Children's home run by Shyne Together Limited in Rushcliffe

inspection

Three compliance notices were issued following the last full inspection. These were monitored by Ofsted during a visit to the home on 2 September 2016 and found to have been met.

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Good

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

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The children's home provision is good because:

 The registered manager took decisive and timely action to rectify the deficits identified at the previous inspection, including meeting three compliance notices. Significant and rapid improvement has taken place.  A young person recently experienced a positive transition from the home. She was well supported by staff to cope with the emotional impact of this move.  Staff understand the crucial importance to young people’s futures of education and training. They have introduced new processes that will ensure that young people are provided with robust education and/or training plans.  Young people’s relationships with family members and those important to them are now promoted well through the facilitation of regular and safe contact arrangements.  The physical environment of the home is safe, comfortable and designed to meet the needs of young people.  The registered manager has ensured that the staff receive the training and

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The children's home provision is good because:

development that they need to provide good and safe care to young people.  Staff receive good levels of professional supervision. This guides their practice and supports them in their care of young people. Staff state that they feel supported by the manager who is always available to them.  Staff members use their good interpersonal skills to manage young people’s behaviour. As a result, the use of sanctions and physical intervention is rare.

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Statutory requirements

This section sets out the actions which must be taken so that the registered person(s) meet(s) 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

The registered person must review the appropriateness and suitability of the location of the premises used for the purpose of the children's home at least once in each calendar year. When conducting the review, the registered person must consult, and take into account the views of, each relevant person. (Regulation 46(1)(2)) 6/12/2016

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Information about this children's home

This is a privately operated home providing care and accommodation for up to three young people. The home is registered to provide care to young people who may display emotional and/or behavioural difficulties and/or mental health problems.

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Recent inspection history

Inspection date Inspection type Inspection judgement

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Recent inspection history

16/12/2015 Interim Sustained effectiveness

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Good

The last full inspection identified shortfalls in all judgement areas. There were 11 requirements raised, with three of these escalated to compliance notices. A monitoring visit was subsequently completed to evaluate progress made in meeting the compliance notices. Significant improvements were noted. This inspection confirms that these improvements have been embedded. The rapid and striking improvement means that the overall experience of residents is now good. At the time of this inspection, which closely followed the successful transition of a young person into semi-supported accommodation, no young people were resident. This move was carefully planned. The young person visited the new accommodation and had overnight stays. Staff provided practical and emotional support to the young person. The social worker for the young person commented, ‘I thought they were brilliant.’ The registered manager has strengthened referral and admission processes. Full

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Good

and detailed information is now obtained before young people are admitted to the home. Young people also benefit from newly designed risk assessments and intervention plans. This improved care planning reflects much higher expectations for young people. The registered manager and staff prioritise education and training for young people. They ensured that the young person in placement obtained a college placement, despite her previously poor education history. This provides the young person with a valuable opportunity to learn and train. It enhances her future prospects. The registered manager has strengthened admission procedures to ensure that any prospective young person has an agreed education plan in advance of placement. Significant efforts were made, following the last inspection, to meet a young person’s health needs. Staff worked well with the looked after children’s nurse and general practitioner to ensure that the young person was provided with a range of

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Good

information and health advice. Strenuous efforts were made to encourage healthy lifestyles and diet. Staff members have introduced key working sessions, supported by specific intervention plans, to improve the health outcomes of the young person. The service retains good, strong and effective links with the child and adolescent mental health service (CAMHS). The registered manager and some staff members are registered nurses, having specialisms in working with young people who experience mental health difficulties and particularly those young people at risk of self-harm. Thus, young people have access to a range of psychiatric support, including therapeutic interventions. Young people’s contact with family members is well supported. The registered manager and staff understand the importance to young people of positive and safe contact with those important to them. Staff work closely with placing social

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Good

workers, and within the parameters of the agreed care plan, in facilitating contact arrangements. This includes arranging visits at the home, transporting young people or helping young people to use public transport to visit friends and family. The staff understand the emotional impact of family visits and remain vigilant when young people return home, offering support if required.

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Good

The registered manager has taken strong and effective action to rectify previous shortcomings in the way in which staff respond to significant incidents. These incidents include young people going missing from care, self-injurious and confrontational behaviour and physical intervention. The registered manager has provided a number of training and development sessions to staff. The registered manager and staff have implemented a new model of risk assessment and improved recording processes. Since the last full inspection, there have been two significant incidents. The registered manager and staff acted appropriately in response to these incidents, and their actions were proportionate. Notifications were made to safeguarding and regulatory agencies in a timely manner. Young people benefit from a safe, secure and comfortable home environment. At the time of inspection, the home was undergoing full redecoration. The

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Good

environment is clean, well presented and modern in appearance. Young people have their own large bedrooms that are decorated to their liking. Young people have a comfortable lounge area and a well-equipped games room. However, in completing the home’s location risk assessment, the registered manager had not obtained the views of partner agencies. Consequently, she cannot be confident that she is aware of potential risks to young people in the area. The registered manager has reviewed and implemented new procedures designed to ensure meticulous practice in obtaining detailed information about young people’s risks prior to placement. This information informs risk management plans. The home’s risk assessments and risk management plans are discussed with all staff members so that they understand their roles and responsibilities in keeping young people safe. Young people are better protected through improved recruitment practice. The

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Good

registered manager has ensured that the shortfall identified at the last inspection is now rectified and a full employment history is now taken. The registered manager continues to ensure that those wanting to work in the home have a criminal history check, as well as appropriate references. The behaviour management of young people is now good. The registered manager ensures that all those working at the service have undergone training in the use of physical restraint. Incidents requiring this measure are rare. Staff manage behaviour through developing positive relationships with young people. They use negotiation, compromise and discussion to manage potentially difficult situations. The registered manager ensures a transparent service where young people have trusted adults whom they can turn to and confide in. Young people benefit from having the services of an independent advocacy agency available. Young people

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Good

can use a telephone in private and have access to professionals independent of the home to whom they speak privately. This helps to ensure that young people feel safe.

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Good

An appropriately qualified registered manager leads the service. As well as holding qualifications in care and management, she is a state registered nurse. Senior residential therapeutic workers support the registered manager. Some are qualified nursing staff. The registered manager has been innovative and decisive in transforming the culture and ethos of the home. Managers took effective action to respond to shortfalls identified at the previous inspection:  They ensured that window restraints are used only when assessed as necessary. This ensures that young people benefit from a homely environment.  They reviewed and amended the statement of purpose. This now provides stakeholders with a balanced and accurate account of the services provided to young people.  They ensured that procedures for recruiting staff members were improved.  They ensured that case records are now kept up to date, and are signed and

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Good

dated by those staff members completing the recording. This means that the registered manager or others monitoring records can know who wrote any given entry and when.  Responses to significant events and incidents of physical intervention are improved. This means that staff members and young people involved in an incident are provided with the opportunity to express their views about the incident. This enables managers and staff to learn lessons and improve practice.  They provided staff with additional training.  They are redecorating and making improvements to the physical environment of the home.  They took action to improve staff meetings. These meetings are now taking place more regularly and incorporating the full staff group. This aids the coordination of care practices across the staff group and improves overall communication.

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Good

The staff group is stable and sufficiently resourced. Oversight, guidance and direction are provided to all staff through the provision of individual supervision sessions and clinical supervision. Additionally, group supervision is provided by a psychotherapist who is independent of the home. Staff value the ‘open door’ availability of the registered manager. One member of staff stated, ‘The manager always listens and I can talk to the manager all the time.’ Staff undertake training that enables them to provide safe and good care to young people. This training includes safeguarding, first aid, food hygiene, fire safety and physical restraint. Staff members have development appraisals annually in which further development needs are identified. The staff, following the last inspection, completed additional training in a number of key areas, such as incident management and reporting, record-keeping, child development and attachment,

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Good

risk assessment and providing a therapeutic environment. Effective policies and procedures are in place to guide staff practice in promoting the welfare and safety of young people. The registered manager has recently reviewed and updated key policies and procedures, ensuring that they are consistent with the Local Safeguarding Children Board (LSCB) procedures and relevant government guidance.

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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 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 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 whom 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

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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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