Children's home run by The Little Flower

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 . Two requirements and one recommendation resulted from the full inspection. The home has met the two requirements and the recommendation. Independent monitoring reports are now received in a timely manner. This provides a monthly overview of what is happening in the home. The registered manager completes regular quality of care reports. The home’s achievements are recorded in the development plan alongside areas that could be improved on. This means the registered manager has a good understanding of the strengths and weaknesses in the home. The workforce development plan has now been completed and put into practice. As a result, the home is properly staffed and resourced to meet the needs of the young people living in the home. In addition, mandatory training for staff is completed and refreshed in line with guidance. The staff team also completes

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children and young people since the most recent full inspection

training which is bespoke, to ensure that the individual needs of the young people are met; this includes gastrostomy feeding, and safe handling and moving techniques. This ensures that the young people receive good individualised care when they stay at the home. The home’s statement of purpose does not include all the required information. The current document fails to include details of the management and staffing structure of the home, or the experience and qualifications of staff. The management of the young people’s medication records is not sufficiently robust. When a medical professional amends any recommended treatment programme, staff fail to record the change of medication advice. In addition, the amount of medication that arrives with the young people and the amount of medication that leaves with them is not accurately documented. These shortfalls have not had a detrimental impact on young people; however, they do not ensure

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children and young people since the most recent full inspection

safe medication administration. A strength of the home is the admission process and the quality of the assessment of the young people. The registered manager requests information about the young people’s health, personal care, diet and mobility needs, along with their routines such as bedtime habits. This information provides the staff team with a holistic understanding of the young people. This, then, informs staff practice and staff are able to provide young people with care tailored to their individual needs. Young people make good progress during their stay at the home. The home liaises effectively with parents, carers and schools to identify the young people’s needs and interests. Staff support the young people during their stay in the home to achieve their potential in relation to personalised targets. One young person’s target is to learn to make choices through choosing an object to touch for a few

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children and young people since the most recent full inspection

seconds. Another young person’s target is to independently engage in an activity. Staff complete monthly and quarterly progress reports on young people that clearly record their achievements. The young people are supported to engage in activities both inside and outside of the home. They enjoy audio stories, music and movie time, and creative activities such as cooking and finger painting. In addition, they participate in gardening in the home’s raised flowerbeds and trips to the local community. Their achievements are celebrated with photographic displays on the walls of the home that add a vibrant and positive atmosphere. The importance placed by leaders and managers on gaining feedback from others ensures that the quality of care is routinely considered. Questionnaires are regularly received from parents, carers and professionals. Feedback is positive. One parent wrote, ‘The quality of care and communication is very good’ and that the

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children and young people since the most recent full inspection

young person ‘loves coming to the home’. The registered manager and staff team receive regular supervision and attend monthly group supervision. Group supervision provides staff with the opportunity to reflect and discuss the young people’s needs and progress. Group supervision also provides the staff team with the opportunity to update its knowledge on topics such as safeguarding and the quality standards for children’s homes. This learning enhances the experiences of the young people in the home.

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Information about this children’s home

The home provides residential and respite care and accommodation for up to three children or young people who have a physical and/or learning disability. A private company runs the home.

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Recent inspection history

Inspection date Inspection type Inspection judgement

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Recent inspection history

03/03/2016 Interim Sustained effectiveness

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Recent inspection history

31/03/2015 Interim Improved 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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Statement of purpose

16. (1) The registered person must compile, in relation to the children’s home, a statement (‘the statement of purpose’) which covers the matters listed in Schedule 1. 19. Details of the experience and qualifications of staff, including any staff commissioned to provide education or healthcare. 20. Details of the management and staffing structure of the home, including arrangements for the professional supervision of staff, including staff that provide education or healthcare. 21. If the staff are all of one sex, or mainly of one sex, a description of how the home promotes appropriate role models of both sexes. 30/5/2017

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Recommendations

To improve the quality and standards of care further the service should take account of the following recommendation(s):

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Recommendations

 Records must be kept of the administration of all medication, which includes when prescribed medication is refused. (‘Guide to the children’s homes regulations including the quality standards’, page 35, paragraph 7.15)  During a short break, staff are responsible for maintaining a child’s ongoing health treatment, including the management of medication on arrival and departure from the home and recording and sharing information about when the medicine was administered. (‘Guide to the children’s homes regulations including the quality standards’, page 35, paragraph 7.20)

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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, 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

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

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

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