Children's home run by Cornwall Partnership NHS Foundation Trust in Cornwall

children and young people since the most recent full inspection

This home was judged requires improvement 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

An interim manager has been appointed since the last inspection. The interim manager has been in post for three months and is in the process of submitting an application for registration.

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children and young people since the most recent full inspection

Young people continue to enjoy their short breaks in this home and parents and professionals are very happy with the service provided. The interim manager has improved safeguarding practice throughout the home. Staff are clear how and when to implement procedures to keep young people safe. Matters of concern are escalated to professionals and their managers without delay to ensure that young people’s needs are prioritised. The manager and staff know the legal status of the young people they care for and therefore can ensure that young people receive the services they need. The manager and staff liaise more closely with social workers and other professionals, creating a greater level of consistency and quality in young people’s care. Consequently, the requirements made at the previous inspection which relate to the standards of protection of children and young people and engaging with the wider system are met.

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children and young people since the most recent full inspection

Young people have more opportunities to enjoy activities and social occasions both at and outside of the home. Staff now share mealtimes with young people every day, which provides both social and learning opportunities for young people as well as promoting an environment where young people and staff feel valued together. Staff plan various activities for young people, which include cinema, bowling, walks, shopping and hydrotherapy. Young people’s responses to such activities are assessed individually; a system is in place to evaluate these responses at each three-monthly review of young people’s care and experiences.

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children and young people since the most recent full inspection

When care plan reviews take place outside of other scheduled meetings, staff consult parents but do not normally seek other professionals’ views. Therefore, young people’s progress is not reviewed thoroughly on these occasions. While all young people have goals set and staff celebrate their achievements, some of these are not specific or realistic and are not reflected consistently in documentation.

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children and young people since the most recent full inspection

Management oversight is not yet robust in all areas of the home. Recording of incidents is not thorough and, in some instances, leaves questions which the manager has not addressed in her evaluation. Learning from incidents is mostly discussed at team meetings and disseminated to staff. However, plans and procedures are not updated with recommendations made that have resulted from incidents. For example, the medication procedure has not been updated following recommendations made in relation to a counting error. Therefore, there is a risk that practice does not improve as a result. A system for incidents to be reviewed monthly with the manager and senior manager has recently been reinstated. This system provides a helpful overview of incidents and how the home is tackling recommendations.

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children and young people since the most recent full inspection

When bank staff are employed to care for young people, other staff in the wider organisation carry out recruitment checks. The manager does not personally verify references or consider experience and qualifications in relation to the highly complex needs that the young people have. Therefore, the manager cannot be personally assured of the suitability of staff caring for young people. Following the last inspection, the home has been repainted and a new bath has been fitted, which the young people love to use. Charity monies have been used to buy more resources to stimulate young people and the manager has plans to develop the home environment more. The manager and team work well together and staff benefit from the guidance that the manager provides. A supervision structure is now in place that provides more consistency and regular team meetings take place that support good communication within the team.

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Information about this children's home

This service is provided by the NHS Foundation Trust and offers respite care for up to four children and young people at any one time. Children and young people who have significant health needs and learning disabilities can be provided for by a team of nursing staff and care support staff.

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Recent inspection history

Inspection date Inspection type Inspection judgement 04/07/2016 Full Requires improvement 29/02/2016 Interim Sustained effectiveness 13/07/2015 Full Good 06/03/2015 Interim Sustained effectiveness

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Statutory requirements

This section sets out the actions which must be taken so that the registered person 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 must comply with the given timescales.

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Requirement Due date

13: The leadership and management standard In order to meet the leadership and management standard, the registered person should enable, inspire and lead a culture in relation to the children’s home that— (a) helps children aspire to fulfil their potential; and (b) promotes their welfare. (2) In particular, the standard in paragraph (1) requires the registered person to— (f) understand the impact that the quality of care provided in the home is having on the progress and experiences of each child, and use this understanding to inform the development of the quality of care provided in the home; and (h) use monitoring and review systems to make continuous improvements in the quality of care provided in the home.  Audit, evaluate and update recording of incidents, medication, young people’s plans and risk assessments, and reviews of young people’s experiences  Ensure that reviews of young people’s progress, experience

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Requirement Due date

and care identify achievable goals for young people and that these reviews include the views of all relevant people to ensure that young people’s progress and experiences are maximised 08/04/2017

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Requirement Due date

32. (1) The registered person must recruit staff using recruitment procedures that are designed to ensure children’s safety. In particular— (3)(b) ensure that the individual has the appropriate experience, qualification and skills for the work that the individual is to perform; and (3)(d) full and satisfactory information is available in relation to 28/02/2017 the individual in respect of each of the matters in Schedule 2.

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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 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 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 0300 123 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, work- based learning and skills training, adult and community learning, and education and training in prisons and other secure establishments. It inspects services for children looked after 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

T: 0300 123 1231 Textphone: 0161 618 8524 E: enquiries@ofsted.gov.uk W: www.gov.uk/government/organisations/ofsted

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