John Greenwood Shipman Centre

Unique reference number SC465257 Inspector Mary Timms Type of inspection Interim Provision subtype Children's home

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Registered person

Northamptonshire Healthcare NHS Foundation Trust Registered person address Sudborough House, St Mary's Hosptial 77 London Road Kettering Northamptonshire NN15 7PW Responsible individual Sharon Toyer Registered manager Susan Lindsay Jameson Date of last inspection 15/04/2014 2 of 5 Inspection date 12/01/2015

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Registered person

Previous inspection good Enforcement action since last inspection none

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This inspection

This home was judged good at the last full inspection. At this interim inspection Ofsted judge that it has sustained effectiveness .

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This inspection

This service continues to provide well-managed short break stays for children and young people. The service is held in high regard by parents and involved professionals. Comments include 'they are doing a really good job' and 'everyone is very happy with the quality of support provided'.

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This inspection

Children and young people using the service, who have a diverse range of complex health and care needs, receive a high standard of well-planned care. Excellent partnership working is in place with external agencies, schools and parents. As a result, children and young people are supported in a consistent manner across home, school and this short break service. Additionally, emerging needs are identified promptly and are addressed without delay. Since the last inspection, additional children and young people are now using the service.

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This inspection

Introductions to the service are well-managed and include keyworkers visiting the family home, parents visiting the service before a young person has the opportunity to make visits for their evening meal before their first overnight stay. This shows that staff understand how very difficult some children find the concept of staying away from home. Comments from parents reflect how reassured they were by the way the introduction and initial overnight stay was managed.

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This inspection

Staff have an excellent understanding of the individual needs of each of the children and young people using the service. This knowledge is underpinned by effective placement planning which is a key strength of the service. Staff know the children really well, and in many cases have worked with them for several years. As a result, children feel secure when away from home on a short break at this setting and families are confident in the quality of care provided.

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This inspection

Children and young people are cared for by experienced and well-trained staff who 3 of 5 have a very child centred approach to the delivery of care. Care planning prioritises healthcare needs but also promotes a strong focus on providing stimulating and enjoyable activities. Examples include; the use of the home's sensory room, craft and cooking activities, use of appropriate inside and outdoor play equipment. Also, trips to the seaside, visits to country and activity parks, and trips to the cinema. As a result children and young people really enjoy the time spent at this short break service. Comments from parents include 'When we mention the service xx looks exited and is always really happy to go there'.

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This inspection

Children and young people are safe. This is because safeguarding of vulnerable children and young people using this service is suitably prioritised together with the effective and proactive response to any issues arising. Parents and professionals confirm a view that children are kept safe during their short breaks. Safeguarding issues are identified promptly and acted upon without delay. Notifications are made appropriately to HMCI and also to placing teams and safeguarding officers when required.

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This inspection

The manager has acted in response to the one requirement set at the time of the last inspection. The home's statement of purpose now reflects details about the qualifications and experience of staff working there. This brings the document in line with regulatory requirements and provides improved clarity about the service provided.

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This inspection

Behaviour is well managed. Complex behaviours are understood against the background of individual disabilities. As a result incidents reduce and individuals previously presenting with high anxiety and frustration now have incident free short stay visits. Professionals are impressed with the success of care arrangements and sometimes take forward behaviour management strategies into home and school to share successes. Comments from professionals include 'x knows what is expected, staff are fair, they are also promoting independence which is something which is very important for this young person'. Adding this young person's frustrations have reduced because they feel listened to. Physical holds are used rarely and only as a last resort. While no detrimental impact on children and young people is identified this inspection notes that there are occasions when the duration of the incident is recorded rather than the duration of the actual physical hold. This lack of clarity

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This inspection

restricts the ability for independent assessment of the quality of care and a recommendation is set in this regard.

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This inspection

The quality of care provided is closely monitored by both the Registered Manager directly and also by an independent person who visits the home each month and reports on the quality of care provided. The manager responds promptly to recommendations for service improvement and also identifies where improvements could be made and takes forward learning into practice when necessary. This demonstrates a commitment and ability by leaders and managers to drive forward service development. 4 of 5

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Information about this children’s home

This home is a 12-bedded residential short break service for children with learning disabilities and children with physical disabilities and associated health care needs. The service is managed by a healthcare foundation trust and is also registered with the Care Quality Commission as care arrangements include regulated activities within the health care provision.

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Inspection date Inspection type Inspection judgement

15/04/2014 Full good 20/02/2014 Full inadequate

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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 staff understand the nature of records maintained and that entries in records are clearly expressed. In particular this relates to the need to always clarify within records the duration of any measure of control used. (NMS 22.1 and 22.4) Website: www.ofsted.gov.uk

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Recommendations

This document may be reproduced in whole or in part for non-commercial educational purposes, provided that the information quoted is reproduced without adaptation and the source and date of publication are stated.

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What inspection judgements mean

At the interim inspections we make a judgement on whether the home has improved in effectiveness, sustained effectiveness, or declined in effectiveness since the previous full inspection. This is in line with the Inspection of children’s homes: framework for inspection.

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Information 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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Information about this inspection

The report details the main strengths, any areas for improvement, including any breaches of regulation, and any failure to meet national minimum standards. The judgements included in the report are made against the framework of inspection for children's homes.

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