Children's Home run by Idem Living Limited in Somerset

children and young people since the most recent full inspection

This home was judged good at the full inspection. At this interim inspection Ofsted judges that it has sustained effectiveness .

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children and young people since the most recent full inspection

Since the last inspection one young person has left the home. This was a planned move back to live with his family. The manager ensured that an effective transition plan was in place. This was developed in agreement with the young person’s social worker, and with family involvement. Prior to him leaving the home he continued to go missing, and place himself at serious risk of harm. Staff followed the agreed missing from home protocols and guidelines, and clear and concise records were maintained to demonstrate the robust action staff had taken. In response. In addition, the manager and staff worked collaboratively with the placing authority, police, and family to promote his safety and well-being.

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children and young people since the most recent full inspection

A young person has recently been admitted to the home. The manager gained a thorough assessment of his needs prior to his admission. The young person said ‘I like living here, the staff are nice and listen to me’. He gave 9/10 for living in the home. He said he feels safe in the home. The manager leads by example, and provides a nurturing environment for the young person. Staff place his needs at the centre of their practice. They have a good understanding of his needs, and promote a caring and supportive environment for him to feel secure.

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children and young people since the most recent full inspection

Positive feedback was received from the placing authority. His social worker said ‘Staff are working in a positive way with him. He tells me that he likes the staff, and likes living here’.

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children and young people since the most recent full inspection

Shortly after his admission, and for a short period of time, his behaviours placed himself at risk of significant harm. The manager said that the behaviours exhibited were consistent with known behaviours identified prior to him moving in. The behaviours included attempts of self-harm. Staff took effective and appropriate action at the time of these incidents to promote his safety and well-being. This included the use of restraint in order to keep him safe.

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children and young people since the most recent full inspection

The records pertaining to the use of restraint are detailed. The manager has reviewed the measures used and whether the restraints were proportionate. The young person and staff did not sustain any injuries as a result of these incidents. The social worker confirmed that he has been informed of these incidents, and that the vast majority of the behaviours exhibited, are known behaviours. However, the manager has failed to notify Ofsted of these significant incidents.

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children and young people since the most recent full inspection

The manager has ensured that specific risk assessments in respect of self-harm and high risk behaviours have been reviewed following these incidents. However, the young person’s ‘generic individual risk assessment’ has not been fully updated.

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children and young people since the most recent full inspection

The manager took some effective measures to ensure that the home’s environment was safe for the young person, considering known risks. However, this inspection identified further measures that could have been taken to promote his safety and well-being further. The manager addressed these matters at the time of this inspection. The young person’s social worker considers that he is safe at the home, and confirmed that the manager keeps him regularly updated. The manager has developed a missing from home protocol and this has been shared and agreed with the local police missing person’s co-ordinator. The young person has not been missing since he came to live at the home.

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children and young people since the most recent full inspection

Following a recent incident the young person’s sleeping arrangements were reviewed, and he has been sleeping in the lounge. The manager devised guidelines for staff to follow in respect of this, and his social worker agreed to the temporary arrangement. However, the manager failed to complete a detailed risk assessment in respect of this to demonstrate how risks pertaining to this are to be managed.

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children and young people since the most recent full inspection

Staff have received training in self-harm, attachments, de-escalation and restraint, and first aid. The manager confirmed that there has not been any referrals made to the designated officer, or to children’s services.

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children and young people since the most recent full inspection

The manager has submitted her application to register with Ofsted. The application is in progress. She continues to ensure that there is regular scrutiny of the home by the independent visitor, and responds in a timely manner to any recommendations that are made. She has started to review the quality of care provided and uses this understanding to further develop the quality of care.

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children and young people since the most recent full inspection

The requirement and two of the three recommendations made at the last inspection have been met. The recommendation made in respect of young people’s health care needs continues, as this was not reviewed at this inspection.

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Information about this children's home

This service is operated by a private organisation. It is registered to provide care and accommodation for up to two young people who may display emotional or behavioural difficulties.

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Recent inspection history

Inspection date Inspection type Inspection judgement 28/09/2016 Full Good 08/02/2016 Interim Not judged

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Statutory Requirements

This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Children's Homes (England) Regulations 2015 and the Guide to the children's homes regulations including the quality standards. The registered person(s) must comply with the given timescales.

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Requirement Due date

In order to meet the protection of children standard the registered person must-

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Requirement Due date

12 (2)(a)(i) that staff assess whether each child is at risk of significant 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.

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Requirement Due date

In particular, that all risk assessments are regularly reviewed and measures are taken to reduce the risk of young people placing themselves at risk of harm, including the temporary sleeping arrangements.

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Requirement Due date

(d) that the premises used for the purpose of the home are designed, furnished and maintained as to protect each child from avoidable hazards to the child’s health.

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Requirement Due date

In particular, to remove all risks such as potential ligature points and access to roof spaces that can be used by young people to self-harm and/or place them at significant risk of harm. 31/01/2017

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Requirement Due date

40 (4) The registered person must notify HMCI and each other relevant person without delay if- (e) there is any other incident relating to a child which the registered person considers to be serious. 31/01/2017

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Recommendations

To improve the quality and standards of care further the service should take account of the following recommendation(s):  Ensure staff encourage children to take a proactive role in looking after their day to day health and well-being. In particular, continue to explore approaches in encouraging healthy eating, exercise and the cessation of smoking ('Guide to the children's homes regulations including the quality standards', page 34, paragraph 7.10).

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What the inspection judgements mean

At the interim inspection we make a judgement on whether the home has improved in effectiveness, sustained effectiveness, or declined in effectiveness since the previous full inspection. This is in line with the Inspection of children's homes: framework for inspection.

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Information about this inspection

Inspectors have looked closely at the experiences and progress of children and young people living in the children's home. Inspectors considered the quality of work and the difference adults make to the lives of children and young people. They read case files, watched how professional staff work with children, young people and each other and discussed the effectiveness of help and care given to children and young people. Wherever possible, they talked to children, young people and their families. In addition the inspectors have tried to understand what the children's home knows about how well it is performing, how well it is doing and what difference it is making for the children and young people who it is trying to help, protect and look after. This inspection focused on the effectiveness of the home and the progress and experiences of children and young people since the most recent full inspection.

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Information about this inspection

This inspection was carried out under the Care Standards Act 2000 to assess the effectiveness of the service and to consider how well it complies with the Children's Homes (England) Regulations 2015 and the Guide to the children's homes regulations including the quality standards. the guidance raising concerns and making complaints about Ofsted, which is available from Ofsted's website: www.gov.uk/government/organisations/ofsted . If you would like Ofsted to send you a copy of the guidance, please telephone 0300123 4234, or email enquiries@ofsted.gov.uk .

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Information about this inspection

achieve excellence in the care of children and young people, and in education and skills for learners of all ages. It regulates and inspects childcare and children's social care, and inspects the Children and Family Court Advisory and Support Service (Cafcass), schools, colleges, initial teacher training, workbased learning and skills training, adult and community learning, and education and training in prisons and other secure establishments. It inspects services for looked after children and child protection. If you would like a copy of this document in a different format, such as large print or Braille, please telephone 0300 123 4234, or email enquiries@ofsted.gov.uk . You may reuse this information (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit www.nationalarchives.gov.uk/doc/open-government-licence , write to the Information Policy Team,

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Information about this inspection

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Information about this inspection

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Information about this inspection

Store Street Manchester M1 2WD T: 0300 123 1231 Textphone: 0161 618 8524 E: enquiries@ofsted.gov.uk W: www.gov.uk/government/organisations/ofsted

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