MSD Specialist Accreditation Standards: Care Services. Level 1

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1 MSD Specialist Accreditation Standards: Care Services Level 1 The Ministry of Social Development has additional specialist accreditation standards for care service providers (Child and Family Support Services). These accreditation standards are to ensure providers are capable of delivering quality care services. page 1

2 MSD Specialist Accreditation Standards: Care Services - Level 1 - Appointment of Director of Service Appointment of Director of Service Child and Family Support Services appoint a Director of Service to meet the requirements of the Children, Young Persons, and Their Families Act 1989 (CYP&F Act 1989). 1. Child and Family Support Services appoint a Director of Service. Documents the organisation may have in place to demonstrate they can meet the standard include: organisational structure chart indicating director minutes of governance meeting appointing director. 1.1 Child and Family Support Services state the designation in the person s position specification. The following documents must state the designation as director or convenor: Director s job description Director s employment contract. page 2

3 MSD Specialist Accreditation Standards: Care Services - Level 1 - Care Placement Care Placement The organisation ensures that all placements meet the full range of needs of the child or young person and follow the requirements of the CYP&F Act (1989). 1. All information on children/young people s files must be complete and present prior to acceptance. Information gathered prior to acceptance is to include the following: a full report from Child, Youth and Family (CYF). This may include all or some of the following (if relevant to the young person): social worker information (including emergency contacts) and CYF site and location Needs Strengths and Risk (NSR) assessment and report Offending Profile Substance and Choices Scale (SACS) Kessler Suicide Screens (SKS) Family Group Conference (FGC) Plan Gateway Assessment background and history, family whānau details a copy of the court order or similar document providing details of the young person s legal status or copy of Youth Court order school details, including level of educational attainment and school exemption if applicable health information, including special needs risk assessment completed by the provider to identify actual or potential risks to young person s safety and wellbeing and how these will be managed evidence that the young person has been provided with a written copy of information about their rights while receiving services, as part of the intake procedure, and a written acknowledgment that they understand these. documentation of involvement and participation of the child or young person and, where appropriate, the family/whānau. evidence of on-going risk assessments and consultation with CYF. Client files should indicate an alignment with the organisation s intake criteria. page 3

4 MSD Specialist Accreditation Standards: Care Services - Level 1 - Care Placement 2. The organisation ensures that the environment meets the child or young person s assessed needs and takes into account the right of the child or young person to privacy, a sense of security and belonging. The organisation s policies and procedures cover: custody and guardianship issues access to media and internet privacy and rights of child contact with family/whānau and significant others environmental needs which reflect the United Nations Convention on Rights of the Child (UNCROC) absconding, including appropriate timeframes for reporting to Police or CYF Social Worker managing, recording and reporting serious events medication storage, administration and recording. Young person s files include: a copy of the court order Family Group Conference (FGC) records, plans and decisions evidence of Court reviews that meet the requirements of the CYPFA details of the parents/guardians /caregivers parental/caregiver consent to access assistance in emergency a Care Plan which details information required to meet the child s needs, for example: historical and current personal information on needs focusing on physical, emotional, spiritual, recreational, cultural, educational needs presenting risk factors, safety plans and requirements for managing emergency/crisis events contact arrangements with family/whānau and other significant people how the child or young person s relationship with their family/whānau, hapū, iwi and family group will be strengthened and maintained evidence that the child has been orientated to the care environment. recording of all activities planned and completed written details of goals for the young person and reviews of progress towards achieving these evidence the organisation regularly reviews plans and consults CYF prior to making changes. evidence that the organisation has ensured the young person is safe from abuse and harm. support for the family/whānau, hapū, iwi or family group to make any required changes. page 4

5 MSD Specialist Accreditation Standards: Care Services - Level 1 - Care Placement Permanency Plan or Transition to Independence Plan which is current, time lined, allocates areas of responsibility and review dates evidence of regular case record reviews and legal compliance monitoring case work records, including: evidence of regular (at least every two months) face to face visits by CYF Social Worker with the young person (high risk placements require more frequent visits) records of consultation with others involved in the placement records of contact with family/whānau, hapū or iwi medication administration records, signing sheets records of regular health screening, including dental, optician, audiologist, doctor, hospital, immunisation records of appropriate pocket money being received incident reports correspondence meeting minutes reports to senior management. page 5

6 MSD Specialist Accreditation Standards: Care Services - Level 1 - In Home Care Services In Home Care Services The organisation selects appropriate caregivers for each child or young person and ensures that children are placed with their family/whānau/hapu/iwi whenever possible. 1. The organisation makes appropriate and informed caregiver selection and client matching decisions. Policies and procedures will be in place relating to selecting a suitable caregiver for the child. Information relating to placement matching processes will be on the caregiver s file and will include: confirmation that the caregiver and household members over the age of 17 have been fully vetted, through police and CYRAS vetting, and are safe to care for, or live with, children and young people training undertaken by the caregiver reference and qualification checks medical checks specific skills and strengths of the caregiver evidence of interviews with the potential caregiver and their family, which take place in the family home and are carried out by a qualified and suitably experienced social worker details of the process used to match the child/young person to the caregiver Records demonstrate caregivers are selected on the basis of ability to meet day to day or additional and specific needs, such as those of children or young people with disabilities. Care placement files include documented environmental checks to ensure that: home environment is family like, gender and age appropriate regular home safety checks which confirm the home environment continues to be safe for the age of the child/ young person police and CYRAS vetting every two years throughout the placement caregiver homes and residential facilities do not include a mixture of Youth Justice and Care and Protection young people heating, bedding and sleeping arrangements are appropriate page 6

7 MSD Specialist Accreditation Standards: Care Services - Level 1 - Care Placement the child s rights in relation to diet, recreational activities, their own appropriate clothing, personal belongings, own space (not necessarily own room), privacy, provision of pocket money, medical care, contact with their own family, access to telephone, access to CYF Social Worker and child advocate are being met emergency management plans are in place caregivers have participated in the check and verified the recorded assessment. The organisation can demonstrate that: caregivers have a copy of the child or young person s care and permanency plans and the Children s Charter caregivers maintain a daily diary formal arrangements for services and support are in place which include: health, dental, mental health, disability advocacy groups eg service agreements provision of specialist programmes or services such as drug and alcohol programmes, stopping violence programmes, work placements. 2. All services ensure that children or young people in their care are placed with their family/whānau/hapu/iwi whenever possible. The organisation can demonstrate that: it has investigated all possible members of the family whānau, hapu and iwi for the provision of care where an emergency placement has been made, efforts are made to locate family, whānau, hapu and iwi as soon as possible potential new family, whānau, hapu or iwi caregivers are fully assessed prior to acceptance as a caregiver. Consideration will be given to: their ability to accept responsibility for the new family member identification of initial support required, eg clothing, bedding, behavioural strategies arrangements for continuing schooling of all school age children and young persons all payments specified under section 363 of the CYPF Act are made to the caregiver agreement is in place as to how the placement will be monitored and supported on an on-going basis contact with the child or young person s family is maintained regular, formal reviews of the placement take place and include all of the family group. page 7

8 MSD Specialist Accreditation Standards: Care Services - Level 1 - Residential and Group Home Settings Residential and Group Home Settings The organisation ensures that residences and group homes are adequately staffed and resourced. 1. Where care is provided in a residential or group home setting, staffing is adequate and appropriate to the management of the number of young people being cared for and their assessed needs. Policies and procedures will be in place relating to the qualifications, skills and experience required to work as a caregiver. Documentation relating to the following will be available: risk assessment and management processes that clearly identify the number of staff required to be on duty at any time in order to provide safe and effective care staff rosters confirming that staff numbers on each shift are maintained in accordance with the ratios identified in the risk assessment. In a group home setting documentation will demonstrate that: arrangements are in place for the primary caregiver/s to have regular breaks and days off back up caregivers are available and on call in case of illness or emergencies for the primary caregivers all caregivers are provided with adequate levels of supervision and support. Records demonstrate staff are selected on the basis of ability to meet day to day or additional and specific needs such as those children/young people with disabilities. Files include documented environmental checks to ensure that: the environment is family like, gender and age appropriate regular safety checks confirm the environment continues to be safe for the age of the child/young person all caregivers and other people aged over 17 in the facility are subject to police and CYRAS vetting every three years residential facilities do not include a mixture of Youth Justice and Care and Protection young people heating, bedding and sleeping arrangements are appropriate the young person s rights in relation to diet, recreational activities, their own appropriate clothing, personal belongings, own space (not necessarily own room), privacy, provision of pocket money, medical care, contact with their own family, access to telephone, access to CYF Social Worker and child advocate are being met emergency management plans are in place. page 8

9 MSD Specialist Accreditation Standards: Care Services - Level 1 - Residential and Group Home Settings The organisation can demonstrate that: a copy of the child or young person s care and permanency plans and the Children s Charter is available to all staff daily diaries and activity sheets are maintained on all shifts formal arrangements for services and support are in place which include: health, dental, mental health, disability advocacy groups eg service agreements provision of specialist programmes or services, such as drug and alcohol programmes, stopping violence programmes, work placements. Comprehensive behaviour management and support policy is in place and is adhered to including: rules of the residence code of conduct and behavioural expectations reward system for positive behaviour and reinforcement of non violent punishments acceptable consequences for serious or repeated incidents incident reporting and investigation process. Clear protocols on behaviour management strategies and de-escalation techniques are in place and adhered to. These prohibit the use of force, withholding of food or emotional punishments. page 9

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