Safeguarding Children Supervision Policy V4.0 … 1 – Safeguarding supervision for Nursing and...

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Safeguarding Children Supervision Policy

V4.0

November 2016

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Policy and Procedure Template

Summary –

Part 1 – Safeguarding supervision for Nursing and Midwifery

staff, Paediatricians, Medical Staff and other Allied Health Professionals

Part 2 – Safeguarding Supervision for Named and Designated

Professionals

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Contents Summary –...................................................................................................................................................... 2

1. Introduction .............................................................................................................................................. 4

2. Purpose of this Policy/Procedure ......................................................................................................... 4

3 Scope ........................................................................................................................................................ 4

4 Definitions / Glossary ............................................................................................................................. 5

5 Ownership and Responsibilities ........................................................................................................... 5

6 Standards and Practice .......................................................................................................................... 7

6.1 Part 1. Process for staff who deliver patient/client care (eg. paediatric unit staff, ED staff

and hospital based Midwifery staff).......................................................................................................... 7

6.2 Part 2. Safeguarding Supervision for Named and Designated Professionals..................... 9

7 Dissemination and Implementation .................................................................................................... 10

8 Monitoring compliance and effectiveness ......................................................................................... 10

9 Updating and Review ........................................................................................................................... 11

10 Equality and Diversity ....................................................................................................................... 11

Appendix 1. Governance Information ........................................................................................................ 13

Appendix 2. Initial Equality Impact Assessment Form ............................................................................ 15

APPENDIX 3 – Safeguarding Supervision Contact Report.................................................................... 17

APPENDIX 4 – Safeguarding Supervision Adhoc Contact Report ....................................................... 19

APPENDIX 5 - Evaluation feedback .......................................................................................................... 20

APPENDIX 6 – List of Safeguarding Supervisors ................................................................................... 21

APPENDIX 7- Attendance sheet at Safeguarding Supervision Sessions ............................................ 22

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1. Introduction

1.1 This version supersedes any previous versions of this document.

1.2 The Trust recognises that Safeguarding Children supervision is integral to

providing an effective child centred service.

1.3 The Trust has a responsibility to provide clinical supervision for staff.

1.4 Safeguarding children supervision is provided in addition to clinical

supervision which it complements but does not replace.

1.5 The involvement of key health professionals with children, in particular where

there may be unresolved safeguarding issues, means that they have a major

role in the identification of abuse and neglect. Many of the inquiries into child

deaths and serious incidents involving children have demonstrated serious

failings in professional practice which have been attributed to lack of effective

supervision and support for professionals involved in the care of vulnerable

children, including those children in care.

2. Purpose of this Policy/Procedure

2.1 The requirement for Trust employees to have access to safeguarding

children supervision is laid down in Working Together to Safeguard Children,

(HM Government, 2015) and Safeguarding Children and Young people;

Roles and Competences for Healthcare staff (March 2014). Working

Together states that:

“Working to ensure children are protected from harm requires sound professional

judgements to be made. It is demanding work that can be distressing and stressful.

All of those involved should have access to advice and support from, for example,

peers, managers, or named and designated professionals. Those providing

supervision should be trained in supervision skills and have an up to date

knowledge of the legislation, policy and research relevant to safeguarding and

promoting the welfare of children”.

The safeguarding team have developed various methods of safeguarding

supervision to support acute sector staff to have access to supervision.

3 Scope

3.1 The content of this document applies to all staff groups working for RCHT.

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4 Definitions / Glossary

4.1 “Supervision is a process of professional support, peer support, peer review

and learning, enabling staff to develop competences, and to assume

responsibility for their own practice. The purpose of clinical governance and

supervision within safeguarding practice is to strengthen the protection of

children and young people by actively promoting a safe standard and

excellence of practice and preventing further poor practice” Safeguarding

Children and Young People; Roles and Competences for Healthcare

professionals March 2014).

4.2 Safeguarding supervision has three primary functions:

1. The management (or normative) function is primarily to provide

accountability to and involvement with the organisation. This involves

overseeing the quality of practice through the monitoring of

professional and organisational standards, for example, by ensuring

that policies and procedures are adhered to.

2. The educational (or formative) function is primarily to address the

professional development needs of the supervisee. In this aspect of

supervision practitioners are assisted to reflect on their work, deepen

their understanding and encouraged to develop new skills.

3. The supportive (or restorative) function recognises the emotional

impact of safeguarding work. This provides support for practitioners

and explores strategies for coping and self-care.

5 Ownership and Responsibilities

5.1 Role of the Managers

Line managers are responsible to:

Ensure staff have the time to participate in the safeguarding supervision

process

Ensue that staff are supported and have access to appropriate support.

Challenge staff when they are not accessing supervision in line with this

policy considering the Trusts disciplinary process when there is evidence

of consistent non-compliance.

5.2 Role of the Safeguarding Children Operational Group (SCOG)

The SCOG is responsible for:

Reviewing the provision and process for safeguarding supervision across

RCHT

Monitor audits of compliance with the supervision process and policy.

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5.3 Role of Safeguarding Supervisors.

Any registered and experienced member of staff is eligible to apply be a

safeguarding supervisor.

All Safeguarding Children Supervisors must attend and maintain

Safeguarding Children training at Level 3.

Supervisors will receive training by attending an approved safeguarding

supervision course. e.g In Trac

They will maintain competence through their Level 3 safeguarding

children’s training and by regular attendance at the Safeguarding

Children Supervisors meetings run by the named nurse (minimum of 2

meetings in one year). Attendance at these meetings will count as a

supervision session for the supervisors.

Annual, formal individual supervision by the named professionals will be

available as required and recorded by the Named Professional for audit

purposes. There should also be regular ad hoc sessions (regular means

the supervisor must access supervision at least every 3 months).

The supervisors must manage the security and confidentiality of the

record keeping, ensuring that the staff having the supervision receive a

copy of their session.

If the supervisors do not meet the above standards their name will be

removed from the approved name of safeguarding supervisors.

5.4 Role of Named Nurse for Child Protection

To support safeguarding supervisors with their own safeguarding

supervision.

Organise and facilitate the safeguarding supervisors 3 monthly meetings.

Escalate any issues to the safeguarding children’s operational group

(SCOG).

Escalate professional practice concerns through the appropriate

safeguarding route.

To record/collate and monitor number of supervision sessions and report

to SCOG.

Report any staff to their line manager if they are not following the

expected level of supervision as cited in this policy.

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5.5 Role of Individual Staff

All staff members are responsible:

To take part in safeguarding supervision as stipulated in this policy for

their role.

To provide feedback and participate in the evaluation of the safeguarding

supervision process.

To manage the security of their copy of the supervision session. When

using the session for revalidation ensuring the patient details are non-

identifiable.

6 Standards and Practice

6.1 Part 1. Process for staff who deliver patient/client care (eg. paediatric

unit staff, ED staff and hospital based Midwifery staff).

6.1.1 When a safeguarding children’s referral has been made to the Multi-Agency

Referral Unit (MARU);

Staff group Type of supervision tool and process Frequency

Staff caring for adult patients

On receipt of a MARU referral the Named Nurse for Children will email the staff the name of the supervisor and the safeguarding supervision process, copying in supervisor. The Named Nurse for children will monitor and escalate to staff manager if supervision is not accessed.

Mandatory each time a MARU referral is made. Named Nurse for Children to record numbers of supervisions and report to SCOG - bimonthly.

Emergency Department (ED) paediatric nurses

Named Nurse for Children will book individual supervision sessions with all paediatric ED staff.

Staff must attend 2 sessions a year. Staff must access at least 2 ad hoc sessions in between supervision sessions. Named Nurse for Children to record numbers of supervisions and report to SCOG - bimonthly.

Midwives

On receipt of a MARU referral the Named Nurse for Midwifery safeguarding will contact staff and an appropriate supervision tool will be accessed. Midwifery Community Team Leaders conduct supervision within a team meeting setting where individual safeguarding cases are discussed

Mandatory each time a MARU referral is made. Named Nurse for Midwifery to record number of supervisions and report to SCOG bimonthly Staff attend these team meetings every 6 weeks and information is collected and maintained by Midwifery Community Team Leaders. Named Nurse for Midwifery to record these sessions and report to SCOG bi monthly

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Children in Care team

The Designated Nurse for CIC holds regular (6 weekly) one to one supervision sessions for all Specialist CIC Nurses. Every 6 months the Designated Nurse for Safeguarding facilitates an action learning set for all CIC Health Specialist staff to attend.

Staff must attend 5 sessions a year. Staff to access ad hoc sessions if they require supervision between routine supervision sessions. Designated Nurse for CIC to record number of supervisions and report to SCOG bi monthly.

RCHT paediatric staff to include nursing, medical staff and community paediatric staff (As required to include all support staff) Sessions can be used for nursing revalidation

Named Nurse for Children to book a rolling programme of supervision/learning from practice open sessions for paediatric nursing and medical staff to attend. Named Doctor and a pool of Consultant paediatricians to deliver the Paediatric trainees’ mandatory annual safeguarding case based discussion, and include this as a supervision session All staff to be supported to attend relevant journal clubs where the case discussions address safeguarding issues. Attendees will be required to complete reflection via supervision template and evaluation feedback. Community Paediatric consultants – attend monthly RCPCH guidance Child Protection Peer Reviews

Staff must attend 2 sessions a year. Staff can access ad hoc sessions if required in between supervision sessions. Named Nurse for Children to review with paediatric clinical matron the numbers of attendances at supervision and report to SCOG bimonthly. Named Nurse to record numbers of Peer Reviews and report to SCOG bi monthly

Debrief sessions- specific to incidents this will be available to clinical and non-clinical staff

In exceptional circumstances, as in a death of a child. The Named Nurse for children will hold a debrief session for staff to attend.

When required. Named Nurse for Children to record numbers of de-brief sessions and report to SCOG - bimonthly.

Ad Hoc supervision for day to day practice

These sessions are for staff to attend outside their formal supervision process. These sessions will be timely to meet the needs of staff as safeguarding issues arise and can be delivered by safeguarding supervisors or the Named Nurse and Named Doctor.

When required. Named Nurse for Children to record numbers of ad-hoc supervisions and report to SCOG -bimonthly.

Sexual Health Safeguarding supervisors will provide group supervision open to all staff on a quarterly basis. All qualified nursing staff must attend 1 group supervision per year. Monthly safeguarding meeting open to all staff.

When required. Nurse specialist from sexual health to record attendances and copy to Named Nurse.

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6.1.2 Record Keeping

Please see in Appendix 2 the templates for each type of safeguarding

supervision tools.

• The Named Nurse and safeguarding supervisors will ensure that the

recording of the supervision sessions are stored in a confidential

shared file only accessed by the named nurse and the safeguarding

supervisors.

• Supervisors and those that are receiving supervision will have written

copies of the supervision sessions.

6.1.3 Confidentiality

It is essential that those who receive supervision understand that while the

sessions primarily are confidential, they must also be aware that; if any

concerns arise during the sessions that may put a child, adult or staff

member at risk these concerns will be escalated through the appropriate

safeguarding process.

Professional practice concerns highlighted during supervision will also be

escalated to the staff member’s manager.

6.2 Part 2. Safeguarding Supervision for Named and Designated

Professionals

6.2.1 The Designated Nurse for safeguarding undertakes to provide supervision to

the Named Nurse and Named Midwife on at least a 2 monthly basis.

6.2.2 The Designated Doctor for safeguarding undertakes to provide supervision

sessions on a three monthly basis for the Named Doctor.

6.2.3 Copy of the notes from these supervision sessions will be shared with the

Named Nurse and Named Doctor.

6.2.4 Designated Doctor (along with Designated Nurse) obtain peer supervision

within the South West Peninsula Designated Professionals group on a 3

monthly basis.

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6.2.5 These supervision sessions can be captured on the templates accessed in

Appendix 3 and stored by the Designated Doctor and Nurse.

6.2.6 Designated professionals can access supervision from alternate

safeguarding supervision sources who are trained as safeguarding

supervisors and this is in agreement with their line manager.

7 Dissemination and Implementation

7.1 This Policy is to be implemented and disseminated through the organisation

immediately following ratification and will be published on the organisations

intranet site document library. Access to this document is open to all.

7.2 The Policy will be launched via the RCHT daily communication network.

7.3 The Policy will be available to all external stakeholders via the Documents

Library on the Intranet.

7.4 The Safeguarding Children’s Named Nurse and safeguarding team will bring

the reviewed Policy to the attention of any staff attending any safeguarding

training.

7.5 This policy document will be held in the public section of the Documents

Library with unrestricted access, replacing the previous version which will be

archived in accordance with the Trust Information Lifecycle and Corporate

Records Management Policy.

7.6 Provision of mandatory safeguarding training will be delivered by the

Learning and Development Department as outlined in the RCHT Core

Training Policy. Reference to relevant sections from this Policy will be utilised

at all RCHT Level 1, 2 and 3 Safeguarding mandatory training.

8 Monitoring compliance and effectiveness

8.1 A clear audit trail will be implemented and the monitoring of compliance with

this policy will be overseen by the RCHT Safeguarding Children’s

Operational Group.

Element to be monitored

The quality and quantity of safeguarding supervision

Lead Safeguarding Children’s Operational Group

Tool The audit components will be undertaken by identified members of the RCHT Safeguarding Children’s Operational Group.

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Frequency

Annually.

Reporting arrangements

The completed audit report will be presented and reported on in the minutes of the Safeguarding Children’s Operational Group (SCOG) by the Safeguarding Children’s Named Nurse as per the SCOG Terms of Reference

Acting on recommendations and Lead(s)

Where the report indicates sub optimal performance the Chair of SCOG will nominate a group member to produce an action plan. The SCOG will be responsible for monitoring progress and will undertake subsequent recommendations and further action planning for all deficiencies identified within agreed timeframes

Change in practice and lessons to be shared

Required changes to practice identified will be documented in the action plan outcomes. The membership of the SCOG will identify a lead to take each change forward across divisions as appropriate. Lessons will be shared with all relevant parties.

9 Updating and Review

9.1 This process is managed via the document library; review will be undertaken

in October 2019 unless best practice dictates otherwise.

10 Equality and Diversity

10.1 This document complies with the Royal Cornwall Hospitals NHS Trust

service Equality and Diversity statement which can be found in the 'Equality,

Diversity & Human Rights Policy' or the Equality and Diversity website.

10.2 Royal Cornwall Hospitals NHS Trust is committed to a Policy of Equal

Opportunities in employment. The aim of this policy is to ensure that no job

applicant or employee receives less favourable treatment because of their

race, colour, nationality, ethnic or national origin, or on the grounds of their

age, gender, gender reassignment, marital status, domestic circumstances,

disability, HIV status, sexual orientation, religion, belief, political affiliation or

trade union membership, social or employment status or is disadvantaged by

conditions or requirements which are not justified by the job to be done. This

policy concerns all aspects of employment for existing staff and potential

employees.

10.3 Equality Impact Assessment

http://www.rcht.nhs.uk/GET/d10268876

http://www.rcht.nhs.uk/GET/d10268876

http://www.rcht.nhs.uk/RoyalCornwallHospitalsTrust/OurOrganisation/EqualityAndDiversity/HumanRightsEqualityAndInclusion.aspx

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All public bodies have a statutory obligation to undertake Equality Impact

Assessments on all policy documents. This must be undertaken by the

author using the agreed Equality Impact Assessment Template. The

completed assessment is to be added to the end of the policy document as

an appendix prior to it being ratified.

10.4 The Initial Equality Impact Assessment Screening Form is at Appendix 2.

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Appendix 1. Governance Information

Document Title Safeguarding Children Supervision Policy

Date Issued/Approved: October 2016

Date Valid From: 30th of October 2016

Date Valid To: 30th of October 2019

Directorate / Department responsible (author/owner):

Wendy Perkin Named Nurse for Child Protection and Zoe Cooper Safeguarding Lead Nurse.

Contact details: 01872 254551

Brief summary of contents Supervision policy to support practitioners involved in Child Protection.

Suggested Keywords: Safeguarding, children, child protection, supervision, neglect, abuse.

Target Audience RCHT PCH CFT KCCG

Executive Director responsible for Policy:

Kim O’Keeffe

Date revised: 30th of October 2016

This document replaces (exact title of previous version):

Safeguarding Children Supervision Guidance

Approval route (names of committees)/consultation:

Safeguarding Children’s Operational Group.

Divisional Manager confirming approval processes

Kim O’Keeffe

Name and Post Title of additional signatories

None

Name and Signature of Divisional/Directorate Governance Lead confirming approval by specialty and divisional management meetings

{Original Copy Signed}

Name: Kim O’Keeffe

Signature of Executive Director giving approval

{Original Copy Signed}

Publication Location (refer to Policy on Policies – Approvals and Ratification):

Internet & Intranet Intranet Only

Document Library Folder/Sub Safeguarding

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Folder

Links to key external standards CQC Regulation 13.

Related Documents: Working Together 2015

Training Need Identified? Yes. For staff acting in the supervisor role.

Version Control Table

Date Version

No Summary of Changes

Changes Made by (Name and Job Title)

2012

V1 Original guidance

Alison O’Neil. Named Nurse for safeguarding

10/2016 V4.0 Policy template and new process for supervision

Wendy Perkin and Zoe Cooper - Safeguarding Children

All or part of this document can be released under the Freedom of Information

Act 2000

This document is to be retained for 10 years from the date of expiry.

This document is only valid on the day of printing

Controlled Document This document has been created following the Royal Cornwall Hospitals NHS Trust

Policy on Document Production. It should not be altered in any way without the express permission of the author or their Line Manager.

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Appendix 2. Initial Equality Impact Assessment Form

Are there concerns that the policy could have differential impact on: Equality Strands: Yes No Rationale for Assessment / Existing Evidence

Age X

Sex (male, female, trans-

gender / gender reassignment)

X

Name of Name of the strategy / policy /proposal / service function to be assessed (hereafter referred to as policy) (Provide brief description):

Directorate and service area: Corporate Division

Is this a new or existing Policy? Existing

Name of individual completing assessment: Zoe Cooper

Telephone: 01872 254550

1. Policy Aim* Who is the strategy / policy / proposal / service function aimed at?

A Policy for staff who are involved in Child Protection about Safeguarding Supervision

2. Policy Objectives* That all professionals understand are aware of how and when to seek Safeguarding Supervision

3. Policy – intended Outcomes*

Pathway to identify ways of delivering and receiving supervision of Safeguarding Children related activity

4. *How will you measure the outcome?

Monitoring statistics of Safeguarding Supervision offered/accepted Peer review attendance

5. Who is intended to benefit from the policy?

Children and their families RCHT staff RCHT compliance with standards and governance

6a) Is consultation required with the workforce, equality groups, local interest groups etc. around this policy? b) If yes, have these *groups been consulted? C). Please list any groups who have been consulted about this procedure.

No Safeguarding Children’s Operational Group

7. The Impact Please complete the following table.

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Race / Ethnic communities /groups

X

Disability - Learning disability, physical disability, sensory impairment and mental health problems

X

Religion / other beliefs

X

Marriage and civil partnership

X

Pregnancy and maternity X

Sexual Orientation, Bisexual, Gay, heterosexual, Lesbian

X

You will need to continue to a full Equality Impact Assessment if the following have been highlighted:

You have ticked “Yes” in any column above and

No consultation or evidence of there being consultation- this excludes any policies which have been identified as not requiring consultation. or

Major service redesign or development

8. Please indicate if a full equality analysis is recommended. Yes No X

9. If you are not recommending a Full Impact assessment please explain why.

This policy relates to all staff

Signature of policy developer / lead manager / director Date of completion and submission 20/9/2016

Names and signatures of members carrying out the Screening Assessment

1. 2.

Keep one copy and send a copy to the Human Rights, Equality and Inclusion Lead, c/o Royal Cornwall Hospitals NHS Trust, Human Resources Department, Knowledge Spa, Truro, Cornwall, TR1 3HD A summary of the results will be published on the Trust’s web site. Signed _______________ Date ________________

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APPENDIX 3 – Safeguarding Supervision Contact Report

SAFEGUARDING CHILDREN

1:1 SUPERVISION CONTACT REPORT

Case to be discussed:

Background:

Name of professional supervisee: Name of professional supervisor:

Date

Time

The professional experience. What was the reason for MARU referral/discussion of case? What specific aspects are to be discussed? Are there any concerns surrounding the referral?

Reflection: What thoughts and feelings did you have:

Whilst caring for the child and family?

In retrospect? (What I feel about what happened- present, previous experience or simultaneous).

The child and family What is working well? What are you worried about? Are there Parents/Carers issues impacting on the child?

Analysis: What impact has this had?

On the child

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On the professional What Have I learned? How will the experience change my future practice?

Actions: What next? Do I need to do anything differently? Are there any service Responsibilities?

On- going Plan:

For Professional

For child and family

Name and signature of supervisee:

Name and signature of supervisor:

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APPENDIX 4 – Safeguarding Supervision Adhoc Contact Report

SAFEGUARDING CHILDREN

SUPERVISION CONTACT REPORT - Adhoc

Case to be discussed:

Background:

Name of professional supervisee: Name of professional supervisor:

Date

Time

Incident that initiated supervision:

Plan from supervision

Actions from supervision

Need for further 1:1 supervision If Yes; date, time and name of designated supervisor arranged at adhoc session

Yes /No

Name and signature of supervisee:

Name and signature of supervisor:

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APPENDIX 5 - Evaluation feedback

SAFEGUARDING SUPERVISION EVALUATION FORM

Reflection on your safeguarding supervision experience

What thoughts and feelings did you have?

What have I learned?

Will the experience change my future practice?

Further supervision support required?

How could we improve the safeguarding supervision sessions?

Name: (optional)

Date:

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APPENDIX 6 – List of Safeguarding Supervisors

Name Ward/Dept Title

Kathryn Eccelston (May 16 On Mat leave)

Sexual Health Consultant

Gill Cousins Sexual Health Sister

Pam Gates

Sexual Health Sister

Kim Smith Neo-Natal Unit Midwife/Senior Staff nurse

Laura Stirling Paeds Polkerris Senior Staff Nurse

Jo Philp Polkerris Senior Staff Nurse

Mel Gilbert Fistral Matron

Liz Huthnance Fistral Senior Staff Nurse

Mel Griffiths Emergency Departments Sister

Lucy Hatfield Emergency Departments Staff Nurse

Janet Danks Emergency Departments Senior Staff Nurse

Clare Tyson Emergency Departments Sister

Emma Bailey Emergency Departments Senior Staff Nurse

Eleanor Stacey WCH ED Staff Nurse

Ann Abbotts Fracture Clinic Senior Staff Nurse

Hayley Barnes Paed/ICU Senior Staff Nurse

Ruth Cundyrowse Physio/Therapies Paediatric Physio

Natalie Maguire Fistral Staff Nurse

Teresa Phillips Maternity Named Midwife C P

Avril Archibald Maternity Midwife Team Lead EAST

Angela Whittaker Maternity Midwife Team Lead WEST

Helen Ettle Maternity Midwife Team Lead MID

Simon Bedwani Named Doctor Safeguarding

Wendy Perkin Named Nurse Safeguarding

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APPENDIX 7- Attendance sheet at Safeguarding Supervision Sessions (Group supervision session, journal club, attendance at safeguarding meeting)

Supervision Session – Attendance Sign-In Sheet

Name Role Signature

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