Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.
-
Upload
liliana-hoover -
Category
Documents
-
view
224 -
download
3
Transcript of Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.
![Page 1: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/1.jpg)
Berkshire West LSCB’s
DANIEL PELKA:
HIS LEGACY
![Page 2: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/2.jpg)
Genogram
![Page 3: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/3.jpg)
Polish immigrants 2005 Daniel born in 2007 – father
Mr P - left family end 2008 Mother in relationship with
Mr K 2008 – mid 2010 Mother in relationship with
Mr A 2010 onwards Adam born 2011
Family History
![Page 4: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/4.jpg)
Family Features
All Polish -Catholic religion English not first language Domestic abuse Alcohol misuse Mother - mental health
issues House moves
![Page 5: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/5.jpg)
Daniel’s life
March 2008 – laceration over eye
Witnesses domestic abuse
July 2010 bruise side of head
Witnesses DV – knives & attempted strangulation of mother
![Page 6: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/6.jpg)
Daniel’s life
Early 2011 – broken arm, multiple bruising
Started school Sept 2011 – issues re obsession with food, attendance, loss of weight.
School noted facial injuries Dec – Feb 2012
![Page 7: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/7.jpg)
Daniel’s life
Ron Lock, Overview Author stated: “if there were such concerns about
the injuries alongside the background of the other concerns, it is difficult to understand why the school did not coordinate these and ensure that a child protection referral was made to CLYP at the time”.
Why do you think this was?
![Page 8: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/8.jpg)
Daniel’s life
Paediatric appt Feb 2012 (aged 4 yrs 7 months)
Wet himself No recognisable words Weight 13.8kg Mother’s explanation Further investigations
![Page 9: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/9.jpg)
Daniel’s secret life - discovered after his death
Anna’s involvement Junk or box roomWithdrawal of foodUse of saltBeing hitBath and nearly drowning
![Page 10: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/10.jpg)
Daniel’s death
2nd March 2012 – not at school. Salt poisoning & not responding – ‘he’ll get over it’
3rd March – cardiac arrest, emaciated & malnourished, bruising & head injury; died ‘direct blow to head’
![Page 11: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/11.jpg)
Missed opportunities
Antenatal bookingsChild development appts27 domestic abuse events
known to PoliceMother’s hospital
attendances Minor injuries to Anna
![Page 12: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/12.jpg)
Missed opportunities Injuries to Daniel noticed
by school & PaediatricianDaniel scavenging for
food at school – school accepted mother’s explanation
Failure of professionals to check information with each other
![Page 13: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/13.jpg)
Missed opportunities
Assessments by social workers
Males were not visibleDaniel only spoken to on
one occasion – issue of him speaking Polish
![Page 14: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/14.jpg)
Professional communication
Impact of movesNot proactiveConfused & ineffective
communicationAssumptionsLack of multi-agency
contributions to social work assessments
![Page 15: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/15.jpg)
Professional communication
Not holisticNot historic ‘Start again’ approach Incident focusedLack of child focusLack of mgt oversight
![Page 16: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/16.jpg)
Police Practice Issues
Need to be child centred at all incidents
Broader checks of situation Always consider the impact
of DV on children Timely notifications to
Children’s Services
![Page 17: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/17.jpg)
Health Visitor’s Practice Issues
Lack of communication with GP’s
Lack of robust attempts to complete assessments
Presumption that no DVNot responsive to
notifications of injury nor DV
![Page 18: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/18.jpg)
Hospital Practice Issues
Identification of impact of mother’s OD on children
Need to question plausibility of parental explanations
Focused on main injury without considering other injuries & issues in context
Rationalisation & under responsiveness
![Page 19: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/19.jpg)
Midwifery Practice Issues
No clarification about mother discharging herself
Not proactive when missed 4 antenatal appointments
Not proactive when mother disclosed DV – inappropriate view that DV is not child protection concern
![Page 20: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/20.jpg)
GP Practice Issues
Failure to alert other professionals
Adult focusLack of proactive
responsesNeed to record on adult &
child records
![Page 21: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/21.jpg)
Probation’s Practice Issues
Failed to up-date assessment when Mr A returned to home – ‘no realistic protection’
Curfew arrangementsRisk assessmentsAdult focus
![Page 22: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/22.jpg)
Children’s Services Practice Issues
Poor quality assessmentsLack of male inclusionDisguised complianceDid not talk directly to
Daniel or Anna
![Page 23: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/23.jpg)
School’s Practice Issues
Disguised complianceUse of interpretersDisparity of viewsNo effective coordination
with school nurses or each other
Poor recording systems
![Page 24: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/24.jpg)
Consolidating & improving practice
Take every opportunityRobustly challenge
explanations & reassurances from parents
Domestic abuse is always a child protection issue
Talk directly to children – ensure no child is invisible
![Page 25: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/25.jpg)
Consolidating & improving practice
Develop understanding of patterns
Write effective and timely records and reports
Physical injuries, especially to face must always be considered as abuse
![Page 26: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/26.jpg)
Consolidating & improving practice
Consider impact of family’s circumstances
Hold own professional judgements
Assess evidence re: ability / willingness to change
![Page 27: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/27.jpg)
Consolidating & improving practice
Don’t rely on family members to corroborate
Don’t make assumptions without checking with colleagues
Always consider child abuse as potential cause
Retain healthy scepticism
![Page 28: Berkshire West LSCB’s DANIEL PELKA : HIS LEGACY. Genogram.](https://reader036.fdocuments.us/reader036/viewer/2022062300/56649e715503460f94b705f2/html5/thumbnails/28.jpg)
Daniel’s mother & her partner, Mr A, were charged
with Daniel’s murder and received sentences of 30
years imprisonment in July 2013.