Children's Home run by One To One Crisis Intervention Ltd in Devon

Unique reference number SC068205 Inspection date 28/02/2014 Inspector Sharron Escott Type of inspection Interim Provision subtype Children's home

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Date of last inspection 01/11/2013 Website: www.ofsted.gov.uk

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Brief description of the service

This children’s home provides care and accommodation for one young person of either gender, who has emotional or behavioural difficulties. The property is one of a group of services run by an independent company.

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The inspection judgements and what they mean

Good progress The children’s home has demonstrated continued improvement in quality of care and outcomes for children and young people and where appropriate has addressed all requirements and the large majority of recommendations that were raised at the previous inspection. Satisfactory progress The children’s home has maintained quality of care and outcomes for children and young people and where appropriate has addressed all requirements and the majority of recommendations that were raised at the previous inspection. Inadequate progress The children’s home has failed to address one or more requirements and/or has not met the majority of recommendations and/or the quality of care and outcomes for children and young people have declined since the last full inspection.

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Progress

Since their previous inspection the service is judged to be making good progress .

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Progress

The full inspection for this service took place in November 2013. The overall quality rating for the service was judged to be good; outcomes for young people were outstanding. The two requirements raised have been fully met. One of the three recommendations has been met; the two not fully met have been reinstated. Specialist training has been identified but not yet attended and not all supervisions are being completed as required by the home's own policies and procedures.

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Progress

Since the last inspection the manager has ensured that information relating to the young people is up-to-date and reflects individual’s needs, risks, and progress. Reviewed pathway plans ensure that young people have greater opportunities to learn, develop and achieve. As a result, independent living targets and skills have progressed and significantly contribute to the young people's growing confidence and ability's. A social worker reported.' this young man clearly trusts the staff which has helped him to progress so quickly. He has changed from an introverted child into a confident and happy young man, I attribute this to the person centred approach displayed by the staff involved in his care'. Young people continue to make significant progress. Young people have good attendance and progress with their education. They enjoy their work experience at a local car wash and have been offered paid part time work as a result. This has

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Progress

significantly contributed to young people's growing confidence and enabled them to be a part of the community which helps to prepare them for adult life.

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Progress

The manager and staff team maintain regular contact with supporting agencies. As a result, the health care needs of young people are fully met at the home. Medication is well managed and is regularly reviewed to ensure young people are receiving the correct dose or to establish if they need to continue taking the medication. Staff encourages healthy eating and young people said they liked the meals. They say they help prepare and cook meals three times a week for themselves and the care staff.

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Progress

They Young people feel well cared for by staff, and clearly enjoy living in the home. The home is warm and welcoming and the care provided is nurturing, supportive and encouraging. The home demonstrates good progress in maintaining high quality care delivered to young people while driving the development of the service forward.

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Progress

The manager has introduced and maintains a recruitment profile of all staff members who work in the home. This ensures that staff do not work at the home until safer recruitment checks have been undertaken and the manager has confirmed that individuals have the experience, skills and ability to look after the young people.

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Progress

Behaviour is well managed at the home. A young person said 'I feel safe here, I no longer need to have my lock on my door and staff help me if I am worried.' There has been one incident of a young people missing from the home. Documents detail that staff followed the agreed procedures to ensure the young person was safeguarded from harm. Behaviour management strategies are effective and this means there has been no need for any physical restraints and minimal sanctions for negative behaviours have been given. When a sanction is given, it is evaluated for effectiveness. Young people know how to complain and have confidently raised a concern with the manager. He said he was happy that the concern was sorted out. Young people said ' I like all the staff.'

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Progress

Staff members’ receive regular supervision, support and guidance from the Registered Manager. However, the manager continues not to receive regular supervision as required by the home's policies and procedures. As a result, she is receiving inconsistent support and guidance whilst managing a staff team and caring for young people with complex needs.

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Progress

The manager has a system to monitor care practices each month; this includes the levels and effectiveness of physical intervention, sanctions and rewards. These reports are routinely produced. In addition, Regulation 33 visits are being undertaken within the required time scales, the reports are forwarded Ofsted in line with regulatory requirements.

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Recommendations

To improve the quality and standards of care further the service should take account of the following recommendation(s):

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Recommendations

 ensure that the training programme includes specialist training to provide skills for staff to meet the changing needs of the children (NMS 18.1)  ensure the written record of supervisions kept by the home details the time, date, and length of each supervision for each member of staff, including the registered person. The record is signed by the member of staff and the supervisor at the end of the supervision (NMS 19.5)

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About this inspection

The purpose of this inspection is to assure children and young people, parents, the public, local authorities and government of the quality and standard of the service provided. The inspection was carried out under the Care Standards Act 2000 to assess the effectiveness of the service and to consider how well it complies with the relevant regulations and meets the national minimum standards.

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About this inspection

The report details the progress made by the provider since the last full inspection, identifies any further strengths, any areas for improvement and makes judgements as outlined in the Inspection of children’s homes – framework for inspection.

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