Safeguarding Children Supervision Policy V4.0. November 2016

Safeguarding Children Supervision Policy V4.0 November 2016 Page 1 of 20

Summary Part 1 Part 2 Safeguarding supervision for Nursing and Midwifery staff, Paediatricians, Medical Staff and other Allied Health Professionals Safeguarding Supervision for Named and Designated Professionals Page 2 of 20

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 Page 3 of 20

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. Page 4 of 20

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. Page 5 of 20

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. Page 6 of 20

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 nonidentifiable. 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 Midwives Named Nurse for Children will book individual supervision sessions with all paediatric ED staff. 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 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. 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 Page 7 of 20

Children in Care team 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 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. 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. 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. 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. Community Paediatric consultants attend monthly RCPCH guidance Child Protection Peer Reviews Named Nurse to record numbers of Peer Reviews and report to SCOG bi monthly Debrief sessionsspecific to incidents this will be available to clinical and nonclinical 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 Sexual Health 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. 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. Named Nurse for Children to record numbers of ad-hoc supervisions and report to SCOG -bimonthly. When required. Nurse specialist from sexual health to record attendances and copy to Named Nurse. Page 8 of 20

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. Page 9 of 20

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 Lead Tool The quality and quantity of safeguarding supervision Safeguarding Children s Operational Group The audit components will be undertaken by identified members of the RCHT Safeguarding Children s Operational Group. Page 10 of 20

Frequency Reporting arrangements Acting on recommendations and Lead(s) Change in practice and lessons to be shared Annually. 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 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 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 Page 11 of 20

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. Page 12 of 20

Appendix 1. Governance Information Document Title Safeguarding Children Supervision Policy Date Issued/Approved: October 2016 Date Valid From: 30 th of October 2016 Date Valid To: 30 th 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: Target Audience Executive Director responsible for Policy: Safeguarding, children, child protection, supervision, neglect, abuse. RCHT PCH CFT KCCG Kim O Keeffe Date revised: 30 th of October 2016 This document replaces (exact title of previous version): Approval route (names of committees)/consultation: Safeguarding Children Supervision Guidance Safeguarding Children s Operational Group. Divisional Manager confirming approval processes Name and Post Title of additional signatories Name and Signature of Divisional/Directorate Governance Lead confirming approval by specialty and divisional management meetings Signature of Executive Director giving approval Publication Location (refer to Policy on Policies Approvals and Ratification): Document Library Folder/Sub Kim O Keeffe None {Original Copy Signed} Name: Kim O Keeffe {Original Copy Signed} Internet & Intranet Intranet Only Safeguarding Page 13 of 20

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. Page 14 of 20

Appendix 2. Initial Equality Impact Assessment Form 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: Is this a new or existing Policy? Existing Corporate Division Name of individual completing Telephone: 01872 254550 assessment: Zoe Cooper 1. Policy Aim* A Policy for staff who are involved in Child Protection about Who is the strategy / Safeguarding Supervision policy / proposal / service function aimed at? 2. Policy Objectives* That all professionals understand are aware of how and when to seek Safeguarding Supervision 3. Policy intended Outcomes* 4. *How will you measure the outcome? 5. Who is intended to benefit from the policy? 6a) Is consultation required with the workforce, equality groups, local interest groups etc. around this policy? Pathway to identify ways of delivering and receiving supervision of Safeguarding Children related activity Monitoring statistics of Safeguarding Supervision offered/accepted Peer review attendance Children and their families RCHT staff RCHT compliance with standards and governance No b) If yes, have these *groups been consulted? C). Please list any groups who have been consulted about this procedure. Safeguarding Children s Operational Group 7. The Impact Please complete the following table. 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, transgender / gender reassignment) X Page 15 of 20

Race / Ethnic communities /groups Disability - Learning disability, physical disability, sensory impairment and mental health problems Religion / other beliefs Marriage and civil partnership Pregnancy and maternity X X X X X Sexual Orientation, X Bisexual, Gay, heterosexual, Lesbian 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 Page 16 of 20

APPENDIX 3 Safeguarding Supervision Contact Report SAFEGUARDING CHILDREN 1:1 SUPERVISION CONTACT REPORT Case to be discussed: Background: Name of professional supervisee: Date Time Name of professional supervisor: 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 Page 17 of 20

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: Page 18 of 20

APPENDIX 4 Safeguarding Supervision Adhoc Contact Report SAFEGUARDING CHILDREN SUPERVISION CONTACT REPORT - Adhoc Case to be discussed: Background: Name of professional supervisee: Date Time Name of professional supervisor: Incident that initiated supervision: Plan from supervision Actions from supervision Need for further 1:1 supervision Yes /No If Yes; date, time and name of designated supervisor arranged at adhoc session Name and signature of supervisee: Name and signature of supervisor: Page 19 of 20

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: Page 20 of 20

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 Page 21 of 20

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 Page 22 of 20