Children's home in Gateshead

inspection

A notice of proposal to suspend the registration of the home was issued on 7 June 2016

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Inadequate

There are serious and/or widespread failures that mean young people are not

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protected or their welfare is not promoted or safeguarded and/or their

care and experiences are poor and they are not making progress.

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The children's home provision is inadequate because:

 The service does not do enough to protect young people from harm. Poor understanding of risk assessment results in risk assessments which do not address all significant concerns, for example the risk of suicide. Therefore, staff do not receive clear written guidance on the risk to each young person. For example, on two occasions, staff obtained razors for a young person who is at high risk of self-harm. Lack of robust risk assessment has a direct impact on young people’s safety.  The lack of written strategies means that staff do not receive direction to help young people reduce potentially harmful behaviour, for example substance misuse. For one young person, substance misuse has increased and at times, this takes place at the home.  Managers do not have effective plans to reduce the risks to young people when they are missing or absent. Despite fewer young people living in the home, the incidents of going missing or absent remain high. Police consider

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The children's home provision is inadequate because:

the home to have the third highest rate of young people going missing or absent out of 11 local authorities in London.  There is insufficient training and understanding for staff in how to protect young people. Some staff have not received any specific training in relation to self-harm or the risk of suicide, despite caring for a young person who has these risks. In addition, not all staff are clear about the action they should take when a young person raises a safeguarding concern.  One young person said they do not feel safe in the home. They feel bullied by another young person and do not feel that staff address this. Staff demonstrate a poor understanding of bullying and its effects, regarding it as ‘low level’ and therefore not significant. This allows the bullying to continue and the young person to feel under threat and not safe.  Management monitoring of the home is poor.  Two young people have tuition in the home. However, attendance,

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The children's home provision is inadequate because:

punctuality and engagement are variable and in one case, poor, resulting in the young person not making sufficient progress. Young people have no set routines and get up and go to bed when they choose.  The hours of tuition remain below young people’s legal entitlement.

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The children's home strengths

 Some young people say that they like living in the home. They like their rooms, the building and some of the staff members. One young person appreciates the responsible individual bringing them a take-away breakfast as a treat.  Some staff have formed positive relationships with young people. In these instances there is good humour and positive interaction. One young person said that they like their one-to-one worker and find them more like ‘another teenager’ to get on with, and enjoy spending time with them. Another said that they like the staff, particularly the responsible individual and the interim manager.  Young people appreciate some members of staff’s cooking skills. One young person invites their friends to the home when they know a certain meal will be available to share, for example a Sunday roast.  Staff encourage young people to prepare some meals with them so that they learn cooking skills for independent living. This includes foods to reflect

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The children's home strengths

young people’s cultural backgrounds. Some staff provide appropriate challenge when young people display racist attitudes towards people and foods of other cultures This helps improve their understanding of diversity and respect for others.  The team is diverse and brings varied experience and interests to the work with young people. Some show commitment to the role and want to make a difference to young people’s lives.  One young person engages with education in a full-time placement. Although engagement and attendance are variable, they are making 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 within the given timescales.

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Requirement Due date

8. In order to meet the education standard:

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Requirement Due date

(2) the registered person must ensure (a) that staff: (ii) support each child’s learning and development, including helping the child to develop independent study skills and, where appropriate, helping the child to complete independent study; (v) promote opportunities for each child to learn informally; (x) help each child to attend education or training in accordance with the expectations in the child’s relevant plans. 31 August

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Requirement Due date

9 In order to meet the enjoyment and achievement standard:

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Requirement Due date

(1) that children take part in and benefit from a variety of activities that meet their needs and develop and reflect their creative, cultural, intellectual, physical and social interests and skills. (2) In particular, the standard in paragraph (1) requires the registered person to ensure— (a) that staff help each child to— (i) develop the child's interests and hobbies; (ii) participate in activities that the child enjoys and which meet and expand the child's interests and preferences; and (iii) make a positive contribution to the home and the wider community; and (b) that each child has access to a range of activities that enable the child to pursue the child's interests and hobbies. 31 August

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Requirement Due date

12. In order to meet the protection of children standard:

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Requirement Due date

12. (1) The protection of children standard is that children are protected from harm and enabled to keep themselves safe. (2) In particular, the standard in paragraph (1) requires the 31 August registered person to ensure— (a) that staff— (i) assess whether each child is at risk of harm, taking into account information in the child's relevant plans, and, if necessary, make arrangements to reduce the risk of any harm to the child; (ii) help each child to understand how to keep safe; (iii) have the skills to identify and act upon signs that a child is at risk of harm; (iv) manage relationships between children to prevent them from harming each other; (v) understand the roles and responsibilities in relation to protecting children that are assigned to them by the registered person; (vi) take effective action whenever there is a serious concern about a child's welfare; and (vii) are familiar with, and act in accordance with, the

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Requirement Due date

home's child protection policies; (b) 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; (c) that the premises used for the purposes of the home are located so that children are effectively safeguarded; (d) that the premises used for the purposes of the home are designed, furnished and maintained so as to protect each child from avoidable hazards to the child's health; and (e) that the effectiveness of the home's child protection policies is monitored regularly. With particular reference to ensuring: impact risk assessments are carried out considering the likely impact one child's admission may have on existing residents and staff when the home admits a child; responding appropriately to self-harming behaviour; ensuring staff know and understand the home’s child protection policies and how to keep children safe; that all staff are trained in

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Requirement Due date

self-harm and the risk of suicide; that all staff are trained in safeguarding; that managers are trained in conducting robust risk assessments and strategies for improving behaviour; that staff understand and enforce the home’s anti-bullying policy and that the actions required by the fire risk assessment are met.

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Requirement Due date

13 In order to meet the leadership and management standard:

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Requirement Due date

(1) The leadership and management standard is that the registered person enables, inspires and leads a culture in relation to the children's home that— (a) helps children aspire to fulfil their potential; and 31 August (b) promotes their welfare. (2) In particular, the standard in paragraph (1) requires the registered person to— (a) lead and manage the home in a way that is consistent with the approach and ethos, and delivers the outcomes, set out in the home's statement of purpose; (b) ensure that staff work as a team where appropriate; (c) ensure that staff have the experience, qualifications and skills to meet the needs of each child; (d) ensure that the home has sufficient staff to provide care for each child; (e) ensure that the home's workforce provides continuity of care to each child; (f) understand the impact that the quality of care provided in the home is having on the progress and experiences of each child and

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Requirement Due date

use this understanding to inform the development of the quality of care provided in the home; (g) demonstrate that practice in the home is informed and improved by taking into account and acting on— (i) research and developments in relation to the ways in which the needs of children are best met; and (ii) feedback on the experiences of children, including complaints received; and (h) use monitoring and review systems to make continuous improvements in the quality of care provided in the home.

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Requirement Due date

16: Statement of purpose (1)The registered person must compile in relation to the children's home a statement (‘the statement of purpose‘) which covers the matters listed in Schedule 1. With specific reference to including the home’s approach to children’s rights, the qualifications of the counsellor, the healthcare provider and a description of the home’s approach to the monitoring and surveillance of children, in relation to contingency plans for when there is only one staff on shift. 31 August

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Requirement Due date

(7) A responsible individual must— (a) satisfy the requirements in paragraph (5)(a) to (c): and (b) have the capacity, experience and skills to supervise the management of the home, in respect of which the responsible individual is nominated. With specific reference to the provider providing Ofsted with evidence of how they ascertain that the responsible individual meets the requirements of this regulation. 31 August

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Requirement Due date

33: Employment of staff 31 August (4) The registered person must ensure that all employees— (a) undertake appropriate continuing professional development; (b) receive practice-related supervision by a person with appropriate experience; and (c) have their performance and fitness to perform their roles appraised at least once every year.

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Requirement Due date

The registered person must maintain records (‘case records’) for each child which— (a) include the information and documents listed in Schedule 3 in relation to each child; (b) are kept up to date; (c) and are signed and dated by the author of each entry. 31 August

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Requirement Due date

(1) Schedule 4 sets out the other information that the registered person must keep in relation to a children's home. The registered person must— (a) maintain in the home the records in Schedule 4; (b) ensure that the records are kept up to date. With specific reference to ensuring the admissions and discharge register contains full details and the rota includes the full names of staff. 31 August

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Requirement Due date

44: Independent person: visits and reports

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Requirement Due date

(4) The independent person must produce a report about a visit which sets out, in particular, the independent person's opinion as to whether— (a) children are effectively safeguarded; and (b) the conduct of the home promotes children's well-being. 31 August

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Requirement Due date

(1) The registered person must complete a review of the quality of care provided for children ('a review of the quality of care') at least once every six months. 31 August

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Requirement Due date

(1) The registered person must review the appropriateness and suitability of the location of the premises used for the purposes of the children's home at least once in each calendar year, taking 31 August into account the requirement in regulation 12(2)(c) (the protection of children standard). (2) When conducting the review, the registered person must— consult, and take into account the views of, each relevant person. Supply HMCI with this document.

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Requirement Due date

(3) The registered person must provide HMCI with such information as HMCI may require for the purpose of considering the financial viability of the home, including: information as to the financing, and financial resources of the home and the registered provider. 31 August

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Requirement Due date

The registered person must give notice in writing to HMCI, as soon as reasonably practicable to do so, if any of the following events takes place or are expected by the registered person to take place— (e) if the registered provider is an organisation— (iii) any change in the identity of the responsible individual. With specific reference to supplying HMCI with evidence of their fitness for the role. 31 August

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Recommendations

To improve the quality and standards of care further, the service should take account of the following recommendations:  Help children to understand in the children’s guide: ― the statement of purpose of the home ― how they can access advocacy support or independent advocacy if eligible ― how to contact the Office of the Children’s Commissioner. (‘Guide to the children's homes regulations including the quality standards’, page 24, paragraph 4.22)

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Recommendations

 Ensure that each child has permission from a person with parental responsibility for them for staff to administer first aid and non-prescription medication, and that this is recorded in their relevant plan. For children looked after, permission is sought and arranged by the child’s social worker. Where appropriate, the child’s family should be involved in supporting their child’s health needs as well as in providing permission for treatment. (‘Guide to the children's homes regulations including the quality standards’, page 34, paragraph 7.14)

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Recommendations

 Make sure that, when a child returns to the home after being missing from care or away from the home without permission, the responsible local authority provides an opportunity for the child to have an independent return home interview. Homes should take account of information provided by such interviews when assessing risks and putting arrangements in place to protect each child. (‘Guide to the children's homes regulations including the quality standards’, page 45, paragraph 9.30)

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Recommendations

 Keep records detailing all individual incidents when children go missing from the home (regulation 36 (schedule 3(14)). This information should be shared with the placing authority and, where appropriate, with the child's parents. Evaluation of missing incidents should be undertaken to identify any gaps in training, skills or knowledge for staff or to record and retain evidence of what worked well. This evaluation should inform the review of the quality of care (see paragraph 15.2). (‘Guide to the children's homes regulations including the quality standards’, page 46, paragraph 9.31)

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Recommendations

 Plan staffing levels to ensure that they meet the needs of children and can respond flexibly to unexpected events or opportunities. (‘Guide to the children's homes regulations including the quality standards’, page 54, paragraph 10.15)

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Recommendations

 Ensure the registered person has a workforce plan which can fulfil the workforce related requirements of regulation 16, schedule 1 (paragraphs 19 and 20). The plan should: detail the necessary management and staffing structure (including any staff commissioned to provide health and education), the experience and qualifications of staff currently working within the staffing structure and any further training required for those staff, to enable the delivery of the home’s statement of purpose; detail the processes and agreed timescales for staff to achieve induction, probation and any core training (such as safeguarding, health and safety and mandatory qualifications); detail the process for managing and improving poor performance; detail the process and timescales for supervision of practice (see regulation 33 (4) (b)) and keep appropriate records for staff in the home. The plan should be updated to include any new training and qualifications

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Recommendations

completed by staff while working at the home, and used to record the ongoing training and continuing professional development needs of staff – including the home's manager. (‘Guide to the children's homes regulations including the quality standards’, page 58, paragraph 10.8).

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Information about this children's home

This privately run children’s home provides care and accommodation for up to six young people with emotional and behavioural difficulties. Three young people were in residence at the time of the inspection.

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Recent inspection history

Inspection date Inspection type Inspection judgement

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Recent inspection history

16 December 2015 Interim Declined in effectiveness

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Recent inspection history

20 February 2015 Interim Declined in effectiveness

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Inadequate

Two young people say they feel safe living in the home but one does not, due to bullying from another young person. The children’s guide to the home still does not contain information that young people may need in order to obtain external help and guidance when they are worried about things such as bullying, for example about how to contact the Children’s Commissioner.

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Inadequate

Not all young people are making sufficient progress in education; this does not prepare them for the future. Only one young person is attending school and their attendance varies. Two young people receive home tuition but do not attend consistently and this still remains below their legal entitlement. One young person’s attendance and engagement are very poor, despite tutors rearranging times of tuition to suit them.

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Inadequate

Young people receive poor support for their learning. For example, staff do not ensure that young people are up, not tired, have had breakfast and are ready to work. Young people do not have a suitable location or resources or support to complete study.

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Inadequate

Young people do not experience consistent routines. Some remain aimless and unoccupied when they are not in education. Some stay awake into the early hours and are then disinclined to attend their education, remaining in bed during the morning. They tend to hang around with staff, often in the office, despite a sign saying young people must not enter the office; other young people complain of being bored.

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Inadequate

Young people are still not positively engaged with activities in the local community. This prevents them mixing with others, making friends and developing skills and self-confidence. One young person is particularly isolated from their peers, spending much of the time in the company of staff or alone in their room.

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Inadequate

There are limited opportunities for young people to address some behaviours and health matters with staff. They meet with key workers but, in some cases, not frequently enough to provide consistent support. For one young person, there is no evidence that staff discuss health matters identified in care plans at all, such as drug use and sexual health. This prevents the young person from potentially improving their health outcomes. As some are reluctant to engage with health services, the importance of engagement with the staff is crucial in helping them to begin to address behaviour which is harmful to their health. Self-harming has increased recently for one young person. They have not received sufficient support from staff in addressing this or their suicidal thoughts. Since the last inspection eight weeks ago, criminal and anti-social behaviour in and around the area of the home has stopped. As a result, young people have not

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Inadequate

been further involved in the criminal justice system, which is positive.

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Inadequate

The absence of written strategies to deal with behaviour such as drug and alcohol misuse limits the extent to which staff can help protect young people. Staff may give young people sanctions, for example no money for a take-away meal, but lack guidance about how to address the behaviour and bring about improvement. Therefore, young people continue to misuse alcohol and cannabis, sometimes using cannabis in their rooms. Managers say they conduct searches for drugs. However, there is not always a record of a search when the smell of cannabis is noted and staff do not have a consistent approach to searching for dangerous items or drugs. This compromises young people’s health and impacts on other aspects of their lives. In addition staff do not have written strategies to consider the wider aspects of substance misuse. For example, how young people fund drug habits.

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Inadequate

Staff do not have strategies to reduce the risk of young people’s absence. The frequency of young people going missing and absent has increased, despite the number of young people reducing from six to three. Two young people go missing most frequently. Managers have no strategies in place for reducing absences from care. Managers have started to conduct return interviews with the young people, but there is no evidence of any changes to risk assessments or arrangements to protect children arising from these interviews. There is no risk reduction strategy in care plans drawn up by the staff or in the local authority care plans. No local authority has arranged an interview by someone independent when young people return. This means that a valuable opportunity to explore the reasons for the absence, what happened while they were away and to try to reduce further absences is lost. There is insufficient exploration of whether one young person may

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Inadequate

have been at risk of sexual exploitation. There is no evidence of managers challenging placing authorities about the lack of independent return interviews on behalf of young people.

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Inadequate

The service does not have safe risk assessment procedures in place and the managers do not understand how to operate their own risk assessment procedure safely. Guidance to staff on safety procedures is inadequate, leaving young people at risk of extreme harm. A comprehensive risk assessment is still not in place for a young person who self-harms and is at risk of suicide. Therefore, staff do not receive clear information about how to protect them.

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Inadequate

Young people’s files do not provide sufficient guidance for staff. For example, on one file there is no healthcare plan at all or evidence of discussions in key working sessions about sanctions, drug taking and sexual health, as required in the care plan and risk assessments. The day-to-day care plan does not set any targets and no measures of progress are available.

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Inadequate

Behaviour management is poor. There are no risk reduction strategies and no targets are set; there are lists of behaviours which staff may see but no guidance on how to address these. This lack of detail in records means that there is insufficient planning and guidance for staff to try to improve young people’s outcomes and experiences.

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Inadequate

Not all staff have received training in child protection/safeguarding, self-harm or suicidal tendencies. This is particularly concerning as staff lack the skills to deal with a young person who self-harms and, at times, feels suicidal. Some staff demonstrate a lack of understanding of how to put into practice the home’s safeguarding procedures, for example by indicating that they would try to mediate rather than referring an allegation of abuse to appropriate agencies. Poor understanding of child protection procedures does not demonstrate that staff know how to keep young people safe.

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Inadequate

There are periods when managers fail to deploy enough staff. The size of the staff team has increased, and includes some temporary staff. However, on the first day of the inspection, one staff member was on shift alone for two hours with three young people, one of whom has very high needs. This was due to staff sickness. It emerged that night staff should have stayed until a second staff member arrived. The independent visitor's report highlights an occasion when two children in the home with one member of staff created unnecessary risk. Managers say that there are contingency plans in place for such occasions but these are clearly not effective. Managers employ agency staff at times; they obtain sufficient verification of staff suitability before they start work in the home.

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Inadequate

Fire safety is weak and places young people at risk of harm. Managers addressed shortfalls found at the last full inspection. However, since then, the fire risk assessment has highlighted matters which managers have not yet addressed, namely: advice to visitors about fire safety is not given; the fire officer says a fire door is required in the kitchen but this is not in place and there is no plan for it to be done; no plan is in place for the front door and how it can be opened in the event of a fire; not all staff have received fire training and there are not enough fire wardens.

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Inadequate

With the departure of two young people from the home, staff say that the atmosphere is calm and less disruptive. However, a negative atmosphere exists between two young people. One young person experiences bullying, which staff do not take seriously or deal with. As a result, the young person continues to feel unsafe.

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Inadequate

The police decided not to impose a community protection notice. The street camera that police installed, which focuses on the home, remains in place. However, since the last full inspection, police, and staff at the home, report no anti-social or criminal behaviour in or near the home, which is a big improvement on the previous situation. Staff and neighbours are no longer calling police to the home to deal with challenging behaviour inside or outside of the home.

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Inadequate

Neighbours report that they have not experienced disruption or disturbance during this period. While relations between neighbours and managers at the home have not significantly improved, there is currently peaceful coexistence.

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Inadequate

Managers have not been effective in bringing about sufficient improvements to ensure young people’s safety. As a result, care has been at times unsafe and inconsistent.

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Inadequate

Management arrangements are still not firm. The provider has not yet supplied Ofsted with evidence of the suitability of the responsible individual. The home has been without a registered manager since October 2014. An application for the interim manager to be registered for the home has been returned to the applicant as this was incomplete. A new application has yet to be received.

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Inadequate

Monitoring of practice is ineffective and fails to correctly identify patterns in educational attendance. The manager’s monitoring of the service only covers the last six-month period in the previous two years. This does not meet regulations and does not analyse what has been happening in the home. For example, managers have not identified that one young person’s actual attendance and engagement with education is poor and that they are making insufficient progress. Ineffective monitoring is unsafe practice and does not promote young people’s safety and well-being.

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Inadequate

Managers have met seven of the 24 requirements made at the last inspection. Those not met are repeated in this report. Progress includes: no longer fining young people; no longer locking the front door during the day, and improvement in the organisation and handling of medication. Managers now notify Ofsted of significant events. They are informing the regulator about what is going on, and letting the local authority know of young people moving out of the home, which improves information sharing.

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Inadequate

The home has not met eight of the recommendations made at the last inspection. It is not possible to judge the success of the home in meeting one of the recommendations about admissions as managers have not accepted any new admissions since the last inspection.

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Inadequate

The service has not received any complaints since the last full inspection. The provider arranged an investigation into a complaint referred to Ofsted. As more information emerged about this complaint during the inspection, it is not yet possible to assess the robustness of the service’s complaints system. The name of the correct responsible individual now appears on a reissued registration certificate, making clear who supervises the management of the home.

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Inadequate

The home’s statement of purpose still does not contain all required information. The interim manager has started, but not yet completed, a workforce development plan. There is training planned for staff later in the summer. Currently, only one out of 14 staff holds the recommended minimum level 3 qualification. However, the responsible individual states that they have enrolled all but one member of staff to achieve this qualification. An independent visitor continues to supply reports of their scrutiny of the home. Their reports are detailed and identify tasks for managers to complete, but managers do not always act on their recommendations. Therefore, an opportunity to improve is lost. Their reports do not yet specifically comment on young people’s safety and well-being.

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Inadequate

Most staff receive supervision, which they say they find useful. New staff describe a positive induction to the home and support from the staff team to settle into their role. The interim manager states that no staff have worked in the home for a whole year, so none are due an appraisal yet. Arrangements for supervision and appraisal of the interim manager are not yet in place, although the responsible individual has engaged someone to do this. There are some improvements to the building. For example, the removal of rubbish. This has helped to create a more homely environment for young people. A social worker said that ‘weaknesses have been about communication’ but this has improved with weekly and monthly updates now. They are happy with the care provided to the young person placed by their authority.

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Inadequate

The person providing administrative support, appointed since the last inspection, has helped to develop and amend some forms and records. Managers have engaged someone to conduct a quality audit of records/documents.

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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 children looked after 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 that 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: mae . 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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