TSAB/TSCB Board Minutes Independent Chair: safeguarding.everyone s business If you see something, say something 01803 219700 tsdft.torbaysafeguardingadultsboard@nhs.net Date: Venue: 8th February 2017 (Afternoon Joint Meeting TSAB & TSCB) Riviera International Conference Centre, Torquay Attendees: TSAB Chair Ian Anstell TSCB Chair Andi Colliver TSAB Coordinator (Minute Taker) - TSDFT Caroline Taylor Director of Adult Services Torbay Council Delia Gilbert Safeguarding Adult & Patient Lead - CCG Jo Williams Associate Director Adult Social Services - TSDFT Jon Anthony Safeguarding Adult Lead - TSDFT Judy Grant Representing Partnerships, People and Housing Torbay Council Deborah Kelly Safeguarding Adults Facilitator TSDFT Supt. Jacqui Hawley Local Policing Commander for South Devon Police Nicola Barker TSAB Experts Through Experience Sub-Group TSDFT Lyn Gooding Representing Criminal Justice, Commissioning and Partnerships OPCC Cllr. Julien Parrott Executive Lead for Adults Torbay Council Mike Vango Representative - Experts Through Experience Sub-Group TSDFT Pat Harris Chief Executive Healthwatch Torbay Healthwatch Simon Langridge SPACE/SPOT Opportunities SPOT Steve Kimble Safeguarding Adults Local Delivery Unit Lead National Probation Service - NPS Jane Viner Chief Nurse - TSDFT Alison Hitchings CSW Group Lin Ferguson Assistant Director Torbay Children s Services Cathy Hooper Designated Nurse Safeguarding Children - CCG Dr Laraine Dibble Designated Doctor - Safeguarding Children - CCG Rachel Aggett Torbay Children s Centres Action for Children Richard Kirkeys The Children s Society Chrissie Slaney Lay Member - CCSB Cindy Stocks Torbay Council Liz Lawrence South Devon College Alex Stuckey? (register not signed) Caroline Diamond? (register not signed) Also in attendance: James Stock Jon Nason Keri Nason Apologies: John Bryant Fran Mason Jo Robison Chris Rogers Emma Bewes Gill Gant Tim Broom Mandy Davies Nick D Arcy Penny Rogers Teresa Anderson Vicky Bundy Devon and Cornwall Police Police National Probation Service NPS Community Rehabilitation Company Torbay Council (Judy Grant attending) Torbay Council (Lyn Gooding attending) OPCC SWAST TSDFT (Delia Gilbert attending) CCG (Mandy Davies attending) Devon & Somerset Fire Service (Unwell) Devon & Somerset Fire Service (Delia Gilbert attending) CCG DPT CQC (Nick Meyer attending) Nursing Homes 1
Non Responders: Tara Fowler Sarah Kennedy Torbay Council TSDFT Agenda Item 10 Welcome to TSCB purpose of meeting - JF 10.1 welcomed TSCB to the very first joint meeting of both TSAB and TSCB. The purpose of this meeting is to cross share information and understand issues as well as good practice in the safeguarding arena. 10.2 Member introductions were made. Agenda Item 11 TSCB statutory function, national & local direction; Business plan/priorities, achievements & current issues - IA 11.1 Ian Ansell informed the group that he has been the Independent Chair for TSCB since 1 st March 2016. 11.2 Ian explained that Ofsted inspected Children Services in November 2015 whereby they were rated as inadequate for efficiency and effectiveness. 11.3 Ian explained that the Business Plan for 2016-2017 is to make positive intentions for children in the community with the assistance of John Coughlin (Hampshire) and the creation of a children s action plan which has looked at the following five actions: Action 1 - There was no agreed data set so therefore not able to analyse it appropriately and although individual agencies were able to access information, TSCB found they couldn t. Outcome - There is now agreed data set with a process in place to centralise it. Unfortunately TSCB could not afford an Analyst so each partner agency will be responsible for producing reliable, accurate data. Action 2 Ofsted found that TSCB, due to confusion on access of services, were unable to monitor and scrutinise Early Help. Outcome Lin Ferguson has produced a strategy for Early Help access. Action 3 Not able to scrutinise and monitor Neglect. Outcome A new strategy has been produced but is awaiting sign off to compliment that of TSAB. Action 4 Individual agencies currently have their own arrangements for policy development /quality of service with regard to the Voice of the Child. However, there is no evidence that TSCB do this. Outcome Work is currently in progress but has found to be difficult as there has been no capacity to work with young people. Action 5 Domestic Abuse the care of the child and what happens to the perpetrator needs to be a lot clearer. Outcome Work is in progress. 11.4 Ian stated that there are currently three topics that are being focused on by TSCB: - Topic 1 A future collective meeting to discuss implementation and effect over the last twelve months 2
- Topic 2 To demonstrate the use of the new data set - Topic 3 Think Family keeping children safe 11.5 Ian informed the group about the Wood Report (Alan Wood published 26 th May 2016), whereby it examines the effectiveness of Children s Safeguarding Boards. Ian stated that the report says that the Government has the responsibility of freeing up constraints. The report also covers membership with regard to the frequency and size of meetings and has published a review of Working Together in legislation. Action: to forward this report to anyone who requires a copy. Agenda Item 12 TSAB statutory function, national & local direction; Business plan/priorities, achievements & current issues - JF 12.1 informed the group that she has been the Independent Chair for TSAB since April 2016. 12.2 stated that TSAB is the key statutory body as laid out in the Care Act 2014, which oversees and leads safeguarding adults arrangements across Torbay. It has adopted and followed the principles set out within the Care Act 2014 statutory guidance and other key documents such as the Local Government Association - Making Safeguarding Personal. Julie explained that since this topic was brought in by the Care Act, there is now a more quantative set of data as the Experts by Experience Sub-Group aim is to reflect the voice of the individual. Therefore, discussions now take place in order to take into account their preferred outcomes. However, some are reluctant to engage, so the group are looking at other methods for feedback to the Board. 12.3 explained that TSAB must publish the following: - A strategic plan - An Annual Report - Safeguarding Adult Reviews as per Section 44 of the Care Act 2014 12.4 stated that the top four priorities for TSAB this year are: - Asset Based Interventions for Safeguarding in the Community - Mental Health and Vulnerability - Domestic Violence and Abuse - Best Use of Resources on the Market Agenda Item 13 - Shared areas of concern - All 13.1 instructed the group to rearrange themselves onto mixed tables of both TSCB and TSAB members so there would be a good crossover of information. Groups were then asked to discuss their shared areas of concern and then feed back to the main group their top three. Agenda Item 14 Feedback (3 items per group) - All 14.1 Overall feedback from the groups reflected the following areas of concern: 3
- Capacity in the community in order to care for both adults and children due to increasing care needs and earlier discharges from hospitals. This leads to an increased risk of bed blocking, people being sent to poor quality providers and therefore leads to the question of who is monitoring the quality of them? An opportunity has arisen for joint team working especially for those with complex needs. - Understanding requirements from legislation due to overlapping responsibilities between Acts i.e. the Care Act relating to people who are aged eighteen and above, but the Mental Capacity Act relates to those aged sixteen and above and the Children s Act aged below. Need CQC/Ofsted inspectors accountability for this criterion. - Learning from SCR and SAR how are these linked to commissioning for safeguarding as a whole? Also, the connectivity between SCR and Homicide how can we draw learning from these? - Voice of the person how do we listen to the voice of the relatives of the victim as well as themselves where is the collective response i.e. feedback from focus groups such as Children s Society, Healthwatch, Careers Southwest etc.? What is being done and how effective is this to keep people safe? Who is listening to the views of GPs i.e. support for people post self-harm? Need to ask powerful questions i.e. what difference has the event made to you? When reconfiguring services, how are they gathering the intelligence? Could the Boards be responsible for identifying the key risks and asking what is being done to rectify them? - The effectiveness and accountability of both Boards is questionable. Task focused actions have been completed but larger items don t seem to and therefore keep arising, so what do we need to do to rectify this? Need consistent right people around the table in order to be effective. The same issues are being raised year after year but in different scenarios so are we being effective and how do we determine this? - Online safety for both adults and children - Domestic Abuse and Sexual Violence as victims, perpetrators, children against parents including the identification of young children and the impact it has on them short/long term (Think Family). How do we respond to a family and get all the services working together? Working with families will impact both Boards so perhaps consider it as a statutory function. With regard to trafficking the link between children and adults as well as the data gaps - Understanding Early Help is it for children and adults or just children? Families need coordinated Adult Social Care and Children Care support. Need to get preventative work on the agenda - Mental Health provision for both adults and children currently have low level support - Homelessness - the transition from Youth Services to Adult Services, gender differences and substance misuse links - Need a shared understanding of services in order to appropriately signpost. Perhaps a small pilot could be introduced a System Optimization Group, whereby joint teams could work towards common goals. - Lack of organizational memory/learning - Lack of information sharing as a whole - Lack of resource including joined up resources are we using current resources effectively? - Still focusing on poor performance rather than celebrating success 4
- What does meaningful training look like? - Are both TSAB and TSCB ineffective in relation to data and traction of actions/priorities? - Stakeholder engagement - The role of non-statutory members (e.g. MAPPA) in relation to good practice i.e. being held accountable, more task orientated, clear sense of purpose and consistent engagement of members - Criminal Justice system and its role in safeguarding - High cost complex cases who is responsible for this i.e. Health, Criminal Justice, Social Care etc.? Agenda Item 15 Next steps - JF 15.1 discussed with the group the outcomes they would like to achieve: - A bi-yearly meeting of a smaller group of key professionals to work together jointly to discuss thoughts, issues, common ground, what s working and what s not - Accurate data to enable correct accountability for actions - Need to be more challenging of each other with regard to what actions need to be done and why they haven t been completed - Sharing good practice and how to take forward to other areas - Voice of the person how active/effective are you in hearing/listening? What is the impact of the voice on commissioning/partnerships? - Both Boards to work more closely together to understand their purpose, accountability and challenging the roles within 15.2 summarized the following: - Opportunities for joint working across both TSAB and TSCB along with Community Safety and Health & Wellbeing especially on task & finish projects i.e. online safety, neglect etc. - Julie will arrange a meeting of the four Chairs to gain a better understanding of each groups priorities, appreciate good governance and being able to challenge and hold to account - There is a need to take advantage of Torbay being a small geographic area with good working relationships to make a difference in service delivery and the way it is structured - Due to time pressures, Chairs of both TSAB and TSCB will look at the action plans for the next year in order to drive business for the next twelve months across Boards, Partnerships and other Departments. Joint Board Members could share feedback thus keeping issues live - Julie will set up an enabling group/dialogue from both Boards in order to prioritise issues and have the biggest impact 5
- Julien Parrott added that there have been successes so these need to be shared and built upon for the future - Jon Anthony added that peer audits have been useful due to scrutiny and challenge across agencies/teams Action: Action: Action: Julie will arrange a meeting of the four Chairs Julie and Ian to look at the action plans for both Boards for next twelve months Julie to set up an enabling group/dialogue from both Boards Agenda Item 16 AOB - JF 16.1 informed members of the new generic email address for TSAB: tsdft.torbaysafeguardingadultsboard@nhs.net 16.2 Julien Parrott stated that the figures of youth homelessness in Devon have reflected in lots of issues regarding care leavers and girls versus boys Summary of actions from the afternoon meeting: By whom: Agenda Item No. Action: Deadline 11.5 Forward the Wood Report to anyone requiring a copy As required 15.2 Arrange a meeting of the four Chairs 4 weeks 15.2 Look at the action plans for both Boards for next twelve months /Ian Ansell 4 weeks 15.2 To set up an enabling group/dialogue from both Boards 4 weeks Chairs Signature As Independent Chairs of both the TSAB & TSCB Boards, we agree that these minutes are an accurate representation of the discussion and decisions that took place at this meeting. Signature (1): Signature (2): Ian Ansell Date: 28/02/17 Date: 13/03/17 6