1 The Graded Care Profile in Hertfordshire Revised June 2015

Objectives To raise the awareness of the Graded Care Profile (GCP) risk assessment tool that can be used when Neglect of a child/ren is of concern. To understand which professionals should consider using the GCP risk assessment tool. To understand the GCP process, its use and formulating a future action plan 2

3 Neglect ‘Neglect is the persistent failure to meet a child’s basic physical and / or psychological needs resulting in serious impairment of health and / or development’ DfES Working together (2006)

4 NEGLECT in Hertfordshire In September 2012 there were 671 children with Child Protection (CP) plans; 425 were due to Neglect. 63.3% In September 2013 there were 885 children with CP plans; 518 were due to Neglect. 58.5% In September 2014 there were 1,065 children with CP plans; 672 were due to Neglect. 63%

5 ‘Good enough’ parenting ‘Good enough’ parents show pride and pleasure in their child’s progress together with many other positives such as affection, tenderness, interest and delight which will increase the child’s confidence and self esteem. There are also, at times, negative feelings towards their children such as frustration, fatigue, anger, boredom, anxiety, fear, disappointment and others, which parents learn to accept as normal when occurring only occasionally.

6 What we would hope to find

7 What we found

Introduction to tool kit 8

9 Grades of Care 1 CHILD FOCUS CARE GIVING 2 ADULT FOCUS CARE GIVING 3 CHILDS NEEDS ARE SECONDARY TO ADULTS NEEDS 4 CHILD’S NEEDS ARE NOT CONSIDERED 1All child’s needs met Some essential needs met Most essential needs unmet Essential needs entirely unmet/hostile 2Child firstChild priority some of the time Child secondChild not considered 3BestAdequatePoorUnacceptable Level of Care 2. Committed to Care 3. Quality of Car e

Formulating an action plan Areas that are assessed as “not good enough” usually placed in columns 3 or 4 & become a “list” that results in an action plan The action plan requires prioritisation – usually up to 3 items at any stage The action plan agreed with parent needs to be realistic with agreed time-frames 10

Remember! The aim is not to overwhelm the parent but to work with them at their pace (if possible) Small realistic stepping stones can empower, improve self-esteem and enhance the ability to change. The aim is progression with sustainability 11

Group Work Undertaking a GCP and formulating an action plan 12

Consider doing a GCP? If you decide the GCP is appropriate, contact the CAF Helpdesk to enquire whether a GCP has already been carried out with this child/ family and who the lead professional is (or was) Prior to carrying out the GCP, ensure a full discussion about GCP takes place with the parent/carer and the consent/sharing information form is signed by the parent carer participating in the GCP process. 13

If the parent/carer DO agree to participate a GCP, log it with the CAF Helpdesk. If the parent/carer DO NOT agree to participate there may be a need to consider a referral to children services, but you must still work with the family and continue assessing the situation 14 GCP process

As part of the GCP, include a date to review any actions identified After carrying out a GCP review, log it with the CAF Helpdesk 15

CAF Helpdesk CAF Helpdesk or 16

Questions? 17