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

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 . No shortfalls were identified at the previous inspection.

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children and young people since the most recent full inspection

The home remains registered with the Care Quality Commission. However, this was a standalone Ofsted inspection.

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children and young people since the most recent full inspection

The manager has continued to provide a good quality of care in the home. The same group of young people remain living in the home, and this period of stability has enabled them to make good progress. Young people speak positively about the quality of care they receive. One young person commented: ‘It’s a good home, the staff are all alright. I get on better with some than others but that’s OK.’

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children and young people since the most recent full inspection

A particular strength of the home is the quality of relationships between young people and the staff team. Young people spoken with during the inspection talked positively about staff keeping them safe and spending quality time with them. This supports young people to build relationships and feel safe to engage in the therapeutic support offered by the home.

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children and young people since the most recent full inspection

Young people have made considerable progress in sustaining individual educational plans. For one young person this has meant returning back to full-time education in school, following a significant period out of school. She has managed the transition very well, and consequently she is now working towards a rehabilitation plan home. One young person has successfully made the transition to college, and she has built positive relationships with a peer group that has enjoyed spending time with the young person at the home. The young person commented: ‘It’s good when my friends come, they are able to give us a lift and make things OK at the house.’ This means that young people build positive peer relationships with other young people within their local area and community. These positive links and relationships enable young people to build positive support networks with their peers, which they can then take into and access during adulthood.

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children and young people since the most recent full inspection

Young people are supported to maintain good physical health and are encouraged to lead healthy lifestyles. They are encouraged to be active, and enjoy a number of physical activities such as joining a local gym, which encourages community interaction. Young people living in the home benefit from regular individualised psychological support, delivered by an internal clinical care team. Staff receive both care and clinical supervision, which is tailored to the individual needs of the young people who they care for. This therapeutic approach to care ensures that staff have the skills to understand the individual needs of young people associated with their emotional well-being.

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children and young people since the most recent full inspection

Young people do not go missing from the home. On the rare occasions when young people have made threats to leave the home, the staff have followed individual risk management plans and utilised their positive relationships to support young people to make positive choices and remain in the home. Overall, staff use positive reinforcement to promote positive choices, which means sanctions are not necessary.

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children and young people since the most recent full inspection

The manager has followed the internal complaint procedure to investigate the one complaint that a young person has made. The young person did not agree with the outcome of the investigation; consequently, the manager has requested that the young person’s advocate supports the young person through the next stage of the complaint procedure. The young person confirmed at the inspection she was aware of the action taken by the manager and was confident that the complaint was being dealt with.

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children and young people since the most recent full inspection

The manager does have a number of monitoring systems in place to drive improvement. A report is produced on a regular basis and is received by HMCI, in line with regulation. However, the report produced does not yet provide for consultation with young people, or identify areas for improvement and actions to be taken. This is a missed opportunity to drive improvement and evaluate the impact of care provided by the home.

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children and young people since the most recent full inspection

The manager ensures that regular independent visits take place, as required by regulation. However, the visitor does not consult regularly with young people and parents regarding the quality of care provided in the home. The reports does not evaluate the visitor’s findings during the visit or provide the manager with detailed actions to secure improvement in the quality of care provided. The visitor does not comment in their opinion as to whether young people are effectively safeguarded in the home. This is a further missed opportunity to drive improvement in the home and the quality of care provided.

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children and young people since the most recent full inspection

The home is located in a semi-rural setting with easy access to local towns by car. Young people benefit from living in a homely house. They are encouraged to contribute to the décor of the house and have all decorated their bedrooms to their individual tastes. However, during the inspection it was noted that the bathrooms were not clean and that staff had not made attempts to address this during the inspection.

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Information about this children’s home

The home is registered to accommodate three young people who have 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. 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 31/10/2016 Full Good 07/03/2016 Interim Declined in effectiveness 28/10/2015 Full Good 22/07/2014 Full Adequate

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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 within the given timescales.

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Requirement Due date

The independent person should interview in private the children, their parents, relatives and persons working at the home. The independent person must produce a report about a visit which sets out, in particular, the independent person’s opinion as to whether children are effectively safeguarded and the conduct of the home promotes children’s well-being. The report may recommend actions that the registered person may take in relation to the home and timescales within which the registered person must consider whether or not to take those actions. (Regulation 44 (a)(4)(a)(b)(5)) 31/05/2017

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Requirement Due date

In order to complete a quality of care review the registered person must establish and maintain a system for evaluating the quality of care provided for children including feedback from children about the home, its facilities and the quality of care they receive in it; and any actions that the registered person considers necessary in order to improve or maintain the quality of care provided for children. (Regulation 45(2)(a)(b)(c)(3) 31/05/2017

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Recommendations

To improve the quality and standards of care further the service should take account of the following recommendation:  Ensure that the registered manager provides a nurturing and supportive home environment that meets the needs of their children, in particular maintaining good hygiene standards with regards to the keeping all young people’s bathrooms clean. (‘Guide to the children’s home regulations including the quality standards, page 15, paragraph 3.9)

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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 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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