It's so sad and frustrating when the team manager, after four years, says decision making for your granddaughter has 'drifted'. It certainly has. You all need proper practical and emotional support and it sounds as though there isn't a proper plan in place to make sure that happens.
The referral to camhs may help and it's usual for the child's main carer to go the the first appointment. That first appointment is where the camhs worker takes a full history after which, the appropriate help should follow. I hope I'm wrong but sometimes, involving more people makes thing more, not less stressful for the main carer.
Is there an independent reviewing officer? If there is, you'll have met them at the Reviews. There should also be a Review to help plan the return to mum. It may help if you phone the team manager and the IRO and explain how difficult things are. Your granddaughter is acting out because her emotions are too hard to handle. I do hope you get a positive response. Without grans like you, the whole system would grind to a halt.