Residential child care must be needs led

Jonathan Stanley, manager, National Centre for Excellence in Residential Child Care and Children's Residential Network
Thursday 16 July 2009

Recent figures regarding the number of children placed in residential care give an insight into the realities influencing the commissioning process in England.

Residential child care is being seen in an increasingly positive light. Recent Ofsted inspections show that compliance with the National Minimum Standards for Children's Homes has increased from 54 to 92 per cent. Furthermore, young people themselves regularly report residential child care as their placement of choice. In light of this, and the duty in the Children and Young Persons Act on each local authority to ensure a sufficient supply of placements, along with the progress being made with regional commissioning, we have the opportunity to match needs to placement as we have never done before.

With a needs-led placement strategy, one would expect to see fluctuation. However, for a number of authorities the figures show consistent placement levels year on year. This might be due to statistical effects but there may be other factors involved, such as cost efficiency driving placements rather than child welfare and development.

The National Centre for Excellence in Residential Child Care appreciates the necessity for close attention to cost. We also encourage commissioners to see their work as a parenting and child care activity, and encourage "relational commissioning", a mutuality between providers and commissioners developing and sustaining placements that meet the emotional wellbeing and attachment needs of young people. Research tells us the best value for money is achieved when talented, skilled and experienced staff are retained and create a stable environment for the children in their care. Achieving this should be the primary concern of everyone involved.