LONDON BOROUGH OF BARKING AND DAGENHAM

SAFEGUARDING / QUALITY AND REVIEWING SERVICES

BARKING, IG11 7UL

Allegations against adults who work with children
LADO Referral

GUIDANCE

·  This form is to be used in cases in which it is alleged that a person who works with children (either paid / unpaid/self-employed) has

-  behaved in a way that has harmed a child, or may have harmed a child

-  possibly committed a criminal offence against or related to a child

-  behaved towards a child or children in a way that indicates s/he is unsuitable to work with children.

·  If the allegation meets any of the above criteria, the employer or agency should report it to the LADO within 1 working day. Referral should not be delayed to obtain further information

·  For services regulated/inspected by OFSTED, the provider should notify them of the allegation

·  If immediate action is required to protect a child, please discuss this with the LADO. If the offices are closed, contact the Emergency Duty Team Tel: 0208 227 6122 OR the local Police

·  Please complete this form and send it to the

·  If you wish to discuss the allegation beforehand to check that it meets the criteria or you need advice, please telephone CPRS on 0208 227 2989 and ask to speak to Lovona Brown or Elaine Ryan.

The Group Manager for Safeguarding, Quality & Reviews is Avraamis Avraam.

SUBJECT OF ALLEGATION

Name
D.O.B
Name of Employer/ Agency
Occupation
Name of line manager
Employers address
Home Address:
Details of any other activity or employment where they may come in contact with children
Details of any convictions
Have there been any previous LADO referrals
Professional Person’s Ethnicity
The categories below are defined by the Department for Education and Skills. In addition to helping us to consider the particular needs of the child / young person being referred, this information will allow better planning of our services.
White British / □ / Caribbean / □ / Indian / □ / White and Black Caribbean / □
White Irish / □ / African / □ / Pakistani / □ / White and Black African / □
Any other white background (please specify) / □ / Any other Black background (please specify) / □ / Bangladeshi / □ / White and Asian / □
Chinese / □ / Any other Asian background (please specify) / □ / Any other mixed background (please specify) / □
Not stated / □ / Any other ethnic group (please specify)
Religion
DETAILS OF CHILD/REN INVOLVED
Name / Home Address
D.O.B / School attended
Name / Home Address
D.O.B / School attended
Name / Home Address
D.O.B / School attended
Child / Young Person’s Ethnicity
The categories below are defined by the Department for Education and Skills. In addition to helping us to consider the particular needs of the child / young person being referred, this information will allow better planning of our services.
White British / □ / Caribbean / □ / Indian / □ / White and Black Caribbean / □
White Irish / □ / African / □ / Pakistani / □ / White and Black African / □
Any other white background (please specify) / □ / Any other Black background (please specify) / □ / Bangladeshi / □ / White and Asian / □
Chinese / □ / Any other Asian background (please specify) / □ / Any other mixed background (please specify) / □
Not stated / □ / Any other ethnic group (please specify)
Religion

DETAILS OF ALL OTHER CHILDREN UNDER 18 IN THE HOUSEHOLD:

Please note - if the allegation is against a foster carer, all children in the placement will need to be considered, including the foster carer's children.

Name
D.O.B / Carefirst number ( if known)
Name
D.O.B / Carefirst number ((if known
Name
D.O.B / Carefirst number (if known)
Brief account of allegation and action taken

PLEASE PROVIDE DETAILS OF PROFESSIONALS INVOLVED WITH THE ADULT AND CHILD/REN:

This should include the Senior Manager and HR advisor for the employing organisation and the child’s social worker if there is one. For foster carers, include the supervising social worker/fostering agency manager

Name
Designation
Work address
Contact Number/email
Name
Designation
Work address
Contact Number/email
Name
Designation
Work address
Contact Number/email
Name
Designation
Work address
Contact Number/email
FORM COMPLETED BY
Name
Designation
Agency
Contact details
Date

LBBD LSCB June 2015