Sufficiency Statement 2018-2020 - " Bolton Council People's Department

 
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Sufficiency Statement 2018-2020 - " Bolton Council People's Department
»   Bolton Council People’s Department

    Sufficiency Statement
    2018-2020
    Securing Sufficient Accommodation for
    Looked After Children and Care Leavers in Bolton
Sufficiency Statement 2018-2020 - " Bolton Council People's Department
1.         What is a Sufficiency Statement
           and why do we need one?

The Sufficiency Statement is the start,                         As a result below are some of the factors that we might
not the end point, of how Bolton Council                        consider in assessing whether the local authority have
                                                                sufficient provision:
engages with providers around where we
place looked after children and care leavers.                   » The type of placement provision that might be
                                                                  needed, from short breaks and emergency
This document has been primarily been written to shape            placements through to adoption, fostering,
the way Bolton commission and deliver accommodation-              residential care and secure accommodation
related support for looked after children and care leavers.
We want this to be a practical document that share policy       » The particular skills, expertise or characteristics of
direction, gaps, how support can be delivered differently         carers
and ways in which we can work more collaboratively in
the future. In doing this, we hope this document will both      » Physical adaptations for children with disabilities,
inform how we shape the Council’s internally delivered            including accessible housing stock
provision as well as that of the external market.
                                                                » A range of provision to meet the needs of care
We would like Bolton Council’s Sufficiency Statement              leavers including arrangements for young people to
2018-20 to enable conversations with providers who are            remain with their foster carers and other supported
currently offering placements in the borough as well as           accommodation; and where possible for those
those who might be considering setting up/extending/              exiting residential care to “stay close”
adapting new businesses in Bolton and Greater
Manchester.
                                                              We are committed to working with partners across
The Children’s Act (1989) placed a duty on councils to        education, health and social care to commission and
“take steps that secure, so far as reasonably practicable,    deliver support for looked after children and care leavers.
sufficient accommodation within the authority’s area”         With an increase in the number of children entering care
to support looked after children. This can be across a        as well as those with more complex needs, it is essential
number of different settings in family homes via foster       that we work together to support children and young
carers, in children homes, in residential schools and in      people to lead safe, healthy and happy lives. To do this
supported accommodation options which are in place to         we want to work with those who we support to design
support young people aged over 16 years old.                  and inform the support that Bolton Council and partners
                                                              in health offer so we can better understand “what works”
The sufficiency duty is broader than a calculation of         as well as “what hurts”.
sufficient beds, it is about each Council working with
market providers to offer a range of options for children
and young people in order to ensure there is a diverse
                                                                 »      The Sufficiency Statement is a two
                                                                        year document and will be reviewed
offer that can be personalised to meet individual needs
based on their assessment, to deliver both short-term and
                                                                        on a 12 monthly basis
long-term outcomes in preparation for adulthood.
                                                              This document also links to a partnership approach that is
                                                              happening across local authorities in Greater Manchester
                                                              as well as creating a Greater Manchester Sufficiency
                                                              Strategy. By Councils and providers working together,
                                                              we can start to understand the key challenges within the
                                                              system and find solutions to overcome these. We also
                                                              hope that by coming together on a regional footprint of
                                                              Greater Manchester and the North West, we can also
                                                              start to identify how support can be offered flexibly both
                                                              locally and regionally which will enable us to deliver more
                                                              specialist support and help us develop a more cohesive
                                                              offer to placement sufficiency.

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Sufficiency Statement 2018-2020 - " Bolton Council People's Department
2.         What principles drive sufficiency
           in Bolton?

In Bolton there is a commitment that people
start well, live well and age well.                        For Bolton Looked After Children and Care Leavers,
                                                           there are other principles that must direct the type of
For children and young people, priorities have been        placements we offer. They are:
developed of which providers should both be aware of
and also be able to demonstrate how they enable all        » Children will be supported to stay with their families
children and young people to achieve the outcomes            where it is safe to do so
described below across education, health and social
care needs.                                                » Children should only enter care if there are no other
                                                             viable options and remain looked after by the local
                                                             authority for the minimum possible time
 These outcomes are:
                                                           » Should the need for alternative accommodation be
 » Our children are safe and healthy, with opportunities     identified, the priority will be for children to remain
   to take part in activities which support their            close to their local connections
   wellbeing
                                                           » When a child or young person faces a crisis, offer
 » Our children arrive at school ready to learn and          short-term support that will support placement
   develop                                                   stability and avoid placement breakdown

 » Our children have the skills and aptitudes to make      » Children and young people should have a
   their way in the world                                    permanence plan in order to have a secure future

 » Our looked after children will have high aspirations    » Children with disabilities will have the same access
   and achieve their potential                               and opportunity for placements as their non-
                                                             disabled peers
 » People in Bolton stay well for longer, and feel more
   connected in their communities                          » Children and young people’s placements should
                                                             also meet their education and health needs
 » People can exercise choice and control, and live
   independently                                           » Where children and young people are already
                                                             engaging in education and/or receiving support
 » Reducing poverty amongst families and children            around their mental health locally, this should be
   by removing barriers to work, increasing job              considered in where they are placed
   opportunities and improving skills and productivity
                                                           » Children and young people’s aspirations for the
                                                             future will be maximised and skills they needs to
                                                             have to live independently will be developed on an
                                                             ongoing basis as they grow up

                                                           » Care leavers will be able to access ‘Staying Put’
                                                             foster care, or “staying close” options within
                                                             supported lodgings or supported accommodation

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Sufficiency Statement 2018-2020 - " Bolton Council People's Department
3.         What do we know about looked after children
           and care leavers in Bolton – March 2018

                                                   Age
3.1 Overview - Looked after children (LAC) population                                  of Looked After Children
          50                                                                                                                                                                   4
During the last 10 years Bolton’s LAC population has risen from 421 (March 2008) to the current level of
                                                                                                      45622 (March 2018).
                                                                                              44 from 529 to 622 (17.5%).
This is an increase of over 45%. Since the last report was written in 2011, the increase has been
                                                                                                                        42
The trajectory of the rise can be seen in the table below and if the trend from 2011 continued, by 2028 there would be 717
                 46                                                          39                 40            39                                                              39
Looked After40 Children in41Bolton.                                                                                 38
                                                                                                                             37
                                                                                                    36
Table 1: LAC Population                                                                                             34                        34
                                                                                       31                                                               31
         700                                           Looked After Children at year end                                      29
          30                           29                             28                                          27
                                                 28          27                              26                                                                    26    26
                                                                      26     24
                                                                                                                                                        622
         600                                                                                                                             579
          20                                                                                                      572
                 37                                                                                                               561
                            34                                                    539
                                                           521                                    530
                                                 21                   517
                                                             24
                                   25
         500                                481
          10                                                          19
                            436
                421
         4000
                 0          12009 2 20103                    4        5    6 20137                  8              9   102016 11 2017
                                                                                                                                   12                    13        14   15    16
                Year End    Year End        Year End       Year End   Year End    Year End        Year End        Year End    Year End   Year End       Year End
                2008                                       2011       2012                        2014            2015                                  2018
                                                                                       March 2017                    March 2018

Table 2: LAC Population by age

                                                       Age of Looked After Children
         50                                                                                                                              48
                46                                                                                           45
                                                                                                   44
                       41                                                                                                           42
                                                                            39                                         39    38                    38
         40                                                                              37        40                                    39
                37                                                          36    34                                                               36
                      34                                              31                                     34
                             29        28                      28                                                      31
         30                                    27      26                                29
                                                                                  27                                         26     26
                                                                      26
                             25                24              24
         20                            21
                                                       19

         10

                                                                                                                                                           1
          0
                0      1     2         3       4       5        6     7      8     9     10        11        12      13      14     15   16     17       18

                                                             March 2017                      March 2018

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Sufficiency Statement 2018-2020 - " Bolton Council People's Department
Following the trend of the current Looked After Children       Table 3: Age of children coming into Bolton’s care
age profile, Bolton shows a significantly lower proportion     compare to national average
of children aged 16yrs+ being admitted to care compared
to the National Average.
                                                                      Percentage age range on admission -
The National Average shows the highest proportion of                         National Comparison
children being admitted to care were aged 10-15 years.
Although this is one of the higher proportion age groups
in Bolton, the highest for each year has been for children          Under                    1 to 4
aged under one.                                                     1 year   18%             years        18%
The proportion of children aged under 1 admitted to care
in the current year-to-date has increased by 3% and is                        28%                    25%
currently 13% above the National Average. This figure has
                                                                     31%
remained stable with the previous two years (2014-15
                                                                                                  18%
and 2015-16) reporting 29%.

Bolton Council will always try to place children with family
or friends, foster carers or within placements within the
                                                                    5 to 9                   10 to 15
borough wherever possible but due to availability, in
                                                                    years     18%            years
March 2018 there were 154 children placed outside of                                                       29%
the Council boundaries. As seen in Table 4, regionally we
perform quite well in meeting this commitment but this
                                                                                18%
has to be viewed with a caveat as due to the amount of
                                                                                              24%
placement options being based in Bolton there should be                      18%                          25%
sufficient to meet need.

                                                                                                      England 2017
                                                                  16
                                                                  years+     18% 5%
                                                                                                      Bolton Mar 2017

                                                                               9%                     Bolton Feb 2018

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Sufficiency Statement 2018-2020 - " Bolton Council People's Department
Table 4: Percentage of LAC placed outside of the borough compared to North West

    60                          Percentage of Looked After Children placed out of Borough
                                                                                                                                              57
                                          North West comparison - March 2017
    50                                                                                                                                  48
                                                                                                                                   44
    40                                                                                          40 40 41 42 42 42
                                                               36 36 37 37
                                                   34 35 35 35
    30                                 28 29
                            24 25
                21 22
    20 19

    10

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                                        LAC out of Borough            Bolton        England          North West

3.2 Age and Gender of children and young people in                             The table also shows a spike in 14 year olds with a
Bolton we place in external provision                                          disability supported in children homes and that 77% of
                                                                               placements for children with special educational needs
This data presented below represents the 131                                   and disability (SEND) are for boys. If the placement trend
placements Bolton have made since April 2018 and                               continues there could be a peak for accommodation
August 2018 which illustrates placement matching. The                          options for young people with SEND going through
caveat to this is that the data is not necessarily 100%                        transition in the next 1-3 years but following this time,
reflective of need as in some cases due to sufficiency and                     demand will drop by half.
availability in the market the final placement did not match
the placement search. The data is split across age and                         Within mainstream children homes nearly 39% of all
gender.                                                                        those placed are 16-18 years old. Indeed those aged
                                                                               15-18 year olds make up 53% of those who we placed
In Table 5 and Table 6 you can see that up until and                           via external providers. Like with the trend for children with
including the age of 11 years old that most children are                       SEND, the greatest demand for 16+ accommodation
within foster care placement, which is then superseded                         will be over the next three years and then, with the
by children homes from the age of 14 years. Statistical                        caveat that there is not a significant increase in young
anomalies exist around 13 and 18 year olds linked to low                       people entering care at that age, demand for 16+
numbers in the data.                                                           accommodation will drop by approximately half.

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Sufficiency Statement 2018-2020 - " Bolton Council People's Department
Table 5: Overview of placement type based on age

                                                               External Placement Making
   100%

    80%

    60%

    40%

    20%

     0%
               18+              17           16           15               14      13                12           11          6-10            0-5     Sub
               years            years        years        years            years   years            years         years       years           years   Total

           Children with disabilities           Foster care           Residential children homes             Residential School               Supported Accomm

Table 6: Overview of placement type based on age and gender across all placements made

                Disability              Foster Care            Residential         Residential                Supported             Secure                 TOTAL
             children homes                                                          School                 Accomodation         Accomodation

                M           F           M            F            M          F     M            F            M            F           M         F      M      F M+F
 18+yrs         0           0           0            1            0         0      0            0            0            1           0         0      0      2    2
 17yrs          2           1           0            2            3         3      3            3            6            5           0         1     14 15 29
 16yrs          1           0           2            0            3         2      2            2            4            1           0         0     12 5         17
 15yrs          2           0           2            3            4         3      4            3            0            0           0         0     12 9         21
 14yrs          4           1           0            0            3         1      3            1            0            0           0         0     10 3         13
 13yrs          1           0           1            1            1         0      1            0            0            0           1         0      5      1    6
 12yrs          0           0           0            1            1         1      2            1            0            0           0         0      3      3    6
 11yrs          1           0           2            2            2         1      1            1            0            0           0         0      6      4    10
 6-10yrs        0           0           8            6            0         0      2            0            0            0           0         0     10 6         16
 0-5yrs         1           0           4            6            0         0      0            0            0            0           0         0      5      6    11
 Sub Total     12           2           19           22        17           11     18           11           10           7           1         1     77 54 131
 TOTAL                 14                    41                       28                   29                      17                     2            131

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Sufficiency Statement 2018-2020 - " Bolton Council People's Department
3.3
		          Useful information                                 3.4
                                                              		        Useful information about
		          about Foster Caring                               		        Residential Placements

The position around foster care in Bolton in March            » Bolton places some children and young people in
2018, was as follows:                                           residential settings unnecessarily because there is no
                                                                capacity in a fostering setting
» 98 children are placed with Kinship Carer which
     has increased by 60% since March 2008                    » There is sufficient capacity of residential children
                                                                homes in Bolton to meet our looked after population
» 314 children are placed Internal Bolton Foster                but due to other Local Authorities placing here we
     Carers which has increased by 62% since March              still need to place children outside of Bolton
     2008
                                                              » Bolton Council run three mainstream children homes
» 29 children are placed with Independent Fostering
     Agency (IFA) Carers but as the LAC population has        » Bolton Council has two homes that offer short
     increased since March 2008, placements within this         breaks to children with disabilities
     sector have only increased by 7%
                                                              » Bolton want to look at having separate emergency
» In-house foster carers have increased as the                  provision and move away from providing emergency
     numbers of looked after children have risen – but          beds within our mainstream children’s homes to
     overall it has only seen a4%   growth within the last      reduce disruption for children and young people who
     10 years                                                   live there as part of their plan for permanence

» Bolton are linked to a Northwest approach which             » Children who require residential placements to meet
     has created a single front door for enquiries from         complex or challenging behaviour require flexible,
     people who want to be foster carers, Bolton receive        packages of support which range in intensity at
     the most out of Greater Manchester and the second          different times – often this is not reflected in service
     highest out of the 31 authorities                          offer or costs linked to the placements which are set
                                                                at static levels
» In the last twelve months 13 in-house fostering
     families have been recruited however five have           » In March 2018 there were 99 children and
     resigned resulting in a net increase of eight families     young people placed in external commissioned
                                                                placements. Since April 2017 the number has
» On average the average duration of a IFA placement            increased from 75 to 98, which is an increase of
     is just under 12 months                                    32% over an 12 month period

» The annual census of IFA capacity by PNW in Spring          » At 31st March 2018, of the 30 children and young
     17 identified that the number of IFA households had        people placed in external commissioned Children’s
     declined by 8%                                             Home - 22 have been placed for less than 12
                                                                months
» Across the Northwest those who “Stay Put” within
     an IFA placement represent less than 1% of the           » In Bolton there are 4 Private Providers with five
     total IFA population                                       residential homes

                                                              » In Bolton there are 2 voluntary sector provider with
                                                                8 residential homes
                                                              » One voluntary sector provider also offers short
                                                                breaks for children with disabilities in Bolton

                                                              » Some Looked After Children living in children
                                                                homes

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Sufficiency Statement 2018-2020 - " Bolton Council People's Department
3.5     Useful information about 16+ and                   3.6     Useful information about adoption
         accommodation for Care Leavers

» Looked after children aged 16+ and care leavers are      » The number of children adopted 2017/18 is 30
  currently placed within a mixed economy of children        which is slightly lower than the last two years
  homes, supported accommodation placements
  spot purchased from the Leaving Care DPS and in          » In March 2018, there were 19 children subject to
  provision commissioned through supporting people           Placement orders in Bolton
  monies
                                                           » Bolton is achieving the Government’s targets for
» Accommodation for those with low, medium and               timeliness of placement for adoption (timescale
  high support - with support onsite as well as              from coming into care to being placed with adopters
  delivered via outreach to dispersed tenancies can          and timescale between placement order and match)
  be accessed through the 16-25 Accommodation                and the three year average continues to improve
  Pathway                                                    year on year.

» Factors linked to young people aged 16 and 17            » Sufficiency of adopters is addressed within Adoption
  years old becoming looked after for the first time         Now’s recruitment
  and accommodated under S.20 is largely linked
  to being an Unaccompanied Asylum Seeker and
  Forced Marriage

» Floating support can also be offered to care leavers
  to manage their first tenancy

» Placement spend for 2018-19 for looked after
  children and care leavers aged 16 and above is
  approximately £4.5m

» There are a lack of long-term accommodation
  options for young people with complex disabilities or
  challenging behaviour within Bolton

» Accessing permanent tenancies in mainstream
  housing is sometimes difficult for care leavers due to
  perceptions of landlords wanting to take on tenants
  from the age of 18 years

» General needs housing for young people
  aged 16+ does not always consider flexible
  support options for people who have
  experienced trauma or express challenging
  behaviour which can sometimes result in
  eviction and/or

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Sufficiency Statement 2018-2020 - " Bolton Council People's Department
4.          How can providers respond to gaps and priorities
            linked to achieving placement sufficiency

Sufficiency priority for Bolton
Foster carers, residential providers and supported accommodation based in Bolton to prioritise
placement for Bolton children and young people so they can live and receive support close to home.

 » Providers seek regular feedback from children and         » Prioritising matching of local children and young
     young people which can be used to inform future           people into placement options to ensure education
     Bolton’s commissioning decisions                          and health services can respond to complexity

 » Focus on placements and services that assist the          » Improve the quality of residential provision in Bolton
     authorities to reduce the length of time children         so that all provision is good or outstanding
     spend in our care
                                                             » To support young people with health needs offer
 » Help us return children to family settings from             an opt in/out model of therapeutic support so that
     residential care, if this in the child’s interest         where their needs can be met by core services, this
                                                               can be maintained and accessed locally without
 » IFAs and Local Authorities working collaboratively to       incurring further costs
     recruit more foster carers
                                                             » Develop high quality and sustainable options of
 » Recruit foster carers who are skilled and able to           accommodation for our care leavers including use
     take children in an emergency                             of ‘staying put’ options.

 » Increase foster care placements in the following          » Ensure that we start early to help young people
     areas: parent and child foster carers; foster             prepare for living independence by developing
     carers for sibling groups; children from minority         budgeting and living skills
     communities; risk taking teenagers with complex
     and challenging needs, (such as at risk of              » Ensure care leavers with complex needs can receive
     substance misuse and/or criminal or sexual                support flexibly so it can be stepped down without
     exploitation and/or with behaviour management             them having to move home
     or mental health issues)
                                                             » Accommodation/placement providers developing
 » Work with foster carers to understand the                   strategic partnerships with other providers who
     importance/benefits of offering “staying put”             can offer short term support in a crisis on a spot
     placements to young people in order to increase           purchase basis to maintain placement stability
     numbers
                                                             » Continue recruitment of adopters to respond with
 » Providers and local authorities taking joint                permanency plans for all children but particularly
     responsibility to engage in dialogue to change how        those children under five where the demand for
     we respond to challenges and demands                      placements is increasing

 » There is a role for both provider and local authorities
     in understanding local need

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5.         Commissioners and Providers working together
           to deliver change and innovation

Bolton Council is committed to                               Linked to gaps and priorities we would
commissioning high quality services which                    particularly wish to meet:
are outcome focused, deliver value for                       » Partners who can offer short term solutions to
money and prepare young people for                             children in crisis in order for them to remain within
adulthood.                                                     their family

We want to work with providers collaboratively both within   » Partners delivering alternatives for supporting
the Bolton local area and across the Greater Manchester        looked after children in family settings
footprint for more specialist provision. In identifying
future partners, we want to work with providers who          » Organisations which are keen to form strategic
deliver enabling models of support, which grown develop        alliances or consortia with others, either locally or
independence skills and links the young person to local        delivery within adjoining local authorities in Greater
and sustainable networks of support.                           Manchester for more specialist provision

  Bolton Council is a participant or named                   » Providers to work alongside educational settings
  partner in a number of regional and sub-regional             to offer alternative choices for supporting people in
  frameworks for accommodation for looked                      Bolton with the most complex needs
  after children. These are:
                                                             » Providers who have developed best practice
  » North West Regional Fostering Flexible Purchasing          around offering placement options to teenage
    Scheme – April 2018                                        looked after children

  » North West Residential Flexible Purchasing Scheme        » Providers who work with care leavers to develop
    – April 2018                                               sustainable, independent tenancies of their own

  » North West Leaving Care Services Dynamic                 » Providers who wish to work with Bolton Council
    Purchasing System – April 2016                             to ensure Bolton children and young people are
                                                               placed locally
Information about formal tendering opportunities
are published on the North West Local Authorities            » Providers with interest in developing specialist
procurement portal The Chest so interested and current         services for people with complex and challenging
providers are advised to register.                             behaviours linked to disability and mental health

Outside of this we also want to welcome providers to         » Housing providers who can offer ‘general needs’
contact Bolton’s Council’s commissioners by emailing           housing for people ready to move on from
childrenscommissioning@bolton.gov.uk. Going                    supported accommodation
forward, we want to have more regular and ongoing
conversation with providers, via forums both in Bolton,
Greater Manchester and across the Northwest we
would like to discuss the content of this document
as well as meet providers who are keen to talk to us
about developing strategic partnerships across health,
education and social care to improve the way we offer
support to our looked after children and care leavers.

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