1. 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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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+

9. 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?

10. 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

11. 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

12. 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

13. 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?

14. 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

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