explain the rationale behind the safeguarding and welfare requirements explain the rationale behind the safeguarding and welfare requirements

Other evidence that was available highlighted the positive outcomes achieved with some training methods (such as case studies and examples), and the challenges associated with other types of training (such as e-learning). Professional Training Solutions provide a number of workshops relevant to early years practitioners, including: ROYAL NATIONAL INSTITUTE FOR THE BLIND (RNIB). Identifies practical strategies to adjust our language and the way we communicate. TWIN AND MULTIPLE BIRTHS ASSOCIATION (TAMBA). Acting early may improve the quality and safety of care and support for residents. Safeguarding Adults Boards should not need additional resources, but some will need to change the way they work. The guidance the committee reviewed made little mention of this. Prevention refers to stopping children from being abused. All courses are accredited by the Assessment Qualification Alliance. how and when care homes should be working with the local Safeguarding Adults Board. The committee agreed, based on their own expertise and experience, that local authorities needed to plan ahead for the support that these people might need (this would be especially important for large-scale enquiries). No research evidence was identified about the indicators that should alert people to organisational abuse and neglect in care homes. Qualitative themes were identified from the research evidence, covering the challenges associated with governance, roles and responsibilities, and lines of communication. Commissioners can help care homes implement lessons from Safeguarding Adults Reviews and ensure that good safeguarding records are maintained. This is because, in their experience, those indicators represented a higher likelihood of abuse and neglect. Reflective supervision is already a key feature of broader social work, but the extent to which it takes place in care homes is extremely varied. However, the committee found the guidance to be highly relevant as a source of evidence to support their work, and used it to inform the recommendations, alongside their own expertise and experience. Staff may also need more training and support, to ensure that they understand their duty of care and to improve their confidence in identifying and reporting potential organisational abuse and neglect. Organisational abuse is distinct from other types of abuse or neglect because it is generally not directly caused by individual action or inaction. Although the practitioner might be acting in the best interest of the person, they may be operating within the constraints of their role. First-aid course: two-day, in-depth course covering all aspects of first-aid, including dealing with anaphylactic shock. This is because whistleblowers are vulnerable to victimisation. This includes all procedures designed to prevent harm to a child. CLEFT LIP AND PALATE ASSOCIATION (CLAPA)CLAPA provides support for parents, and for people with the condition and their families. Evidence on training suggested that improvements in safeguarding practice were not always maintained in the longer-term, and that there should be opportunities for further and more advanced learning. Despite these limitations, the committee agreed on the importance of support for care home staff, and built on the evidence with their own expertise. These recommendations should lead to greater consistency and higher standards, by ensuring that everyone affected by the safeguarding enquiry is kept informed. There was some limited economic evidence on training. If the research allows care homes to better utilise these reviews to improve practice, the safety and wellbeing of care home residents will improve. In particular, the evidence looked at the concept of whistleblowing and the reasons why care home staff may be reluctant to report concerns (for example, fear of losing their job). The EYFS also includes the new paediatric first aid (PFA) training requirement that all newly qualified entrants to the early years workforce with a Level 2 or 3 qualification must also have either a full or emergency PFA certificate within 3 months of starting work. Their recommendations included advice about further training that may be beneficial for some staff. This has implications for: the safety and wellbeing of residents, because abuse or neglect may go unreported. There was quantitative and qualitative evidence available, but the committee had limited confidence in this. There was a good amount of qualitative evidence on the barriers and facilitators to identifying abuse and neglect in care homes. The committee had low confidence in the qualitative evidence about this issue. There may be an increase in the number of requests for training. But this would be outweighed by the benefits of making staff aware of who to share concerns with, which should increase the speed of responses to safeguarding. There may also be minor resource implications associated with improved safeguarding practice. The recommendations should help reduce these risks. Smacking or any other kind of punishment that may have an adverse effect on a childs well-being must be strictly forbidden. The evidence on training only included short-term measurements of effectiveness. Youre probably well aware that the EYFS is a very detailed document, and when it comes to safeguarding and welfare, there is lots to take in. There was only limited evidence that focused specifically on safeguarding training in the care sector. In addition, they may need this support to continue afterwards, and their needs should be reassessed after the enquiry. In addition, the studies only used short-term follow-up periods. The committee also reviewed existing non-NICE UK health and social care guidance. The safeguarding and welfare requirements are designed to ensure that childcare providers promote the welfare of children and keep them safe and well. ]6>XlYPCR*`S, `Z9@ 0CT5 This gives practitioners an insight into very young children's understanding of death and the impact of bereavement on their holistic development, and helps them to develop a framework for appropriate responses to death within the setting. There were a number of issues that limited how the committee could use the findings. They may also need to do more to promote more positive attitudes about whistleblowing among staff, and to encourage an open culture to help staff feel more confident raising concerns. Good whistleblowing policies are important and help support a culture in which staff feel able to report concerns. Topics include: leadership and management; safeguarding and child protection; nursery environment; nutrition, serving food and oral health; out-of-school care; working with babies; and nursery visits and visitors. Publications, including The Gluten Free Food and Drink Directory, can be bought direct from Coeliac UK. Protection refers to guarding children who have been abused. Finally, local authorities will need to offer feedback and practical support to care homes. Connecting with Autism is a recognised AQA Unit Award qualification Level 3.BASPCAN'Safeguarding Children in the 21st Century: Where to now?' There were concerns around the adequacy of the data, issues with the methods used to analyse the data, and problems with how the study authors addressed potential bias. Care homes may also have to change the way they work with the local authority, to ensure they have a good relationship and can seek advice and support when needed. A school information pack is available.Eczema - supporting and managing this misunderstood condition: topics include childhood atopic eczema. The aim of these recommendations is to help people better understand when a safeguarding referral should be made and when a referral should not be made. Fire safety: three-hour course to help practitioners be aware of the causes of fire and what to do in the event of fire. The Childcare Consultancy has developed a bespoke course reviewing the Plymouth Review (see case study) which looks in detail at points it raised, such as the inappropriate culture in the nursery, and safeguarding recruitment including how to ask 'value-based' interview questions to find out how a candidate thinks. All off-site providers will confirm their Safeguarding policy and procedures, a copy of which will be held by Cotham and up-dated each year. The recommendations should lead to greater consistency. Everyone working in an early years setting needs to be aware of the safeguarding and welfare requirements of the EYFS. Speech, language and literacy development for children with Down syndrome (2 to 11 years): focuses on the specific speech and language needs of children with Down syndrome and how to meet them, including the use of the See and Learn Language and Reading programme. Mandatory training is required to fulfil section 14.225 of the Care and support statutory guidance 2020, and each organisation is responsible for ensuring that staff receive effective training. The recommendations do not require specific additional resources, but the chairs of meetings may need to take greater care in their documentation and communication. Qualitative evidence suggested that recording actions or preventative measures and sharing these with colleagues can help staff to safeguard residents more effectively. There is wide variation in the way Safeguarding Adults Boards operate and communicate. Additional resources should not be needed for care homes to appoint safeguarding champions, because the champions are expected to be existing staff members. Based on this lack of coverage the committee felt it was important to make a research recommendation on self-neglect in care homes. While having policies and procedures in place is important, care homes and care home providers can have problems ensuring that staff follow these. The recommendations are based on a review of existing guidance, so staff should be familiar with the indicators referred to in this guideline. Each area carries specific requirements to guide early years policies, procedures and practices. The committee made a recommendation on sharing information from Safeguarding Adults Boards with care home staff because they thought it could improve accountability, and help staff understand the responsibilities of other practitioners and organisations in relation to safeguarding. This creates opportunities for parents and professionals to engage with current thinking on a range of issues. The committee agreed that this is a crucial area and they built on the evidence with their own expertise. hbbd```b`` Most of the indicators are adapted from the guidance the committee reviewed, and others were added by the committee based on their knowledge and expertise. . y+xg!A/# nk?YjF:` U&sY.! However, the committee found the guidance to be highly relevant as a source of evidence to support their work, and used it to inform the recommendations. Staff involved in food preparation must hold the Chartered Institute of Environmental Health (CIEH) Level 2 Award in Food Safety to meet the requirements of the Food Safety Act and the Food Safety Regulations. The guidance highlighted the challenges associated with whistleblowing and the impact whistleblowing can have on care homes, staff and volunteers. This should only require minor changes to current practice because it is already a statutory requirement. Local authorities, clinical commissioning groups and other commissioners should already be monitoring safeguarding in care homes as part of contract management, so this should not represent a significant change in practice. The Safeguarding and Welfare Requirements are designed to help providers create high quality settings that are welcoming, safe and stimulating, and where children are able to enjoy learning and grow in confidence. The committee made the recommendations based on a limited amount of qualitative evidence on the roles and responsibilities of Safeguarding Adults Boards. TAMBA provides information and support networks for families of twins, triplets and more. This may have cost implications, but access to support is a statutory right under the Care Act 2014 and is part of the Making Safeguarding Personal framework. Local authorities will need to identify a single point of contact for care homes, which in some cases will be a change in practice. Child protection: includes keeping children safe, signs and symptoms. Although there was some quantitative evidence on the effectiveness of safeguarding training, there were concerns with this evidence. ENTAEnta is a voluntary sector, not for profit organisation working across Birmingham to provide learning opportunities, training courses, information, advice and guidance and employment support to help people think about and prepare for paid employment. For the quantitative data, this was mostly because of the use of non-randomised trials and imprecision in effect estimates. They provide a specialist service for parents and professionals seeking help in feeding babies with cleft lips and palates.Annual conference: held in September. They also agreed that care homes should build good relationships with local authorities, seeking advice if needed, in order to better judge when referrals should be made. It is a recognised AQA qualification Level 2 5 Unit AwardConnecting with Autism through Play: this training aims to provide early years workers with an understanding of connecting through the medium of play with the young child with Autism. The strength of the evidence was limited, but the committee made recommendations in areas where the evidence aligned with their own experience and expertise. Despite the limitations of the evidence, the committee recognised that this is a crucial issue, in particular for staff who are subject to a safeguarding enquiry. MENINGITIS TRUSTThe Meningitis Trust is the oldest meningitis charity in the world and provides a range of professional services and community support. The guidance highlighted the importance of writing down carefully what the person discloses using their own words, but not interviewing them, and encouraging the resident to preserve any physical evidence if a crime may have been committed. hb```;,B cbXDV6'cl`|cFX=gb&-uLk;Ls^ Coeliac disease is a condition caused by an inability to digest gluten, which often results in bowel symptoms and failure to gain weight. The EYFS requires certain supervision structures, and also specific staff: child ratios for all childcare settings based largely on the ages of the children being looked after. The recommendations may also help to reduce the number of section 42 enquiries involving the care home, local authority and others. Its imperative to have fully-implemented safeguarding policies at childcare settings and to have a designated safeguarding lead that liaises with the relevant local authorities. Topics covered include resuscitation and recovery position for babies and children, unconsciousness, shock, bleeding, poisoning, burns and fractures. They were also concerned about the short follow-up periods the studies used. There was no research evidence about the indicators that should alert people to abuse and neglect in care homes. Return to recommendations The recommendations are based on existing non-NICE UK guidance, so staff should be familiar with the indicators in this guideline. Early years the importance of early intervention for infants at risk: providing professionals with a toolkit for the emotional screening of infants and early signs of distress. BRITISH INSTITUTE OF LEARNING DISABILITIES (BILD)Offers day training programmes on a range of learning disability related themes. As a result, the committee agreed that it is important to emphasise that training should not be a one-off event. Care homes may need to revise and update their whistleblowing policy and procedure. It aims to enhance participants knowledge about Autism and of intervention strategies that are effective in assisting young children to communicate and interact with others. The Early Years Foundation Stage requires that settings must have written copies of certain policies and procedures. To address this, the committee made a recommendation on how managers should encourage staff to complete training. Dame Clare Tickell, in her review of the EYFS, recommends that the welfare section of the EYFS is renamed the 'safeguarding and welfare requirements' and that the welfare requirements are redrafted to improve their clarity. The Department for Education changed theEarly Years Foundation Stage (EYFS) in 2021. There were issues with this evidence (mainly with the methods used for recruitment and data analysis processes, and the limited adequacy and relevance of the data), but it did align well with the committee's own experience. The evidence suggested that in some care homes, training only covers a basic understanding of adult protection policies and procedures, which staff may not then know how to apply in their daily work. However, this evidence also suggested that managers may be unwilling to implement learning from training programmes or make changes to care home procedures, which may negate any benefits associated with training. There must be procedures in place for when children get ill, suitable first-aid facilities, written records, and healthy snacks, meals and drinks.The areas used for food preparation must be adequately equipped and food hygiene training for anyone preparing or handling food is essential. You're probably well aware that the EYFS is a very detailed document, and when it comes to safeguarding and welfare, there is lots to take in. The effectiveness of training and learning with other organisations is likely to be improved if positive relationships are established. The Safeguarding and Welfare requirements cover the steps that providers must take to keep children safe and promote their welfare. There could be cost implications for care home providers that do not have employee assistance programmes, unless alternative programmes or funding are available for staff already. The committee agreed that it is important to reiterate the responsibilities of local authorities, clinical commissioning groups and other public sector commissioners, because they can use contract monitoring and other statutory monitoring processes to ensure that care homes are meeting their safeguarding responsibilities. It looks at skin damage caused by the sun, precautions and policy considerations. They agreed that further research is needed to evaluate the most effective modes of training, and to clarify whether e-learning training can meet best practice standards. Providers must take all reasonable steps to keep children safe and well. In addition, there were issues with the relevance of the qualitative data, because some studies may have been conducted outside of care homes, and some findings may not have been specifically related to safeguarding. The quantitative evidence had issues with bias (as most studies were not randomised) and imprecision in effect estimates. Finding more information and committee details, Care home safeguarding policy and procedure, Care home whistleblowing policy and procedure, Care home and care home provider roles and responsibilities, Local authorities, clinical commissioning groups, and other commissioners, Multi-agency working and shared learning with other organisations, Indicators of individual abuse and neglect and immediate actions to take if you consider abuse or neglect, Confidentiality, and discussing and reporting suspected abuse and neglect, Working with and supporting the resident at risk during a safeguarding enquiry, Supporting care home staff who are subject to a safeguarding enquiry, How local authorities should support care homes during an enquiry, Indicators of organisational abuse and neglect, How care homes should learn from safeguarding concerns, referrals and enquiries, section 14.225 of the Care and support statutory guidance 2020, Adult Safeguarding: Roles and competencies for Health Care Staff 2018, CQC: Regulation 13 - Safeguarding service users from abuse and improper treatment, CQC: Safeguarding Adults - Roles and responsibilities in health and care services, research recommendation to look at the effectiveness, cost effectiveness and acceptability of e-learning safeguarding training, evidence review C for details of the guidance, research recommendation on self-neglect in care homes, research recommendation was needed about the views of care home residents in relation to their experiences of safeguarding enquiries, research recommendation on the effectiveness and cost effectiveness of the different approaches to investigating safeguarding concerns, evidence review C for details of this guidance, research recommendation to identify how the findings from these reviews affect practice in care homes. However, in care homes where this is not the case, managers will need to spend more time supporting staff and learning from safeguarding enquiries. There were a number of concerns with this evidence, around: the methods used, for example in relation to data analysis and sampling strategies, the relevance of the themes in the evidence, as some of the studies were conducted in care settings other than care homes. There were issues with the methods used by some studies, such as their recruitment strategies and data analysis processes. First-aid - early years: two six-hour days. Medication misuse can be a sign of neglect or physical abuse, so the committee included slightly different indicators in both sections. The Statutory Framework for the Early Years Foundation Stage (DfE 2021) became effective from 1 September 2021. These provisions are indicated by the use of the P~iv|znjrH[X8e1Cf!"jJ-X,;lqE->%@u\%$(6dsd#jtTmc!\El-MW:rhkXDx"dl5kmq@crgqoEbtq8. The recommendation covering staff apprehensions about external oversight was made because the committee are aware that staff can feel criticised and undermined by people delivering training (especially people from external agencies). The recommendations should reduce the potential psychological and emotional distress on affected staff. ABC MEDICAL SERVICESPaediatric First Aid: PFAA Approved, EYFS-compliant 12-hour course which is a requirement of all Childcare Practitioners who require registration by OFSTED. ARMADILLO TRAINING, ASTHMA UKSupports people with asthma and those who care for and work with people with asthma.THE ATHENA PROGRAMMEWorking together to safeguard children: focusing on the knowledge and resources required to safeguard children within the limits of professional structures.Safeguarding children with disabilities: this course aims to ensure that participants can safeguard disabled children from harm through an increased awareness of their vulnerability to abuse.Safeguarding children levels 1, 2 and 3: individual courses designed to enhance knowledge, understanding and practice of safeguarding children.AUTISM NORTHERN IRELANDAutism NI offers a full range of training from the very basic fundamentals of ASD to intensive professional training in diagnosis and intervention. The committee emphasised what care homes find most important when they make a safeguarding referral to a local authority, and at the beginning of a section 42 enquiry. The evidence also indicated that there may sometimes be confusion around: lines of communication about safeguarding and safeguarding concerns, who is responsible for each part of the process. PAVILION TRAININGPavilion Training offers a range of first aid and health and safety training. It is important that this is used routinely to help improve safeguarding practices. An economic analysis showed that face-to-face training could be cost-effective relative to e-learning, under certain assumptions. Abuse and neglect are more likely to happen when staff are poorly trained, poorly supervised, unsupported by management, and when the care home has a culture that does not promote openness and good communication. There are more than 35 CLAPA groups - all run by volunteers - and many regional contacts across the UK. Care homes may need to do more to help their staff understand these indicators. Understanding children on the Autistic Spectrum: the indications that should concern early years practitioners and the implications for development and life chances. Involving parents in their child's learning, Early Years Alliance is the trading name of the Pre-school Learning Alliance. Safeguarding can be implemented by anybody who comes into contact with individuals at risk of this type of treatment, such as children or vulnerable adults. Grief matters for children: promoting effective bereavement strategies in schools: one-day conference. Inclusion is key to effective practice in the EYFS, which places such emphasis on the individual child. Funded entitlement offers - what is changing? The committee made a recommendation on ensuring that the safeguarding policy is accessible, easy to find and understand because safeguarding is everyone's responsibility, and people with little experience of safeguarding (such as visitors) may need to read it. However, the committee had some concerns about the quality of the data, which had some methodological limitations as well as questionable relevance (it was not always clear whether findings related specifically to care home settings). It also promotes child safety awareness during Child Safety Week. It meets the needs of Sure Start and Early Years and is appropriate for members of NCMA and PLA as well as anyone who is caring for children.BRITISH STAMMERING ASSOCIATION, BSA aims to help eliminate stammering in children by improving information for practitioners.BSA National Conference 2011 9-11 September, Durham: a programme of workshops and presentations, and a great chance to meet other people who stammer. To address this and ensure that staff have a more thorough understanding of safeguarding, the committee specified the different areas that need to be covered in training programmes for all staff. The recommendations should help care home managers identify the most appropriate training methods for their staff, which will improve care home practice. %c.nv]WDt400f C ztCG.VJ2[ @, These sections briefly explain why the committee made the recommendations and how they might affect practice. The majority of training programmes are linked to the learning outcomes in the learning disability pathway of the new Level 2 and 3 Health and Social Care Diploma and the level 2 and 3 certificates in supporting people with learning disabilities.Communication and Autism: an insight into the complexities of communication for individuals with autism. Providers must take all necessary steps to keep children safe and well. First-aid in childcare: two-day first-aid course as required by Ofsted for childcare settings. There were uncertainties around the methods used to develop much of this guidance. ,oy:\D g}Y Getting the views of residents will ensure that their needs are understood and that subsequent care can be person-centred and outcomes-focused. Portage's four main activities are: weekly home visits by a trained home visitor; weekly written teaching activities designed for the individual child and parent; teaching and recording carried out by the parent; and weekly supervision by the home visitor. Assessment is an ongoing process, but there are times when it is a statutory requirement to provide a summary of how children are developing in relation to expected levels of progress for their age. This may involve extra work for care home managers. Well summarise some of the most important ones for you here. Some, such as being denied freedom of movement, are also enshrined in law (for example the Human Rights Act, Article 5: right to liberty and security).