Children's Home run by Bromley Healthcare Community Interest Company in Bromley

Unique reference number SC474543 Inspector Juanita Mayers Type of inspection Interim Provision subtype Children's home

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Registered person

Bromley Healthcare Community Interest Company Registered person address Global House 10 Station Approach Bromley Kent BR2 7EH Responsible individual Vanessa Jayne Nicola White Registered manager Amanda Simone Rees Date of last inspection N/A 2 of 5 Inspection date 26/02/2015

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Registered person

Previous inspection N/A Enforcement action since last inspection none

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This inspection

This is the first inspection following registration. At this interim inspection Ofsted judge that it has sustained effectiveness .

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This inspection

Young people continue to make good progress in all areas of their development at this short break service. Young people clearly enjoy their time and parents speak of the excellent quality of staff and the care they provide. A parent said they care for my child as if ‘he is a special friend’; they are always welcoming and encouraging to me. She particularly appreciated a home visit prior to her child staying overnight. 'It meant they wanted to know and understand all aspects of my son’s life’. Staff create a warm, stimulating and homely environment. A staff member commented that the plan is to always do what young people want to ensure their time with us is a ‘happy and an enjoyable experience’. Staff shifts and handovers are planned well and young people, on arrival, can see in pictorial form who will be responsible for their care. Bedrooms are well decorated with a variety of stimulating toys to meet the individual needs of the young people.

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This inspection

Young people’s pictures are on the front of bedroom doors to enable them to know which room is theirs. Planning for who receives the short break is carefully risk assessed to ensure each young person’s medical and care needs can be fully met. On the day of inspection just two young people were admitted to the purple unit to enable the staff to manage their severe and highly complex medical needs. Nursing and care staff have longevity in the home. Care staff having a minimum of NVQ level 3 and often above. Nursing staff are highly qualified, enabling the home to meet all levels of medical needs. Staff training is good and consistent on safeguarding and behaviour management. Young people’s health needs and care are met by highly trained staff. Storage and administration of medication is good, with recording and monitoring of changes carefully managed. Staff and young people have good relationships, with staff recognising triggers such

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This inspection

as sensory overload or onset of challenging behaviours and often using quiet space 3 of 5 activities and humour to calm situations. Staff have good knowledge and information on each young person enabling them to meet cultural, religious and all care needs in line with care plans. Management and staff strive to ensure the short break is a positive experience for young people and parents. An example seen during the inspection involved a staff member doing an outreach visit to reassure a parent who was anxious about an overnight stay. Young people achieve goals and targets due to realistic target setting which is critically assessed by the staff to ensure young people gain maximum benefits. Young people are able to exercise choice in meals, with individual health, cultural and religious needs being clearly set out in the kitchen. Choices in activities are discussed with young people. Staff endeavour to have young

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This inspection

people who are friends and get on well staying in the home at the same time. Management and staff have developed a good relationship with professionals across the board. Multi agency working is well established with 2 monthly meetings held, ensuring consistency of care for young people with complex development and health needs. The environment is physically safe and secure, with keypad locks on internal and external doors. Young people do not go missing due to high levels of staffing and clear identification of risks. Behaviour management plans are in place for children who are of high risk. The home works closely with parents and schools to ensure behaviour management is a shared task. All health and safety checks of the premises are in place. Leadership and management of the home are good, with senior staff having professional and management qualifications. Surveys are undertaken with parents and young people on an annual basis and an

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This inspection

analysis of this survey is used for a meeting with parents to produce an action plan for change. This survey is also used to aid the development plan for the home. Staff receive regular supervision and training. A staff member said that management see training as a priority to enhance and meet all competencies in working with young people. 4 of 5

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Information about this children’s home

This home is run by a healthcare trust, and provides short break services for children and young people aged five to 17 years. Children and young people who use the service may present a variety of complex needs, including sensory impairment, physical and learning disabilities and challenging behaviour. Website: www.ofsted.gov.uk

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Information about this children’s home

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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