3.4.1 Short Breaks
RELEVANT INFORMATION
Derby City Council Website - Community Short Breaks
AMENDMENT
In March 2024, this chapter was reviewed locally and amendments made to reflect changes to the Child In Need process.
Derby City Council uses a Strengths Based Approach for all work with children and families.
Contents
- The Legal Basis for Short Breaks
- Defining the Nature and Status of the short Break - Assessment of Needs
- Levels of Assessment
- Child in Need Short Breaks
- Reviews
- Social Work Visits
- Short Break Settings
- Providing Care in the Child's own Home
- Providing Care in the Carer's own Home or in the Community
- Appendix 1: Providing short break accommodation under the different legal provisions
- Appendix 2: Short Breaks Status - Assessment Template
1. The Legal Basis for Short Breaks
Children may be provided with short breaks under the following legislation:
Situation 1 - Under Section 17 Children Act 1989, in which case they are not Looked After Children, the 2010 Regulations do not apply and there is no requirement to appoint an Independent Reviewing Officer (IRO). A Child in Need Plan is required. Reviews should be carried out at least every 6 months and more often if required; or
Situation 2 - Under Section 20 Children Act 1989, with short breaks of not more than 17 days each in the same setting (where the total number of placement days does not exceed 75 in any 12-month period) and/or families have limited resources to support a child whilst the child is away and may not be able to fully exercise their Parental Responsibility (See 'Defining the Nature and Status of the Short Break - Assessment of Needs'). In these circumstances, the child is Looked After, an IRO must be appointed, and a Short Break Care Plan drawn up. The 2010 Regulations are modified (Regulation 48), so that Looked After Reviews (see Section 5, Reviews below) and Social Work Visits (see Section 6, Social Work Visits below) are less frequent and the short breaks are treated as a single placement; or
Situation 3 - Under Section 20 Children Act 1989, where the short breaks exceed a total of 17 days per placement/75 days per 12-month period and/or take place in more than one setting. In these circumstances, the child is Looked After, an IRO must be appointed and a Care Plan drawn up. The 2010 Regulations apply in full, including the provisions on frequency of Looked After Reviews (see Section 5, Reviews below) and Social Work Visits (see Section 6, Social Work Visits below).
In situations 1 and 2, the requirements which usually apply to looked after children in respect of health assessments and reports, and notification of placements, do not apply.
The legal basis on which services are provided should be clear. The decision to provide a short break under Section 17 or under Section 20 should be informed by the assessment of the child's needs and should take account of parenting capacity and wider family and environmental factors, the wishes and feelings of the child and his/her parents and the nature of the service to be provided.
The key question to ask in deciding whether to provide the short break provision under Section 17 or Section 20 is how to promote and safeguard the welfare of the child most effectively.
2. Defining the Nature and Status of the short Break - Assessment of Needs
Before making, and when reviewing, a decision about whether to provide accommodation under Section 17 or Section 20, there should be a careful assessment of the child and family's needs that addresses:
- Particular vulnerabilities of the child, including communication method;
- Parenting capacity of the parents within their family and environmental context, taking into account any assessments undertaken on family members as carers under the Children and Family Act 2014 and the Care Act 2014 (see Section 3.2, Carer's Assessment);
- The length of time away from home and the frequency of such stays - the less time the child spends away from home, the more likely it is to be appropriate to provide the accommodation under Section 17;
- Whether short breaks are to be provided in more than one place - where the child has substantial packages of short breaks in different settings, it is more likely to be provided under Section 20;
- Potential impact on the child's place in the family and on primary attachments;
- Observation of the child (especially children who do not communicate verbally) during or immediately after the break by a person familiar with the mood and behaviour of the child (e.g. parents or school staff);
- Views of the child and parents - some children and parents may be reassured by and in favour of the status of a looked after child, while others may resent the implications and associations of the 'looked after' status. The child may benefit from having an Advocate;
- Extent of contact between short break carers and family and between the child and family during the placement;
- Distance from home; and
- The need for an Independent Reviewing Officer (IRO) to monitor the child's case and to chair reviews.
It is more likely that the arrangements come within Section 20 where families have limited resources and may have difficulties providing support to their child while s/he is away from home or monitoring the quality of care.
3. Levels of Assessment
3.1 Child's Assessment
In many situations, the child's Assessment maybe a brief assessment where the trigger for assessment is a request for a short break and this is for relatively low levels of short break provision so that it would fall within the Child in Need criteria (see Section 2, Defining the Nature and Status of the Short Break - Assessment of Needs).
Nevertheless, sufficient information will be required to ensure key information about the child is identified; the reason for the short break; contact and communication details of the person with Parental Responsibility and their ability to monitor the placement whilst the child is there; the child's health and medical details and provision of urgent medical attention (if required); the child's routines, likes, dislikes and current arrangements for the child, (e.g. School) together with behavioural issues and how these are usually dealt with by the family. There should be opportunities for the short break carer and parent and child to meet and discuss the child's personality, routines, etc.
This information and the arrangements should be reflected in a Child in Need Plan (see Section 4, Child In Need Short Breaks) together with the child's understanding and views of them going into a Short Break situation and the caring arrangements to be provided by the Short Term Break carer.
Where the child is to be Accommodated under Section 20, the relevant Accommodation papers and 'Consent 'details should be completed. A Care and Placement Plan should reflect the arrangements required (see Section 4.1, Looked After Child Short Break Care Plan).
Where the child's circumstances are more complex because of their social and /or health needs and they are receiving substantial levels of short break support (possibly indifferent placements), they will be Accommodated under Section 20; a more comprehensive Assessment will be required and should include a multi-agency approach.
Care and Placement Plans should be fully completed and recorded and include Consent, Health, Education and Contact Plans.
Where children become Looked After the Independent Reviewing Unit should be advised and appropriate arrangements made for a review, depending upon whether Regulation 48 applies, (see Section 5, Reviews).
Short breaks will only be used to provide respite care for foster carers when it is in the child’s best interests, including improved stability of the child’s placement with the foster carers. Any respite care provided must take full account of the child’s needs.
Children who receive short breaks should continue to make progress in their development and acquire skills and/or new experiences.
3.2 Carer's Assessment
Parent Carers have a right to have an assessment of their own under the Children and Families Act 2014; Section 97 of the Children & Families Act 2014 requires local authorities to undertake a 'parent carers needs assessment':
- On the appearance of need; or
- Where an assessment is requested by the parent.
Where requested, then the local authority must assess whether that parent has needs for support and, if so, what those needs are. The assessment must include an assessment of whether it is appropriate for the parent to provide, or continue to provide, care for the disabled child, in the light of the parent's needs for support, other needs and wishes.
The assessment must also have regard to:
- The well-being of the parent carer; and
- The need to safeguard and promote the welfare of the child and any other child for whom the parent carer has parental responsibility.
Following assessment, the local authority must then decide;
- Whether the parent has needs for support;
- Whether the child has need for support;
- And if so whether those needs could be met (wholly or partly) by services under Children Act 1989, Section 17.
Services to be provided for parent carers of disabled children should be included in the Child in Need Plan and can be included in the Education, Health and Care Plan, if the child has one.
There should be effective relationships with parents/carers so that they feel confident leaving their child for their stay and they understand what the placement can offer. Parents should feel involved in the planning of the short break placement and that they are able to raise concerns and complaints. Short break staff should be accessible and keep parents informed about their child’s short break experiences.
More information about Parent Carer assessments can be found in: A Guide to Parent Carers Needs Assessments.
See also: Children and Young People 0-25 with Special Educational Needs and Disabilities (SEND) Procedure, Young Carers and Parent Carers of Disabled Children and Young Carers Procedure.
4. Child in Need Short Breaks
Children who receive short breaks under Section 17 Children Act 1989 are Children In Need. These are children receiving link care from an approved LA foster carer and may or may not include overnight stays.
All Children In Need should have a Child In Need Plan and be reviewed every 4 months. Details of the local procedure for managing short breaks for Child In Needs cases can be found in Child in Need Plans, Work and Reviews.
Each child/family should have a Child in Need Plan on LCS which should set out clearly all the services that are to be provided to meet the child's needs. The plan will show how the short break will meet the needs of the child and family identified in the assessment.
4.1 Looked After Child Short Break Care
This is applicable where short breaks are provided under Section 20 Children Act 1989.
Where, following assessment, it is agreed with the family that the child should be Looked After under Section 20 of the 1989 Act, there will be additional requirements about planning and review. In this situation the information compiled for the Child in Need Plan (as set out above) will form the basis for the Short Break Care Plan required when a child is looked after under Section 20 and Regulation 48 applies (Situation 2).
In Situation 3, the Short Break Care Plan should be linked to the Care Plan, which should include all the key information about the child. These should not be separate plans which duplicate information.
The Short Break Care Plan must set out the arrangements to meet the child's needs with particular regard to:
- The child's health and emotional and behavioural development, any disability, medical needs and medications;
- The child's specific communication needs;
- Promoting contact with parents/anyone with Parental Responsibility;
- Arrangements for contacting parents as necessary, in particular an emergency contact number;
- The child's likes and dislikes regarding stimulation and leisure interests;
- How the carers, as appropriate, promote the child's educational achievement;
- The name and address of the registered medical practitioner;
- The type of accommodation, address, name of person responsible;
- The child's personal history, religious persuasion, cultural and linguistic background and racial origin;
- The respective responsibilities of the local authority and parents/anyone with Parental Responsibility; any delegation of responsibility from parents to the local authority; the respective roles and responsibilities of the placement provider, social worker, Independent Reviewing Officer (IRO) and other staff employed or commissioned by the local authority to contribute to the plan for the child's care; the respective safeguarding responsibilities of the provider and the local authority;
- The expected duration of the arrangements and the steps to end them; arrangements for giving notice of intention to terminate the placement along with the local authority's responsibilities for convening a review of the child's Care and Pathway Plan where there is a risk of the placement being terminated;
- Frequency of visits;
- Financial arrangements for the placement;
- When the child is placed with a local authority-approved foster carer, confirmation of the foster carer's agreement;
- The provider's responsibilities for notifying the child's social worker of any significant change in the child's circumstances.
As far as practicable, the child should be involved in agreeing the Plan.
The parents must be fully involved in all aspects of agreeing the Short Break Care Plan.
The plan should be signed by the parents, the local authority, those providing the care/ the provider agency and, where appropriate, the child.
There is not a requirement for a separate Placement Plan for short breaks.
(Where required and appropriate please note 'Ceasing to look after a child', Children Act 1989 Guidance and Regulations - Volume 2: Care Planning, Placement and Case Review).
5. Reviews
5.1 Reviews - All Cases
No significant change to a Child in Need Plan or a Short Break Care Plan should be made unless it has first been considered at a review.
In each case, whether children are provided with accommodation under Section 17 or under Section 20, the review should consider whether this continues to be the most appropriate legislative basis for the service provided.
Minutes of the review will reflect the views of those involved including child and parents and carers and identify any changes to the plan adding any new actions.
5.2 Children in receipt of Short Breaks under Section 17 Children Act 1989 (Situation 1)
These children are reviewed under the Child In Need Process. Reviews take place every 4 months, following an initial planning meeting after 15 working days of VCM, and a first review 8 weeks after that. Reviews are chaired independently by a Child Protection Manager. Please see Child in Need Plans, Work and Reviews Procedure.
5.3 Children in receipt of Short Breaks under Section 20 Children Act 1989 (Situation 2)
Reviews are less frequent than for looked after children in Situation 3.
- The first review must take place within 3 months of the start of the first placement;
- Second and subsequent reviews must take place at intervals of not more than 6 months;
- Reviews may be convened earlier, e.g. at the request of the child, parents or carer; or in cases where the child is particularly vulnerable; or where the child is provided with a high level of short breaks;
- These children are reviewed under Short Break Review process which is follows the LCS Child In Need Review flow.
5.4 Children in receipt of Short Breaks under Section 20 Children Act 1989 (Situation 3)
The 2010 Regulations in relation to Looked After Reviews apply in full, and reviews will take place as follows:
- The first review must take place within 20 working days of the first placement;
- The second review must take place not more than 3 months after the first;
- Subsequent reviews must take place at intervals of not more than 6 months.
For further details, see the Looked After Review Procedure.
6. Social Work Visits
Visits should usually be undertaken by a qualified social worker and always by a person with the skills and experience to communicate effectively with the child and fulfil the functions of the visit.
Situation 1
Visiting frequency should reflect the individual needs of the child and agreed within supervision. Visiting frequency should be part of the plan.
Situation 2
Visits should take place at regular intervals to be agreed with the Independent Reviewing Officer and parents/person(s) with Parental Responsibility and recorded in the Short Break Care Plan before the start of the first placement.
In any event:
- The first visit must take place within 3 months of the first placement day or as soon as practicable thereafter;
- Subsequent visits must take place at intervals of no more than 6 months for as long as the short breaks continue.
Situation 3
Visits must take place:
- Within one week of the start of the placement;
- Thereafter, at intervals of no more than six weeks for the first year.
7. Short Break Settings
Following the assessment of the child and family, short breaks can be arranged in a number of settings which are subject to different registration and inspection requirements.
| Outline Requirements on Settings Where Short Breaks Might Take Place | ||
Hospices |
Regulated by the Care Quality Commission (CQC) under the Care Quality Commission (Registration) Requirements 2009. |
Hospices are regulated and inspected by the Care Quality Commission (CQC) |
Local authority foster care |
Fostering services are registered with and inspected by Ofsted. |
National Minimum Standards (2011) |
Lighthouse Residential Short Breaks Unit |
Residential short breaks unit registered with and inspected by Ofsted. |
|
Children's homes |
Children's homes are registered with and inspected by Ofsted. |
|
Residential special schools |
Different regimes apply depending on whether the residential special school is maintained, non-maintained or independent. |
The National Minimum Standards for residential special schools which came into force from 1st April 2015 |
Looked after children under the age of 16 cannot be placed in 'other arrangements' placements for the purposes of a short break except where the accommodation is provided as part of a residential holiday scheme for disabled children or is one of the other exempted regulated settings under Regulation 27A Care Planning, Placement and Case Review (England) Regulations 2010:
- A care home as defined in section 105(1) Children Act 1989;
- A hospital as defined in section 275(1) of the National Health Service Act 2006;
- A residential family centre as defined in section 4(2) of the Care Standards Act;
- A school within the meaning of section 4 of the Education Act 1996 providing accommodation that is not registered as a children's home as defined in section 105(1) Children Act 1989.
(See also Placements in Other Arrangements Procedure).
8. Providing Care in the Child's own Home
The key to providing safe care to children in their own homes is the same as to the provision of safe care elsewhere. It is essential that safe recruitment practices are followed and staff are properly trained and supervised and that the requirements of the Disclosure and Barring Service are complied with where they apply to Regulated Activity (see DBS referrals guide: summary of regulated activity with children).
Where the local authority provides a sitter or overnight carer in the child's own home, the child is not being provided with accommodation by the local authority and the authority is therefore providing the short break service under Section 17 Children Act 1989.
However, care that is provided under arrangements made by the local authority and which is provided on a frequent, intensive or overnight basis comes within the definition of Regulated Activity under the Safeguarding Vulnerable Groups Act 2006 Act (as amended), whether or not it takes place in the child's own home and the requirements of the Disclosure and Barring Service (DBS) in relation to regulated activities will apply.
Best practice is that the child should be cared for by an approved local authority foster carer. Childminders with whom the local authority places or wishes to place children overnight (or childminders wishing to take on such work) should be asked to apply for approval as local authority foster carers. It is not appropriate for the local authority to provide overnight accommodation with childminders who are not also approved foster carers.
9. Providing Care in the Carer's own Home or in the Community
It is essential that individuals providing care in their own homes are subject to full employment and personal checks, as well as safe recruitment methods, and that they are provided with induction and training.
There are no requirements for agencies to register with Ofsted or the Care Quality Commission if they provide services to support disabled children in the community or in their own homes, unless they provide personal care. If personal care is provided, services must register with the Care Quality Commission and comply with the relevant standards.
The Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 Regulation 2 defines personal care as follows:
- Physical assistance given to a person in connection with: eating or drinking, toileting, washing or bathing, dressing, oral care or the care of skin, hair and nails (with the exception of nail care provided by a chiropodist or podiatrist); or
- The prompting, together with supervision, of a person, in relation to the performance of any of the activities listed above, where that person is unable to make a decision for themselves in relation to performing such an activity without such prompting and supervision.
However any form of unsupervised care or supervision provided for children on a frequent, intensive, or overnight basis including transporting (where the vehicle being used is only for transporting children and carers or supervisors), support given to children with accessing computer/gaming or other electronic devices comes within the definition of Regulated Activity under the Safeguarding Vulnerable Groups Act 2006 (as amended) and the requirements of the Disclosure and Barring Service (DBS) in relation to regulated activities will apply.
However Regulated Activity does not cover a family arrangement or a personal arrangement where there is no commercial consideration.
Appendix 1: Providing short break accommodation under the different legal provisions
Appendix 2: Short Breaks Status - Assessment Template
Click here to view Appendix 2: Short Breaks Status - Assessment Template - this can be used to help identify under which category the service should be provided.