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

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:

 Young people make measurable progress from their starting point in the home. They are well supported in making positive lifestyle choices, which enhance their living experiences.   The staff provide a nurturing and caring approach which ensures that young people feel a strong sense of value and belonging. They know staff care about them. This promotes positive relationships and attachments.  The home is welcoming and inviting and it’s rural and peaceful setting is reflected within the home. Young people really appreciate their home and enjoy spending time in the sensory room. Young people participate in many interesting and individual activities.  Staff have an excellent knowledge of the needs of young people. This is based on good assessment of each young person’s abilities and vulnerabilities using information provided by placing authorities and health trusts.  Young people are safe living in the home. The care provided to them ensures

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The children's home provision is good because:

that their individual needs are met. The staff team has the skills, knowledge and experience to successfully manage very high risks.  Young people receive care based upon therapeutic interventions. The home has excellent relationships with health experts to ensure that the young people’s care is tailored to their individual needs. The good quality of care they receive is reflected in multi-agency care practices and risk management planning. This keeps young people safe.  Leadership is provided by an experienced, competent and calm manager, who is committed to excellence.  The registered manager leads a staff team who demonstrate a commitment to good practice. This results in the competent care of young people. Well organised planning effectively supports young people during the admission process. Regular reviews ensure that young people’s needs are met.  The quality assurances systems used by the home are extremely valuable,

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The children's home provision is good because:

involve young people and professionals. Strengths, areas of improvement and consideration for future development is embedded in these practices.

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Information about this children's home

 The home is registered to accommodate three young people with a mental disorder. (MD)  The home is privately owned.  The home is a specialist residential care service working in partnership with young people and all relevant agencies. The home provides 24 hour support from consultant psychiatrist and registered mental health nurses, providing a level of comprehensive care, as written in the home's statement of purpose document.  The home is also registered with the Care Quality Commission (CQC). A report on how the home meets the fundamental standards of quality and safety is available from the CQC.

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Recent inspection history

Inspection date Inspection type Inspection judgement 07/03/2016 Interim Declined in effectiveness 28/10/2015 Full Good 22/07/2014 Full Adequate 02/06/2014 Full Adequate

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Good

Young people continue to make measurable progress from the short time they have lived in this home. They are supported by a staff team who work closely with them and their families to achieve their personal goals. A parent stated of their child’s progress,

p.5

Good

 ‘Staff are absolutely brilliant. The home is a relaxing and welcoming environment. Staff are good at picking up on signals or behaviours and they have a good understanding of her needs which has resulted in her settling well and making progress.’

p.5

Good

There is a relaxed atmosphere in the home and the young people have very good relationships with staff. They trust them and can identify an adult they can talk to if they are worried about anything. They talk to staff about past experiences and reflect upon them; this is positive for them. Collectively young people say staff listen to them and support them well. And, individually they say,

p.5

Good

 ‘Staff are really supportive and we all know we can go up to them if there are any issues.’

p.5

Good

 ‘Yes the staff team care for me and they couldn’t do anything better.’

p.5

Good

 ‘The best thing about this home is the staff and the manager.’

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Good

Young people attend weekly house meetings and participate in regular one-to- one sessions with their key staff; they contribute to decisions about how staff run the home and express any views or wishes they may have. This includes holidays and activities. If issues with, for example, the placing authority or young people’s contact arrangements with their family cannot be resolved, staff offer young people independent advocates. This ensures young people have a relationship with someone independent of the home who can, if needed, act on their behalf.

p.5

Good

New admissions to the home are carefully managed. A rigorous process is followed and includes careful matching with the current young people living at the home, prior to any admission being agreed. When it is agreed that a young person can be admitted staff take great care to avoid disruption to young people already in the home. There is an effective introduction process which is focussed around the young person’s needs. The manager and staff have remarkable relationships with education providers. This enables young people who have very high-risk behaviour to access education in a safe way. Staff implement high quality care planning and risk management strategies. Their work has been fundamental in supporting college and teaching staff to understand the young people’s complex needs and risks. Consequently, for some young people, their risks have been managed in a way that has allowed staff to pull back from the support they

p.5

Good

initially provided to them in school and college. The young people are proud of their educational achievements and they hold high aspirations about their futures.

p.6

Good

Young people are in good physical health and lead healthy lifestyles. Staff undertake work that results in young people having a better understanding of, and taking more responsibility for, their own health. For example, by ensuring local health appointments are attended and outcomes and follow appointments are recorded. Procedures for medication are understood by staff, with medication being stored securely, administered safely and audited on a daily basis.

p.6

Good

Young people living in the home receive regular psychological support. Their care is underpinned by a clinical care plan overseen by clinical staff. Staff receive clinical supervision, which is tailored to the individual needs of the young people they care for. Staff are also supported to reflect on their own emotions and how young people’s behaviour can affect them. This therapeutic approach to care ensures that staff have the skills to understand the young people’s complexities.

p.6

Good

Care planning documentation is robust and shows the progress that young people have made since coming to the home. Multi-agency consultation is threaded throughout every aspect of the care given to young people. They receive personalised care that consistently reflects their needs.

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Good

Staff focus on young people’s well-being and support them to make positive behavioural changes. Staff monitor young people’s goals to ensure that they remain attainable. Young people are encouraged to develop basic care skills, social and independence skills, for example, one young person’s confidence has grown and she is now more sociable with her peers. Another young person previously became stressed when unable to manage her ritualistic behaviour, persistent guidance from staff has helped her to cope better and significantly reduce her self-harm behaviour.

p.6

Good

The home is located in a rural setting with easy access to local towns by car. Young people have a warm, welcoming and homely place to live in. Young people contribute greatly to the celebrations of festivities. For example, they have contributed to the décor in preparation for Halloween. And, by individualising of their bedrooms, which reflect their personalities and preferred tastes well.

p.6

Good

Young people develop practical and social skills required to move on into adulthood. Staff are sensitive and use their in-depth knowledge of each young person to ensure their development is gradual and appropriate to their abilities. One young person who has moved on from the home is now at university, having benefitted greatly from the support she received in the home.

p.7

Good

Young people are protected inside and outside of the home, they say they feel safe and have very strong relationships with the staff. They feel staff understand them and listen if they are worried or upset. These strong attachments intensify staffs ability to keep young people safe. Staff are clear on their responsibilities to safeguard young people and follow the safeguarding policy when a concern arises.

p.7

Good

There are effective processes in place to check potential new staff and reduce the likelihood of young people being looked after by adults who may pose a risk to them. Staff demonstrate well the procedures to follow should any suspicions, concerns or allegations arise and the staff know the contact details and significant role of the local designated safeguarding officer.

p.7

Good

The manager and staff team ensure that young people’s very high-risk behaviours are effectively and safely managed. Risk management is based upon multi-agency planning and as a result, the young people are able to engage in activities within their community and enjoy holidays and make new friends. This approach to care keeps them and others safe. Young people’s risk reduction strategies are clearly stated in the written documentation, and understood by staff. There is clear evidence that they are being applied appropriately and consistently in practice.

p.7

Good

Young people’s risk taking behaviours have significantly improved since being at the home. There has been a considerable reduction in self-harm incidents. Equally a reduction in incidents of young people missing from the home and no bullying incidents. Young people collectively say everyone gets on well and supports each other in the home. This effective change in young people’s behaviour is a result of careful planning, matching young people on admission to the home and the positive role modelling staff provide to the young people.

p.7

Good

Staff work with a range of services within the organisation to ensure young people’s physical, psychological and emotional health needs are clearly identified and suitably supported. There are effective links between the staff, the organisation’s own therapist and health experts. This holistic health care impacts well on young people, who have the necessary services available to them in the home, rather than having to wait for local health services to support them. One young person is being supported to take gradual steps to change her institutionalised behaviour having spent a considerable time in hospital. Careful planning for the young person to be confident in open spaces and crowds has paid off, progress has been made by the young person and a trip to London is planned with her staff.

p.7

Good

The need to restrain young people to prevent injury through self-harming behaviour has reduced. Young people are able to better manage their emotions as a result of regular therapy. This has had a positive impact on young people where previously they needed to be held to keep themselves safe and now a guided hand or instruction from staff enables young people to quickly change their behaviour and prevent them from causing injury to themselves or others.

p.8

Good

There is clear evidence in the records kept in the home that young people and staff are reflective of incidents and individual behaviours. De-briefs are clearly recorded and analysed so as lessons can be learned from practice. Young people contribute to the incentive and reward programme and respond positively towards this. They regularly achieve their goals, and sanctions or consequences are rarely used.

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Good

Regular health and safety checks relating to the internal and external environment of the home are undertaken. This includes inspection of all fire safety equipment. Young people receive advice on fire safety when first admitted to the home, and subsequently take part in fire drills. These measures ensure that the young people live in a safe, well-maintained physical environment.

p.8

Good

All visitors to the home are required to produce their identity and young people are not left unsupervised with people calling into the home. This further protects young people.

p.8

Good

The home is led by an experienced registered manager who has completed his Level 5 qualification in management and has long term experience of managing services for children with emotional and behavioural difficulties. The manager joined the home in March 2016. He leads the staff by good example. He has worked consistently to drive the home forward providing a clear structure and focus on the young people’s needs. Particularly in bringing together the social care and health care needs of the young people. The registered manager drives the support that has led to the achievements and progress of young people at the home. His belief is that such improvements can come from doing the simple things very well is testament to improving the strengths in the home and by improving weaknesses. He is assertive and uses a clam approach in advocating for young people when he believes that partner agencies could and should do more.

p.8

Good

The majority of staff are appropriately qualified, if not they are in the process of undertaking their relevant qualification. They have a wide range of experience and develop their practice through on-going training, structured team meetings and regular supervision. Collectively staff are positive about the support they receive in the home and individually they say,

p.9

Good

 ‘In all the services I have ever worked in this is the most supportive and I know my training will be sorted.’

p.9

Good

 ‘I definitely feel supported and I love working here.’

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Good

 ‘I love working here I feel supported and I feel the children are happy and safe and their views are listened to.’

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Good

 ‘To have the health and psychological services to young people all in one place really benefits the young people.’

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Good

Staff confirm their training needs are met and provided through face-to-face, work books and e-learning. Staff training needs are up to date and planned future refresher courses are in place.

p.9

Good

The statement of purpose document is up to date and clearly states the ethos of the home and the registered manager’s aims. The children’s guide is appropriate for the young people and provides them with useful information about the services in the home and how and who they can make a complaint to.

p.9

Good

Quality assurance systems, internally and external, are very good. They enable the registered manager to evaluate patterns and trends and so identify the home’s strengths as well as weaknesses. Young people’s records are very comprehensive and enable a picture of each young person’s progress to be built up over time. It is evident young people contribute to their plans and participate in the children’s newsletter which is informative and shows young people’s achievements. For example, one young person has raised money by organising events for local and national charities.

p.9

Good

The monthly report provided by the independent person is informative and evaluative. The manager welcomes this overview of the services the home provides and promptly acts on any actions raised in the report. Together with feedback questionnaires from young people, their families and professionals, the home is demonstrating how good the quality of care provided to young people is.

p.9

Good

The new manager, changes to staffing and improvements in administration systems has improved the home’s previous inspection judgement. There is a clear and detailed development plan in place to sustain this good practice and further improve the service over time.

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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. 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

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What the inspection judgements mean

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 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 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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