Setting

Holly House School

Church Street North Old Whittington Chesterfield Derbyshire S41 9QR

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Holly House School

29th November – 2nd December 2004 Residential Special School (not registered as a Children’s Home)

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Commission for Social Care Inspection

Launched in April 2004, the Commission for Social Care Inspection (CSCI) is the single inspectorate for social care in England.

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Commission for Social Care Inspection

The Commission combines the work formerly done by the Social Services Inspectorate (SSI), the SSI/Audit Commission Joint Review Team and the National Care Standards Commission.

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The role of CSCI is to:

• Promote improvement in social care • Inspect all social care - for adults and children - in the public, private and voluntary sectors • Publish annual reports to Parliament on the performance of social care and on the state of the social care market • Inspect and assess ‘Value for Money’ of council social services • Hold performance statistics on social care • Publish the ‘star ratings’ for council social services • Register and inspect services against national standards • Host the Children’s Rights Director role.

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Inspection Methods & Findings

SECTION B of this report summarises key findings and evidence from this inspection. The following 4-point scale is used to indicate the extent to which standards have been met or not met by placing the assessed level alongside the phrase "Standard met?"

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The 4-point scale ranges from:

4 - Standard Exceeded (Commendable) 3 - Standard Met (No Shortfalls) 2 - Standard Almost Met (Minor Shortfalls) 1 - Standard Not Met (Major Shortfalls) 'O' or blank in the 'Standard met?' box denotes standard not assessed on this occasion. '9' in the 'Standard met?' box denotes standard not applicable. 'X' is used where a percentage value or numerical value is not applicable. Holly House School Page 1

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Fax No: Address

Church Street North, Old Whittington, Chesterfield, Derbyshire, S41 9QR

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Name of Governing body, Person or Authority responsible for the school

Derbyshire County Council Name of Head Mr Peter Brandt

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Type of school

Date of last boarding welfare inspection: 03/02/04

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Type of school

Date of Inspection Visit 29th November 2004 ID Code

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Type of school

Name of CSCI Inspector 1 Katarina Djordjevic 074488

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Type of school

Name of CSCI Inspector 2 Nancy Bradley 136454

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Name of Establishment Representative at the

time of inspection Mr Peter Brandt & Mrs Susan Thomas Holly House School Page 2

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INTRODUCTION TO REPORT AND INSPECTION

Residential Special Schools are subject to inspection by the Commission for Social Care Inspection (CSCI) to determine whether the welfare of children (i.e. those aged under 18) is adequately safeguarded and promoted while they are accommodated by the school.

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INTRODUCTION TO REPORT AND INSPECTION

Inspections assess the extent to which the school is meeting the National Minimum Standards for Residential Special Schools, published by the Secretary of State under Section 87C of the Children Act 1989, and other relevant requirements of the Children Act 1989 as amended. Residential Special Schools are not registered as children’s homes unless they accommodate, or arrange accommodation for, one or more children for more than 295 days a year.

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INTRODUCTION TO REPORT AND INSPECTION

This document summarises the inspection findings of the CSCI in respect of Holly House School The report follows the format of the National Minimum Standards and the numbering shown in the report corresponds to that of the standards.

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INTRODUCTION TO REPORT AND INSPECTION

• Inspection methods used • Key findings and evidence • Overall ratings in relation to the standards • Recommended action by the school • Advisory recommendations on boarding welfare • Summary of the findings • Report of the lay assessor (where relevant) • The Head’s response and proposed action plan to address findings

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INSPECTION VISITS

Inspections are undertaken in line with the agreed regulatory framework under the Care Standards Act 2000 and the Children Act 1989 as amended, with additional visits as required.

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INSPECTION VISITS

The report represents the inspector's findings from the evidence found at the specified inspection dates. Holly House School Page 4

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BRIEF DESCRIPTION OF THE SCHOOL AND RESIDENTIAL PROVISION

Holly House is a residential special school catering for children of both sexes with emotional and behavioural difficulties, aged 7 – 14 years. The aim of Holly House is to meet the special educational, emotional and behavioural needs of its students and enable students to return to mainstream school wherever possible.

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BRIEF DESCRIPTION OF THE SCHOOL AND RESIDENTIAL PROVISION

The residential provision consists of two units, which have their own kitchen/ dining facilities, lounge and bathing facilities. There are four single bedrooms and 6 shared bedrooms. There are activity rooms in both units.

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WHAT THE SCHOOL DOES WELL IN BOARDING WELFARE

The boarding accommodation was of a very good standard and the students were provided with a wide range of purposeful leisure activities.

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WHAT THE SCHOOL DOES WELL IN BOARDING WELFARE

The students were provided with a good level of basic care and were generally happy with the care they received.

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WHAT THE SCHOOL DOES WELL IN BOARDING WELFARE

The standard of meals at the school was good and they were enjoyed by the students.

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WHAT THE SCHOOL SHOULD DO BETTER IN BOARDING WELFARE

Holly House School Page 5 Improvements should be made to students’ placement plans and risk assessments as they lacked detail about assessed needs, what action should be taken to meet the needs and by whom..

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WHAT THE SCHOOL SHOULD DO BETTER IN BOARDING WELFARE

The Complaints procedure should be reviewed and all staff should receive training on what constitutes a complaint. The Head Teacher should ensure that staff are aware of the need to investigate and record complaints adequately.

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WHAT THE SCHOOL SHOULD DO BETTER IN BOARDING WELFARE

Staff should receive further Child Protection training to ensure they are clear about their responsibilities.

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WHAT THE SCHOOL SHOULD DO BETTER IN BOARDING WELFARE

Improvements should be made to the administration of medication systems.

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WHAT THE SCHOOL SHOULD DO BETTER IN BOARDING WELFARE

An assessment of individual training needs of all care staff should be undertaken and a training plan/strategy produced to ensure staff have the skills and knowledge to provide care in line with current professional child care practice and the National Minimum Standards.

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CONCLUSIONS AND OVERVIEW OF FINDINGS ON BOARDING WELFARE

Holly House School Page 6 The residential provision was closed for approximately two months at the beginning of the new school year/September 2004. This was due to the Head Teacher liaising with the LEA to ensure that the school could meet its stated aims and objectives as detailed in the school’s ‘Statement of Purpose’ and that the requirement for using the residential provision was included on the student ‘s Statement of Special Educational Needs.

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CONCLUSIONS AND OVERVIEW OF FINDINGS ON BOARDING WELFARE

The CSCI is concerned at the lack of progress made by the school in meeting the Recommended Actions of the last report and the findings of this inspection. This inspection has identified the same fundamental issues as the last inspection. There was evidence to support that there was a lack of understanding of what is required by the National Minimum Standards, current child care practices and the responsibilities of the school in some areas.

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CONCLUSIONS AND OVERVIEW OF FINDINGS ON BOARDING WELFARE

It is of concern that the professional development needs of the Head of Care had not been addressed as recommended in the last announced inspection report. This was considered to be a key factor in enabling the school to make the necessary progress in meeting the National Minimum Standards.

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CONCLUSIONS AND OVERVIEW OF FINDINGS ON BOARDING WELFARE

The Inspectors were pleased to report that where possible the Head Teacher responded to issues identified during the inspection and in some cases took remedial action. By the end of the inspection he had produced an Action Plan to address a number of issues.

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CONCLUSIONS AND OVERVIEW OF FINDINGS ON BOARDING WELFARE

This was the first time that the school had been inspected by a specialist pharmacist Inspector of the Commission for Social Care Inspection.

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CONCLUSIONS AND OVERVIEW OF FINDINGS ON BOARDING WELFARE

There was a Recommended Action in the last Announced Inspection report for the CCTV to be removed as it was did not meet the criteria detailed in Standard 23.7 to warrant its use. The Head Teacher did not agree with this. However, after liaising with the LEA and taking legal advice the Head Teacher has been instructed not to use the CCTV unless the criteria detailed in Standard 23.7 are met. At the time of this inspection the CCTV was in operation as the criteria did apply to one student. The CSCI will continue to monitor the use of CCTV.

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CONCLUSIONS AND OVERVIEW OF FINDINGS ON BOARDING WELFARE

Questionnaires were sent out to all students’ parents. Feedback from parents was generally was very positive. Parents were particularly impressed with the commitment and patience of the staff. Some parents commented that communication between the school and themselves should be improved. Holly House School Page 7

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Children Act 1989 arising from this inspection?

Notification to be made to: Local Education Authority YES Secretary of State NO

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The grounds for any Notification to be made are:

The Inspectors issued four Urgent Welfare Notices, which required the school to produce an Action Plan within one week detailing how the issues of concern would be addressed. The Urgent Welfare Notices were in relation to the following:

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The grounds for any Notification to be made are:

1. The poor quality of students’ placement plans and risk assessments. They gave insufficient details regarding the student’s identified needs, how needs should be met and by whom. 2. The appropriateness of the placement for one student. The Inspectors considered that the complex needs and behaviours presented by the student could not be met by the staff team at the school and that the student presented a significant risk of harm to other students, staff and potentially to himself. 3. There was no documentary evidence to support that some staff had had relevant recruitment checks including List 99/CRB checks. 4. The Inspectors considered the risk assessment carried out in respect of the two tier roof spikes (anti- climb cacti fitted to the roof) to be unsatisfactory and were concerned that the risk assessment did not accurately reflect the level of risk posed to the students.

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IMPLEMENTATION OF RECOMMENDED ACTIONS FROM LAST INSPECTION

Recommended Actions from the last Inspection visit fully implemented? NO

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implemented are listed below:

No Standard Recommended actions Timescale for action Holly House School Page 8 1 RS1 The school should revise the Prospectus and other related documents to accurately describe the services actually currently provided. Some progress has been

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made. The revised draft document was due to be

presented at the next school Governor’s meeting. 31.07.04

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made. The revised draft document was due to be

2 RS2 The school should write and implement a policy and procedure in respect of consultation with students and the recording of such consultations. 31.07.04

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made. The revised draft document was due to be

3 RS2 The school should provide staff with training in relation to race and culture awareness. 01.09.04

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made. The revised draft document was due to be

4 RS3 The school should write and implement a policy and procedure in respect of working with students of the opposite sex. 31.05.04

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made. The revised draft document was due to be

5 RS4 The school should review the complaints policy, procedure and practice to ensure that complaints, investigations and outcomes are recorded. 30.06.04

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made. The revised draft document was due to be

6 RS4 The school should provide training to staff in relation to the investigation of complaints. 30.06.04

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made. The revised draft document was due to be

7 RS5 The school should revise the Child Protection policy and procedure in line with Appendix 1 of the National Minimum Standards. Some progress has been made. 30.06.04

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made. The revised draft document was due to be

8 RS5 The school should provide child protection training to all staff, including ancillary staff. Some progress has been made. 30.06.04

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made. The revised draft document was due to be

9 RS6 Where bullying behaviour has been identified, the student’s care plan should include strategies for managing the behaviour. 30.06.04

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made. The revised draft document was due to be

10 RS7 The school should put in place a notification system in accordance with Standard 7. Some progress has been made. 31.07.04

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made. The revised draft document was due to be

11 RS10 All sanctions should be recorded in accordance with Standard 10.9. Some progress has been made. 30.06.04

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made. The revised draft document was due to be

12 RS10 All physical restraints should be recorded in accordance with Standard 10.14. 30.06.04

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made. The revised draft document was due to be

13 RS12 The school should ensure that systems are in place to provide consistent care and behaviour management planning across both school and residential settings. 31.07.04 Holly House School Page 9 14 RS14 The school should ensure that health plans are written in accordance with Standard 14.6. 30.06.04

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made. The revised draft document was due to be

15 RS17 The school should devise and implement a care planning system that incorporates assessed needs, risk assessments, behaviour management plans and outcomes. 30.06.04

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made. The revised draft document was due to be

16 RS17 The school should ensure that behaviour management plans provide clear and detailed guidance to staff on the management of behaviours of concern. 30.06.04

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made. The revised draft document was due to be

17 RS18 The school should ensure that students’ files contain the information listed in Standard 18.2 30.06.04

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made. The revised draft document was due to be

18 RS22 The school should ensure that care plans itemise the individual support required by students and record the effectiveness and outcomes of the support provided 30.06.04

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made. The revised draft document was due to be

19 RS27 The school should ensure that staff are recruited and records are maintained in accordance with Standard 27.2. 31.05.04

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made. The revised draft document was due to be

20 RS29 The school should devise a training strategy and plan to provide training in accordance with Appendix 2 of the National Minimum Standards. 30.06.04

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made. The revised draft document was due to be

21 RS31 The Local Education Authority should review the professional development needs of the Head of Care and to ensure that support and training is in place. 31.07.04

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made. The revised draft document was due to be

22 RS32 The school should devise and implement monitoring systems in accordance with Standard 32.2. 01.09.04 Holly House School Page 10

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which indicates how recommended actions are to be addressed. This action plan

will be made available on request to the Area Office.

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RECOMMENDED ACTION

Identified below are the actions recommended on issues addressed in the main body of the report in order to safeguard and promote the welfare of boarders adequately in accordance with the National Minimum Standards for Residential Special Schools. The references below are to the relevant Standards. Non-implementation of recommended action can lead to future statutory notification of failure to safeguard and promote welfare. No Standard* Recommended Action Timescale for action 1 RS2 The school should write and implement a policy and procedure in respect of consultation with students and the recording of such consultations. This is repeated from the last inspection report. 31.05.05

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RECOMMENDED ACTION

2 RS2 The school should provide staff with training in relation to race and cultural awareness. This is repeated from the last inspection report. 31.05.05

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RECOMMENDED ACTION

3 RS3 All records relating to students should be locked away at the end of the school day/ whilst not in use in the residential unit. 28.02.05

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RECOMMENDED ACTION

4 RS3 The school should write and implement a policy and procedure in respect of working with students of the opposite sex. This is repeated from the last inspection report. 31.05.05

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RECOMMENDED ACTION

5 RS4 The complaints procedure should be reviewed to ensure it meets the Standard, including making reference to the students’ and parents’ right to directly complain to the CSCI. This is repeated from the last inspection report. 30.04.05

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RECOMMENDED ACTION

6 RS4 The school should provide training to staff in relation to what constitute a complaint, the investigation of and outcome of complaints. This is repeated from the last inspection report. 30.04.05 Holly House School Page 11 7 RS4 The Head Teacher should ensure that all concerns and complaints are investigated and recorded as required by this Standard. 31.03.05

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RECOMMENDED ACTION

8 RS5 The school should revise the Child Protection policy and procedure in line with Appendix 1 of the National Minimum Standards. This is repeated from the last inspection report.

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RECOMMENDED ACTION

On completion of this, it should be submitted to the local ACPC for consideration. 31.03.05

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RECOMMENDED ACTION

9 RS5 The school should provide child protection training to all staff, including ancillary staff. Staff should be clear about their responsibilities in following up potential Child Protection issues. This is repeated from the last inspection report. 30.04.05

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RECOMMENDED ACTION

10 RS6 The school should take further action to address the high incidents of bullying. 31.05.05

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RECOMMENDED ACTION

11 RS6 Where bullying behaviour has been identified, the student’s care plan should include strategies for managing the behaviour. This is repeated from the last inspection report. 28.02.05

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RECOMMENDED ACTION

12 RS7 The school should ensure that they notify promptly the relevant agencies including the CSCI of the events detailed in Standard 7. This is repeated from the last inspection report. 31.03.05

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RECOMMENDED ACTION

12 RS8 The policy on ‘Absence of a child without authority’ should be reviewed to include the need to record discussions held with the student on their return. 31.05.05

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RECOMMENDED ACTION

13 RS9 Care staff should receive training in positive care and control. 01.09.05

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RECOMMENDED ACTION

14 RS10 The school’s behaviour management policy should be reviewed to ensure it contains full details of the systems for rewards and sanctions and the physical intervention policy. 31.05.05

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RECOMMENDED ACTION

15 RS10 Guidance on the application of sanctions should be produced for staff. 31.05.05

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RECOMMENDED ACTION

16 RS10 Improvements should be made to the recording of sanctions applied to ensure that it meets Standard 10.9 and that sufficient detail is recorded. This is repeated from the last inspection report. 31.05.05 Holly House School Page 12 17 RS10 Further improvements should be made to the recording of incidents of physical intervention. The record should be kept in the residential unit. 31.03.05

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RECOMMENDED ACTION

18 RS12 The school should ensure that systems are in place to provide consistent care and behaviour management planning across both education and residential settings. 31.03.05

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RECOMMENDED ACTION

19 RS13 Student’s individual risk assessments should include any risks identified in relation to participation in on- site and off-site activities including transport. 31.03.05

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RECOMMENDED ACTION

20 RS14 The refrigerator for medication should be able to be locked when in use. 31.03.05

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RECOMMENDED ACTION

21 RS14 The information supplied on the medication consent form and information from case conferences should match with the name, dose and frequency of medication that is being administered. 28.02.05

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RECOMMENDED ACTION

22 RS14 The medication consent form must be kept up-to-date. 28.02.05

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RECOMMENDED ACTION

23 RS14 The school should hold only medication listed on the medication consent form for a student. 28.02.05

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RECOMMENDED ACTION

24 RS14 The name of the medication printed on the pharmacy- dispensing label should be the name used on the medication records. 28.02.05

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RECOMMENDED ACTION

25 RS14 The instructions on the pharmacy-dispensing label should match the medication administration that is taking place. The reason for any discrepancy should be documented. 28.02.05

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RECOMMENDED ACTION

26 RS14 The school should request the parent or carer to ask the GP to put the current instructions on the prescription. 28.02.05

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RECOMMENDED ACTION

27 RS14 Only staff authorised to administer medication should do so. If teaching staff should not be asked to administer medication, this should be stated in the policies. 28.02.05

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RECOMMENDED ACTION

28 RS14 Medication should only be administered from a container labelled by the dispensing pharmacist. 28.02.05

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RECOMMENDED ACTION

29 RS14 Medication should not be accepted from parents if it is not in a pharmacy-labelled container. 28.02.05

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RECOMMENDED ACTION

30 RS14 If staff refuse to administer a medication, because it is not in a container labelled by the dispensing pharmacist, they should document the incident. 28.02.05 Holly House School Page 13 31 RS14 Strips of medication should be returned to the pharmacy- labelled container after use and not left loose inside the student’s plastic box. 28.02.05

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RECOMMENDED ACTION

32 RS14 The pharmacy-dispensing label on the medication must be legible. 28.02.05

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RECOMMENDED ACTION

33 RS14 All medication held should be in date. 28.02.05

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RECOMMENDED ACTION

34 RS14 Medication must not be re-dispensed by staff into another container to be administered at a later time. 28.02.05

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RECOMMENDED ACTION

35 RS14 Medication must not be re-dispensed by staff into another container to be administered at a later time. 28.02.05

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RECOMMENDED ACTION

36 RS14 1. The medication policies should describe the systems used in the school.

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RECOMMENDED ACTION

2. It should be made clear in the policy that the school do not administer ‘homely’ remedies and what action staff should take if a student needed one to be administered.

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RECOMMENDED ACTION

3. It should be made clear in the medication error policy that medical advice should always be sought and not only if there is an immediate detrimental effect. 30.04.05

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RECOMMENDED ACTION

37 RS17 Improvements should be made to ensure a holistic placement plan based on assessed needs is in place for each student using the residential provision. The plan should give clear details on how the needs will be met and by whom. An Urgent welfare Notice was issued at

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the time of the inspection to address this

38 RS17 Placement plans should be reviewed regularly and amended as necessary to reflect significant changes in the student ‘s needs or progress in his/her development. 31.01.05

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the time of the inspection to address this

39 RS17 Individual risk assessments should give clear details of what identified risks are and what actions to take to minimise or eradicate risks. These should be reviewed in conjunction with the placement plans. An Urgent

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welfare Notice was issued at the time of the

inspection to address this Recommended Action.

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welfare Notice was issued at the time of the

40 RS17 Staff should receive training in care planning, risk assessment and the role of key working. 31.03.05 Holly House School Page 14 41 RS18 The school should ensure that students’ files contain all the information listed in Standard 18.2. This is repeated from the last inspection report. 28.02.05

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welfare Notice was issued at the time of the

42 RS18 Written entries in the students’ case files should be clearly signed and dated at all times. 14.02.05

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welfare Notice was issued at the time of the

43 RS18 Staff should receive training/instruction in recording skills to address the issues identified in Standard 18. 31.03.05

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welfare Notice was issued at the time of the

44 RS19 Staff personnel files kept in school should contain all information detailed in Standard 19.2. 31.03.05

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welfare Notice was issued at the time of the

45 RS23 A written policy on the use of the CCTV should be produced. 30.04.05

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welfare Notice was issued at the time of the

46 RS23 Copies of the Environmental Health Officer’s reports should be kept in the school and be available for inspection. 31.05.05

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welfare Notice was issued at the time of the

47 RS26 An environmental risk assessment should be carried out. This is repeated from the last inspection report. 28.02.05

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welfare Notice was issued at the time of the

48 RS26 A valid electrical installation certificate must be obtained. This is repeated from the last inspection report. A copy sent to the CSCI. 31.03.05

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welfare Notice was issued at the time of the

49 RS26 Fire drills in the residential unit should be carried out in line with the Fire Regulations/the Fire Authority. 28.02.05

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welfare Notice was issued at the time of the

50 RS27 The school should ensure that staff are recruited and records are maintained in accordance with Standard 27.2. This is repeated from the last inspection report. 31.03.05

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welfare Notice was issued at the time of the

50 RS27 The school must be able to produce documentary evidence that agency staff and taxi drivers used at the school have undergone the relevant checks as detailed in Standard 27.2 and Standard 27.9. 31.03.05

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welfare Notice was issued at the time of the

51 29 The school should devise a training strategy and plan to provide training in accordance with Appendix 2 of the National Minimum Standards. This is repeated from the last inspection report. This should be based on identified individual training needs and a personal development plan be produced for each staff member. 30.04.05

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welfare Notice was issued at the time of the

52 RS30 Staff including the Head of Care should receive supervision at the frequency detailed in Standard 30.2 and records kept. 30.04.05

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welfare Notice was issued at the time of the

53 RS30 Staff should receive an annual appraisal. 30.06.05 Holly House School Page 15 54 RS31 The Local Education Authority should review the professional development needs of the Head of Care to ensure that support and training is in place. This is repeated from the last inspection report. 31.03.05

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welfare Notice was issued at the time of the

55 RS31 The school should take action to ensure that a minimum ratio of 80% of staff have completed the NVQ Level 3 in the Caring for Children and Young People. 01.09.05

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welfare Notice was issued at the time of the

56 RS32 The school should implement the recently devised monitoring systems in accordance with Standard 32.2. 31.03.05

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ADVISORY RECOMMENDATIONS

Identified below are advisory recommendations on welfare matters addressed in the main body of the report and based on the National Minimum Standards, made for consideration by the school. No Refer to Standard* Recommendation

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ADVISORY RECOMMENDATIONS

1 RS1 The ‘Welcome booklet’ for the residential unit should be updated to reflect the changes in policies and procedures.

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ADVISORY RECOMMENDATIONS

2 RS14 The maximum and minimum temperatures of the refrigerator for medication should be recorded daily, when it is in use, and lie between 2 O C and 8 O C.

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ADVISORY RECOMMENDATIONS

3 RS14 Gaps should not be left between entries in the medication records.

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ADVISORY RECOMMENDATIONS

4 RS14 Medication should be returned to parents before long holidays and fresh supplies obtained at the beginning of the next term.

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ADVISORY RECOMMENDATIONS

5 RS15 The school should review the lunchtime meal to give students more time and make it a more relaxing event.

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ADVISORY RECOMMENDATIONS

6 RS29 Records/details of the in-house training provided during the weekly staff meetings should be kept.

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ADVISORY RECOMMENDATIONS

Note: You may refer to the relevant standard in the remainder of the report by omitting the 2-letter prefix. E.g. RS10 refers to standard 10. Holly House School Page 16

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PART B INSPECTION METHODS AND FINDINGS

The following inspection methods were used in the production of this report

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PART B INSPECTION METHODS AND FINDINGS

Direct Observation YES Pupil Guided Tour of Accommodation NO Pupil Guided Tour of Recreational Areas NO

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PART B INSPECTION METHODS AND FINDINGS

Checks with other Organisations • Social Services YES • Fire Service YES • Environmental Health YES • DfES YES • School Doctor YES • Independent Person YES • Chair of Governors YES Tracking individual welfare arrangements YES Survey / individual discussions with boarders YES Group discussions with boarders NO Individual interviews with key staff YES Group interviews with House staff teams NO Staff Survey YES Meals taken with pupils YES Early morning and late evening visits YES Visit to Sanatorium / Sick Bay YES Parent Survey YES Placing authority survey YES Inspection of policy/practice documents YES Inspection of records YES Individual interview with pupil(s) NO Answer-phone line for pupil/staff comments NA Holly House School Page 17 Date of Inspection 29/11/04 Time of Inspection 09.30 Duration Of Inspection (hrs.) 52 Number of Inspector Days spent on site 6

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Pre-inspection information and the Head’s Self evaluation Form, provided by the

school, have also been taken into account in preparing this report. Holly House School Page 18

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SCHOOL INFORMATION

THE NUMBERS OF BOARDERS DURING THE INSPECTION VARIED EACH NIGHT.

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THE FIGURES BELOW GIVE THE NUMBERS OF CHILDREN/YOUNG PEOPLE WHO

Age Range of Boarding Pupils From 7 To 14

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NUMBER OF BOARDERS AT TIME OF INSPECTION:

The following pages summarise the key findings and evidence from this inspection, together with the CSCI assessment of the extent to which standards have been met. The following scale is used to indicate the extent to which standards have been met or not met by placing the assessed level alongside the phrase "Standard met?"

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NUMBER OF BOARDERS AT TIME OF INSPECTION:

The scale ranges from: 4 - Standard Exceeded (Commendable) 3 - Standard Met (No Shortfalls) 2 - Standard Almost Met (Minor Shortfalls) 1 - Standard Not Met (Major Shortfalls)

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NUMBER OF BOARDERS AT TIME OF INSPECTION:

"0" in the "Standard met" box denotes standard not assessed on this occasion. "9" in the "Standard met" box denotes standard not applicable. “X” is used where a percentage value or numerical value is not applicable. Holly House School Page 19

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The intended outcome for the following standard is:

• Children, parents, staff and placing authorities have access to a clear statement of the school's care principles and practice for boarding pupils.

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Approved Arrangements and school prospectus, which are required to include

specific information. Key Findings and Evidence Standard met? 3 The school’s ‘Statement of Purpose’ has been reviewed as recommended in the last announced inspection report. The Head Teacher has liaised with the Local Education Authority to ensure that that where it has been identified that a child would benefit from accessing the residential provision this is included in the child’s Statement of Special Educational Needs.

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Approved Arrangements and school prospectus, which are required to include

The school’s prospectus was being reviewed and was in draft form. This was due to be presented at the next School Governor’s meeting. This was more ‘child friendly’. The ‘Welcome booklet’ had not been reviewed to reflect the changes in policies and procedures since the last announced inspection. However, the Head Teacher reported that this would be updated to reflect the review of the policies and procedures and to ensure it is more ‘child friendly’/accessible to the students. Holly House School Page 20

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The intended outcomes for the following set of standards are:

• Children are encouraged and supported to make decisions about their lives

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and to influence the way that the school is run. No child should be assumed

to be unable to communicate their views. • Children's privacy is respected and information about them is confidentially handled. • Children's complaints are addressed without delay and children are kept informed of progress in their consideration.

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key decisions which are likely to affect their daily life and their future. Feedback is

given following consultations. Key Findings and Evidence Standard met? 2 In the residential setting there was good observational evidence that the students were informally consulted about day to day living arrangements and issues. The students seen were confident in expressing views and opinions. There was no evidence of these views and opinions having been recorded. Residents’ meetings were not held in the Unit. There was no policy in respect of consultation with students.

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key decisions which are likely to affect their daily life and their future. Feedback is

School Council meetings were held. However, the Head Teacher reported that these had not taken place as often as he would have liked.

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key decisions which are likely to affect their daily life and their future. Feedback is

The Head Teacher reported that the school produces a Newsletter.

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key decisions which are likely to affect their daily life and their future. Feedback is

Staff had not yet received training regarding working with students and families from differing ethnic, cultural and religious origins. The Head of Care was due to attend some training in January 2005. Holly House School Page 21

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The school and staff respect a child's wish for privacy and confidentiality so far as is

consistent with good parenting and the need to protect the child. Key Findings and Evidence Standard met? 2 There was a policy on Confidentiality, which included guidance on searching a student’s belongings. There was a sheet for recording searches. Information about the students was stored confidentially in the residential unit. However, the Inspectors were concerned that files and information used by the Inspectors, which included student’s files, medication records and Child Protection records were not locked away at the end of the inspection day.

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The school and staff respect a child's wish for privacy and confidentiality so far as is

The Head Teacher reported that staff did not assist with personal care. Observations by the Inspectors supported that staff were sensitive to the needs of the students and were respectful. However, the school had not produced a policy and procedure for working with students of the opposite sex as required in the last Announced Inspection report.

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The school and staff respect a child's wish for privacy and confidentiality so far as is

Issues regarding the use of the CCTV have been discussed in Standard 23.

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living in the school, and feel confident that any complaint is addressed seriously and

without delay. Key Findings and Evidence Standard met? 1 The school’s internal complaint’s policy has been reviewed since the last announced inspection. There was a policy on pupil complaints. However, this did not meet the requirements of Standard 4.3. The policy did not state that students and their parents could make a complaint directly to the CSCI.

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living in the school, and feel confident that any complaint is addressed seriously and

The school stated that staff had received training on the handling complaints. However, evidence from this inspection suggests a lack of understanding about the handling of complaints including what constitutes a complaint and recording requirements. The Inspector was informed that a parent had phoned that day to raise concerns and that this had been recorded in the office daily telephone log, which is accessible to all staff. The Inspectors were informed that the school had not had any complaints received since the last announced inspection from parents/carers or students. However, it was of concern that it came to light from discussions with staff that a concern had been raised by one student ‘s parents about the conduct of a member of care staff. The Head Teacher or Head of Care had not raised this with the Inspectors at any time during this inspection. The Inspector raised this at the feedback meeting and the Head Teacher confirmed that parents of one

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living in the school, and feel confident that any complaint is addressed seriously and

student had been to see him to express concerns. Holly House School Page 22

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months:

Number of above complaints substantiated: 0

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months:

Number of above complaints substantiated: 0 Holly House School Page 23

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The intended outcomes for the following set of standards are:

• The welfare of children is promoted, children are protected from abuse, and an appropriate response is made to any allegation or suspicion of abuse. • Children are protected from bullying by others. • All significant events relating to the protection of children accommodated in

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the school are notified by the Head of the school to the appropriate

authorities. • Children who are absent without authority are protected in accordance with written guidance and responded positively to on return.

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suspicions or allegations of abuse are properly responded to. These are known and

understood by all staff (including junior, ancillary, volunteer and agency staff). Key Findings and Evidence Standard met? 1 The Child Protection policy has been reviewed since the last announced inspection. However, it did not include points 7 and 12 of Appendix 1 of the National Minimum Standards. The revised policy had not been submitted to the local Area Child Protection Committee for consideration.

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suspicions or allegations of abuse are properly responded to. These are known and

Child Protection training has been provided for care staff but not ancillary staff since the last announced inspection.

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suspicions or allegations of abuse are properly responded to. These are known and

An examination of care records indicated a lack of understanding about staff responsibilities in following up Child Protection issues.

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familiar and which is effective in practice. Where possible children in the school

contribute to the development of the policy. Key Findings and Evidence Standard met? 1 The school had a detailed policy to deal with bullying. The school subscribed to Derbyshire Education Department Anti-Bullying Scheme. The school gained the initial award in November 2003. The Head Teacher reported that bullying is discussed regularly in school assembly. The school’s policy on sanctions stated that sanctions would be applied to any acts of bullying. The school had recently introduced a ‘Say it and Sort it’ box for trying to tackle bullying where students could put in any concerns relating to bullying. The Head Teacher reported that he had not yet received any concerns through this system. There were lots of posters in the school about bullying.

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familiar and which is effective in practice. Where possible children in the school

The Head Teacher reported that incidents of bullying are audited and student surveys are also carried out.

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familiar and which is effective in practice. Where possible children in the school

From examination of records, the Inspectors found that there was a high level of bullying in the school. Strategies for managing bullying behaviour did not appear explicitly in any of the care plans inspected.

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familiar and which is effective in practice. Where possible children in the school

Percentage of pupils reporting never or hardly ever being bullied 65 %

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All significant events relating to the protection of children in the school are notified by

the Head of the school or designated person to the appropriate authorities. Key Findings and Evidence Standard met? 1 A policy regarding notification to appropriate authorities had been produced since the last announced inspection. However, information provided in the Pre-Inspection Questionnaire regarding significant events, discussion of these with the Head Teacher and an examination of records highlighted that the school had not been informing the Commission for Social Care Inspection as required. This included notification of the Police being called to the school. However, by the end of this inspection the Head Teacher had produced a policy on Police involvement, which included instructions for staff to notify the Commission for Social Care Inspection.

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NUMBER OF THE FOLLOWING NOTIFIED TO CSCI DURING THE LAST 12 MONTHS:

• conduct by member of staff indicating unsuitability to work with children 0 • serious harm to a child 0 • serious illness or accident of a child 0 • serious incident requiring police to be called 2 Holly House School Page 25

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The school takes steps to ensure that children who are absent from the school

without consent are protected in line with written policy and guidance. Key Findings and Evidence Standard met? 1 The policy on ‘Absence of a child without authority’ had been reviewed in June 2004. However, the Inspectors were concerned that the policy stated that the parents and not the school were responsible for contacting the Police if a child went missing from the school. This issue and the school’s duty of care were discussed with the Head Teacher at the time of the inspection. The Head Teacher revised the policy immediately to ensure the school were fulfilling their responsibilities. The policy did not state that there was a need to record details of discussions held with the student on their return.

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The school takes steps to ensure that children who are absent from the school

Risk assessments were carried out in respect of a student absconding. However, those seen by the Inspectors lacked details about actions to be taken to minimise the risk.

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The intended outcomes for the following set of standards are:

• Children have sound relationships with staff based on honesty and mutual respect. • Children are assisted to develop appropriate behaviour through the

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understanding and clear professional and personal boundaries which are effective for

both the individuals and the group. Key Findings and Evidence Standard met? 1 The relationships between students and residential staff were observed to be of a satisfactory standard. Care staff presented as caring and committed to providing a good basic level of care. Discussions with staff indicated that they had an awareness of individual needs. Attention was given to the encouragement of acceptable behaviour. Observations made by the Inspectors identified that students were clear about what was acceptable behaviour and the boundaries. This included encouraging socially acceptable behaviours at meal times for example.

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understanding and clear professional and personal boundaries which are effective for

However, the Inspectors identified the same issues as the last announced inspection in terms of the general approach to the task of caring for other people’s children. The approach was still one of ‘common sense’ rather than professional childcare practice. The Inspectors are of the opinion that for some staff this may be due to a lack of professional training in recent child care practice and legislation.

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understanding and clear professional and personal boundaries which are effective for

Feedback and discussion with staff identified that the approach from some staff could be intimidating and oppressive. It was reported that some staff shout at students, which was considered by the staff expressing the concerns, an inappropriate method to manage behaviour. This was discussed at the feedback meeting. Holly House School Page 27

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is regarded as unacceptable by staff, it is responded to by constructive disciplinary

measures which are approved by the Head of Care. Key Findings and Evidence Standard met? 1 Some improvements have been made since the last announced inspection. The school’s behaviour management policy has been reviewed since the last announced inspection. However, it did not include all details of the system of rewards, sanctions and the physical intervention policy on which behaviour management at the school is based.

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is regarded as unacceptable by staff, it is responded to by constructive disciplinary

Staff received HEART (Handling Emotion, Aggression and Restraint Techniques) training in June 2004. Since the last announced inspection the Deputy Head Teacher has produced a policy on the ‘Use of Restrictive Physical Intervention’, which the Inspector considered to be a useful document.

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is regarded as unacceptable by staff, it is responded to by constructive disciplinary

The policy on sanctions had been reviewed since the last announced inspection and now included a list of prohibitive sanctions. The policy also gave an explanation of each sanction. However, there were no guidelines on the application of sanctions. Staff used their own discretion, which potentially made for a lack of consistency and staff vulnerable to criticism about the fairness of sanctions applied.

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is regarded as unacceptable by staff, it is responded to by constructive disciplinary

Two books were kept to record sanctions, one for junior students and the other for senior students. The quality of recording in these books was poor and left the reader unclear. The book did not include a section for students to write their views and sign the record. It was of concern that these issues had not been identified by the Head of Care. When reviewing the record book, the Head Teacher must consider how the system will allow for students to comment and sign the record whilst maintaining confidentiality.

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is regarded as unacceptable by staff, it is responded to by constructive disciplinary

Incident report forms were used to record any incidents of difficult behaviours including the use of physical intervention. These were monitored and signed by the Head Teacher. Although there had been some improvement in the recording of details, there were still occasions where the forms lacked detail of what actually happened, how it was managed and the final outcome. In addition to the Incident report forms, books were kept in the staff room for each class to record any incidents of physical intervention. This did not meet Standard 10.14. Holly House School Page 28

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The intended outcomes for the following set of standards are:

• Children experience planned and sensitively handled admission and leaving processes. • The school's residential provision actively supports children's educational progress at the school. • Children have ample opportunity to engage in purposeful and enjoyable activities both within school and in the local community. • Children live in a healthy environment and the health and intimate care needs of each child are identified and promoted. • Children are provided with healthy, nutritious meals that meet their dietary needs. • Children wear their own clothing outside school time, can secure personal

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appropriate, with parents and carers and placing authorities – as far as possible and

handled with sensitivity and care by those concerned. Key Findings and Evidence Standard met? 3 The school had a written admission policy. It was referred to in the school’s prospectus and the residential unit booklet. The policy was also included in the staff policy handbook. A written policy covering the reception of new students into the residential unit and students leaving the school had been produced since the last announced inspection. This was seen by the Inspectors and found to be satisfactory. Holly House School Page 29

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education, ensuring regular attendance, punctuality and a minimum of interruption

during the school day. Key Findings and Evidence Standard met? 1 Residential staff assisted in classrooms when required and teaching staff participated in evening activities with the students, alongside residential staff. However, there had been little progress in joint working between the teaching and residential staff. Liaison between teaching and residential staff was reported to be very infrequent and that residential staff did not discuss behaviour management plans with teaching staff. It was difficult to see how consistent behaviour management planning across the educational and the residential setting could be achieved when there was little contact between teaching and residential staff to discuss such issues. Teaching staff reported that they had not been involved in drawing up or seen the students’ placement plans and risk assessments.

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Children have ample opportunity to engage in purposeful and enjoyable activities

both within the school and in the local community. Key Findings and Evidence Standard met? 2 There was a wide range of activities available to the students on the school site with a well- used gym, all-weather play area, music room, games room as well as computer games jig saws etc. The students reported that they enjoyed these activities. The Inspectors spent an evening with the students. On one evening students were engaged in craft activities in preparation for Christmas.

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Children have ample opportunity to engage in purposeful and enjoyable activities

Very good attention was given to outside activities and there were regular trips out to engage in a variety of activities from skiing to fishing. Good links had been established with a local football club and regular training sessions took place.

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Children have ample opportunity to engage in purposeful and enjoyable activities

General risk assessments were in place for activities but risk assessments for individual students were not in place. Holly House School Page 30

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The school actively promotes the health care of each child and meets any intimate

care needs. Key Findings and Evidence Standard met? 1 This was the first time that the school had been inspected by a specialist pharmacist Inspector of the Commission for Social Care Inspection. Medication was stored in a locked cupboard in the residential unit’s medical room from which all medication is administered. A refrigerator for medication was also available for use, which was not lockable. The Head of Care stated that the refrigerator had not been needed since it was purchased over a year ago.

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The school actively promotes the health care of each child and meets any intimate

The medication records and medication for three students were examined. For each student there was a medication consent form listing the student’s medication, which had been completed by a parent. The administration records for each student were kept with this. The strength and dose of medications administered had been recorded. The brand name had been used for some medications on the administration record but the pharmacy-dispensing label stated the generic drug name. On one medication record there were gaps left between records of administration. The Head of Care stated that these would have been occasions when the student did not stay overnight. The number of gaps did not correspond to the number of days between records. Records for other students, who did not stay every night, had been completed with no gaps in the records. For one student the frequency of administration of a medication listed on the medication consent form was different to the

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The school actively promotes the health care of each child and meets any intimate

frequency of administration taking place. At one student’s case conference in August 2004 it had been identified that he was prescribed two medications. It had not been queried why only one medication had been listed on the recent medication consent form. Several weeks prior to the inspection staff had been asked to administer the second medication for the first time. Staff stated that they refused to administer it because it had not been supplied in the original packaging with appropriate labelling. This incident had not been documented. The monitoring of medication records by a senior member of staff had been documented. Records of medication receipt and disposal were seen.

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The school actively promotes the health care of each child and meets any intimate

Each student’s medication was kept in an individual plastic box in the medication cupboard. Strips of several medications were loose inside the plastic boxes and not in the original labelled container. One strip of medication did not have an original container with it, the medication consent form did not list it and it was out of date. Instructions had been written on the plastic box stating ‘one tablet when required’. Medication for a student who stayed overnight very occasionally had been retained from previous terms and had been dispensed over six months previously. The label on this preparation was very worn and could not be read accurately. For one student the dosage of a medication listed on the pharmacy dispensing label had been altered by a parent. The medication records indicated that the altered dosage had been administered since at least seven weeks previously. The supply being used had been dispensed two weeks previously. The school had not requested the

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The school actively promotes the health care of each child and meets any intimate

parent to ask the GP to put the current instructions on the prescription. An empty unlabeled medicine bottle was seen in one student’s plastic box. When asked staff stated that this had been supplied containing a tablet. The student’s parent had told staff that it was a vitamin tablet and asked staff to administer it which they had done.

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The school actively promotes the health care of each child and meets any intimate

The medication policies do not accurately describe the systems used in the school. It is not stated that the school do not administer ‘homely’ remedies or what action staff should take if a student needed one to be administered. The medication error policy stated immediate Holly House School Page 31 medical attention must be obtained if there was an immediate detrimental effect. It did not make it clear that medical advice must be sought even if there was not an immediate detrimental effect. The Head of Care and pharmacist Inspector discussed the different stages of self-administration and the records needed.

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The school actively promotes the health care of each child and meets any intimate

Staff stated when asked that if medication was needed outside the school the dose needed was transferred to another container and this was carried in a locked box by a member of staff. One member of teaching staff informed the Inspectors that they had been asked to administer lunchtime medication. The Head of Care stated that she was unaware of this and that only approved care staff should administer medication. A list of the approved care staff and their initial was kept with the medication records. This was not reflected in the medication policies, which did not make it clear that teaching staff should not administer medication.

p.33

The school actively promotes the health care of each child and meets any intimate

An examination of care files identified that there were some health details but no clear written health care plan.

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The school actively promotes the health care of each child and meets any intimate

All staff except one had Basic First Aid training in November 2004.

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health, religious persuasion, racial origin or cultural background are met, including

the choice of a vegetarian meal for children who wish it. Key Findings and Evidence Standard met? 3 The standard of meals at the school was good and they were enjoyed by the students. The cooks were aware of the preferences of the students and took these into account when these students were resident. Apart from vegetarian diets, there were no special diets required at the time of the inspection. The cook reported that special dietary needs could be catered for.

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health, religious persuasion, racial origin or cultural background are met, including

There was good communication between the cooks and the students in respect of preferences and between the cooks and staff in respect of any eating difficulties. The cook felt that the lunchtime meal was hurried and students should be given more time.

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health, religious persuasion, racial origin or cultural background are met, including

The Inspectors joined students for breakfast, lunch and tea. The meals taken in the residential unit were structured but relaxed and were a social occasion. There was ample evidence that students’ were given choices and offered second helpings. The Inspector supported the view expressed by the cook that the lunchtime meal could be more relaxing. It is acknowledged that this would be dependent on the needs and behaviour of individual students. Holly House School Page 32

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Children are provided for adequately on an individual basis and encouraged to

exercise their own preferences in the choice of clothing and personal requisites.

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their money are provided with the assistance they need, in a way which maximises

their choice. Key Findings and Evidence Standard met? 3 The students were only resident for very brief periods and the provision of personal requisites and clothing was dealt with by parents. However, it was noted that PE kits provided by the school were communal. This was discussed with the Head Teacher who, by the end of this inspection had ordered individual PE kits for all the students who used the residential unit.

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their money are provided with the assistance they need, in a way which maximises

The Head of Care reported that staff do not keep pocket money on behalf of students. The students were provided with a lockable cash tin in their bedrooms. Holly House School Page 33

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The intended outcomes for the following set of standards are:

• Children have their needs assessed and written plans outline how these needs will be met while at school. • Children's needs, development and progress is recorded to reflect their individuality and their group interactions. • There are adequate records of both the staff and child groups of the school. • In accordance with their wishes, children are able and encouraged to maintain contact with their parents and families while living away from home at school. • Children about to leave care are prepared for the transition into independent living. • Children receive individual support when they need it.

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that child in accordance with that plan, monitors progress in relation to that plan, and

updates that plan as necessary. Key Findings and Evidence Standard met? 1 As part of the case tracking process the Inspectors examined three student’s files. These had been re-organised since the last announced inspection to try and meet the Recommended Actions made in the previous report. However, placement plans seen were of a poor quality. They gave insufficient details regarding a student‘s identified needs and did not give clear and sufficient details on how needs should be met and by whom. A new risk assessment format had been produced since the last announced inspection, which was considered to be a useful tool. However, risk assessments seen lacked detail about what the actual risk was and how it should be managed.

p.35

that child in accordance with that plan, monitors progress in relation to that plan, and

A key worker system had been introduced in the residential unit. However, it was evident that staff were not clear about the roles and functions of a key worker. Holly House School Page 34

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which can, in compliance with legal requirements for safeguards, be seen by the

child. Key Findings and Evidence Standard met? 1 Student s’ care files had been re-organised and contained some of the information required by Standard 18.2. Copies of the following were not kept in the individual files:

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which can, in compliance with legal requirements for safeguards, be seen by the

• Incident report forms which detailed incidents of physical intervention • Accident report forms • Absent without leave forms.

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which can, in compliance with legal requirements for safeguards, be seen by the

Written entries in case files were not always clearly signed and dated. Entries in case records/daily diary reports were unclear and lacked detail of what happened, how incidents were managed and the outcome. In some instances, terminology used was considered unprofessional and created a poor impression.

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The school maintains clear and accurate records on the staff and child groups of the

school, and major events affecting the school and children resident there. Key Findings and Evidence Standard met? 2 The majority of the information required in Standard 19 was kept at the school with the exception of information on staff. This has been discussed further in Standard 27.

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to maintain contact with their parents and other family members (unless there are

welfare concerns) while living at school. Key Findings and Evidence Standard met? 3 As the students were resident only for limited periods of time, maintaining contact with parents was not a major issue. The students were provided with a pay phone and could also use the staff phone, if necessary.

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to maintain contact with their parents and other family members (unless there are

There was evidence to support that there was contact between some students and their parents/carers. Holly House School Page 35

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is expected to leave care or move to independent living. The school works with any

Personal Advisor for the child. Key Findings and Evidence Standard met? 9 This Standard is not applicable to Holly House school.

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children identified as having particular support needs, or particular problems, receive

help, guidance and support when needed or requested. Key Findings and Evidence Standard met? 1 The lack of detailed, individual planning has been reported elsewhere in this report and a number of Recommended Actions made. The absence of such planning made it difficult to assess whether individual support was being identified and provided as required. However, as part of the case-tracking, it was evident that the school was not able to meet the needs of one particular student. Holly House School Page 36

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The intended outcomes for the following set of standards are:

• Children live in well designed, pleasant premises, providing sufficient space and facilities to meet their needs. • Children live in accommodation that is appropriately decorated, furnished and maintained to a high standard, providing adequate facilities for their use. • Children are able to carry out their ablutions in privacy and with dignity. • Children live in schools that provide physical safety and security.

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environment most helpful to each child's development, and is sufficient for the

number of children. Key Findings and Evidence Standard met? 2 The school was in a good location and provided well-proportioned accommodation for the various residential school activities .

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environment most helpful to each child's development, and is sufficient for the

After liaising with the LEA and taking legal advice the Head Teacher has been instructed not to use the CCTV unless the criteria detailed in Standard 23.7 are met. At the time of this inspection the CCTV was in operation as the criteria did apply to one student. The CSCI will continue to monitor the use of CCTV. However, there was no written policy on the use of the CCTV.

p.38

environment most helpful to each child's development, and is sufficient for the

The most recent Environmental Health Officer report was not available at the school. The cook informed the Inspector that these were held centrally at County Offices.

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The school provides adequate good quality and well-maintained accommodation for

boarding pupils, which is consistent with their needs. Key Findings and Evidence Standard met? 3 The residential accommodation was of a very high standard and provided the students with well furnished and decorated bedrooms, a variety of activity areas and a homely kitchen and lounge area.

p.38

The school provides adequate good quality and well-maintained accommodation for

The wash hand basins, which were in communal corridors had been removed and fitted in all bedrooms. Holly House School Page 37

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suitable to meet the needs of the children. The school has appropriate changing and

washing facilities for incontinent children where necessary. Key Findings and Evidence Standard met? 3 The bathrooms, including baths, showers and toilets were of a high standard.

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and other hazards, in accordance with Health and Safety and Fire legislation and

guidance. Key Findings and Evidence Standard met? 1 The Inspectors were concerned that an environmental risk assessment had not been carried out. Two Inspectors visited the school in September 2004 to discuss Child Protection issues and to look at progress made in meeting some of the Recommended Action s from the previous Announced Inspection report. One Inspector noted that anti-climb cacti (two-tier roof spikes) were fitted to the roofs. The Head Teacher reported that these had been in place a number of years and had been agreed with the LEA. However, the school had not carried out a risk assessment. The Head Teacher was advised to carry out a risk assessment and keep a written record as a matter of priority. At the pre-inspection planning meeting held the week before the inspection, a written risk assessment had not been produced. A risk assessment had been produced by the time of this inspection. However,

p.39

and other hazards, in accordance with Health and Safety and Fire legislation and

the Inspectors were concerned that the actions recorded to minimise the risk were inadequate one of which relied of all the student ‘s being able to read a notice. The Inspectors issued an Urgent Welfare Notice in respect of this.

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and other hazards, in accordance with Health and Safety and Fire legislation and

Attention was being given to water temperature control.

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and other hazards, in accordance with Health and Safety and Fire legislation and

The school had a valid gas safety certificate. There was no valid electrical installation certificate although the Head Teacher had obtained quotes for this test to be carried out.

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and other hazards, in accordance with Health and Safety and Fire legislation and

An inspection of fire safety records identified that separate fire drills are not carried out for the residential unit. Holly House School Page 38

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The intended outcomes for the following set of standards are:

• There are careful selection and vetting of all staff, volunteers, and monitoring

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abusers

• Children are looked after by staff who understand their needs and are able to meet them consistently. • Children are looked after by staff who are trained to meet their needs. • Children are looked after by staff who are themselves supported and guided in safeguarding and promoting the children's welfare.

p.40

or Enhanced level as appropriate to their role in the school), with a satisfactory

outcome. There is a satisfactory recruitment process recorded in writing. Key Findings and Evidence Standard met? 1 No new care staff had been employed since the last announced inspection. However, an inspection of staff personnel files confirmed that all details required in Standard 27.2 were not available. The Head Teacher had recently started to get copies of List 99 and Police checks for staff employed from the LEA’s personnel department. This had identified that there was no record of one member of the residential staff having had any such checks. An Urgent Welfare Notice was issued in relation to the matter, which required the Head Teacher to take appropriate action to ensure the protection and safety of all the students. This was addressed within a week of the notice being issued.

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or Enhanced level as appropriate to their role in the school), with a satisfactory

The Head Teacher reported that the school uses an agency for supply teachers and teaching assistants. Written confirmation was not obtained from the agency verifying that individual staff had received the relevant recruitment checks.

p.40

or Enhanced level as appropriate to their role in the school), with a satisfactory

The Head Teacher was unable to provide written confirmation that all taxi drivers have had a CRB check. The LEA has produced a Code of Practice regarding the roles and responsibilities of taxi drivers. Some of the information was of concern to the Inspectors including the statement that taxi drivers may restrain students. The Head Teacher shared this concern and was unable to confirm if taxi drivers received any training in the use of restraint.

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specified under standard 28.2. Records of staff actually working in the school

demonstrate achievement of this staffing level. Key Findings and Evidence Standard met? 3 There were no staff vacancies in the residential unit. However, the Head Teacher reported that the closing of the residential unit at the beginning of the new school year had affected the morale of the residential staff resulting in a number of staff taking sick leave. Staff sickness in the residential unit is traditionally low.

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specified under standard 28.2. Records of staff actually working in the school

Staffing levels were good for the numbers of students using the residential provision at the time of this inspection.

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Staff receive training and development opportunities that equip them with the skills

required to meet the needs of the children and the purpose of the school. Key Findings and Evidence Standard met? 1 The staff training file seen by the Inspectors did not include details of training for residential staff. This was discussed with the Head of Care who informed the Inspectors that residential staff kept their own training certificates. The Pre-Inspection Questionnaire stated that residential staff receive regular in-house training during the weekly residential staff meetings. However, records/details of this in-house training were not kept.

p.41

Staff receive training and development opportunities that equip them with the skills

The school did not have a staff training plan/strategy based on identified training needs. Staff did not have a personal development plan.

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Staff receive training and development opportunities that equip them with the skills

The Inspectors were informed that Fire Safety training, Moving and Handling and Child development training was being provided for residential staff on 10 December 2004. The Inspector enquired of the Head of Care what the training on child development entailed. The Head of Care was unclear about this.

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Staff receive training and development opportunities that equip them with the skills

Discussions with care staff identified varying attitudes towards training and development. One staff member had undertaken several external courses independent of the school. Not all staff were studying for the NVQ level 3 in Caring for Children and Young People. The Inspectors were given conflicting information as to why some staff had not enrolled on the course. Holly House School Page 40

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All staff, including domestic staff and the Head of the school, are properly

accountable and supported. Key Findings and Evidence Standard met? 1 The Inspectors were given conflicting information about the frequency of supervision. One care staff member reported that they had received six sessions in the last year. In discussion with the Head of Care, the frequency of supervision was clarified. The Head of Care reported that supervision was not being provided at the frequency required. She stated that she was looking to attend training on supervision skills as she had identified this as a personal training need.

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All staff, including domestic staff and the Head of the school, are properly

The Inspectors were concerned that the Head of Care was not receiving regular supervision and therefore had not been given the opportunity to review and assess her professional development needs.

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All staff, including domestic staff and the Head of the school, are properly

Staff had not received an annual appraisal since June 2003. Holly House School Page 41

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The intended outcomes for the following set of standards are:

• Children receive the care and services they need from competent staff. • Children enjoy the stability of efficiently run schools. • The governing body, trustees, local authority, proprietor or other responsible body monitors the welfare of the children in the school.

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The school is organised, managed and staffed in a manner that delivers the best

possible childcare. Key Findings and Evidence Standard met? 1 The Head of Care has completed the NVQ 4 in Working with Children and Young People since the last announced inspection. She also has the NVQ Assessor’s Award. However, the findings of this inspection have identified significant shortfalls in the skills and ability of the Head of Care and her apparent lack of understanding of what is required to meet the National Minimum Standards. This was raised at the previous inspection and needs to be addressed urgently.

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The school is organised, managed and staffed in a manner that delivers the best

The school will not meet the minimum ratio of 80% of staff having completed the NVQ 3 by January 2005.

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must make sure that the operation of the school meets the requirements of these

standards in relation to the day to day running of the school. Key Findings and Evidence Standard met? 2 There were systems in place for recording most of the various issues itemised in Standard 32.2 and 32.3. However, there was no system in place for formally monitoring these records. The Head Teacher reported that these tasks had recently been delegated between the senior management team and that a formal monitoring system would be implemented in the near future. Holly House School Page 42

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receive a written report on the conduct of the school from a person visiting the school

on their behalf every half term. Key Findings and Evidence Standard met? 3 Standard 33 visits were being completed in accordance with National Minimum Standards in respect of frequency and recording. The last visit took place on 12 July 2004 and the report referred to the introduction of a new Standard 33 visit report format. This was discussed with the Head of Care. A visit did not take place between September and the end of October 2004, as the residential unit was not operating. Holly House School Page 43

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D.1 Head’s comments/confirmation relating to the content and accuracy of the

We would welcome comments on the content of this report relating to the Inspection conducted on <enter date(s) of inspection here> and any factual inaccuracies:

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D.1 Head’s comments/confirmation relating to the content and accuracy of the

Please limit your comments to one side of A4 if possible Holly House School Page 45

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Action taken by the CSCI in response to Head’s comments:

Amendments to the report were necessary NO

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Action taken by the CSCI in response to Head’s comments:

Comments were received from the provider YES

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Action taken by the CSCI in response to Head’s comments:

Head’s comments/factual amendments were incorporated into the final inspection report NO

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Action taken by the CSCI in response to Head’s comments:

YES Head’s comments are available on file at the Area Office but have not been incorporated into the final inspection report. The inspector believes the report to be factually accurate

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Note:

In instances where there is a major difference of view between the Inspector and the Head both views will be made available on request to the Area Office.

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are to be addressed and stating a clear timescale for completion. This will be

kept on file and made available on request.

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Status of the Head’s Action Plan at time of publication of the final inspection report:

Action plan was received at the point of publication YES

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Status of the Head’s Action Plan at time of publication of the final inspection report:

Action plan covers all the statutory requirements in a timely fashion YES

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Status of the Head’s Action Plan at time of publication of the final inspection report:

Action plan did not cover all the statutory requirements and required further discussion NO

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Status of the Head’s Action Plan at time of publication of the final inspection report:

Provider has declined to provide an action plan NO

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Status of the Head’s Action Plan at time of publication of the final inspection report:

Other: <enter details here> Holly House School Page 46

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relating to the inspection conducted on the above date(s) and that I agree with

the recommended actions made and will seek to comply with these.

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Date

Note: In instance where there is a profound difference of view between the Inspector and the Head both views will be reported. Please attach any extra pages, as applicable.

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Holly House School / 29th November – 2nd December 2004

Commission for Social Care Inspection 33 Greycoat Street London SW1P 2QF

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Holly House School / 29th November – 2nd December 2004

Telephone: 020 7979 2000 Fax: 020 7979 2111

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Holly House School / 29th November – 2nd December 2004

National Enquiry Line: 0845 015 0120 www.csci.org.uk

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Holly House School / 29th November – 2nd December 2004

S0000056234.V190642.R01 © This report may only be used in its entirety. Extracts may not be used or reproduced without the express permission of the Commission for Social Care Inspection

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Holly House School / 29th November – 2nd December 2004

The paper used in this document is supplied from a sustainable source

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