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Social care · Social care interim inspection

Children's home run by Prior’s Court Foundation

Inspected 7 Mar 2017 · URN SC069336

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Summary

No overall grade in this framework

Chris Peel

What we read, and from where

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  • Inspection datesingle source

    7 Mar 2017

  • Inspectors verified

    Chris Peel

  • URN verified

    SC069336

Page 1 of 9
Page 1 of the report

Deep dive

What this report says

In plain English

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Tone of the report

How positive or critical the inspectors' language is, from the words they chose. No AI involved.

+15Mostly positivemore positive than 31% of reports of this type

In line with other reports of this type.

Praiseexemplaryoutstandingextremelyclearrobustpromptlyenthusiasmconsistently
Criticismconcerndeclinedseriousweaknessesdeficiencieslackyet todelay

How the report reads, start to finish

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FindingsAbout the inspectionWhat needs to improve positive critical
  • Findings1363w+20
  • What needs to improve357w−17

Strengths

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Concerns

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Next steps

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What the report dwells on

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Anatomy of the report

How the report is built, against others of the same type and grade.

Pages
9
Words of findings
1,716
longer than usual (typical 904)
Reading level
Hard
Flesch 40, typical 48
Average sentence
21 words
Next steps
6
typical 4
Hedged sentences
4%
“some”, “not always”, “most”…

Where the words go

Findings 60%What needs to improve 16%About the inspection 24%

Full report text

children and young people since the most recent full inspection

This home was judged outstanding at the full inspection. At this interim inspection, Ofsted judges that it has sustained effectiveness . This is an exemplary ‘learning’ organisation. Leaders and managers examine events to identify lessons learned, which are disseminated to improve services for children and young people. A striking example is an investigation into a concern about the actions of a member of staff; despite concluding that the concern was unfounded, managers made recommendations and used the opportunity to reflect on how to further improve practice. The organisation has learned from a serious incident that occurred on a community trip. A thorough investigation into the circumstances has led to the implementation of new planning procedures, including individual risk assessments to consider individual children’s and young people’s needs in relation to the activity, and ensuring that rota changes are made to support the trip. Staff are therefore more

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children and young people since the most recent full inspection

aware of potential hazardous incidents and behaviour, and are better prepared for them. The quality assurance manager has robust systems in place to monitor the home’s arrangements that safeguard and promote children’s and young people’s welfare. There is also good provision to monitor the health and safety arrangements, involving experienced consultants who advise leaders and managers. Recommendations are promptly followed up, which means that the environment is as safe as possible for staff, children and young people. The provider has incorporated lessons learned from the specifications of a recently refurbished house (and how they have withstood, or not, the testing behaviours of a young person) into the design of a new building. The manager has overseen this process with characteristic thoroughness. As a result, children and young people who move into the new houses are far more likely to live in a pleasant environment

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children and young people since the most recent full inspection

that is also able to withstand very challenging behaviour. The entire management team shares a drive to improve the experiences of children and young people through careful examination of practice, processes and outcomes. A recent restructuring has facilitated opportunities to review current procedures and led to the creation of several proposals to develop services. These include increasing the availability of psychiatric consultancy, providing bespoke training for staff on managing specific children’s epilepsy and creating well- designed materials to provide sex education for young people who have learning disabilities. Each of the houses now has a manager with responsibility for the running of their home. This means that there are clearer lines of responsibility and opportunities for those in these posts to influence the practice of staff who are accountable to them. Those managers spoken to are undertaking their new roles with enthusiasm, and

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children and young people since the most recent full inspection

have identified improvements that they want to make. These new responsibilities provide the potential for them to champion the care of children and young people in their houses. The new structure has yet to ‘bed in’ and a few houses have significant weaknesses that managers have not addressed. These include the availability of records or fire precaution checks and the siting of firefighting equipment, deficits in case recording and lack of attention to provide a stimulating environment. These are exceptions to the otherwise outstanding standard of care, and inspectors were reassured that senior managers have, from their own observation and monitoring, identified where improvements are needed. The provider has recently agreed to a substantial refurbishing programme in three houses to upgrade facilities. The refurbishment is overdue, and other houses have bathrooms and toilets that need considerable attention to make them pleasant

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children and young people since the most recent full inspection

rooms for children and young people to use. Staff in these houses were well aware of the deficiencies but had not been able to effect improvements. Individual risk assessments include how staff should assist children and young people in the event of a fire. However, evacuation records do not comment on how children and young people react to drills, which means that important information could be lost, and not get used to update risk assessments. The provider makes careful arrangements for the admission of new placements. Impact risk assessments identify behaviours and health conditions that need to be considered but do not address what impact these may have on existing residents, nor what measures should be put in place to ensure that issues are addressed. Managers report that the home obtains consents at the start of placements, including those required for the administration of first aid and participation in

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children and young people since the most recent full inspection

activities. However, staff do not have ready access to the consents; they presume that someone with parental responsibility has given consent, or say that they would find out at the time, which could lead to delay in acting in an emergency. Plans and assessments on case files were of an extremely good quality, giving staff up-to-date, child-focused, clear and accurate information on which to base their interactions with children and young people. Authors are named so that there is clear accountability, but other stakeholders such as parents and social workers do not routinely sign documentation to demonstrate that they have been shared, understood and agreed. There is no procedure in place for all staff working with individual children and young people to sign that they too have read and understood the documents. Inspectors observed consistent practice with children and young people. Children and young people know what is expected of them in terms of routines and

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children and young people since the most recent full inspection

behaviours, and are supported to be as independent as possible. Staff consistently apply positive behaviour strategies to keep children and young people calm, and to avoid incidents. These strategies include diversionary activities that work for particular individuals, such as use of a trampoline or listening to music. Staff report that some children and young people have learned what works for them, and will take themselves away from stressful situations to undertake the activity. Staff support children and young people to make choices in relation to food, clothing and activities by using bespoke communication methods. Daily living assessments provide a baseline evaluation of children and young people’s abilities. A three-month review has taken place, providing data on where each individual has made progress or perhaps regressed. Charts show significant improvement for some children and young people in areas such as managing

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children and young people since the most recent full inspection

travel, undertaking laundry tasks, meal times and hygiene. Managers are now tasked with identifying specific targets to address any areas where competency has declined. Information from the assessments is being used to help make future placement decisions, such as one young person who is not doing as well as he was with toileting and bathing potentially moving to an en-suite room. Staff support children and young people to meet their cultural and religious needs. For example, staff made determined efforts to find a place of worship for a young person that was able to accommodate the needs of his diagnosed condition. They also assist children and young people to access facilities in the community, such as a climbing club, a drama group and work experience placements. The help and support given to young people and their families to make the move to adult provision is exemplary. Preparation is very detailed and includes the

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children and young people since the most recent full inspection

practical and emotional preparation of the young person and parents. Staff pass on knowledge, often built up over a period of years, to new providers, and remain in contact until it is clear that the new placement is working well. On one occasion it did not, and managers acted promptly to readmit the young person. Leaders and managers use latest research and innovations to inform and enhance practice. This enthuses staff and creates new opportunities for children and young people. An example is a project to assess how robots can help with things such as interactions and learning. A specifically designed sailing boat enables more children and young people to participate in this activity and is available to others in the community to use, so widening the benefit beyond the home. Managers, staff, children and young people have been involved with professional musicians in the composition of a song to promote the awareness of autism. It

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children and young people since the most recent full inspection

includes the line, ‘All I need is for you to give me a chance.’ It is evident that the ‘chances’ children and young people have in this home are extraordinarily rich and life enhancing.

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Information about this children's home

This school provides care and accommodation for up to 76 children and young people who have autistic spectrum disorder and/or learning disabilities, providing accommodation for a number of children and young people who receive up to 52- week placements. It is therefore registered as a children’s home. It operates as an independent, co-educational residential special school with charitable status.

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Information about this children's home

Children and young people are accommodated in nine on-site residential houses and one off-site house in a neighbouring village. The school is set around a restored country house, within acres of parkland.

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Information about this children's home

The organisation also provides residential services for young adults, for which it is registered with the Care Quality Commission.

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Recent inspection history

Inspection date Inspection type Inspection judgement 07/07/2016 Full Outstanding 02/03/2016 Interim Improved effectiveness 15/09/2015 Full Good 23/03/2015 Interim Sustained effectiveness

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Statutory requirements

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

In order to meet the quality and purpose of care standard the registered person is required to:

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Requirement Due date

ensure that the premises used for the purposes of the home are designed and furnished so as to meet the needs of each child. (Regulation 6 (2)(c)(i)) 28/04/2017

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Requirement Due date

After consultation with the fire and rescue authority, the registered person must take adequate precautions against the risk of fire, including the provision of suitable fire equipment in the children’s home. (Regulation 25 (1)(a))

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Requirement Due date

In particular, equipment must be sited so that it is immediately accessible in case of fire. 28/04/2017

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Recommendations

To improve the quality and standards of care further, the service should take account of the following recommendations:

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Recommendations

 The registered person should only accept placements for children where they are satisfied that the home can respond effectively to the child's assessed needs as recorded in the child's relevant plans, and where they have fully considered the impact that the placement will have on the existing group of children. ('Guide to the children’s homes regulations including the quality standards', page 56, paragraph 11.4.) The risk assessment should adequately record consideration of the potential impact of placing a child in a home on others already resident there and how this will be addressed.

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Recommendations

 The responsible person must make and give effect to such arrangements as are appropriate for the effective monitoring and review of the preventive and protective measures. (‘The Regulatory Reform (Fire Safety) Order’, page 10, paragraph 11 (1).) In particular, to record how children respond to emergency evacuation drills and ensure that records of preventive and protective measures are available for scrutiny.

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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 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

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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