Experiences of Care in Aotearoa 2022/2023 - Appendices

Agency commitments from 2021/2022 and 2020/2021

Each year we ask agencies about their compliance with the NCS Regulations
(National Care Standards and Related Matters) Regulations 2018 View the full glossary and the progress they are making with self-monitoring. This year, we are looking at what agencies said they would do and what they have done over the last 3 years. For some initiatives, it may be too soon to see an impact on compliance with the NCS Regulations or the experiences of tamariki
Children (plural) aged 0-13 yearsView the full glossary and rangatahi
Young person aged 14 – 21 years of ageView the full glossary, however we will continue to report on any progress.

Oranga Tamariki
Findings by Monitor	Response from Oranga	Progress with actions	Improvement on findings
	Tamariki Children (plural) aged 0-13 yearsView the full glossary Planned actions	(Not started, In progress, Progress not known, Complete)	(Unknown, No Change, Improvement shown)
2020/2021 Gaps in monitored agency data limits our ability to fully understand how they are meeting their obligations under the NCS Regulations (National Care Standards and Related Matters) Regulations 2018 View the full glossary.	Strengthen case file analysis	Complete	Improvement shown
	Caregiver Information System (CGIS) to be implemented early 2022	Complete	Improvement planned for future reporting periods
	Launch new whānau Whānau refers to people who are biologically linked or share whakapapa. For the Monitor’s monitoring purposes, whānau includes parents, whānau members living with tamariki at the point they have come into care View the full glossary survey	Discontinued	No change
	Explore replacement of CYRAS	Not started	No change
	Utilise Social Wellbeing Agency’s Data Exchange	Complete	Improvement shown
2020/2021 Self-monitoring of compliance with NCS Regulations needs to improve, so we can understand the quality of care and how to improve.	Full role out of Whiti	Complete	Improvement shown
	Use information from self-monitoring to implement policy and practice change	In progress	No change
	Continue to develop self-monitoring measures	In progress	Improvement shown
2021/2022 Oranga Tamariki is yet to fulfil the regulatory requirement to self-monitor its compliance with the National Care Standards Regulations.	Confirm self-monitoring framework, approach and model	In progress	Improvement shown
	Establish baselines and targets for measure identified	In progress	Improvement shown
	Develop reporting of foundational measures at each assurance level	In progress	Improvement shown
2020/2021 Tamariki and rangatahi Young person aged 14 – 21 years of ageView the full glossary do not know and understand their rights.	Strengthen feedback and complaints system	In progress	No change
	Create new resources with VOYCE [Manaaki Kōrero project]	In progress	No change
	Update “My Rights My Voice” resource	Complete	No change
	Mandate that rangatahi provided with grievance form after being searched or admitted to secure	Progress not known	No change
	Appoint a National Quality Lead, Residential Quality Leads, National Training Coordinator, Residential Training Leads and Kaiwhakaako (cultural advisor within residence)	In progress	No change
	Implement priority areas from Te Tohu o te Ora	In progress	No change
2021/2022 To support tamariki and rangatahi to express their opinions, be involved in decisions, and share concerns, they need to know their rights.	Consider research insights and recommendations from rainbow and takatāpui rangatahi in care	In progress	No change
	Release Te Tohu o te Ora results early 2023	Complete	No change
	Establish another Youth Advisory Group	Complete	No change
	Establish an ‘Advisor Rangatahi Voices’	Complete	No change
	Increase accessibility to information on rights	In progress	No change
2020/2021 Connections with whānau and culture are important for tamariki and rangatahi Māori in care.	Further development of Te Toka Tūmoana (indigenous and bicultural principled framework)	In progress	No change
	Update All About Me Plan policy to include emphasis on whānau searching	Complete	improvement shown
	With Whānau Care, recruit and support caregivers in partnership with iwi TribeView the full glossary and kaupapa Māori providers	In progress	No change
	Development of Te Hāpai Ō, Māori cultural capability programme	Complete	improvement shown
2021/2022 When staff lack cultural competence, relationships between Oranga Tamariki, whānau and other organisations can be negatively impacted.	Te Hāpai Ō baseline report to be completed in early 2023	In progress	No change
	Te Hāpai Ō resources available on MyLearn	Complete	No change
	Second intake of Tū Māia	Complete	improvement shown
	Refinement of Tū Māia (cultural capability programme) training resources	In progress	No change
	Commence Te Reo Māori strategy in 2023/24 financial year	Not started (Deferred)	No change
2020/2021 Oranga Tamariki respond well when tamariki and rangatahi enter care; practices weaken during their time in care.	Visit frequency changed to meet needs of tamariki	Complete	No change
	Introduce “Tamariki in Care Clinics” (before June 2022)	Complete	No change
	Facilitation of practice sessions by Practice Leaders that focus on NCS Regulations	Complete	No change
2020/2021 Caregivers need more support.	Monitor caregivers’ participation in ‘Prepare to Care’ programme	Complete	No change
	Identify number of caregivers who have participated in trauma-informed learning/support programmes	Complete	No change
	Conduct case file review to improve support to caregivers	In progress	No change
	Reform the system of financial assistance and support for caregivers	In progress	No change
2021/2022 Caregivers continue to tell us that they need more support.	Continue to listen to caregivers’ voices about their experiences	In progress	No change
	Explore unfulfilled support themes reported	In progress	No change
2020/2021 Agency support of health needs, especially mental health needs, is variable.	Case file analysis to capture diagnosis type to provide greater insight into disability needs for tamariki and rangatahi in care	Complete	No change
	Establish inter-agency governance group across residences	In progress	No change
2021/2022 The prevalence of disability among tamariki and rangatahi in care is not well understood.	Improve disability data prevalence measurement	In progress	No change
	Examine experiences of tamariki and rangatahi in care receiving Disability Support Services	In progress	No change
	Six-to-eighteen month focus on disability data improvements	In progress	No change
	Disability Advisory Group provide advice on Disability Strategy	In progress	No change
2021/2022 Lack of availability and access to mental health services continues to be a barrier.	Will work with other children’s agencies through OTAP to improve access to services to meet identified need	In progress	No change
2020/2021 Agencies not communicating and working together effectively is a common barrier to achieving outcomes.	Action Plan to be published early 2022	Complete	No change
	Ngā Tini Whetū (collaboration between Oranga Tamariki, Te Puni Kōkiri, ACC and Whānau Ora Commissioning Agency to develop and implement a new whānau-centred early-intervention prototype	In progress	No change
	Develop new schedule in MoU between Oranga Tamariki, Police, Ministry of Health and Health New Zealand	Complete	No change
2021/2022 Connections between Oranga Tamariki, health and education providers and communities remain splintered.	Work with the Regional Public Service Commissioners to drive support and engagement in OTAP	In progress	No change
	Progress next set of in-depth assessments and provide agency responses	In progress	No change
2021/2022 For social workers to successfully perform their role they need to be able to spend more time with tamariki, rangatahi, whānau, caregivers and communities.	Development of an organisational demand and allocation model, implemented in 2022/23 financial year	In progress	No change
	Office of the Chief Social Worker will focus on better understanding social worker capacity, caseload complexity and workload management	In progress	No change
	Streamline core processes and tasks to prioritise social workers time with tamariki, rangatahi, whānau and caregivers	In progress	No change
	Development of a supervision strategy	In progress	No change
	Invest further in supervisors’ ability to support social work practice	In progress	No change
2021/2022 Oranga Tamariki are not always assessing caregivers and their households before tamariki and rangatahi are placed with them.	Determine why assessment and approval is not occurring	In progress	Improvement shown
	Office of the Chief Social Worker to implement practice guidance around provisional approval	Not started	No change

Open Home Foundation
Findings by Monitor	Response from Open Home foundation	Progress on commitments	Improvement
	Delivered and planned actions	(Complete, In progress, On-going, Not started)	(Improvement shown, No change, Unknown)
2020/2021 Gaps in monitored agency data limits our ability to fully understand how they are meeting their obligations under the NCS Regulations (National Care Standards and Related Matters) Regulations 2018 View the full glossary.	Improvements made to OSCAR (Case Management System) to increase scope and support ease of reporting	In progress	Improvement shown
2021/2022 No finding specific to Open Home Foundation.	Continued to refine self-monitoring and data capturing in OSCAR	In progress	Improvement shown
2020/2021 Self-monitoring of compliance with NCS Regulations needs to improve, so we can understand the quality of care and how to improve.	Continued to develop ‘Better Off’ survey data	In progress	Improvement shown
	Hold fortnightly forums to upskill social workers on NCS requirements	In progress	Improvement shown
2021/2022 No finding specific to OHF	Utilise ‘Better Off’ survey data for continuous improvement	In progress	Improvement shown
2021/2022 No finding specific to OHF	Continue to hold internal practice forums with a focus on the NCS Regulations	In progress	Improvement shown
2021/2022 For social workers to successfully perform their role they need to be able to spend more time with tamariki Children (plural) aged 0-13 yearsView the full glossary, rangatahi Young person aged 14 – 21 years of ageView the full glossary, whānau Whānau refers to people who are biologically linked or share whakapapa. For the Monitor’s monitoring purposes, whānau includes parents, whānau members living with tamariki at the point they have come into care View the full glossary, caregivers and communities.	Twelve month focus on increasing visits to tamariki, rangatahi, whānau carers and foster parents	In progress	Improvement shown
2020/2021 Connections with whānau and culture are important for tamariki and rangatahi Māori in care.	Te Roopu Māori kaimahi are supporting kaimahi to support tamariki and rangatahi Māori to be better connected to their whānau, hapū Sub-tribeView the full glossary and Iwi TribeView the full glossary	In progress	Improvement shown
	Changes to be made in OSCAR to reflect work in te ao Māori The Māori worldView the full glossary	In progress	Improvement shown
	Grow relationships with iwi/Māori organisations	Progress not known	No change
2021/2022 When staff lack cultural competence, relationships between Oranga Tamariki, whānau and other organisations can be negatively impacted.	Trialled a cultural plan based on Te Aho Takitoru framework to meet cultural needs of tamariki and rangatahi	Complete	Improvement shown
	Increased focus on connecting tamariki and rangatahi with their whānau and where they come from	In progress	Improvement shown
2021/2021 Tamariki and rangatahi do not know and understand their rights.	Roll out a communication tool that will give tamariki and rangatahi an extra way to express their views	Complete	Improvement shown
2021/2022 To support tamariki and rangatahi to express their opinions, be involved in decisions, and share concerns, they need to know their rights.	Increase use of Mind of my Own app to engage tamariki and rangatahi in conversations and planning about them	In progress	Improvement shown
	Focus on tamariki having child-friendly plans	In progress	Improvement shown
2020/2021 Caregivers need more support.	Caregivers receive on-going supervision and visits from their social workers	In progress/ongoing	Improvement shown
	Foster Parent Support Plan developed based on needs of tamariki and rangatahi	In progress/ongoing	Improvement shown
	Continue to provide Foster Parents with induction training, and introduction to trauma informed practice and additional online training	In progress/ongoing	Improvement shown
2021/2022 The prevalence of disability among tamariki in care is not well understood.	Disability advisors are active in their input into plans for disabled tamariki and rangatahi, and/or those with high needs	In progress/ongoing	Improvement shown

Barnardos
Findings by Monitor	Response from Barnardos	Progress on commitments	Improvement
	Delivered and planned actions	(Complete, In progress, On-going Not started)	(Improvement shown, Some improvement shown, No change, Unknown)
2020/2021 Gaps in monitored agency data limits our ability to fully understand how they are meeting their obligations under the NCS Regulations (National Care Standards and Related Matters) Regulations 2018 View the full glossary.	Develop a self-monitoring tool	Complete	Improvement shown
	Utilise self-audit tool	In progress/ongoing	Improvement shown
	Staff engage in regular ‘quick learn’ sessions with a focus on consistent recording and assessment best practice	Complete/ongoing	Improvement shown
2020/2021 Self-monitoring of compliance with NCS Regulations needs to improve, so we can understand the quality of care and how to improve.	Barnardos reports to be fully compliant with the NCS Regulations	Complete	Improvement shown
2020/2021 Tamariki Children (plural) aged 0-13 yearsView the full glossary and rangatahi Young person aged 14 – 21 years of ageView the full glossary do not know and understand their rights. 2021/2022 To support tamariki and rangatahi to express their opinions, be involved in decisions, and share concerns, they need to know their rights.	Barnardos have provided examples of the tamariki in their care expressing their views and being enabled to make day-to-day decisions about their lives	Complete
2020/2021 Connections with whānau Whānau refers to people who are biologically linked or share whakapapa. For the Monitor’s monitoring purposes, whānau includes parents, whānau members living with tamariki at the point they have come into care View the full glossary and culture are important for tamariki and rangatahi Māori in care.	Barnardos have no tamariki or rangatahi Māori in their care, however, it continues to upskill the cultural competence of its workforce.
	Kaimahi attend regular training	In progress/ongoing
2021/2022 When staff lack cultural competence, relationships between Oranga Tamariki, whānau and other organisations can be negatively impacted.	Strengthen connections with local iwi TribeView the full glossary to enable whanaungatanga with the foster care team and caregivers	In progress
	Practice guidance is under development as part of strategic plan	In progress
2020/2021 Caregivers need more support.	Caregivers’ needs are identified and support through the Maiatanga plan	In progress/ongoing
2021/2022 Caregivers continue to tell us that they need more support.
2020/2021 Agency support of health needs, especially mental health needs, is variable.	Develop a financial template to ensure tamariki do not experience funding barriers to accessing services	Complete	Improvement shown
2021/2022 Lack of availability and access to mental health services continues to be a barrier.	Both tamariki in the care of Barnardos have their needs met and receive timely access to services	Complete
2020/2021 Agencies not communicating and working together effectively is a common barrier to achieving outcomes.	Barnardos report a good relationship with other services, including health and education providers	Complete
2021/2022 For social workers to successfully perform their role they need to be able to spend more time with tamariki, rangatahi, whānau, caregivers and communities.	Barnardos report that the rangatahi in their care have regular contact with their social workers	Complete

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Contacts

Aroturuki Tamariki -
Independent Children’s Monitor
PO Box 202, Wellington 6140

Email: info@aroturuki.govt.nz
Phone: 0800 777 232 
Text: 3701

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Communications@aroturuki.govt.nz

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Experiences of Care in Aotearoa 2022/2023 - Appendices

Appendix One

Agency commitments from 2021/2022 and 2020/2021

Oranga Tamariki

Open Home Foundation

Barnardos

Footnotes