Children's Home run by Lancashire County Council in Lancashire

Inadequate

There are serious and widespread failures that mean young people are not adequately safeguarded.

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The children's home provision is inadequate because:

 Requirements from the last interim inspection on 13 January 2016, when the home was found to have declined in effectiveness, have not been met.  Young people are not receiving appropriate full-time education to which they are legally entitled. Furthermore, an educational placement that Ofsted was assured would have been secured by Easter remains outstanding without satisfactory explanation.  Consistent and significant criminal damage by some young people is compromising the health, safety and wellbeing of all the young people, staff and visitors to the home.  Young people and staff are subject to intimidation and/or assaults by other residents, resulting in one young person absenting herself from the home whenever possible and formally requesting a move as she feels unsafe.  Behaviour management records are not satisfactorily maintained. In particular, they do not demonstrate timely debriefs with young people are

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The children's home provision is inadequate because:

occurring to try to prevent a reoccurrence. Nor do they contain an evaluation by senior staff to ensure safe, proportionate and effective practices. This is in spite of concerns raised by young people.  Robust systems are not in place to ensure the good health and well-being of all the young people.  There is a lack of required documentation in place and variable quality within the home’s records.  Internal and external monitoring processes are not sufficiently robust.  Adequate precautions are not being taken against the risk of fire.  There are a high number of incidents of going missing and a consistent lack of timely independent return interviews.

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The children's home strengths

 The resilience of this staff team is to be commended, throughout sustained and extremely challenging behaviours exhibited by young people.  A competent and child-focused staff team has an excellent understanding of all the young people’s individual needs and personal preferences and are strong advocates on their behalf.  There is a stable staff team that has a good history of not giving up on young people regardless of the significant challenges that they present until a more appropriate placement is found.  There is an experienced staff team that has the proven ability to re-establish and maintain constructive family contact for young people. This strengthens young people’s understanding of their past, sustains their unique identities and builds emotional resilience.  Effective working relationships with the local police, housing department, a private landlord and the manager of a local bail hostel are all firmly

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The children's home strengths

established. Harbouring notices have been served to try to keep young people living in the home and in the local community safe.

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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 within the given timescales.

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Requirement Due date

8: The education standard * To meet the education standard the registered person must demonstrate that children make measurable progress towards achieving their educational potential and are helped to do so. In particular, the registered person must ensure that staff – help each child to develop independent study skills and to complete independent study; continue to raise the need for further assessment or specialist provision with the child’s education provider and placing authority; help each child who is excluded from school, or who is of compulsory school age but not attending school, to access appropriate educational and training support throughout the period of exclusion or non-school attendance and to enable them to return to school as soon as possible; help each child who is above compulsory school age to participate in further education, training or employment and to prepare for future care, education or employment;

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Requirement Due date

and, help each child to attend education or training in accordance with the expectations in the child’s relevant plans’ (Regulation 8 (1) (2)(a)(ii)(vii)(viii)(ix) and (x)). 8 July 2016

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Requirement Due date

10: The health and well-being standard Ensure that the health and well-being needs of children are met and they are helped to lead healthy lifestyles. In particular, ensure children receive appropriate specialist advice, services and support and take part in activities, and attend any appointments, for the purpose of meeting their individual health needs (Regulation 10 (1)(a)(b)(c) (2)(a)(iii)). 8 July 2016 12: The protection of children standard To ensure children are protected from harm and enabled to keep themselves safe, the registered person must ensure that the premises are furnished and maintained so as to protect each child from avoidable hazards to the child’s health and well-being (Regulation 12 (1) (2)(d)). 8 July 2016

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Requirement Due date

12: The protection of children standard * To meet the protection of children standard the registered person must ensure that children are protected from harm and enabled to keep themselves safe. In particular, the registered person must assess and ensure effective arrangements are in place to reduce the risk of harm to each child including ensuring independent return interviews are undertaken in a timely manner to assess the risks associated with going missing and make appropriate arrangements to reduce the risk of any harm to that child, manage relationships between children to prevent them from harming each other, take effective action whenever there is a serious concern about a child’s welfare and, (b) ensure that the home’s day-to-day care is arranged and delivered so as to keep each child safe and to protect each child effectively from harm (Regulation 12 (1) (2)(a)(i)(iv)(vi) and (b)). 8 July 2016

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Requirement Due date

35: Behaviour management policies and records The registered person must ensure that within 24 hours of the use of a measure of control, discipline or restraint, a record is made that includes all the required particulars and within 48 hours the registered person or an authorised person has spoken to the child about the measure; and, within 5 days the registered person or the authorised person adds to the record confirming that they have spoken to the child about the measure (Regulation 35 (3)(a)(b)(i) and (c)). 8 July 2016

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Requirement Due date

25: Fire precautions The registered person must ensure that the requirements of the Regulatory Reform (Fire Safety) Order 2005 and any regulations made under it, are complied with in respect of the home, with particular reference to compliance with the home’s fire safety risk assessment (Regulation 25 (2)(a and b)). 8 July 2016

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Requirement Due date

13: The leadership and management standard 28 July 2016 To meet the leadership and management standard the registered person must ensure that all the staff have the experience, qualifications and skills to meet the needs of each child and in particular, attention deficit hyperactivity disorder and Asperger’s syndrome (Regulation 13 (2)(c)).

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Requirement Due date

33: Employment of staff The registered person must ensure that all employees receive practice-related supervision by a person with appropriate experience at the frequency prescribed in their own policy and have their performance and fitness to perform their roles appraised at least once a year (Regulation 33 (4)(b) and (c)). 28 July 2016

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Requirement Due date

44: Independent person: visits and reports Independent monitoring reports of the home must consistently include interviews in private with children, their parents, relatives and persons working at the home to inform their opinion as to whether children are effectively safeguarded and the conduct of the home promotes their well-being (Regulation 44 (2)(a)). 31 July 2016

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Requirement Due date

45: Review of quality of care The manager’s review report on the quality of care provided in the home must demonstrate that the views of children, their parents, placing authorities and staff are ascertained and considered as a fundamental part of the process (Regulation 45 (5)). 30 September

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Requirement Due date

36: Children’s case records The registered person must ensure that all the records listed in Schedule 3 of the Children’s Homes (England) Regulations 2015 are in place, kept up to date and are signed and dated. In particular, placement plans, personal educational plans, statements of educational needs and health assessments (Regulation 36 (1) Schedule 3 (17), (19) and (23)). 8 July 2016

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Requirement Due date

45: Review of quality of care Maintain an effective system for monitoring, reviewing and evaluating the quality of care provided at the home in consultation with children and detail any actions necessary to improve the facilities and quality of care provided (Regulation 45(2)). 8 July 2016 * These requirements are subject to a statutory requirement notice. 

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Information about this children's home

This is a local authority children’s home registered to provide care and accommodation for up to six young people at any given time who may be experiencing emotional and/or behavioural difficulties.

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Recent inspection history

Inspection date Inspection type Inspection judgement

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Recent inspection history

13 January 2016 Interim Declined effectiveness

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Recent inspection history

20 March 2015 Interim Sustained effectiveness

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Inadequate

The mix of young people currently living in this home is not conducive to a stable environment, so they are not developing a sense of permanence and belonging. For one young person this is their first experience of group living and he is finding it difficult to adjust. It is acknowledged that this placement is not meeting his specific needs and a smaller specialised unit is being sought. An independent advocate is actively involved to help avoid drift. Another young person said, ‘I am happy here and the manager is trying her best. Some of the staff are brilliant and the new casuals are doing really well, but there is just so much damage. I don’t like it and I want it to stop. One person is so destructive. He even spits on the wall and it upsets me.’ A significant and repeated regulatory shortfall is the fact that the majority of young people currently living at this home are not receiving full-time education.

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Inadequate

Consequently, they are falling behind their peers, which will negatively impact on their future job opportunities. In response to a compliance notice served following the interim inspection on 13 January 2016, Ofsted received written assurances that one young person would be moved to a residential special school before Easter to meet his assessed safety, care and education needs. This would have allowed him time to settle into a new placement before the new school term commenced. However, 10 weeks on and he is still at the home and only receiving two hours a week home tuition. This is inadequate. Moreover, he has also only positively engaged for the last four weeks, following a change of tutor. His independent reviewing officer has formally requested additional hours, but the deadline for this addition has also been breached. This means that this young person has not benefited from full-time education for the last 14 months, much to the dismay of his father who said that

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Inadequate

‘his son is academically bright.’ The young person himself said, ’It’s only for two hours a week, so I have not done a lot of work. I want to go back to a classroom. I don’t like the awkwardness of being on a one-to-one.’ This shows real insight into his own needs and difficulties. Another young person did not return to school after Easter as planned. He continues to engage with home tuition and his concentration span has significantly improved. He is demonstrating confidence with IT and finds arts and crafts therapeutic. However, these sessions are only for two hours a day, so this too is well under the minimum legal entitlement. Staff have a legal responsibility to actively support young people to achieve their educational targets. However, as some personal educational plans are incomplete, there is a marked lack of clarity around educational targets and progress. One young person has successfully completed a six-week parenting course, but is

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Inadequate

showing limited commitment to his sports course. This will negatively affect his chances of commencing a college course in September. He spends relatively little time at the home, so the ability of staff to influence this is negligible. Another young person has been excluded from a specialist provision due to his behaviours, but the staff have ensured that he can still take his foundation examinations to enable him to go to college. In sharp contrast, one young person has excellent school attendance and is determined to do well in her GCSEs. However, she is upset that her sleep is frequently disturbed during this important time because of the disruptive behaviour of other young people. She said, ‘Last week I was woken by a young person swinging off a tree at two in the morning. I was angry because I had an exam the next day.’ This means that she is tired the next day, which affects her concentration when undertaking these important examinations.

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Inadequate

Despite staff’s efforts, for the majority of young people, their health and well-being is not being improved at this home. One young person says that he has no intention of stopping smoking and refuses to wear hearing aids, which affects his ability to learn. Another young person continues to frequently smoke tobacco and cannabis and refuses to engage with a specialist worker to try to break these habits. Staff say that they have done sessions with him, but there was no documentary evidence because they say that he has ripped up all his work. He has also failed to attend dental checks, despite suffering with toothache, and has avoided having a required immunisation. Very recently he has admitted to being nervous about the latter, so staff have sensitively arranged for this to take place in the home. He has been discharged from a mental health service due to non-attendance and refuses to take his prescribed medication. This means that he has difficulties sleeping, which

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Inadequate

directly adversely affects his moods, emotions and behaviours the following day. Although this home does provide healthy nutritious meals, one pregnant young person spends a significant period of time away from the home and admitted to having a poor diet when not being monitored by staff. This could negatively affect her health and that of her unborn baby. During this inspection, she returned after two nights away as planned and was very hungry but could find anything that she felt like eating. She admits to being a fussy eater, but staff have not identified her particular preferences to ensure that favourite snacks and meal options are always available. There is also no health assessment on file, so there are no clear directions about how staff should support her specific needs. Only one young person’s physical health and self-esteem has demonstrably improved in this placement. This particular young person’s self-injurious behaviours

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Inadequate

have also ceased, which is a very positive outcome. There is limited engagement in constructive activities organised by the home by the current group of young people as they prefer to be out with their friends. In response, the staff invited friends and family on the trips planned during the half- term holiday and this had the desired effect. Individual interests and talents are actively encouraged and supported to increase confidences and competencies. Examples include cooking, baking, kit cars, bike repairs, taekwondo and art. A key strength of this home is the staff’s proven ability to re-establish and maintain constructive family contact for young people. This strengthens their understanding of the past, sustains their unique identities and builds emotional resilience. There is a stable staff team that has a good history of never giving up on young people, regardless of the significant challenges that they may present. For

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Inadequate

example, they cared for one young person with highly complex needs for over 12 months until a specialist placement was found. There are established opportunities in place for young people to influence their day-to-day care and futures, but not all the young people choose to engage positively. It is clear that staff have an excellent understanding of all the young people’s individual needs and personal preferences because they frequently seek their views, but these discussions are not always documented. One member of staff said, ‘We are managing a difficult group and are struggling to complete all the required paperwork.’ One young person enjoys being the spokesperson at the staff’s team meetings and has been involved in the recruitment and selection of staff, thus learning some important life skills. Another young person has enjoyed learning some basic practical skills with his key worker in preparation for his imminent move to independence. He has also been

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Inadequate

supported to make housing and job applications and is delighted at having passed his medical to join the army.

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Inadequate

Not all young people living at the home feel safe. Two young people say that they are relatively happy and settled at this home and enjoy sound relationships with most of the staff. In fact, one young person has just started to feel comfortable enough to talk about his traumatic past after eight months in placement, which is significant progress. However, another now feels so unsafe that she has formally requested a move. This is because of another young person’s unpredictable and volatile behaviours. She says that ‘I watched him destroy two sheds as if they were made of cardboard and it scared me. He has also kicked in my bedroom door and has thrown glass at me.’ The wood from the damage is still left in the garden. This constitutes a safety hazard. She went on to say that, she now purposely stays away from the home when the other young person is there. Another young person says that he is really upset by the constant damage in the home and wants it to

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Inadequate

stop. At the monitoring visit on 21 March 2016, some of the young people had been positively involved in redecorating the home and were starting to exhibit a sense of pride in their surroundings. However, this was not sustained and in the last two months: the home’s car windscreen has been smashed; the fire alarm system has been broken twice; the carpet in the corridor and the walls have been daubed with paint; a new computer has been deliberately broken; and pictures, ornaments and bedroom furniture destroyed.

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Inadequate

Following the last inspection on 13 January 2016, when a requirement was raised, the home introduced daily checks of bedrooms, but this has not been maintained. Consequently, a tour of the building found graffiti on the walls in two bedrooms, one promoting drug misuse and another with dried cereal on a wall. Five packets of crisps and a large empty cake tray and two lighters were found in one bedroom and there were no curtains or blinds at the window to provide privacy. Of particular concern were burn marks on the furniture and bedding. Moreover, a cigarette stub was found in this same young person’s bedroom at the last inspection. The failure to address effectively the cleanliness and hygiene issues, as well as the potential for fire starting severely compromises the health and safety of all young people, staff and visitors to the home.

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Inadequate

The fire safety procedures in place and outlined in the home’s fire safety risk assessment, are not being robustly adhered to in order to adequately protect against the risk of fire. On admission, young people and new staff sign to say that they understand what to do in the event of a fire. The home’s procedure is then to involve them in a full and timely evacuation. However, records suggest that for one young person, he was not involved in a full evacuation for another six weeks. Moreover, he has quite specific needs, including being noise sensitive, yet there is no personalised evacuation plan in place in recognition of this. This could cause unnecessary delay and put all those involved at increased risk in the event of a real fire.

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Inadequate

It is acknowledged that the staff are more successful in not allowing young people of school age to leave the building without permission before three o’clock in the afternoon. Sometimes, they are able to engage young people in meaningful activities, but more frequently, there are sustained incidents of challenging behaviour, assaults and damage. Recent examples include staff having coffee and hot oil thrown at them and an incident when a workman was verbally abused. On this particular day, extremely challenging behaviours started at seven o’clock in the morning and continued unabated until two o’clock in the afternoon. Such behaviours are exacerbated due to erratic sleep patterns and drugs misuse. For example, a young person was brought back by staff at 12.30am but then woke up another young person. Subsequently, they did not go to sleep until 5.45am. An independent reviewing officer recently called a strategy meeting. This was due

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Inadequate

to their concerns about the home’s ability to manage one young person’s behaviours, after an assault on another young person. Prior to March 2015, this home rarely needed to resort to sanctions and restraints to manage challenging behaviours. There are still relatively few, but they are clearly on the increase. The recording of these instances does not meet regulatory requirements. In particular, they do not consistently demonstrate timely debriefs with young people to try to prevent a reoccurrence. Also, there is limited evidence of robust evaluation by a manager in respect to confirming safe and proportionate use. Moreover, the quality of the entries is variable, with some not including the time and location of the incident and exactly which member of staff imposed the measure of control. This is key information in order to monitor patterns and trends. One young person has raised concerns about the appropriateness of a restraint and another young person

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Inadequate

alleges that some staff, ‘Purposely try to wind us up even more.’ These concerns have not been followed through.

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Inadequate

Young people suggest that there is an inconsistent approach to behaviour management. Comments include, ‘I have told them how to calm me down, but some ignore me and just call the police’, ‘One member of staff is the best ever and can quickly calm me down. She doesn’t shout but asks if I am okay’ and ‘I hate it when staff have told me off for doing something wrong which is fair enough, but then walk away when I start to talk.’

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Inadequate

The behaviour support plans are supposed to be individualised, but they contain standard text, which has not been deleted or qualified. This suggests a lack of stringent monitoring. This has resulted in a document for one pregnant young person still referring to the use of prone ground holds, which would be highly inappropriate and unsafe practice. This is also extremely concerning at a time when agency staff may need to be deployed at this home and would be reliant on using these documents as guidance in managing young people’s behaviours.

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Inadequate

One 14-year-old young person is not being adequately safeguarded from the risk of harm. Once he leaves the home daily at 3.00pm, his exact whereabouts are unknown. He frequently does not return after midnight. It is understood he is associating with drug and alcohol dependent adults who are well known to the police. Frequently, on return he appears to be under the influence of unknown substances. It is off significant concern as to how he is able to access these. As a result, his behaviour is becoming increasingly more volatile and chaotic, including verbal threats to kill. Sometimes he returns with injuries. In an attempt to reduce the risks of association with undesirable individuals in the areas he is known to frequent two members of staff now collect him. Effective working relationships with the local police, housing department, a private landlord and the manager of a local bail hostel are all firmly established and harbouring notices have been served that

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Inadequate

are aimed at reducing the opportunities to go to unsuitable places. However, he quickly finds other places to stay that continues his exposure to potential risk. He is now always classed as missing from home by the police, as he is particularly vulnerable and measures at instigated to find him. However, independent return interviews are not being undertaken in a timely manner to identify any new risk, gather any additional intelligence and to agree strategies to prevent a reoccurrence. Only 14 out of a possible 23 return interviews have been completed. Another recently discharged young person, who was at significant risk of child sexual exploitation, had only 17 out of a possible 31 return interviews. This is a basic safeguarding process and means important opportunities to engage very vulnerable young people are missed. This has now been escalated to senior managers.

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Inadequate

This home is registered to provide care and accommodation for up to six young people at any given time. Up to recently, they have purposely only had four young people to try to re-establish some stability. Currently, there are five young people, but one young person is preparing to live independently in his home town and rarely stays overnight at the children’s home. Unfortunately, this sustained reduction in numbers accommodated has proven unsuccessful. The manager continues to escalate her concerns about young people’s safety and well-being and that of her staff. It was formally recognised at a strategy meeting that additional staff were needed given the diverse and complex needs and extremely challenging behaviours of some of the young people. However, the home was informed that there were no bank staff available across the authority. They have managed this by permanent staff working additional hours and the management team working shifts. Their resilience is to be

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Inadequate

commended, but it has taken its toll and two members of staff are off sick, one directly due to work related stress. The manager said, ‘We may now be forced to use agency staff to ensure sufficient staffing, but this could cause more difficulties as one young person struggles with change.’ The manager of this home is a child-focused, suitably qualified individual with considerable experience and her support has been strengthened by the permanent appointment of an excellent deputy manager. Together, they provide very good daily hands-on support and clear direction to the team. However, this has been to the detriment of managerial tasks, and in particular, robust monitoring of systems, documentation and practices. This has directly impacted, for example, on the quality of paperwork, ensuring daily checks of bedrooms and stringent fire safety processes. Staff are also not all benefiting from regular supervision and timely appraisals in

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Inadequate

line with the home’s own policies and procedures. Especially given the extreme daily challenges that they face, the opportunity to reflect on their practice is vital. There are 12 regulatory shortfalls arising from this inspection. Seven requirements and two recommendations were raised at the last interim inspection on 13 January 2016 and the home was judged to have declined in effectiveness. Of these, only two requirements and one recommendation have been fully addressed. This has resulted in two compliance notices being served in respect to safeguarding and education. Impact risk assessments are completed prior to any new admission. In February, it was specifically highlighted that the staff required specialist training as the majority of the young people have a recognised attention deficit hyperactivity disorder diagnosis. However, to date, the staff have only received basic online training. This

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Inadequate

is not sufficient, given the complexity of needs and diverse behaviours exhibited, to ensure everyone’s safety. The home’s location risk assessment is now reviewed and revised as necessary every month to ensure current and accurate information. For example, it details the recent fact that the local accident and emergency department has closed, so the nearest one is now 7.2 miles away. Anti-social behaviour in the area has slightly increased and homelessness is significantly worse than comparable statistical neighbours. The take up of physical activities and pursuing healthy lifestyles is poor and hospital admissions due to alcohol misuse are high. Since the last inspection, monthly monitoring visits have been undertaken by independent reviewing officers. However, for the last five months, the views of parents or relatives about the quality of care provided in this home have not been ascertained. The reports also do not demonstrate that young people and staff are

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Inadequate

consistently spoken to before forming an opinion as to whether young people are effectively safeguarded and the conduct of the home promotes their well-being. The manager’s last six monthly review report was forwarded to Ofsted in a timely manner. However, it does not evaluate feedback from all consultations with young people, their parents, placing authorities and staff in that period to inform future development plans. Despite being highlighted by independent visitors and reviewing officers, young people’s files still do not contain all the required documentation. Examples include up-to-date personal educational plans, statements of educational needs and health assessments. A placement plan examined had not been reviewed and revised in a timely manner and signed and dated by all relevant parties. It therefore contained out-of-date information and was omitting significant changes which are crucial to

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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 that 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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