gov.uk/guidance/tell-ofsted-about-an-incident-childrens-social-care-
                             notification" target="_blank" rel="noopener">
 201                           Ofsted
 201                         </a>
 201                         ;
 201                       </p>
 202                       <p>
 202                         The placing authority;
 202                       </p>
 203                       <p>
 203                         The local authority in whose area the children's home is located (if different to the
                             placing authority) which will have responsibility for ensuring appropriate enquiries
                             are made under Section 47 of the Children Act 1989;
 203                       </p>
 204                       <p>
 204                         The Police;
 204                       </p>
 205                       <p>
 205                         Any other relevant person.
 205                       </p>
 205                     </td>
 206                   </tr>
 207                   <tr>
 208                     <td>
 208                       Any allegation of abuse against the home or a person working there.
 208                     </td>
 209                     <td>
 209                       <p>
 209                         <a
                             href="https://www.gov.uk/guidance/tell-ofsted-about-an-incident-childrens-social-care-
                             notification" target="_blank" rel="noopener">
 209                           Ofsted
 209                         </a>
 209                         ;
 209                       </p>
 210                       <p>
 210                         The placing authority;
 210                       </p>
 211                       <p>
 211                         The local authority designated officer (LADO) for the area where the home is located;
 211                       </p>
 212                       <p>
 212                         Any other relevant person.
 212                       </p>
 212                     </td>
 213                   </tr>
 214                   <tr class="table_row_even">
 215                     <td>
 215                       Instigation or conclusion of any Child Protection Enquiry involving a child resident in
                           the children's home.
 215                     </td>
 216                     <td>
 216                       <p>
 216                         <a
                             href="https://www.gov.uk/guidance/tell-ofsted-about-an-incident-childrens-social-care-
                             notification" target="_blank" rel="noopener">
 216                           Ofsted
 216                         </a>
 216                         ;
 216                       </p>
 217                       <p>
 217                         The placing authority;
 217                       </p>
 218                       <p>
 218                         The local authority in whose area the children's home is located (if different to the
                             placing authority) which will have responsibility for ensuring appropriate enquiries
                             are made under Section 47 of the Children Act 1989;
 218                       </p>
 219                       <p>
 219                         Any other relevant person.
 219                       </p>
 219                     </td>
 220                   </tr>
 221                 </table>
 222                 <p class="tiny_text">
 222                   [1] "relevant person" means any person, body or organisation that the registered person
                       considers to be relevant in relation to the care, protection or safeguarding of a particular
                       child in all the circumstances.
 222                 </p>
 223                 <p class="bold">
 223                   Additional Notifications
 223                 </p>
 224                 <p>
 224                   The Children's Homes Regulations also require notifications to be made to Ofsted, the
                       placing authority and other relevant persons in the following circumstances:
 224                 </p>
 225                 <ol>
 226                   <li>
 226                     A serious incident requiring Police involvement occurs in relation to a child which the
                         registered person considers to be serious (Police involvement does not mean the Police
                         have been informed of an incident; rather it implies that they are actively doing
                         something concerning the incident, for example making an arrest or taking witness
                         statements); and
 226                   </li>
 227                   <li>
 227                     There is any other incident relating to a child which the registered person considers to
                         be serious.
 227                   </li>
 228                 </ol>
 229                 <p>
 229                   The Oxford English Dictionary defines &lsquo;serious&rsquo; as: &lsquo;significant or
                       worrying because of possible danger or risk; not slight or negligible&rsquo;.
 229                 </p>
 230                 <p>
 230                   The line between what is serious, and what is not, can be blurred and is always a matter of
                       judgement. Deciding whether an incident is 'serious' and warrants notification to Ofsted
                       will depend on many factors, including the age of the child, the frequency of the
                       incident(s), the nature of any injuries sustained, any additional needs the child has and
                       the context of the home. In some instances the cumulative effect of frequent incidents may
                       make a notification appropriate even if the individual event would not warrant this.
 230                 </p>
 231                 <p>
 231                   Incidents which are likely to be considered serious, and thus warrant notification to Ofsted
                       as well as the placing authority, include:
 231                 </p>
 232                 <ul>
 233                   <li>
 233                     A child being the victim or perpetrator of a serious assault;
 233                   </li>
 234                   <li>
 234                     A serious incident of self harm;
 234                   </li>
 235                   <li>
 235                     A serious illness or accident;
 235                   </li>
 236                   <li>
 236                     Serious concerns over a child's missing behaviour, such as where you consider  the child
                         to be at grave risk due to their age or vulnerability,  where they have been missing for a
                         considerable period of time and their whereabouts are unknown or there is a pattern of
                         repeated absence. (
 236                     <span class="bold">
 236                       Please note
 236                     </span>
 236                     &nbsp;- Ofsted do not need to routinely know about children going missing, even if the
                         Police are called out to help look for them. However, this information should always be
                         shared with the placing authority).
 236                   </li>
 237                 </ul>
 238                 <p>
 238                   A serious illness or accident would include matters such as fractured bones, when a child
                       loses consciousness or situations that require admittance to hospital for more than 24
                       hours. Ofsted do not need to be notified about injuries such as sprains, strains or falls
                       that have happened in the course of regular childhood experiences. This is the case even if
                       the child is taken to the local accident and emergency department to have the injury checked
                       out, unless it results in the child being admitted to hospital for more than 24 hours. If
                       the injury has been sustained as part of a wider incident, for example a restraint or during
                       a child running away, it may be appropriate to notify Ofsted. However Ofsted do not need to
                       know if a child becomes ill and is not admitted to hospital.
 238                 </p>
 239                 <p>
 239                   Self-harm incidents that result in minor or superficial injuries do not need to be reported
                       to Ofsted. However, homes should have in place a system for notifying responsible
                       authorities of any serious concerns about the emotional or mental health of a child to the
                       extent that a mental health assessment would be requested under the Mental Health Act 1983.
                       Ofsted should be notified if a child living in the home requires a Mental Health Assessment.
 239                 </p>
 240                 <p>
 240                   This is not an exhaustive list, and each case must be assessed individually taking into
                       account any patterns of behaviour or unusual behaviour that may indicate an increased risk
                       to the child.
 240                 </p>
 241                 <span class="bold">
 241                   Sharing Information with the Placing Authority
 241                 </span>
 242                 <p>
 242                   Regardless of whether Ofsted are notified, the home must always share any concerns about the
                       child or their behaviour with the placing authority, in order to safeguard the child and
                       promote their welfare.
 242                 </p>
 243                 <p class="bold">
 243                   Quality of Notifications
 243                 </p>
 244                 <p>
 244                   Notifications should not just be a chronology of events. The notification should include a
                       brief summary of the event, the actions taken by staff and managers at the time, and further
                       actions planned to reduce the likelihood of a similar incident occurring again.
 244                 </p>
 245                 <p>
 245                   Registered managers and providers are responsible for the quality of the reports completed
                       by their staff.
 245                 </p>
 246                 <p>
 246                   As part of the inspection process, Ofsted will discuss incidents to gain a shared
                       understanding of what happened and the actions staff took to address the situation.
 246                 </p>
 247                 <p>
 247                   This conversation will be wider than the process of notifying (or not notifying) Ofsted, and
                       will focus on your response to any incidents in terms of safeguarding practice and outcomes
                       for children.
 247                 </p>
 248                 <p class="bold">
 248                   Sending Updates to Ofsted
 248                 </p>
 249                 <p>
 249                   Ofsted do not need to be sent updates in relation to any notifications made unless there are
                       significant developments.  Even if Ofsted are not updated,  it may be appropriate to share
                       updates with the placing authority and other relevant persons.
 249                 </p>
 250                 <p>
 250                   There may be occasions when an inspector will ask for an update following a serious incident
                       because this would be helpful in understanding what has happened and the action that you
                       have taken. In these situations, the inspector is likely to ask for additional information
                       directly by email rather than through a series of further notifications.
 250                 </p>
 251                 <p class="bold">
 251                   Learning from Notifications
 251                 </p>
 252                 <p>
 252                   It is important that managers and providers consider the wider implications of incidents
                       which have led to notifications. The notification should not be seen as the end of the
                       process, rather the circumstances of the incident should be reviewed and any implications
                       for safeguarding or outcomes for children identified. Wherever possible, actions should be
                       planned to reduce the likelihood of similar incidents occurring again. Inspectors will ask
                       for information on learning from notifications during subsequent inspections.
 252                 </p>
 253               </div>
 254               <div class="section1">
 254               </div>
 260               <div class="section">
 261                 <h2 id="notifying">
 261                   3. Accidents or Infectious Diseases - Notifying the Health and Safety Executive (HSE)
 261                 </h2>
 262                 <p>
 262                   Where a child, visitor or member of staff is involved in a serious accident in the home, the
                       HSE should be informed. The outbreak of any infectious disease (which in the opinion of a
                       registered medical practitioner is sufficiently serious to be so notified) should also be
                       reported.
 262                 </p>
 263                 <p>
 263                   See 
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