Children's Home run by Nestlings Care BC Limited in Rochdale

Good

The children's home provides effective services that meet the requirements for good.

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The children's home provision is good because:

Young people receive individualised therapeutic support in line with their identified need Young people experience stability and make progress from their starting point in the home. Their health, education, emotional and psychological well-being is improved Relationships between staff members and young people are built on mutual trust, with clear boundaries in place Thorough admission assessments ensure young people are compatible with each other and staff members have sufficient information to meet their specific need Risk management is understood from the start of young people’s placement. Strategies specific to individual young people are known and understood by the manager and staff The home is set in a rural location and provides young people with a sense of belonging and security. Young people are safe and feel safe in the home The response to young people who are absent from the home or missing is

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The children's home provision is good because:

immediate and reduces incidents significantly. Working in partnership with external agencies protects young people Following the transition and discharge of young people, the home has been vacant. Reflective practice and changes to management and staffing have taken place to improve the services provided to young people Support for staff and opportunities to develop their knowledge through training ensure they have the skills and knowledge to meet young people’s needs

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Information about this children's home

 The home is registered to accommodate three young people with a mental disorder (MD)  The home is privately owned  The home is a specialist residential care service working in partnership with young people and all relevant agencies with 24 hour support from consultant psychiatrist and registered mental health nurse, providing a level of comprehensive care, as written in the home's statement of purpose  The home is also registered with the Care Quality Commission.

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Recent inspection history

Inspection date Inspection type Inspection judgement

p.4

good

Young people make progress from their starting point in the home. Staff members know the issues and implications associated with mental health. Young people, often with a traumatic background receive the support and services to understand and address their issues. Working in partnership with clinical commissioning groups and addressing problems through strategic multi-agency partnership working is a strength of this home. These arrangements benefit young people and enable them to develop.

p.5

good

Relationships between staff and young people and individual young people are positive. Staff members know young people well and spend time with them on a daily basis. Opportunities for personal development through therapy sessions are regularly carried out. Young people engage and staff members are consistent in carrying on the work, overseen by a team of professional therapists. This provides young people with stability and a sense of belonging.

p.5

good

Thorough pre-planning assessments ensure services are arranged and available to young people at the point of their admission into the home. Some young people are placed in the home from hospital on a community treatment order while others are placed by local authorities seeking an assessment of young people’s mental health needs. Consideration is given to the compatibility of young people, ensuring staff members have all of the history and details to understand and support them. As a result, their health, education, emotional and psychological well-being is improved.

p.5

good

Young people’s health needs are addressed and they are registered with local health services, ensuring their physical, dental and sight needs are met. The manager works closely with outside agencies, such as, the Child and Adolescent Mental Health team, who support young people. Visiting Clinical Psychologists offer a range of assessments to help identify areas of need that are causing young people difficulties or distress. For example, attachment and eating disorders. Registered qualified mental health nurses oversee the recording, administration and disposal of medication, to ensure the management of all medication is safe.

p.5

good

Young people have benefitted from engaging in education, which is delivered in the home by qualified teachers. Some young people have progressed and moved onto higher education and attend college. Structured plans agreed with young people incorporate education and recreational activities, this provides young people with a daily routine, promotes their hobbies and interests in faith based activities. Young people, their families, clinical commissioning groups and placing authorities have information about the home’s complaints procedure. Any complaint is thoroughly investigated with a response outcome made to the complainant. Reflective work on complaints received has improved the services in the home.

p.5

good

Young people know their contact arrangements and these are written into their care plan and regularly reviewed. Arrangements are made and agreed for young people to remain in contact with those people important in their lives, who live overseas or a long distance from the home. Family and friends are welcome in the home. This benefits young people and promotes their cultural heritage.

p.6

good

When young people are leaving the home, they are supported to understand the reasons why, for example, if their community treatment order is recalled, as a result of some decline in their mental health, or they are of an age where adult services are needed.

p.6

good

Two young people have successfully transitioned from the home, with one being supported to move into an adult registered home operated by this organisation and another moving back to their placing authority, which is some distance from the home. Both transitions were planned, with young people being supported before and after they left the home

p.6

good

Following the discharge of two young people in July 2015 the home has not admitted any young people.

p.6

good

Young people have individualised recorded risk assessments in place. These are detailed and cover all known risks at the point of admission. Assessment of risk is on-going with any changes of behaviour having agreed strategies in place for staff to follow. Staff members know the strategies well and this helps young people to become increasingly safe. Young people are safe in the home and feel safe.

p.6

good

When young people go missing, staff are proactive, they go out and look for them and are successful in persuading them to return home. One-to-one work helps young people to understand how to avoid risky situations where they may be injured, for example, educating them in pedestrian and road safety.

p.6

good

There have been no concerns in relation to young people being sexually exploited, offending, misusing drugs or alcohol. Staff members are trained to recognise the triggers which cause young people to engage in self-harm, including those where their self-harm behaviours are potentially life threatening.

p.6

good

Physical interventions are used as a last resort when young people are not able to regulate their emotional responses, or they are placing themselves in significant incidents of self harm such as the use of ligatures. Staff are trained in safe restraint techniques and removal of ligatures. Following an incident, debriefs are completed consistently with staff members and young people. These enable the young person to reflect on their behaviour and identify other means of managing their emotions, and give staff the opportunity to evaluate their care practice.

p.7

good

Incidents have been discussed, reflected on and lessons learned. Some staff responses to incidents have resulted in frequent police callouts for assistance, rather than them managing the situation themselves. Staff have received further training in managing behaviour and the manager has implemented a 10 point plan to consider before police assistance is called. These practices are focused on the needs of young people and aim to build and strengthen the relationship between the home and police.

p.7

good

Recruitment practice is robust and ensures all staff members before working with young people are checked as safe to do so. All visitors sign into the home and are not left unsupervised with young people. Regular health and safety checks are carried out and routine fire drills undertaken. These arrangements keep young people, staff members and visitors safe.

p.7

good

The home is located in a rural location, surrounded by farm land and provides modern accommodation whilst retaining a homely appearance that retains character. The décor and furnishings are of a high standard. There is a sensory room used by young people, during therapy work or for relaxation. Three double bedrooms are available for young people of which two have en-suite facilities.

p.7

good

The registered manager resigned her post due to health issues. The home has a new manager, who is experienced and has previously managed a children’s home as a registered manager. She is currently undertaking the Level 5 Diploma in Leadership and Management and has submitted her application to Ofsted to be registered for this home.

p.7

good

Significant changes have been made to improve the standard of care in the home. The administration systems, assessment documents and care plans are in line with the new quality standards and framework inspected by Ofsted. Administration systems also cover the national standards of quality and safety inspected by the Care Quality Commission.

p.7

good

These changes include new staff members being recruited with full training being provided to them. None of this has impacted on young people as changes were made from July 2015 and since this time the home has been vacant. The new changes made by the home and the new systems implemented have yet to be tested for effectiveness once a young person is placed in the home.

p.8

good

There are sufficient staff to provide care for one young person, although this will increase as and when the number of young people increase. There are good systems to ensure staff members receive effective regular supervision and opportunities to increase their professional development, through appraisal.

p.8

good

Arrangements are in place for the home to be monitored by an independent person as well as the manager auditing the paperwork in the home and reporting on progress. These arrangements have carried on while the home has been vacant, and reports from the independent person and the manager show the changes made by the home.

p.8

good

The home’s statement of purpose document is detailed and provides all the information about the services the home provides to young people, clinicians, placing authorities and families. Young people have information written in a style to suit them and this ensures they know what to expect when living in the home.

p.8

good

The registration requirements are being met by the home, and they are ready to accommodate a young person. No requirements or recommendations are made at this inspection.

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What the inspection judgements mean

The experiences and progress of children and young people are at the centre of the inspection. Inspectors will use their professional judgement to determine the weight and significance of their findings in this respect. The judgements included in the report are made against Inspection of children's homes: framework for inspection.

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What the inspection judgements mean

An outstanding children's home provides highly effective services that contribute to significantly improved outcomes for children and young people who need help and protection and care. Their progress exceeds expectations and is sustained over time. A good children's home provides effective services that help, protect and care for children and young people and have their welfare safeguarded and promoted. In a children's home that requires improvement , there are no widespread or serious failures that create or leave children being harmed or at risk of harm. The welfare of looked after children is safeguarded and promoted. Minimum requirements are in place, however, the children's home is not yet delivering good protection, help and care for children and young people. A children's home that is inadequate is providing services where there are widespread or serious failures that create or leave children and young people being

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What the inspection judgements mean

harmed or at risk of harm or result in children looked after not having their welfare safeguarded and promoted.

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Information about this inspection

Inspectors have looked closely at the experiences and progress of children and young people living in the children's home. Inspectors considered the quality of work and the difference adults make to the lives of children and young people. They read case files, watched how professional staff work with children, young people and each other and discussed the effectiveness of help and care given to children and young people. Wherever possible, they talked to children, young people and their families. In addition the inspectors have tried to understand what the children's home knows about how well it is performing, how well it is doing and what difference it is making for the children and young people who it is trying to help, protect and look after. This 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 Children's

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Information about this inspection

Homes (England) Regulations 2015 and the Guide to the children's homes regulations including the quality standards. the guidance raising concerns and making complaints about Ofsted, which is available from Ofsted's website: www.gov.uk/government/organisations/ofsted . If you would like Ofsted to send you a copy of the guidance, please telephone 0300123 4234, or email enquiries@ofsted.gov.uk .

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Information about this inspection

achieve excellence in the care of children and young people, and in education and skills for learners of all ages. It regulates and inspects childcare and children's social care, and inspects the Children and Family Court Advisory and Support Service (Cafcass), schools, colleges, initial teacher training, workbased learning and skills training, adult and community learning, and education and training in prisons and other secure establishments. It inspects services for looked after children and child protection. If you would like a copy of this document in a different format, such as large print or Braille, please telephone 0300 123 4234, or email enquiries@ofsted.gov.uk . You may reuse this information (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit www.nationalarchives.gov.uk/doc/open-government-licence , write to the Information Policy Team,

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Information about this inspection

The National Archives, Kew, London TW9 4DU, or email: psi@nationalarchives.gsi.gov.uk .

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Information about this inspection

Interested in our work? You can subscribe to our monthly newsletter for more information and updates: http://eepurl.com/iTrDn .

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Information about this inspection

Store Street Manchester M1 2WD T: 0300 123 1231 Textphone: 0161 618 8524 E: enquiries@ofsted.gov.uk W: www.gov.uk/government/organisations/ofsted

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