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Processes relating to parents

Keep an overall picture:

  • Use a referral tracking sheet to continually monitor all expectant or post birth parents requesting support and to review whether the support process is going as expected
  • It is useful to set up separate filing systems for parents actively being supported and for those that have finished support.

Referrals tracking sheet

Added 25/02/2020

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Your staff will need to respond in a timely way when a woman requests support. Preparing a batch of initial visit packs in advance will help you to do this.

The documents listed below will help staff to carry out an initial home visit. The purpose of the visit is to explore with the pregnant woman (and her partner) whether one-to-one peer support could be helpful.

 

Name of record When Who Purpose Content
Checklist for initial visit During initial home visit Member of staff carrying out the initial home visit An aide memoire of what to cover during the visit The key steps that need to be covered during the visit

Initial information form (mum-to-be)

 

Initial information form (dad-to-be)

During initial home visit Member of staff  The main purposes are to:
  • Provide prompts that will assist the pregnant woman and her partner to reflect. NB it is not used as a ‘tick box’ exercise
  • Record data for equality and diversity monitoring
  • Identify services being accessed and whether other support might be more suitable
  • Collect data for monitoring and evaluation
  • Establish whether one-to-one peer support is likely to be beneficial
  • Enable the parent to understand information sharing and data protection procedures and to give their consent if they are happy to do so
  • Personal information
  • Equality monitoring information
  • Circumstances relating to current pregnancy (health related issues, emotional wellbeing)
  • Information about previous pregnancies / birth experience
  • Relationships
  • Smoking
  • Housing and money issues
  • Access to social networks
  • Services being accessed (social care, midwife, GP, health visitor etc.)
  • Sharing information procedures
  • Baseline self-rating scales (11 factors)
  • Outcome of initial visit (whether accepted for one-to-one peer support and reason/s why)
  • Consent forms (including copy for parent/s)
What to expect from your volunteer peer supporter During initial home visit Member of staff  Clarifies how a peer support can help to manage expectations/assist the parent to understand the ground rules and boundaries of the role and help them consider whether they would like a peer supporter
  • What a peer supporter is for
  • The ‘birth buddy’ peer supporter role
  • Specific examples of what a parent and peer supporter could do together
  • What to do if they would like a different peer supporter
  • Specific information about what a peer supporter doesn’t do
Initial visit risk assessment After initial home visit Member of staff  To identify any potential risks to the volunteer to assist the coordinator to take appropriate action to minimise them Guidance for assessing high, medium and low categories

Initial visit pack

Added 26/02/2020

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Before one-to-one support starts, set up a parent file for each parent. Assign a code to each individual parent to help protect confidentiality and to provide an alphabetical or numerical order to your filing system.

Listed below are some useful records to include in a parent file.

Name of record When Who Purpose Content
Expectant parent front of file checklist Parent starts one-to-one support Member of staff who carried out the initial home visit To record the overall journey of peer support provided to each parent to monitor whether all steps have been completed   Key steps from beginning to end of support is recorded in one place

Family chronological record sheet

Ongoing Member of staff To record any significant information relevant to providing quality support to the family

Examples:

  • Communications between the parent, family members and programme staff
  • Volunteer updates about the progress of support provided to the family during supervision or ad hoc communications with the coordinator. This may include issues worked on and goals achieved by the parent, any challenges, concerns or safeguarding issues and associated actions
  • Key decisions made, requests for the parent’s consent to share information etc.
  • Information shared with or from other agencies/ professionals

 

Safeguarding summary Ongoing Member of staff To provide an ‘at a glance’ overview of ongoing significant safeguarding concerns to assist clarify as part of an ongoing review of risk. Also an aide memoire for safeguarding supervision sessions Chronology of significant child or vulnerable adult safeguarding issues, information shared and received from others, decisions reached at interagency safeguarding meetings etc.
Summary of volunteer peer supporter time spent End of support Member of staff Volunteer time given to each parent is often substantial. Tracking the total time spent can be used for celebrating the volunteer’s contribution and also for demonstrating value to funders Total time spent on home visits, labour and birth support, other support sessions and telephone support

Parent file documents

Added 25/02/2020

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The member of staff who carried out the initial home visit will need to then introduce a volunteer to the expectant parent/s.

Prepare some introductory visit packs in advance that contain everything needed throughout the home visiting process.

It may be useful to include some of the tools and records listed below.

Name of record

When

Who

Purpose

Content

Checklist for introductory visit

Before and during the introductory visit

Member of staff and volunteer

An aide memoire of what is needed to be covered before and after the introductory visit

Prompts / reminders of key steps to cover before and after the visit

Comments, compliments and complaints leaflet

During the introductory visit

Volunteer

To invite the parent to give feedback and to make it easy for them to do so

  • How to submit a comment, compliment or complaint
  • Where to send it
  • A template to complete

“Sorry I missed you” cards

If parent/s is not in for a pre-arranged visit

Volunteer

To make parent/s aware that the volunteer has attempted to visit

Request for parent to contact volunteer to agree a new time to meet up

“When I will next see you” cards

For organising support visits

Volunteer

A reminder for the parent about the date, time and place of next visit

Series blank entries for dates

Ideas for things we could look at together – pregnancy

Throughout the home visiting process during pregnancy

Volunteer and expectant parents

To help expectant parents to identify topics they would like their volunteer to focus on during home visits

 

To help the volunteer to select information to share during each home visit that the expectant parents are interested in

 

To collect data for monitoring and evaluation purposes

 

Topics include:

  • Getting out and meeting others
  • Keeping healthy during my pregnancy
  • Healthy eating
  • Preparing for labour and birth
  • Preparing to look after my baby
  • Preparing to breastfeed
  • Bonding with my developing baby
  • Feelings and emotions
  • Personal relationships
  • Money worries
  • Housing
  • Services that are there to help me
  • Going with me when I attend a service
  • Helping me to access services

One-to-one diary sheet

A new sheet is completed by the volunteer after each parent support session

Volunteer

Used to enable the volunteer to reflect on the session; record the goals/next steps the parent/s want to work on; and plan the next visit.

Prompts the volunteer to contact their supervisor if any concerns.

 

Monitoring and evaluation data

Summary of support that took place

Identifying any concerns

Reminders for next support session

Telephone Record sheet

The volunteer uses this to record any significant telephone calls or text messages 
between their support sessions with the parent/s. 

Volunteer

Reminds volunteer about issues arising between support session.  Assists planning and also reflection during supervision. 

Records details of dates, time spent and brief summary of support.  

Monitoring and evaluation data (volunteer time spent on ad hoc support and type of support given.

Where are we now Questionnaire

The volunteer completes this with the parent/s at 34-36 weeks of pregnancy (*39 weeks for late referrals)

Volunteer 

To enable volunteer and parent to reflect together on the support process and for the parent to identify next steps.

Useful for gathering evaluation data and to structure an open and honest discussion between volunteer and parent about the quality/usefulness of the support given; celebrate the parent's achievements to date; and to plan what ongoing support would be useful.

Provides an opportunity for the volunteer to share their enjoyment of supporting the parent.

Feedback questions for parent/s about the quality/value of the support given; reflecting on what has been covered to date; whether support should continue; and what to work on next.

Ideas for things we could look at together – being a parent

Throughout the home visiting process after the birth of the baby

Volunteer and parent/s

To help parents to identify topics they would like their volunteer to focus on during home visits

 

To help the volunteer to select information to share during each home visit that the parents are interested in

 

To collect data for monitoring and evaluation purposes

 

Topics include:

  • Getting out and meeting others
  • Looking after my health
  • Healthier eating
  • Looking after my baby
  • Breastfeeding
  • Bonding with my baby
  • Feelings and emotions
  • Personal relationships
  • Money worries
  • Planning for returning to work
  • Housing
  • Services that are there to help me - Going with me when I attend a service
  • Helping me to access services

Postnatal family booklet

Used by the volunteer following support during labour, birth and during the postnatal period

Volunteer

To guide the volunteer through the stages of support during labour, birth and after the birth of the baby

Also gathers some monitoring and evaluation data

Includes:

  • Labour and birth diary sheet
  • Birth summary
  • Records types of support given during labour and birth
  • Volunteer’s reflections on their support experience

Postnatal section

  • Useful reminders
  • Feedback questionnaire to complete in partnership with the parent/s at 3 months post birth
  • Telephone record sheet
  • One-to-one diary sheets x 10

Introductory visit pack

Added 26/02/2020

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It’s important that a member of staff gives the pregnant woman an informal phone call a few weeks later. This is a simple quality check to make sure things are going as planned. It is also an opportunity to collect some evaluation data.

Name of record When Who Purpose Content

Evaluation
questionnaire late pregnancy

After several home visits have been carried out by the volunteer Member of staff

To understand the quality of the relationship developing between the parent and the volunteer

To gain feedback from the expectant parent/s

To collect monitoring and evaluation data

Simple questions exploring how the relationship with their volunteer is going

Requests for parent’s ideas

Follow-on self-rating scales to compare against baselines at initial visit (11 scales)

Evaluation questionnaire late pregnancy

Added 26/02/2020

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For continuity, the same member of staff who carried out the initial visit, and quality check can also contact the parent for some final feedback when the peer support ends. If the parent is happy, local health professionals involved in their care can also be informed that the support has ended.

Download the documents listed below.

Name of record When Who Purpose Content

3 month post birth questionnaire

 

At end of support

Member of staff

To gain final feedback from the parent/s about the quality of support provided

 To collect monitoring and evaluation data

 To encourage the parent to contribute to the programme

 

 

 

Questions about:

  • If the support has helped and if so how
  • How they are feeling now the support is ending
  • Whether they would consider being a volunteer in the future
  • any improvements needed
  • Follow-on self-rating scales to compare against baselines at initial visit and mid support (11 scales)

 

End of support letter

 

At end of support

Member of staff

To inform relevant professionals that the peer support has ended

Includes any additional information that the parent has consented to share

End of support letter disengaged no contact (agencies)

 

If the volunteer started supporting the parent but contact couldn’t be maintained

Member of staff

To inform relevant professionals that the peer support has ended

Explanation of why the support has ended

End of support letter disengaged (parent)

 

If the volunteer started supporting the parent but contact couldn’t be maintained

Member of staff

To inform the parent that no further contact will be made unless requested

Explanation that staff and volunteer have been trying to get in touch

Offering a different volunteer if needed and requesting the parent gets in touch

Photo consent form

 

At end of support

Member of staff

To request permission to use any photographic images that include the parent and their baby/children to promote the programme (if appropriate)

Explanation of different ways the images could be used (parent can choose option to tick as appropriate and offered opportunity to make consent explicit)

End of support documents

Added 26/02/2020

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