Working with Other Procedures
Dorset Council has other procedures which have a significant bearing on the complaints procedures, for example:
- protection of vulnerable adults
- court proceedings
- grievance procedures
- disciplinary procedures
It is important that the relationships between procedures are clear and that their content is consistent. Procedures may also need to link within the National Health Service (NHS) and other agencies contributing to services. Other agencies who may be involved in care services include, housing authorities, voluntary and private domiciliary organisations, the Probation Service and the Police.
The Complaints Manager will provide advice to staff until any concurrent investigations are resolved. In the event of concurrent investigation, the Complaints Manager will liaise to ensure the other investigation is not prejudiced.
A potential area of confusion can arise around boundaries between the local authority’s responsibilities and those of other bodies delivering services on behalf of the authority. This can happen, for example, where the local authority provides domiciliary care through a private agency, and the service user wishes to complain about aspects of this service.
Boundary issues can occur among:
- children’s homes
- children’s day care providers
- Domiciliary Care Services
- contracted agencies and multi-agency services
- multi–agency Health Service packages
- single or joint assessments
It is important that the authority is alert to cross-boundary issues and that the Complaints Manager has protocols in place for the successful handling of these complaints. Partner agencies should have appropriate procedures of their own in place for responding to complaints in the first instance.
Complaints made to a local authority about an NHS Body
Services are increasingly provided on the basis of joint arrangements with NHS Primary Care Trusts and other agencies. The NHS has its own complaints procedure and there are specific requirements with which each NHS organisation must comply. However, the procedures are broadly compatible with our own, and there are occasions when it is appropriate to provide complainants with a joint response to their complaints.
This requires a decision about which agency will take the lead in responding to the complaint and it will be important to ensure that the complainant retains their rights to progress their complaint through the further stages of one or both agency’s procedures (on the matters which apply to each respective agency).
Complaints involving regulated services
With regard to those services that are regulated (including local authority functions) specific complaints procedures are required under separate regulations and National Minimum Standards under the Care Standards Act 2000. They are therefore distinct from the complaints procedures for local authorities that are outlined in this guidance. Understandably, confusion may sometimes exist about which complaints procedure is appropriate for specific sets of circumstances.
Complaints are likely to arise from the following issues:
- commissioning
- placement arrangements
- placement monitoring
- personal needs reassessments
- funding
- contractual arrangements
- service agreements
- service quality
- care regime matters not covered by regulations and National Minimum Standards
If the Complaints Manager receives such a complaint, they will need to consider whether it is most appropriately dealt with by any complaints process that is operated within the relevant regulated service or setting or whether it is a matter that relates more directly to the exercise of the local authority’s Children Act 1989 functions, covered by this procedure.
Where the local authority is responsible for the original assessment of need that led to a placement and associated funding, then the complainant will (in most instances) have recourse to this procedure. However, access to this complaints procedure does not apply to people with private self-funding arrangements.
The complaint should be able to make a single complaint to the provider or the local authority and have this considered by the relevant parties as necessary. The Complaints Manager should therefore ensure good communication with all other parties and organisations should discuss the details of the complaint to ensure a seamless response.
It is possible for someone to have two complaints ongoing at the same time. One to a residential placement, for example, about how it meets the regulations and/or Standards, and one to the local authority about how it has fulfilled its function in relation to the provision of services to meet the needs of the child or young person.
The local authority has responsibilities in terms of fulfilling its children's social services functions, and the regulator has the responsibility for ensuring that regulated providers (e.g. care homes) meet the appropriate Regulations and National Minimum Standards.
When local authorities receive a complaint that is about services provided under the Children’s Homes Regulations, 2001, they should refer the relevant parts of the complaint to the registered provider within 5 working days. The local authority should also inform the child or young person of this.
Details of the relevant parts of the complaint should also be sent to the local authority’s care management team and the contract monitoring team. Any issues of safeguarding and potential vulnerability of the child should be confirmed by the Complaints Manager with the child or young person before releasing the complaint to the relevant care service provider.
Where the complaint consists of elements relating to both social services functions and services provided under the Children’s Homes Regulations, 2001 the local authority should co-operate with the provider to ensure that the complainant receives one response dealing with all aspects of the complaint.
The local authority should, within 10 working days, send details of the complaint to the registered provider and determine which parts of the complaint relate to local authority social services and which to services provided by the care provider. It should also advise the complainant which parts of the complaint the local authority is considering.
If the child or young person considers that he has suffered an injustice as a result of any significant delay or failure by the authority to refer his complaint to the registered person he is entitled to raise concerns to the local authority. The local authority should then deal with this matter under the appropriate procedure.
Boundary issues also arise with regard to other regulated services, as listed above. The Complaints Manager should apply the above guidance in a similar manner with regard to these services as well (see section 7.4 on cross-boundary issues).
The role of the regulator
The Care Standards Act 2000 and the Health & Social Care (Community Health & Standards) Act 2003 define the role of the regulator in social care (currently the Commission for Social Care Inspection). The regulator’s role is to ensure compliance with the Regulations and associated National Minimum Standards.
Complaints Managers should also establish good communication with the regulator to ensure clarity in handling complaints involving regulated care services. Assumptions should not be made that a matter of complaint is the responsibility of one agency or another without agreeing the respective lines of accountability.
The regulator is not a complaints agency and has no statutory duties or powers for the investigation of complaints about either care services or local authority social services. It can only consider matters relating to the provider's compliance with regulations and National Minimum Standards. It should also not be seen as a mediator between care service providers and those commissioning or using a service.
Where the regulator receives information indicating a concern, complaint or allegation about a care service, it undertakes an assessment of that information and the accumulated evidence about the care service to determine the nature of its response. In the case of concerns and complaints, the regulator normally refers the matter to the care service provider and/or commissioning agency (where applicable). This highlights the importance of complaints procedures for both care services and local authorities.
However, in certain circumstances the regulator should undertake direct enquiries using its powers of inspection. This will most commonly be where there has been a breach of regulations indicating the need for the regulator to issue recommendations and requirements, or to take other enforcement action.
Building a seamless service with the local authority's other complaints procedures
Where a complainant has other related complaints that do not fall within this statutory procedure, e.g. one being considered under the Whole Authority Complaints Procedure, consideration will be given to the advantages in accepting these into a single investigation.
If this is not possible, then consideration will be given to offering a complete single response where possible e.g. where a complaint involves social care and non-social care services within the Directorate.
The Complaints Team will liaise with other officers to ensure that the complainant is kept informed and wherever possible gets a single, clear reply that covers all aspects. Wherever possible, the shorter of the timescales should be met to ensure that the complainant is not confused.
Child protection and child protection conferences
Where consideration of a complaint leads to concerns about the welfare of children, these should be referred immediately to local authority children’s social care or the Police. The handling of any associated complaint can be suspended if necessary.
Where enquiries have been conducted under Section 47 of the Children Act, 1989, a Child Protection conference may be held. This brings together family members, the child (where appropriate), and those professionals most involved with the child and family to consider information about the child’s developmental needs (i.e. health and development) and decide what future action is required to safeguard and promote the welfare of the child.
Court orders
The statutory complaints procedure is not an appeals procedure. People wishing to appeal against Court orders should approach the Court. However, dissatisfaction about the management or handling of a child’s case, even where related to a Court order, may be appropriately considered by the complaints procedure, e.g. conduct of social work staff involved in Court procedures.
The Complaints Manager will identify whether these circumstances might be considered under this procedure. The complainant should be informed that the complaints procedure cannot overturn a Court decision.
The Complaints Team will need to consider whether any possible complaint relating to records used in Court may also constitute a challenge to accuracy of the records it holds under the Data Protection Act.