Session 1.7: Innovation in the residential sector Implementing the ‘No Wrong Door’ approach Martin Kelly Head of Children and Young People’s Resources Janice Nicholson Residential and Edge of Care Services Manager

Adolescents - What are the challenges for the hardest to reach? Multiple vulnerabilities High risk behaviours e.g. offending, missing, CSE Hard to reach and engage Social exclusion Fractured relationships Poor outcomes from care Lack of stability e.g. placement breakdowns, homelessness

Why was the model developed? Safely reduce the need for adolescents to enter care Fundamentally change the revolving door of disruptions for those who are the hardest to engage and place Provide young people with the stability, skills and support to successfully manage all transitions to adulthood Reduce number of assessments Reduce hand-off’s between services Develop trusting relationships that can be maintained throughout a young person’s journey Innovation fund - opportunity to develop a model which will make a real difference to the lives of adolescents

The NWD Model – Placement & Interventions Residential care to provide short and medium term targeted interventions Edge of care and in care support - both crisis and planned Foster carers to work in residential care to develop relationship first Up to 28 days - single bespoke placement with small team to develop trusted relationships Supported lodging providers to work in residential care to develop relationship first Supported accommodation - opportunity to trial independent living

Key Features of the NWD Model? RAISE Risk Analysis and Intervention Solutions Evaluation meeting STAYING CLOSE Support in to independence PERMANENCE Seeking Family for Life BUILDING OPPORTUNITY Trusted Relationships Specialist support roles Solution focussed - step down approach to less intensive/cost placement Lets see what the model will do for young people and families

Making it happen THE CORE OFFER Portfolio Leads Risk management Reduce high risk behaviour Empower young people to build and restore relationships Maximise opportunity for planned transitions Support achievement Develop self-esteem, self-worth and resilience and Ensure young people in crisis receive well organised and appropriate support. THE CORE OFFER Portfolio Leads Risk management Rebuild relationships Life stage transitions Education Activities Emotional Health/Wellbeing

An integrated approach Interventions include: Hub Management Bringing together: A range of accommodation options, services, support, key partners, professionals and carers Interventions include: Targeted outreach 24/7 support Outward bound activities Post 18 support Foster Carer support Rapid response

Meeting young people’s needs Young People in care & in need of additional targeted support High need young people in Accommodation Pathway Complex & hard to engage or place An integrated service ensures young people’s needs, no matter how diverse, are addressed within a single team of trusted & skilled workers Young People on the edge of care Young people with multiple vulnerabilities Homeless young people 16+ Hub care leavers including 18+

Shared culture & interventions across the service Solution focussed & strengths based approaches Consistent approach to working with young people through common training, shared language, culture and ethos ‘a learning community’ So what are the key messages?

Shared philosophy of care Resilience is not so much a fixed trait in a person, but a quality which may be displayed when sufficient support of the right kind, helps the person to withstand the impact of adversity - Prof R Gilligan Committed to helping young people lead productive lives Relationship building & working ‘with’ young people Positive risk management Strengths-based and needs-led interventions Whole system approach – consistent planning, assessment, decision making and review processes Working collaboratively and creating strong links with partner agencies/services to effect positive change Youth Justice Housing Targeted Youth CAMHS Police Advocacy Education Health

Shared benefits of building trusted relationships A sophisticated approach takes time, but change is more likely to be effectively maintained when young people become active agents in their own development. What successful impact have you had, on someone close, in the past three months What successful impact have you had, on someone close, in their lifetime? Sewing a seed that grows overnight really does only exist in fairy tales Trusted Relationships Improved engagement Social inclusion Greater resilience Stability Openness to boundaries Self worth Good Outcomes

Partnership roles - expertise Solution focussed assessment and support Life Coach Communication Support Worker Data Analyst Police Case Workers Deputy Manager with portfolio for Signs of Safety- Co worker across LAC?? Core educational subjects (Maths & English) Flexible teaching commissioned to deliver where and when necessary Shared training and support to housing pathway Restorative Practice TCI Collaborative working with LC & CSW surgeries/signposting

Outcomes we want to achieve Improve young people’s safety and stability Reduce vulnerabilities Increase engagement in education/training and work readiness Improve physical and emotional wellbeing Reduce criminal activity Raise levels of engagement Reduce costs to the Local Authority, the NHS and the Criminal Justice System So what are the key benefits to this partnership approach?

National Interest Edward Timpson – Parliamentary Under Secretary of State “North Yorkshire already has a track record in innovating with impact – having redesigned their residential and edge of care services and achieved a 50% rise in the number of young people they support whilst achieving significant cost savings. I saw the difference this is making for myself when I visited the area earlier this year and met a number of children in care and those leaving care, as well as some foster carers. I am hugely excited to see what this venture achieves”. House of Commons Education Select Committee – Third special report Into independence, not out of care: 16 plus care options: Recommendation 12: We recommend that the DfE examine models such as ‘No Wrong Door’ in North Yorkshire. If they are shown to lead to improved outcomes for young people, the DfE should issue best practice guidance on a model of Staying Close. House of Lords Debate – Pre Election

Martin Kelly Janice Nicholson Head of Children and Young People’s Resources Janice Nicholson Residential and Edge of Care Services Manager