I understand this to mean:
recognition: behaviour altered or not the same as it was.
mouth or nose or both looking sore or red.
eyes unclear, looking glazed over.
smelling of alcohol.
behaviour: displaying an: 'over' affection for the child in public to disguise
possible abuse, overly harsh treatment of the child or
indifference to the child.
missing medical appointments or visiting medical services with
inessential reasons.
Signs of domestic abuse in parent/carer
Check
Level 3 NVQ handbook?
Hope this helps. I could be wrong though! and if that's the case I take no responsibility! Good luck!