Review date / December 2018
Version No. / V1
Strictly Confidential
AGENCY REPORT FOR REVIEWCHILD PROTECTION CONFERENCE
Confidentiality Statement:
Agencies are expected to supply all relevant information and views available to them and to complete each section of this report.
Where an agency has sensitive information that may expose a child to risk of significant harm or may compromise a Criminal Investigation, this should not be included within the report as it is third party information and must be shared verbally at conference.
NB. If unsure what to include please consult with the conference chair.
Individual Form for each child subject to conference
Agency Name / Date of Conference
Name of Child (SUBJECT OF CONFERENCE) Include all names used / D.O.B. / Address
Names of Other Children in the family.
(Include unborn children E.D.D.)
Names of Parent/Carers (PR status?)
Names of Significant Others or any other
Household Members (record even if name not known)
Have you attended Core Group? / Date
If not please state reason.
Date report shared with parent/family / Date
If not please state reason.
Why is your service involved?
Guidance Notes;
Reason for involvement?
How long has your agency been involved?
What work or intervention has your service provided to support this family or to address the reason for involvement?
How successful has this work or intervention been?
Please indicate any referrals made to other services, health and/or other partners?
Danger Statements / Safety Goals
Current danger statements applicable to this case. / Current safety Goals Applicable to this case.
Danger Statement 1. / Safety Goal 1.
Danger Statement 2 / Safety Goal 2.
Danger Statement 3 / Safety Goal 3.
Danger Statement 4 / Safety Goal 4.
What are you worried about?
This should only be completed if you have new worries which are not addressed in the current danger statements
Guidance notes:
Do you have any worries that are not outlined in the danger statements above?
Are there any new Harm or Complicating Factors which are making this case more difficult to deal with?
E.g. The current danger statement focuses on neglect – however since the last conference a new issue of Domestic Violence has arisen or someone risky has joined the family. / Harm
Complicating Factors
What’s working well
Guidance notes:
THINK STRENGTHS & SAFETY
What evidence is there of positive features?
Family have worked together to provide safety for the children and created a good safety plan / Safety
E.g. the family has engaged well with any services or direct work has been made available to them, or they have demonstrated recognition of professional concerns, and are voluntarily seeking help.
Engagement in health/ developmental activity / Strengths
Current Safety Plans – What actions are the family taking to ensure that the child is safe from the above risks
0 10
Based on the above safety plan, how safe is the child now this plan is in place score…
Why did you score that above score and what will you need to see to get you to a 10.
Guidance notes:
What have you observed directly in relation to the worries that have made you give this score.
This includes worries as well as strengths
What would you need to see from the family for you to score the family a 10
These suggestions and actions may form the basis of or be included in the CP plan/safety plan if this is the outcome (conference agree child should become subject to a plan
What support has the family requested from you service to help prevent ongoing harm to the child/ren?
Guidance notes:
What universal and or targeted services do you have already available (in-house) for the child or family?
Are there any local services you could signpost the child and family to?
Are there any targeted services you could signpost the child and family to?
LSCB Guidelines and procedures state this report should be shared with parents/carers and children as appropriate prior to conference.
Signature / Job TitleName
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Tel: (01472) 326118
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