Social Worker Visits to Children Looked After

When a Child Looked After is placed they should be accompanied by the social worker to the placement. Following this the child's social worker must visit the child in the placement at the following intervals, subject to the exceptions in Section 2, Exceptions:

• Within one week of the start of any placement;
• Weekly for first six weeks and then at least monthly during the first year of the placement;
• Thereafter, at intervals of a minimum of six weeks;
• If the placement is intended to last until the child is 18, a reduction in frequency of visits to every 3 months can be agreed following discussion by the social worker with the child, the IRO and the care team members, and agreement at a Looked after Review. The change must be recorded in the child / young person's care plan/pathway plan;
• There are clear timescales for Looked After statutory visits to child / young person, no matter what their placement. Once a child / young person has been in a long-term foster placement for more than a year (following match being ratified at a Looked After Review), the requirement to undertake statutory visits can be reduced to no less than every 3 months. This should only be considered when the placement is settled and following discussion by the social worker with the child, the IRO and the care team members, and agreement at a Looked after Review. The change must be recorded in the child / young person's care plan / pathway plan.

N.B. These are minimum requirements and the Child Looked After (CLA review))may recommend more frequent visits. The frequency of visits should always be determined by the circumstances of the case and visits should be made whenever reasonably requested by the child or foster carer regardless of the status of the placement.

In addition, the child's social worker should visit:

• Whenever reasonably requested to do so by the child;
• Immediately a complaint is received from the child or from another person relating to the child concerning the standard of care they are receiving; or
• If there are any concerns about the stability of the placement; or
• If there is any proposal to remove the child from placement where concerns have been raised about his/her welfare.

This applies to all new placements where, for example, a child moves from one placement to another. For children who are placed for adoption, see Monitoring and Supervision of Adoptive Placements Procedure.

Some visits should be unannounced (The foster carers, parent or residential home should be informed by the child's social worker at the time of placing that there will be occasional unannounced visits and the reason for this explained).

Meetings involving a child e.g. CLA (Child Looked After) reviews, do not in themselves constitute a visit, unless time is taken outside of the meeting to talk with and spend time with the child.

The child's social worker should on occasion take the child out from the placement (for example for a snack or a visit to a park) as this can strengthen the relationship between the child and the social worker and is also in the interests of child protection in that the child may feel more able to discuss issues that are of concern to him/her. 

It is important to be clear that the exceptions set out in Section 2, Exceptions above apply only to the placement. Whatever the placement arrangements and irrespective of where the child is placed, the child must be seen in private and alone (unless the child is of sufficient age and maturity and refuses or the social worker considers it inappropriate to do so, having regard to the child's age and understanding). If this is not possible, a further visit must be made at short notice in order that the child can be seen alone and observed with the staff / carer.

The social worker should be aware of who else lives in the placement and they should know about changes in structure and composition as well as the relationships within the household or unit.

For children who are not able to communicate their views verbally, the social worker should ensure that observations of the child are made in their placement and also in other settings, for example, school. Information and opinion should also be gathered from other professionals about their presentation.

If the child has particular communication difficulties, or if he/she requires specialist communication support (e.g. a specialist advocacy service), the social worker will need to consider what specialist resources should be utilised to ensure the child is able to express his / her wishes and feelings, including a request for a visit. This should be considered at the outset and included in the child's care and placement plan.

On some occasions, the social worker should also arrange to visit at times when all members of a household can be seen; or for children's homes, a significant number of adults and children.

Social workers must consider the balance of time spent with staff / carers and with children during a statutory visit. The social worker must prioritise their time with the child as opposed to the staff / carer. Issues raised by staff / carers can be discussed when a child is not present for example when they are at school.

Social workers should provide feedback to staff / carers regarding their visit.

The purpose of the visit is to ensure the placement continues to promote the child's welfare.

It should evaluate whether the placement is helping to achieve the objectives of the child's Care Plan, with particular reference to whether the placement is meeting the educational, health and social development needs of the child, and whether the child is safeguarded, and that risk assessments are up to date and reflective of need. In particular:

1. To give the child the opportunity to express his or her wishes, feelings and views;
2. To advise, assist and befriend the child and to ascertain who they would turn to in times of difficulty;
3. To promote an effective relationship between the child and social worker with particular reference to the role of the social worker as a link with the child's history and birth family;
4. To identify daily routines including getting up and going to bed, meal times (including whether the children in the placement all eat together), the arrangements for washing and whether the child is provided with privacy and support that is relevant to his or her stage of development;
5. To identify arrangements for holiday and leisure time including playing games, access to clubs, cultural and sporting activities;
6. To identify what special arrangements are made to meet any needs that arise from their culture, religious or heritage including communication, diet and skin / hair care;
7. To observe the child with the staff / carer / parent and to analyse parenting styles and the promotion of the child's self esteem;
8. To monitor the standard of care offered by the placement including the physical standards, house rules and behaviour management strategies;
9. To identify whether there are toys or games to play with and the access that the child has to them;
10. To monitor how the contact arrangements with family members and friends are working and to discover whether these are promoted within the home;
11. To consider the child's sleeping arrangements such as room sharing, display of personal belongings and the physical state of the room. Has the child got clean clothes that are stored appropriately?
12. To identify any areas where additional support is required;
13. To evaluate whether the placement is helping to achieve the objectives of the child's care plan, with particular reference to whether the placement is meeting the educational, health and social development needs of the child. Where it is a long-term / permanent placement, the social worker should observe whether there are signs that the child is an integral part of the family such as whether they are included in photographs on display;
14. To carry out specific casework tasks with the child, for example carrying out a programme of life story work;
15. To identify whether older children are encouraged to play an increasing part in their own care such as laundry, food preparation and the purchase of food, clothes and budgeting;
16. To identify the arrangements for the child to get support with school work, do homework (including where appropriate, access to a computer) and visit a library. Do the carers attend parent's evenings?
17. To identify whether the child knows about the complaints procedure and the availability of advocacy services;
18. To monitor that the Child Health Record is stored safely, is up to date and is accessible to the child as appropriate to the child's age and understanding.

Social workers visiting children with disabilities and/or complex health needs should consider whether needs identified in the continuing health care plan have been met, and should also consider the following:

• Whether practices that are being employed are appropriate and do not compromise the child's safety e.g. the method of lifting a disabled child;
• Does the carer have sufficient equipment i.e. bath chair / hoist etc.?
• Who arranges the child's health appointments and who attends? For children in residential placements in particular, is there consistency of worker?
• Is there clear written information re the administration of medication?

It may not be possible for a social worker to gain all the information listed in one visit but they must try to obtain a holistic view of the placement.

When visiting children in residential settings the social worker should read the running sheets to gain an understanding of recent events and also to identify any themes highlighted in the recording for example, behaviour and staff strategies for managing situations.

This section should be read in conjunction with Practice Standards Care Recording guidance in – Durham Resource Library

The social worker should record each visit stating clearly:

1. Who was seen;
2. Whether the child was seen and if not why not;
3. Whether the child was seen alone;
4. The child's view;
5. Any comments made by the child or the staff / carers / parents;
6. Any matters of concern or difficulties;
7. Any observations on the child's welfare and the success of the placement;
8. Any requirements for action.

Where a social worker has concerns about whether a placement is adequately promoting a child's welfare, the IRO should be informed and the Authority must hold a CLA review and give consideration to the the child's case in accordance with Part 6 of the 2010 Regulations [Reg 30]. This includes reviewing the child's care and placement plan and identifying actions which must be taken to ensure that the placement is able to meet his/her needs appropriately and, if not, to consider alternatives.