Support and personal development for young people at North Lakes is further enhanced by the therapeutic support afforded to the staff teams.
Attachment and trauma difficulties are often revealed at an unconscious level and therefore it is critical for staff to be aware of their own emotional state, attachment style, and emotional availability.
The use of the therapeutic model that we are implementing is reliant upon robust clinical and therapeutic supervision which enable staff to reflect on their emotional reaction to the children and young people they work with and support staff in working through the transference and counter-transference. This supervision must also support staff in the implementation of the therapeutic model and decoding complex behaviour to ensure that the underlying needs are being addressed.
“Care planning is detailed, collaborative and child-centred. It is informed by research-based practice, reviewed frequently and results in enhanced life chances for young people.” – Ofsted OUTSTANDING Kenilworth House 2017/8
Group clinical supervisions are used to help staff embed the therapeutic model and reflect on their practice. Staff have the opportunity to discuss individual children and difficulties they are having. The clinical supervisor supports staff to look beyond the behaviour and apply theoretical knowledge and the therapeutic framework to meet the underlying need of the child. This is also a time to reflect on good practice, look at ways to improve and identify any additional support required for children or staff.
Procedure: Group clinical supervision is provided on-site on a monthly basis within individual care homes for one hour in duration. This will be provided by Jayne Forster. It is linked to the team meetings to ensure that all staff are present including managers and team leaders. This ensures that a consistent approach is obtained and any differences or themes between shift teams can be discussed.
The minutes and recommendations from these meetings are recorded in the team meeting document and can be cross referenced to individual child files if necessary. It is the responsibility of managers to oversee that recommendations are implemented or where necessary discussed further with the clinical supervisor.
Group therapeutic supervision is provided to shift teams on a bi-monthly basis. This is to give staff time to reflect on their own experiences within their role, feelings and emotions, the counter-transference process and dynamics within their team.
Procedure: Group therapeutic supervision is provided within the shift teams for up to two hours. The care home manager is not required to attend these meetings, but the team leader should be present. The content of these supervisions will not be recorded, just the date and attendance for monitoring purposes.
Individual supervision is available for registered manager and directors to ensure that both their emotional and clinical needs are attended to. This is provided by Pip Chapman. The managerial supervisions will occur on the same day as the team therapeutic supervisions. The content of this is confidential but attendance is recorded for monitoring purposes.
Our aim is to help young people recover to help them learn how to play, be successful, gain academic success, feel that they belong and are validated. We want all whom we care for to discover skills and tools which encourage self-reliance, confidence and the ability to fulfil their potential.
“Young people who live in the home have experienced positive outcomes in education – recently a number of GCSEs.” – Ofsted GOOD Warwick House 2017/18
The registered House Manager’s also plan rigorously all transitions. From admissions in to the home with visits, photos, meals and shared activities to the move on from our care. The progression on from our service is a celebration – a recognition of the achievements made as well as attending to the loss felt from long term trusted and valued, safe relationships. We prepare to:
- Ensure that transition planning takes place early.
- Involve all families – where appropriate and key individuals and professionals who can and will support the young person.
- utilise local agencies at an early stage and encourage young people to source community based support.
- Make young people aware of how to access support in the area local to their next placement – home, foster care, semi-independent living, either locally or in the home area.
Moving on towards independent living is supported by involving young people in existing Support Services: Health professionals, Education Links, Mental Health Services, Local Area Charities and Support Services, Local Area Voluntary Organisations, Local and National Children’s/Young Persons Charities and Services
“Healthcare is a real strength of this service. The organisation employs a dedicated professional who ensures that any physical or emotional health needs are prioritised and met. She liaises with specialist services, ensures that medication arrangements are robustly administrated, and regularly reviews and revises healthcare plans. She also provides training and support to staff in order to promote healthy eating and good physical health. She has been instrumental in ensuring that one young person has had specialist assessments designed to aid his neurological development.” – Ofsted GOOD Woodend 2017/18
Working with vulnerable young people requires thorough and ongoing assessment of individual and group needs and safety. Special attention is given to any risk factors and the safety of the young people in conjunction with other staff members, outside agencies involved in their care and alerting the relevant services where risk is indicated.
“Transitions are exceptionally well managed. Leaders and staff take time to understand the needs of young people prior to them being placed at or leaving the home.” – Ofsted OUTSTANDING Kenilworth House 2017/18.