Children's Home run by Cornwall Partnership NHS Foundation Trust in Cornwall

children and young people since the most recent full inspection

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

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children and young people since the most recent full inspection

Young people continue to enjoy short breaks in this home. Resources, equipment and activities are tailored uniquely to each individual young person to ensure they enjoy their experience to the full. Respectful nursing and support care is given to young people. Staff are continually exploring different ways to communicate; they encourage and help young people to express themselves and make choices. The service continues to operate without a safeguarding and child protection procedure document which is specific to the home and the complex needs of the young people cared for. This results in a previous requirement not being met. Some work has started on creating a draft document, but staff have not yet read or contributed to this document. Although staff know to alert managers if there is a safeguarding concern, not all staff are clear about change to certain processes, such as body mapping. Without a clear document to refer to, potential for

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children and young people since the most recent full inspection

confusion exists. One medication error has occurred since the last inspection which resulted in one young person being given another young person’s feed. This did not lead to any adverse effects for the young person. The manager quickly actioned revised procedures to deal with this problem. The managers meet monthly and review all incidents, putting in place a clear action plan to learn and improve practice as a result. Staff liaise with parents and professionals to identify specific goals for young people to achieve and enjoy. A new system is in place which reviews the experiences and progress that young people make. An example is for a young person to experience and differentiate different aromas such as grass, fruit and baking. Information is then analysed systematically to plan further activities and review goals. Staff work hard to ascertain views of all those young people to ensure plans are consistent and well thought out. The registered manager has

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children and young people since the most recent full inspection

oversight of all plans and risk assessments, through a new audit arrangement; this meets a requirement from the previous inspection. No young people have left since the previous inspection but several young people have reached an age when they will move to adult service provision in the not so distant future. Staff are passionate about ensuring plans are thought about early on so young people and families are prepared for their transitions. If managers and staff do not get responses from professionals in areas such as care planning or transitions, they pursue responses until they are confident young people’s needs are met. Staff, many of whom are long standing and know the young people very well, are dedicated in their care of the young people. They are passionate about giving young people positive and enjoyable experiences and supporting their families. Two bank staff are employed by the manager. The manager has now personally

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children and young people since the most recent full inspection

verified their references and employment information to ensure they can meet the complex needs of the young people cared for. Staff receive regular and thorough supervision and access a variety of training. Although team meetings are meant to be scheduled monthly, they have not occurred monthly since the last inspection. The co-ordinator is now focussing on improving the frequency of these meetings. The home environment is colourful, cosy and well-organised. Much thought goes into the making the home as comfortable as possible at the same time as ensuring stimulating activities are available. The bathrooms are clean and relaxing; careful decoration, specific lighting installed and relaxing music is played to ensure that young people’s bath time experience is enjoyable as possible. Toilet rolls are now positioned so they are reachable, supporting a philosophy of encouraging independence and dignity. Health and safety checks are completed rigorously by

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Information about this children's home

The children’s home provides a short breaks service for up to two children with disabilities, complex individual needs and fragile health. This service is managed by an NHS Foundation Trust.

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Recent inspection history

Inspection date Inspection type Inspection judgement

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Recent inspection history

10/03/2015 CH - Interim sustained effectiveness

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Recent inspection history

13/12/2013 CH - Interim Satisfactory Progress

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Statutory Requirements

This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Children's Homes (England) Regulations 2015 and the Guide to the children's homes regulations including the quality standards. The registered person(s) must comply with the given timescales.

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Requirement Due date

34: The registered person must prepare and implement a policy which- sets out the procedure to be followed in a the event of an allegation of abuse or neglect. In particular, ensure that all staff are familiar with and act in accordance to this procedure. (Regulation 34(1)(b)) 29/03/2016

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Recommendation

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

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Recommendation

The registered person should understand the key role the play in the training and development of staff in the home. In particular, ensure regular team meetings occur. (The Guide to the Quality Standards, page 53, paragraph 10.11)

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What the inspection judgements mean

At the interim inspection 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

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 focused on the effectiveness of the home and the progress and experiences of children and young people since the most recent full inspection.

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Information about this inspection

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 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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