Children's home run by Nestlings Care BC Limited in Trafford

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 declined in effectiveness .

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children and young people since the most recent full inspection

The home has not provided accommodation to young people since June 2015, but staff from the home have provided support to young people on a ward following their admission to hospital. This support was helpful in managing the transition of young people into adult care or a return to their placing authority.

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children and young people since the most recent full inspection

During this time the home have recruited sufficient staff to meet the services provided to young people as written in the home’s statement of purpose document. From October 2015, the home has been fully staffed, and staff have received specific training in readiness to accommodate young people. The home accommodated a young person in January 2016. The statement of purpose document has been updated, to reflect changes, although a copy has not been sent to Ofsted as required by regulation. As a result, a requirement is made.

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children and young people since the most recent full inspection

The manager resigned from their post in February 2016, and from her employment in July 2015 had not submitted an application to Ofsted or the Care Quality Commission in respect of a registered manager’s position.

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children and young people since the most recent full inspection

As a result, a requirement is made for the home to have a registered manager in place. This is the main reason for the declined in effectiveness judgement made at this inspection. Despite the home keeping Ofsted informed of interim management arrangements, the home has not been effectively or efficiently managed by a permanent, suitably experienced and qualified registered manager since May 2015, which is over 26 weeks and is a breach of regulation. A new manager has now been appointed who is expected to take up their position in March 2016.

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children and young people since the most recent full inspection

One young person has made progress from a difficult starting point in some aspects of her life, having previously experienced multiple moves and hospital admissions. In particular, commencement on a college course with good attendance and having made new friends are positive outcomes for this young person. The young person confirmed they enjoy college and have aspirations of working with children. Progress in other areas, include having a structured daily and bedtime routine are being sustained.

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children and young people since the most recent full inspection

The young person has contributed positively to the records kept by the home, saying, ‘It’s the longest I’ve ever been anywhere now, I say things sometimes but staff are amazing, you all are you never give up on me.’ The young person knows how to make complaints and detailed records are kept of the responses and action taken by staff. The young person’s social worker feels the staff at the home are providing her with a good level of care, although acknowledge that it is a short period of time since the placement began, but feels the young person has made progress.

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children and young people since the most recent full inspection

The young person is safe in the home and there are no concerns with them being missing or absent from the home. There have been no restraints from the point of accommodation and the one consequence of reparation imposed for damage to a door has been agreed and signed by the young person.

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children and young people since the most recent full inspection

Staff recognise the triggers that cause young people to engage in self-harm. They receive training in how to work directly with young people who self-harm, including those where their self-harm behaviours are potentially life threatening. Effective one-to-one work identifies the cause of these behaviours and incidents are reducing in frequency and intensity. The young person is supported through weekly therapy sessions carried out by trained and professional therapists, such as a psychologist, a music and occupational therapist. This supports staff to adopt appropriate strategies to manage young people’s behaviour.

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children and young people since the most recent full inspection

Effective partnership working with the local hospital, specialising in mental health, ensures arrangements are in place to support young people break their cycle of harming behaviour. These arrangements allow young people to be seen and treated without having to wait for local professional services. There is access to on- call registered mental health nurses, who respond to crises supporting young people and staff. This improves young people’s health, emotional, social and psychological well-being.

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children and young people since the most recent full inspection

Whilst arrangements are in place for monitoring the home, the independent visitor reports have not been consistently sent to Ofsted each month. This prohibits the regulator from having an overview of the home, the services provided to young people and the progress they are making or areas were improvements are needed. As a result, a requirement is made.

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children and young people since the most recent full inspection

Significant incidents are reported to the appropriate authorities in line with regulation. This further protects young people by ensuring all necessary safeguarding procedures are followed.

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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 change of needs for whom the home intends to provide care as written in the home's statement of purpose  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

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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

The registered provider must appoint a person to manage the children’s home if – (a) There is no registered manager in respect of the home (Regulation 27 (1) (a)) 30/06/2016

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Requirement Due date

44: Independent person: visits and reports

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Requirement Due date

The independent person must provide a copy of the independent person’s report to— (a) HMCI (Regulation 44 (7) (a)) 08/04/2016

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Requirement Due date

The registered person must— (a) Keep the statement of purpose under review and, where appropriate, revise it; and (b) Notify HMCI of any revisions and send HMCI a copy of the revised statement within 28 days of the revision. (Regulation 16 (3) (a) (b)) 08/03/2016

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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

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Information about this inspection

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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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